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Sansano-Nadal O, Roman-Viñas B, Socorro-Cumplido JL, Nieto-Guisado A, Dallmeier D, Coll-Planas L, Fuente-Vidal A, Giné-Garriga M. [What needs do experts and future Physical Activity and Sport professionals perceive to promote healthy aging? Professionals and students' views]. Rev Esp Geriatr Gerontol 2024; 59:101495. [PMID: 38691897 DOI: 10.1016/j.regg.2024.101495] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2023] [Revised: 02/27/2024] [Accepted: 03/22/2024] [Indexed: 05/03/2024]
Abstract
INTRODUCTION Physical activity acts as an adjuvant in the treatment of numerous diseases and in the promotion of healthy aging. Increasing longevity entails an increase in the demand for professionals who prescribe physical activity, specifically physiotherapists and physical-activity educators. OBJECTIVES The main objective of this study was to explore the perceptions of a group of third- and fourth-year Physiotherapy students (n=9) and Sport Sciences students (n=5), and experts who work with older adults (n=3) about their knowledge of the older adult population and healthy aging. The secondary objectives were to: (a) explore what knowledge future professionals need about physical activity programming and about physical activity programs aimed at maintaining and improving health among older adults; (b) explore what would be the best methodology to acquire such knowledge; and (c) explore whether a relationship is perceived between knowledge about the older adult population and motivation to work with this population group. METHODS Two discussion groups with students and three interviews with experts were conducted. Discussion groups and interviews were transcribed verbatim and analyzed through a reflexive thematic analysis, following the steps described by Braun and Clarke (2021). RESULTS Three themes were identified from the discussion groups: (1) conception and ideas about older adults, (2) skills and knowledge perceived as important, and (3) proposals for motivational intervention addressed to the older population. Four themes were identified from the interviews with experts: (1) characteristics of the future professional, (2) physical activity programs for older people: the recipe for success, (3) the role of enjoyment as key to success, and (4) barriers/obstacles along the path. CONCLUSION Students of both degrees and experts believe that more practical training opportunities are needed, to enable students to interact with the older population and get to know their needs, motivations, and barriers, to increase physical activity levels in this population group.
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Affiliation(s)
- Oriol Sansano-Nadal
- Facultad de Psicología, Ciencias de la Educación y del Deporte Blanquerna, Universitat Ramon Llull, Grupo de Investigación en Salud, Actividad Física y Deporte (SAFE), Barcelona, España; Escola Universitària de la Salut i l'Esport (EUSES) Terres de l'Ebre, Universitat Rovira i Virgili, Amposta, España
| | - Blanca Roman-Viñas
- Facultad de Psicología, Ciencias de la Educación y del Deporte Blanquerna, Universitat Ramon Llull, Grupo de Investigación en Salud, Actividad Física y Deporte (SAFE), Barcelona, España; Facultad de Ciencias de la Salud Blanquerna, Universitat Ramon Llull, Barcelona, España; CIBER Fisiopatología de la Obesidad y Nutrición (CIBERobn). Instituto de Salud Carlos III (ISCIII), Madrid, España.
| | - Jose Luis Socorro-Cumplido
- Facultad de Psicología, Ciencias de la Educación y del Deporte Blanquerna, Universitat Ramon Llull, Grupo de Investigación en Salud, Actividad Física y Deporte (SAFE), Barcelona, España
| | - Ainhoa Nieto-Guisado
- Facultad de Psicología, Ciencias de la Educación y del Deporte Blanquerna, Universitat Ramon Llull, Grupo de Investigación en Salud, Actividad Física y Deporte (SAFE), Barcelona, España
| | - Dhayana Dallmeier
- Departamento de Investigación, Clínica Agaplesion Bethesda de Geriatría, Ulm, Alemania; Departamento de Epidemiología, Escuela de Salud Pública de la Universidad de Boston, Boston, Estados Unidos
| | - Laura Coll-Planas
- Research group on Methodology, Methods, Models and Outcomes of Health and Social Sciences (M(3)O). Facultad de Ciencias de la Salud y Bienestar Social, Centro de Investigación en Salud y Asistencia Social (CESS), Universidad de Vic-Universidad Central de Cataluña (UVic-UCC), Vic, España; Institute for Research and Innovation in Life Sciences and Health in Central Catalonia (IRIS-CC), Vic, España
| | - Andrea Fuente-Vidal
- Research group on Methodology, Methods, Models and Outcomes of Health and Social Sciences (M(3)O). Facultad de Ciencias de la Salud y Bienestar Social, Centro de Investigación en Salud y Asistencia Social (CESS), Universidad de Vic-Universidad Central de Cataluña (UVic-UCC), Vic, España; Institute for Research and Innovation in Life Sciences and Health in Central Catalonia (IRIS-CC), Vic, España
| | - Maria Giné-Garriga
- Facultad de Psicología, Ciencias de la Educación y del Deporte Blanquerna, Universitat Ramon Llull, Grupo de Investigación en Salud, Actividad Física y Deporte (SAFE), Barcelona, España; Facultad de Ciencias de la Salud Blanquerna, Universitat Ramon Llull, Barcelona, España
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Vasileva F, Font-Lladó R, Carreras-Badosa G, Roman-Viñas B, Cadellans-Arróniz A, López-Bermejo A, Prats-Puig A. Salivary cardiac-enriched FHL2-interacting protein is associated with higher diastolic-to-systolic-blood pressure ratio, sedentary time and center of pressure displacement in healthy 7-9 years old school-children. Front Endocrinol (Lausanne) 2024; 15:1292653. [PMID: 38304464 PMCID: PMC10830845 DOI: 10.3389/fendo.2024.1292653] [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] [Grants] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/13/2023] [Accepted: 01/04/2024] [Indexed: 02/03/2024] Open
Abstract
Introduction Cardiac-enriched FHL2-interacting protein (CEFIP) is a recently identified protein, first found in the z-disc of striated muscles, and related to cardiovascular diseases. Our objectives are: 1) to quantify CEFIP in saliva in healthy 7-9 years old school-children; and 2) to assess the associations of salivary CEFIP concentration and blood pressure, physical (in)activity and physical fitness in these children. Methods A total of 72 children (7.6 ± 0.3 years) were included in the study, recruited in primary schools in Girona (Spain). A sandwich enzyme-linked immunosorbent assay was used (abx506878; Abbexa, United Kingdom) to quantify CEFIP in saliva. Anthropometric evaluation was performed [body mass, height and body mass index (BMI)]. Systolic and diastolic blood pressure were measured by means of an electronic oscillometer and the diastolic-to-systolic blood pressure ratio (D/S BP ratio) was calculated. Physical (in)activity [sedentary time and time spent in physical activity (PA)] were assessed by means of a triaxial Actigraph GT3X accelerometer (Actigraph, Pensacola, FL, USA) that children were instructed to wear for 24h during 7 conssecutive days. Finally, physical fitness (speed and agility, explosive power of legs, handgrip strength, flexibility and balance) were assessed through validated and standardized testing batteries. Results CEFIP was easily detected and measured in all saliva samples (mean concentration: 0.6 ± 0.2 pg/ml). Salivary CEFIP was positively associated with D/S BP ratio (r=0.305, p=0.010) and sedentary time (r=0.317, p=0.012), but negatively associated with PA in 7-9 years old school-children (r=-0.350, p=0.002). Furthermore, salivary CEFIP was related to lower level of balance i.e., higher center of pressure (CoP) displacement in these children (r=0.411, p<0.001). The associations of salivary CEFIP with D/S BP ratio (Beta=0.349, p=0.004), sedentary time (Beta=0.354, p=0.009) and CoP displacement (Beta=0.401, p=0.001), were maintained significant after adjustment for potential confounding variables such as age, gender and BMI in linear regression analyses. Conclusion CEFIP can be easily assessed in saliva as a promising biomarker associated with cardiovascular health in 7-9 years old school-children. Interestingly, higher salivary CEFIP concentration was related to higher D/S BP ratio, more sedentary time and higher CoP displacement i.e., lower level of balance in these children.
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Affiliation(s)
- Fidanka Vasileva
- Pediatric Endocrinology Research Group, Girona Institute for Biomedical Research, Girona, Spain
- University School of Health and Sport, University of Girona, Girona, Spain
| | - Raquel Font-Lladó
- University School of Health and Sport, University of Girona, Girona, Spain
- Research Group of Culture and Education, Institute of Educational Research, University of Girona, Girona, Spain
| | - Gemma Carreras-Badosa
- Pediatric Endocrinology Research Group, Girona Institute for Biomedical Research, Girona, Spain
| | - Blanca Roman-Viñas
- University School of Health and Sport, University of Girona, Girona, Spain
- Department of Physical Activity and Sport Sciences, Blanquerna-Universitat Ramon Llull, Barcelona, Spain
| | - Aïda Cadellans-Arróniz
- Department of Physiotherapy, Faculty of Medicine and Health Sciences, International University of Catalonia, Barcelona, Spain
| | - Abel López-Bermejo
- Pediatric Endocrinology Research Group, Girona Institute for Biomedical Research, Girona, Spain
- Department of Medical Sciences, University of Girona, Girona, Spain
- Pediatric Endocrinology, Dr. Josep Trueta Hospital, Girona, Spain
| | - Anna Prats-Puig
- University School of Health and Sport, University of Girona, Girona, Spain
- Research Group of Clinical Anatomy, Embryology and Neuroscience, Department of Medical Sciences, University of Girona, Girona, Spain
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López-Gil JF, Roman-Viñas B, Aznar S, Tremblay MS. Meeting 24-h movement guidelines: prevalence, correlates and associations with socioemotional behavior in Spanish minors. Scand J Med Sci Sports 2022; 32:881-891. [PMID: 35090196 PMCID: PMC9303223 DOI: 10.1111/sms.14132] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2021] [Revised: 12/21/2021] [Accepted: 01/25/2022] [Indexed: 11/29/2022]
Abstract
The aims of this study were to determine for the first time the prevalence of a national sample of Spanish minors meeting the 24‐h movement guidelines; to determine their correlates; and to examine their associations with socioemotional behavioral problems. Cross‐sectional data from the Spanish National Health Survey (2017) were analyzed for this study. A total of 3772 Spanish minors were included. Physical activity was parent‐reported by a modified short version of the International Physical Activity Questionnaire, which included a single question related to the participation in physical activity in free time. Recreational screen time was parent‐reported by asking respondents for weekdays and weekends independently: “How much time does your child typically spend in front of a screen, including a computer, tablet, television, video, video game, or cell phone screen?”. Sleep duration was parent‐reported by the following question: “Can you tell me approximately how many hours your child usually sleeps daily?”. The Strengths and Difficulties Questionnaire was applied for the evaluation of socioemotional behavioral problems. The prevalence of meeting of all the three guidelines was 13.5%. Compared to meeting all guidelines, higher odds of socioemotional behavioral problems were found in participants meeting two guidelines (OR = 1.42; CI95%, 1.10–1.83), one guideline (OR = 1.50; 95%CI,1.14–1.96), or none of the guidelines (OR = 1.92; 95%CI,1.30–2.83). Our study demonstrated that the proportion of Spanish minors who meet with all the 24‐h movement guidelines is low. Furthermore, it could be relevant to the promotion of the 24‐h movement guidelines to prevent the risk of socioemotional behavioral problems.
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Affiliation(s)
| | - Blanca Roman-Viñas
- CIBER Fisiopatología de la Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III (ISCIII), Madrid, Spain.,School of Health and Sport Sciences (EUSES), Universitat de Girona, Salt, Spain.,Department of Physical Activity and Sport Sciences, Blanquerna, Universitat Ramon Llull, Barcelona, Spain
| | - Susana Aznar
- PAFS Research Group, Faculty of Sports Sciences, University of Castilla-La Mancha, Toledo, Spain.,CIBER of Frailty and Healthy Aging (CIBERFES), Madrid, Spain
| | - Mark S Tremblay
- Healthy Active Living and Obesity Research Group, CHEO Research Institute, Ottawa, Canada
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Morales-Ivorra I, Romera-Baures M, Roman-Viñas B, Serra-Majem L. Osteoarthritis and the Mediterranean Diet: A Systematic Review. Nutrients 2018; 10:E1030. [PMID: 30087302 PMCID: PMC6115848 DOI: 10.3390/nu10081030] [Citation(s) in RCA: 46] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2018] [Revised: 07/31/2018] [Accepted: 08/01/2018] [Indexed: 12/12/2022] Open
Abstract
Osteoarthritis (OA) affects 240 million people globally. Few studies have examined the links between osteoarthritis and the Mediterranean diet (MD). The aim of this paper was to systematically review and analyze the epidemiological evidence in humans on the MD and its association with OA. A systematic search of EMBASE identified three studies that explored the association between MD and OA. Two of them were cross-sectional and the third one was a 16-week randomized clinical trial. Prisma declaration was followed to carry out this review. These studies described a positive association between a higher adherence to a MD and the quality of life of participants suffering OA. The prevalence of OA was lower in participants with a higher adherence to a Mediterranean diet. Biomarkers of inflammation and cartilage degradation related to OA were also analyzed and significant differences were detected only for IL1-α, which decreased in the MD group. Exploring the relationship between MD and OA is complex, moreover, the limited evidence and methodological differences in such studies makes it difficult to compare results. In conclusion, the three studies included in this systematic review demonstrated some relation between osteoarthritis and a Mediterranean diet. However, prospective and longer interventions are required to evaluate the long-term efficacy of the Mediterranean diet to improve symptomatology and preventing osteoarthritis.
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Affiliation(s)
- Isabel Morales-Ivorra
- Department of Rheumatology, Bellvitge University Hospital-IDIBELL, L'Hospitalet de Llobregat, 08907 Barcelona, Spain.
| | - Montserrat Romera-Baures
- Department of Rheumatology, Bellvitge University Hospital-IDIBELL, L'Hospitalet de Llobregat, 08907 Barcelona, Spain.
| | - Blanca Roman-Viñas
- School of Health and Sport Sciences (EUSES), University of Girona, 17190 Salt, Spain.
- Blanquerna Faculty of Psychology, Education Sciences and Sport (FPCEE), Universitat Ramon Llull, 08022 Barcelona, Spain.
- CIBER Fisiopatología de la Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III (ISCIII), 28029 Madrid, Spain.
| | - Lluis Serra-Majem
- CIBER Fisiopatología de la Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III (ISCIII), 28029 Madrid, Spain.
- Research Institute of Biomedical and Health Sciences IUIBS, University of Las Palmas de Gran Canaria, 35001 Las Palmas de Gran Canaria, Spain.
- Nutrition Research Foundation, University of Barcelona Science Park, 08028 Barcelona, Spain.
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Schwarzer R, Warner L, Fleig L, Gholami M, Salvatore S, Cianferotti L, Ntzani E, Roman-Viñas B, Trichopoulou A, Brandi ML. Psychological mechanisms in a digital intervention to improve physical activity: A multicentre randomized controlled trial. Br J Health Psychol 2017; 23:296-310. [PMID: 29265563 DOI: 10.1111/bjhp.12288] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2017] [Revised: 11/12/2017] [Indexed: 12/21/2022]
Abstract
OBJECTIVES The randomized controlled trial examined factors that might be responsible for individual differences in physical activity change among men and women who participated in a lifestyle intervention. The main purpose of the analyses regarded the role of psychological mechanisms involving motivation, planning, self-monitoring, and habit strength. DESIGN A two-arm digital intervention was conducted in Italy, Spain, and Greece to improve physical activity levels, with follow-ups at 3 and 6 months after baseline assessment. METHODS Participants were 1,564 adults at baseline, n = 638 at 6-month follow-up. Linear mixed models examined the intervention effects, and a two-group longitudinal structural equation model explored which psychological constructs (motivation, planning, self-monitoring, habit strength) were associated with changes in physical activity. RESULTS In addition to an overall increase in self-reported activity, there were interactions between time and sex and between time and experimental groups, and a triple interaction between time, sex, and experimental groups, indicating that men reported an increase in activity independent of groups, whereas women in the active control group did not benefit from the intervention. Planning, self-monitoring, and habit strength mediated sequentially between initial motivation and follow-up physical activity. CONCLUSIONS Although the intervention produced overall improvements in physical activity, the time-by-treatment interaction emerged only for women. The mechanism included a sequence leading from motivation via planning, self-monitoring, and habit strength towards physical activity. Statement of contribution What is already known on this subject? Digital lifestyle interventions can be effective in terms of physical activity performance gains. Men are on average more physically active than women. Long-term adherence rates to digital interventions are usually low. What does this study add? Giving users of an online platform more interactive options did not make a difference. Women gained more than men from adaptive, dynamic online platform content. Individual characteristics (motivation, planning, self-monitoring, habit) were more important than online treatment features.
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Affiliation(s)
- Ralf Schwarzer
- Freie Universität Berlin, Germany
- SWPS University of Social Sciences and Humanities, Wroclaw, Poland
| | | | | | | | - Sergio Salvatore
- Euro-Mediterranean Biomedical Scientific Institute, University of Salento, Lecce, Italy
| | | | - Evangelia Ntzani
- Department of Hygiene and Epidemiology, University of Ioannina School of Medicine, Greece
- Center for Evidence-Based Medicine, Department of Health Services, Policy and Practice, School of Public Health, Brown University, Providence, Rhode Island, USA
| | - Blanca Roman-Viñas
- Nutrition Research Foundation, University of Barcelona Science Park, Spain
- CIBER Physiopathology of Overweight and Nutrition (CIBERobn), Institute of Health Carlos III (ISCIII), Madrid, Spain
| | | | - Maria L Brandi
- Department of Surgery and Translational Medicine, University of Florence, Italy
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Schröder H, Bawaked RA, Ribas-Barba L, Izquierdo-Pulido M, Roman-Viñas B, Fíto M, Serra-Majem L. Cumulative Effect of Obesogenic Behaviours on Adiposity in Spanish Children and Adolescents. Obes Facts 2017; 10:584-596. [PMID: 29207394 PMCID: PMC5836229 DOI: 10.1159/000480403] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [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: 02/08/2017] [Accepted: 08/17/2017] [Indexed: 01/15/2023] Open
Abstract
OBJECTIVE Little is known about the cumulative effect of obesogenic behaviours on childhood obesity risk. We determined the cumulative effect on BMI z-score, waist-to-height ratio (WHtR), overweight and abdominal obesity of four lifestyle behaviours that have been linked to obesity. METHODS In this cross-sectional analysis, data were obtained from the EnKid sudy, a representative sample of Spanish youth. The study included 1,614 boys and girls aged 5-18 years. Weight, height and waist circumference were measured. Physical activity (PA), screen time, breakfast consumption and meal frequency were self-reported on structured questionnaires. Obesogenic behaviours were defined as <1 h PA/day, ≥2 h/day screen time, skipping breakfast and <3 meals/day. BMI z-score was computed using age- and sex-specific reference values from the World Health Organization (WHO). Overweight including obesity was defined as a BMI > 1 SD from the mean of the WHO reference population. Abdominal obesity was defined as a WHtR ≥ 0.5. RESULTS High screen time was the most prominent obesogenic behaviour (49.7%), followed by low physical activity (22.4%), low meal frequency (14.4%), and skipping breakfast (12.5%). Although 33% of participants were free of all 4 obesogenic behaviours, 1, 2, and 3 or 4 behaviours were reported by 44.5%, 19.3%, and 5.0%, respectively. BMI z-score and WHtR were positively associated (p < 0.001) with increasing numbers of concurrent obesogenic behaviours. The odds of presenting with obesogenic behaviours were significantly higher in children who were overweight (OR 2.68; 95% CI 1.50; 4.80) or had abdominal obesity (OR 2.12; 95% CI 1.28; 3.52); they reported more than 2 obesogenic behaviours. High maternal and parental education was inversely associated (p = 0.004 and p < 0.001, respectively) with increasing presence of obesogenic behaviours. Surrogate markers of adiposity increased with numbers of concurrent presence of obesogenic behaviours. The opposite was true for high maternal and paternal education.
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Affiliation(s)
- Helmut Schröder
- Cardiovascular Risk and Nutrition Research Group (CARIN), IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain
- CIBER Epidemiology and Public Health (CIBERESP), Instituto de Salud Carlos III, Madrid, Spain
- *Dr. Helmut Schröder, Cardiovascular Risk and Nutrition Research Group (CARIN), Program of Research in Epidemiology and Public Health, IMIM (Institut Hospital del Mar d'Investigacions Mèdiques), Parc de Recerca Biomèdica de Barcelona Doctor Aiguader, 88, 08003 Barcelona, Spain,
| | - Rowaedh Ahmed Bawaked
- Cardiovascular Risk and Nutrition Research Group (CARIN), IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain
- Biomedicine PhD program, Pompeu Fabra University, Barcelona, Spain
| | - Lourdes Ribas-Barba
- Fundación para la Investigación Nutricional (Nutrition Research Foundation), Barcelona, Spain
- CIBER Physiopathology of Obesity and Nutrition (CIBEROBN), Instituto de Salud Carlos III, Madrid, Spain
| | - Maria Izquierdo-Pulido
- CIBER Physiopathology of Obesity and Nutrition (CIBEROBN), Instituto de Salud Carlos III, Madrid, Spain
- Department of Nutrition, Food Sciences and Gastronomy, University of Barcelona, Barcelona, Spain
| | - Blanca Roman-Viñas
- Fundación para la Investigación Nutricional (Nutrition Research Foundation), Barcelona, Spain
- CIBER Physiopathology of Obesity and Nutrition (CIBEROBN), Instituto de Salud Carlos III, Madrid, Spain
| | - Montserrat Fíto
- Cardiovascular Risk and Nutrition Research Group (CARIN), IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain
- CIBER Physiopathology of Obesity and Nutrition (CIBEROBN), Instituto de Salud Carlos III, Madrid, Spain
| | - Lluis Serra-Majem
- Fundación para la Investigación Nutricional (Nutrition Research Foundation), Barcelona, Spain
- CIBER Physiopathology of Obesity and Nutrition (CIBEROBN), Instituto de Salud Carlos III, Madrid, Spain
- Research Institute of Biomedical and Health Sciences, University of Las Palmas de Gran Canaria, Las Palmas, Spain
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Roman-Viñas B, Chaput JP, Katzmarzyk PT, Fogelholm M, Lambert EV, Maher C, Maia J, Olds T, Onywera V, Sarmiento OL, Standage M, Tudor-Locke C, Tremblay MS. Proportion of children meeting recommendations for 24-hour movement guidelines and associations with adiposity in a 12-country study. Int J Behav Nutr Phys Act 2016; 13:123. [PMID: 27887654 PMCID: PMC5123420 DOI: 10.1186/s12966-016-0449-8] [Citation(s) in RCA: 205] [Impact Index Per Article: 25.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2016] [Accepted: 11/17/2016] [Indexed: 01/16/2023] Open
Abstract
Background The Canadian 24-h movement guidelines were developed with the hope of improving health and future health outcomes in children and youth. The purpose of this study was to evaluate adherence to the 3 recommendations most strongly associated with health outcomes in new 24-h movement guidelines and their relationship with adiposity (obesity and body mass index z-score) across countries participating in the International Study of Childhood Obesity, Lifestyle and the Environment (ISCOLE). Methods Cross-sectional results were based on 6128 children aged 9–11 years from the 12 countries of ISCOLE. Sleep duration and moderate-to-vigorous physical activity (MVPA) were assessed using accelerometry. Screen time was measured through self-report. Body weight and height were measured. Body mass index (BMI, kg · m−2) was calculated, and BMI z-scores were computed using age- and sex-specific reference data from the World Health Organization. Obesity was defined as a BMI z-score > +2 SD. Meeting the overall 24-h movement guidelines was defined as: 9 to 11 h/night of sleep, ≤2 h/day of screen time, and at least 60 min/day of MVPA. Age, sex, highest parental education and unhealthy diet pattern score were included as covariates in statistical models. Associations between meeting vs. not meeting each single recommendation (and combinations) with obesity were assessed with odds ratios calculated using generalized linear mixed models. A linear mixed model was used to examine the differences in BMI z-scores between children meeting vs. not meeting the different combinations of recommendations. Results The global prevalence of children meeting the overall recommendations (all three behaviors) was 7%, with children from Australia and Canada showing the highest adherence (15%). Children meeting the three recommendations had lower odds ratios for obesity compared to those meeting none of the recommendations (OR = 0.28, 95% CI 0.18–0.45). Compared to not meeting the 24-h movement recommendations either independently or combined, meeting them was significantly associated with a lower BMI z-score. Whenever the MVPA recommendation was included in the analysis the odds ratios for obesity were lower. Conclusions For ISCOLE participants meeting these 3 healthy movement recommendations the odds ratios of being obese or having high BMI z-scores were lower. However, only a small percentage of children met all recommendations. Future efforts should aim to find promising ways to increase daily physical activity, reduce screen time, and ensure an adequate night’s sleep in children. Trial registration The International Study of Childhood Obesity, Lifestyle and the Environment (ISCOLE) was registered at ClinicalTrials.gov (Identifier NCT01722500) (October 29, 2012).
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Affiliation(s)
- Blanca Roman-Viñas
- Department of Physical Activity and Sport Sciences, Psychology, Education and Sport Sciences, FPCEE Blanquerna, Universitat Ramon Llull, 34 Cister, 08022, Barcelona, Spain.,Nutrition Research Foundation, 242 Rocafort, 08029, Barcelona, Spain.,CIBER Fisiopatología de la Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III (ISCIII), Madrid, Spain
| | - Jean-Philippe Chaput
- Children's Hospital of Eastern Ontario Research Institute, 401 Smyth Road, Ottawa, ON, K1H 8L1, Canada
| | - Peter T Katzmarzyk
- Pennington Biomedical Research Center, 6400 Perkins Road, Baton Rouge, LA, 70808, USA
| | - Mikael Fogelholm
- Department of Food and Environmental Sciences, University of Helsinki, 00014, Helsinki, Finland
| | - Estelle V Lambert
- Division of Exercise Science and Sports Medicine, Department of Human Biology, Faculty of Health Sciences, University of Cape Town, PO Box 115, Newlands, Cape Town, South Africa
| | - Carol Maher
- Alliance for Research in Exercise Nutrition and Activity (ARENA), School of Health Sciences, University of South Australia, City East Campus, North Terrace, Adelaide, 5000, Australia
| | - Jose Maia
- CIFI2D, Faculdade de Desporto, University of Porto, Porto, Portugal
| | - Timothy Olds
- Alliance for Research in Exercise Nutrition and Activity (ARENA), School of Health Sciences, University of South Australia, City East Campus, North Terrace, Adelaide, 5000, Australia
| | - Vincent Onywera
- Department of Recreation Management and Exercise Science, Kenyatta University, Nairobi, Kenya
| | - Olga L Sarmiento
- School of Medicine Universidad de los Andes, Carrera 1ª N° 18A 12, Bogotá, Colombia
| | - Martyn Standage
- Department for Health, University of Bath, Claverton Down, Bath, BA2 7AY, UK
| | - Catrine Tudor-Locke
- Department of Kinesiology, University of Massachusetts, 111 Totman, 30 Eastman Lane, Amherst, MA, 01002, USA
| | - Mark S Tremblay
- Children's Hospital of Eastern Ontario Research Institute, 401 Smyth Road, Ottawa, ON, K1H 8L1, Canada.
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Giné-Garriga M, Vidal-Garcia E, Gómara-Toldrà N, Roman-Viñas B, Guerra-Balic M, Roqué-Fíguls M. Combined Effects of Diet and Exercise or Diet to Improve Physical Function in Older Adults. Med Sci Sports Exerc 2016. [DOI: 10.1249/01.mss.0000485378.87810.ed] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Giné-Garriga M, Vidal-Garcia E, Gómara-Toldrà N, Roman-Viñas B, Roqué-Fíguls M. Combined Effects of Diet and Exercise or Diet Alone to Improve Physical Function in Community-Dwelling Older Adults: A Systematic Review of the Literature. Curr Nutr Rep 2015. [DOI: 10.1007/s13668-015-0119-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
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Roman-Viñas B, Ortiz-Andrellucchi A, Mendez M, Sánchez-Villegas A, Peña Quintana L, Aznar LAM, Hermoso M, Serra-Majem L. Is the food frequency questionnaire suitable to assess micronutrient intake adequacy for infants, children and adolescents? Matern Child Nutr 2012; 6 Suppl 2:112-21. [PMID: 22296254 DOI: 10.1111/j.1740-8709.2010.00268.x] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
The objective of this study was to review how accurately micronutrient intakes in infants, children, and adolescents were assessed with validated food frequency questionnaires (FFQs) to which study quality criteria had been applied. The methodology and the analysis presented were based on several research activities carried out within the European Micronutrient Recommendation Aligned Network of Excellence. The analysis was limited to vitamin D, vitamin C, vitamin B₁₂, folate, selenium, iron, zinc, iodine, calcium, and copper. A search strategy was defined in MEDLINE and EMBASE literature for studies validating FFQs that estimated intakes of micronutrients being evaluated. Identification of at least three validation studies per micronutrient was required to be included in the analysis. A total score for each nutrient was calculated from the mean of the correlation coefficients weighted by the quality of the study, which included a quality score that was based on sample size, statistics used, data collection procedure, consideration of seasonality and supplement use, an adjustment/weighting of the correlation coefficient according to the quality score, and a rating of the adjusted/weighted correlation. When the mean weighted correlation coefficient was equal to or higher than 0.5, micronutrient intake was considered as adequately estimated. Sufficient validation studies were identified for vitamin C, vitamin D, vitamin B₁₂, iron, zinc, and calcium for infants and pre-school children, and vitamin C, calcium, and iron for older children and adolescents. Results showed that the FFQ was a good instrument for estimating intake of vitamin C, vitamin D, calcium, zinc and iron in infants and pre-school children, and for estimating calcium and vitamin C in children and adolescents.
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Affiliation(s)
- Blanca Roman-Viñas
- Community Nutrition Research Centre of Nutrition Research Foundation, University of Barcelona Science Park, 08028 Barcelona, Spain
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Vargas-Murga L, Garcia-Alvarez A, Roman-Viñas B, Ngo J, Ribas-Barba L, van den Berg SJPL, Williamson G, Serra-Majem L. Plant food supplement (PFS) market structure in EC Member States, methods and techniques for the assessment of individual PFS intake. Food Funct 2011; 2:731-9. [PMID: 21879100 DOI: 10.1039/c1fo10075k] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
The popularity of herbal products, especially plant food supplements (PFS) and herbal medicine is on the rise in Europe and other parts of the world, with increased use in the general population as well as among specific subgroups encompassing children, women or those suffering from diseases such as cancer. The aim of this paper is to examine the PFS market structures in European Community (EC) Member States as well as to examine issues addressing methodologies and consumption data relating to PFS use in Europe. A revision of recent reports on market data, trends and main distribution channels, in addition an example of the consumption of PFS in Spain, is presented. An overview of the methods and administration techniques used to assess individual food consumption as a starting point, including their uses and limitations, as well as some examples of studies that collect Food Supplement (FS) information, including herbal/botanical/plant-derived products are also discussed. Additionally, the intake estimation process of food nutrients is described and used to propose the PFS ingredients intake estimation process. Nationally representative PFS consumption data is scarce in Europe. The majority of studies have been conducted in Scandinavia and the UK. However the heterogeneity of definitions, study design and objectives make it difficult to compare results and extrapolate conclusions.
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Affiliation(s)
- Liliana Vargas-Murga
- Nutrition Research Foundation, University of Barcelona Science Park, Baldiri Reixac 4-8, 08028, Barcelona, Spain.
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Hermoso M, Vucic V, Vollhardt C, Arsic A, Roman-Viñas B, Iglesia-Altaba I, Gurinovic M, Koletzko B. The Effect of Iron on Cognitive Development and Function in Infants, Children and Adolescents: A Systematic Review. Ann Nutr Metab 2011; 59:154-65. [DOI: 10.1159/000334490] [Citation(s) in RCA: 39] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/18/2011] [Accepted: 10/19/2011] [Indexed: 11/19/2022]
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Roman-Viñas B, Serra-Majem L, Hagströmer M, Ribas-Barba L, Sjöström M, Segura-Cardona R. International Physical Activity Questionnaire: Reliability and validity in a Spanish population. Eur J Sport Sci 2010. [DOI: 10.1080/17461390903426667] [Citation(s) in RCA: 51] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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