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Orbolato R, Fernandes RA, Turi-Lynch BC, Araujo MYC, Ferro IDS, Gobbo LA, Zanuto EAC, Codogno JS. Impact of cycling and walking on adiposity and healthcare costs among adults: longitudinal study. CAD SAUDE PUBLICA 2024; 40:e00102623. [PMID: 38422248 PMCID: PMC10896485 DOI: 10.1590/0102-311xen102623] [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] [Subscribe] [Scholar Register] [Received: 06/02/2023] [Revised: 10/23/2023] [Accepted: 12/01/2023] [Indexed: 03/02/2024] Open
Abstract
Leisure-time physical activity seems relevant to prevent the development of chronic diseases and obesity. However, not much is known about the economic burden of these healthy behaviors, mainly in longitudinal designs. This study aimed to analyze the impact of walking and cycling on leisure-time on adiposity and healthcare costs among adults. This longitudinal study was conducted at a medium-size Brazilian city and included 198 participants with no missing data attended in the Brazilian Unified National Health System. Cycling and walking were assessed by a questionnaire with a face-to-face interview at four time-points (baseline, 6-month, 12-month, and 18-month). Healthcare costs were assessed using medical records. Adiposity markers included waist circumference and body fatness. Over the follow-up period, participants who were more engaged in cycling presented lower body fatness (p-value = 0.028) and healthcare costs (p-value = 0.038). However, in the multivariate model, the impact of cycling on costs was not significant (p-value = 0.507) due to the impact of number of chronic diseases (p-value = 0.001). Cycling on leisure-time is inversely related to adiposity in adults, whereas its role on preventing chronic diseases seems the main pathway linking it to cost mitigation.
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Affiliation(s)
- Rafael Orbolato
- Universidade Estadual Paulista Júlio de Mesquita Filho, Presidente Prudente, Brasil
| | | | - Bruna Camilo Turi-Lynch
- Universidade Estadual Paulista Júlio de Mesquita Filho, Presidente Prudente, Brasil
- Lander University, Greenwood, U. S. A
| | | | | | - Luis Alberto Gobbo
- Universidade Estadual Paulista Júlio de Mesquita Filho, Presidente Prudente, Brasil
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Avelar A, Araujo MYC, da Silva CB, de Lima MCS, Codogno JS, Turi-Lynch BC, Fernandes RA, Mantovani AM. The impact of early sports participation on body fatness in adulthood is not mediated by current physical activity. Am J Hum Biol 2024; 36:e23981. [PMID: 37610138 DOI: 10.1002/ajhb.23981] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2023] [Revised: 07/27/2023] [Accepted: 08/09/2023] [Indexed: 08/24/2023] Open
Abstract
OBJECTIVE The aim was to analyze the relationship between early sports participation (ESP) and body fatness (BF) in adults, as well as to identify whether this possible relationship is directly influenced by the current physical activity (PA) level. METHODS This cross-sectional study combined baseline data of two cohort. The BF estimated by DXA. The ESP, the subjects reported the engagement in sports during childhood (7-10 years) and adolescence (11-17 years) through two yes/no questions and current PA (described as steps) was device-measured using pedometers. Were identified as potential covariates and therefore adjusted the multivariate models: age, ethnicity, alcohol consumption, smoking, and sleep quality. Statistical analysis consisted of the chi-square test, analysis of variance/covariance, and structural equation modeling (software BioEstat version 5.0; p-value < .05). RESULTS Adults engaged in ESP had lower BF; among women, the variance in BF explained by ESP was 25.5%; among men, it was 9.2%. Sports participation in early life (r = -.436 [95% CI: -0.527 to -0.346]) and current PA (r = -.431 [95% CI: -0.522 to -0.340]) were inversely related to BF, as well as positively related to each other (r = .328 [95% CI: 0.226 to 0.430]). In the mediation model, current PA partially mediated (18.5%) the impact of ESP on BF, while current PA and ESP remained relevant determinants of BF. CONCLUSION Early sports participation and current PA have a significant impact on BF in adulthood, which is of similar magnitude and independent of each other.
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Affiliation(s)
- Ademar Avelar
- Laboratory of InVestigation in Exercise (LIVE), Department of Physical Education, Sao Paulo State University (UNESP), Presidente Prudente, Brazil
- Department of Physical Education, State University of Maringá, Maringá, Brazil
| | - Monique Yndawe Castanho Araujo
- Laboratory of InVestigation in Exercise (LIVE), Department of Physical Education, Sao Paulo State University (UNESP), Presidente Prudente, Brazil
| | - Camila Buonani da Silva
- Laboratory of InVestigation in Exercise (LIVE), Department of Physical Education, Sao Paulo State University (UNESP), Presidente Prudente, Brazil
| | - Manoel Carlos Spiguel de Lima
- Laboratory of InVestigation in Exercise (LIVE), Department of Physical Education, Sao Paulo State University (UNESP), Presidente Prudente, Brazil
| | - Jamile Sanches Codogno
- Laboratory of InVestigation in Exercise (LIVE), Department of Physical Education, Sao Paulo State University (UNESP), Presidente Prudente, Brazil
| | - Bruna Camilo Turi-Lynch
- Department of Physical Education & Exercise Science, Lander University, Greenwood, South Carolina, USA
| | - Rômulo Araújo Fernandes
- Laboratory of InVestigation in Exercise (LIVE), Department of Physical Education, Sao Paulo State University (UNESP), Presidente Prudente, Brazil
| | - Alessandra Madia Mantovani
- Laboratory of InVestigation in Exercise (LIVE), Department of Physical Education, Sao Paulo State University (UNESP), Presidente Prudente, Brazil
- Toledo Prudente University Center, Presidente Prudente, Sao Paulo, Brazil
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Norberto MCCS, Araujo MYC, Ricardo SJ, Rodrigues Junior C, Guiça JT, Turi-Lynch BC, Codogno JS. Sedentary behavior, abdominal obesity and healthcare costs in Brazilian adults with cardiovascular diseases: a cross-sectional study. SAO PAULO MED J 2023; 142:e2023029. [PMID: 38055423 DOI: 10.1590/1516-3180.2023.0029.140823] [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] [Received: 11/22/2023] [Accepted: 11/22/2023] [Indexed: 12/08/2023] Open
Abstract
BACKGROUND Research on the economic burden of sedentary behavior and abdominal obesity on health expenses associated with cardiovascular diseases is scarce. OBJECTIVE The objective of this study was to verify whether sedentary behavior, isolated and combined with abdominal obesity, influences the medication expenditure among adults with cardiovascular diseases. DESIGN AND SETTING This cross-sectional study was conducted in the city of President Prudente, State of São Paulo, Brazil in 2018. METHODS The study included adults with cardiovascular diseases, aged 30-65 years, who were treated by the Brazilian National Health Services. Sedentary behavior was assessed using a questionnaire. Abdominal obesity was defined by waist circumference. Medication expenditures were verified using the medical records of each patient. RESULTS The study included a total of 307 adults. Individuals classified in the group with risk factor obesity combined (median [IQ] USD$ 29.39 [45.77]) or isolated (median [IQ] USD$ 27.17 [59.76]) to sedentary behavior had higher medication expenditures than those belonging to the non-obese with low sedentary behavior group (median [IQ] USD$ 13.51 [31.42]) (P = 0.01). The group with combined obesity and sedentary behavior was 2.4 (95%CI = 1.00; 5.79) times more likely to be hypertensive. CONCLUSION Abdominal obesity was a determining factor for medication expenses, regardless of sedentary behavior, among adults with cardiovascular diseases.
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Affiliation(s)
| | - Monique Yndawe Castanho Araujo
- PhD Professor, Post-graduate Program in Movement Sciences, Universidade Estadual Paulista (UNESP), Presidente Prudente (SP), Brazil
| | - Suelen Jane Ricardo
- MSc, Physical Education, Post-Graduate Program in Physiotherapy, Universidade Estadual Paulista (UNESP), Presidente Prudente, Brazil
| | - Charles Rodrigues Junior
- MD. Master's Student, Physical Education, Universidade Estadual Paulista (UNESP), Presidente Prudente (SP), Brazil
| | - Juziane Teixeira Guiça
- MD. Master's Student, Physical Education, Universidade Estadual Paulista (UNESP), Presidente Prudente (SP), Brazil
| | - Bruna Camilo Turi-Lynch
- PhD. Professor, Department of Physical Education and Exercise Science, Lander University, Greenwood, South Carolina, United States of America
| | - Jamile Sanches Codogno
- PhD. Professor, Post-Graduation Program in Movement Sciences, Post-graduate program in Physiotherapy, Universidade Estadual Paulista (UNESP), Presidente Prudente (SP), Brazil
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Araujo MYC, Kokubun E, Norberto MCCS, Bento ALS, Turi-Lynch BC, Codogno JS. Habitual physical activity minimizes healthcare costs resulting from comorbidities among adults with cardiovascular diseases. Braz J Phys Ther 2023; 27:100551. [PMID: 37827018 PMCID: PMC10582273 DOI: 10.1016/j.bjpt.2023.100551] [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: 05/20/2022] [Revised: 08/22/2023] [Accepted: 09/24/2023] [Indexed: 10/14/2023] Open
Abstract
BACKGROUND Habitual physical activity (HPA) can be used as a non-pharmacological strategy to prevent and control chronic diseases, as well as playing a role in minimizing healthcare costs. OBJECTIVE To verify the impact of HPA on healthcare costs at different levels of care, over 24 months, in an adult population with cardiovascular diseases (CVD), including individuals with or without comorbidities. METHODS Two-hundred and seventy-eight adults with CVD, aged between 30 and 65 years, participated in the study. Information on healthcare costs was obtained from medical records and included primary, secondary, and tertiary levels. Comorbidities such as diabetes, dyslipidemia, arterial hypertension, and obesity were registered. HPA was measured using the Baecke questionnaire. Comparisons between groups were performed using Student's t ( RESULTS The presence of comorbidities increased healthcare costs (p<0.05). HPA provided savings ranging from US$ 22.5/24 months to US$ 63.9/24 months with primary healthcare services, regardless of the presence of comorbidities. CONCLUSION Considering adults with CVD, HPA significantly minimizes healthcare costs in the primary care in Brazil, even in the presence of comorbidities, such as diabetes, dyslipidemia, arterial hypertension, and obesity.
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Affiliation(s)
- Monique Yndawe Castanho Araujo
- Post-graduation Program in Movement Sciences, Universidade Estadual Paulista (UNESP), Presidente Prudente, São Paulo, Brazil; Group of Studies in Health, Physical Activity, and Economy (GESAFE), Universidade Estadual Paulista (UNESP), Presidente Prudente, São Paulo, Brazil.
| | - Eduardo Kokubun
- Post-graduation Program in Movement Sciences, Universidade Estadual Paulista (UNESP), Rio Claro, São Paulo, Brazil
| | - Maria Carolina Castanho Saes Norberto
- Post-graduation Program in Movement Sciences, Universidade Estadual Paulista (UNESP), Presidente Prudente, São Paulo, Brazil; Group of Studies in Health, Physical Activity, and Economy (GESAFE), Universidade Estadual Paulista (UNESP), Presidente Prudente, São Paulo, Brazil
| | - André Lucas Servo Bento
- Group of Studies in Health, Physical Activity, and Economy (GESAFE), Universidade Estadual Paulista (UNESP), Presidente Prudente, São Paulo, Brazil
| | - Bruna Camilo Turi-Lynch
- Department of Physical Education and Exercise Science, Lander University, Greenwood, South Carolina, USA
| | - Jamile Sanches Codogno
- Post-graduation Program in Movement Sciences, Universidade Estadual Paulista (UNESP), Presidente Prudente, São Paulo, Brazil; Group of Studies in Health, Physical Activity, and Economy (GESAFE), Universidade Estadual Paulista (UNESP), Presidente Prudente, São Paulo, Brazil
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Lima Dos Santos L, Codogno JS, Camilo Turi-Lynch B, Araujo MYC, Fernandes RA, de Oliveira Gomes GA, Crankson S, Anokye N. Interrelationship between arterial hypertension, health service costs, therapeutic treatment and physical activity. BMC Prim Care 2023; 24:164. [PMID: 37626283 PMCID: PMC10463294 DOI: 10.1186/s12875-023-02120-7] [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] [Subscribe] [Scholar Register] [Received: 11/11/2022] [Accepted: 07/31/2023] [Indexed: 08/27/2023]
Abstract
BACKGROUND Arterial hypertension is a high prevalence disease that increase healthcare costs and affects physical activity level. This study aimed to analyse the interrelationship between arterial hypertension, health service costs, therapeutic treatment, and physical activity in patients with cardiovascular diseases. METHOD Cross-sectional study that evaluated 306 patients from a hospital in Presidente Prudente-Brazil. Based on their medical diagnosis, they were classified into multiple groups to access primary care and hospital-related costs variations. Then, using data from medical records and face to face interviews, they were examined on their treatment adherence and physical activity practice. Healthcare costs were accessed using medical records. Finally, the generalised linear model was used to analyse the interrelationship between treatment adherence, physical activity, health care costs and arterial hypertension. The data were analysed with Stata/MP4 16, and a p-value of less than 5% was used to determine statistical significance. RESULTS The group that adhered to the arterial hypertension treatments but were physically inactive presented higher costs with consultation (US$=24.1, 95%CI = 1.90;46,3) medication (US$=56.60, 95%CI = 1.65; 111.5) and total primary health care costs (US$=71.60, 95%CI = 19.2; 123.9) even after adjusting for confounding variables, meanwhile those participants that adhered to the treatments and were physical active did not present difference in healthcare cost when compared to normotensive and physical active participants. CONCLUSION To be adherent to hypertension treatment were related to higher health care costs meanwhile been physical activity were related to lower health care costs and the combination of both showed that be adherent and physical activity represent the same cost with health than those normotensive and active emphasizing the importance of adherence and physical activity in the hypertensive treatment.
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Affiliation(s)
- Lionai Lima Dos Santos
- Department of Physical Education, São Paulo State University - UNESP, Presidente Prudente, São Paulo, Brazil
| | - Jamile Sanches Codogno
- Department of Physical Education, São Paulo State University - UNESP, Presidente Prudente, São Paulo, Brazil
| | - Bruna Camilo Turi-Lynch
- Department of Physical Education and Exercise Science, Lander University, 320 Stanley Avenue, 29649, Greenwood, SC, USA
| | | | - Romulo Araujo Fernandes
- Department of Physical Education, São Paulo State University - UNESP, Presidente Prudente, São Paulo, Brazil
| | | | - Shirley Crankson
- Department of Clinical Sciences, College of Health and Life Sciences, Brunel University London, London, UK
| | - Nana Anokye
- Department of Clinical Sciences, College of Health and Life Sciences, Brunel University London, London, UK.
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Araujo MYC, da Guarda FRB, Nakamura PM, Dos Santos LL, Lynch BCT, Codogno JS. Comorbidities do not mitigate the effect of habitual physical activity on the reduction of healthcare costs among adults with cardiovascular diseases: A mediation analysis. Obes Res Clin Pract 2023:S1871-403X(23)00043-1. [PMID: 37202240 DOI: 10.1016/j.orcp.2023.05.005] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/27/2022] [Revised: 05/03/2023] [Accepted: 05/12/2023] [Indexed: 05/20/2023]
Abstract
BACKGROUND Habitual Physical activity (HPA) is a non-pharmacological strategy to prevent and control chronic diseases, and it plays an important role in minimizing healthcare costs. OBJECTIVES This study aimed to investigate the relationship between HPA and healthcare costs from the perspective of the Brazilian National Healthcare System, and to establish the mediating role of comorbidities in this relationship among patients with cardiovascular diseases (CVD). DESIGN AND SETTING This longitudinal study was conducted in a medium-sized Brazilian city and included 278 participants assisted by the Brazilian National Healthcare System. METHODS Information on healthcare costs were obtained from medical records and included primary, secondary, and tertiary levels. Comorbidities (diabetes, dyslipidemia, and arterial hypertension) were self-reported, and obesity was confirmed with the percentage of body fat. HPA was measured using a questionnaire (Baecke questionnaire). Face-to-face interviews provided information on sex, age, and education level. Statistical analysis included linear regression and Structural Equation Modeling, significance was set at 5 % and the Stata software (version 16.0) was used to perform the analysis. RESULTS The sample included 278 adults with a mean age of 54.49 (8.32) years. For each score of HPA, there was a reduction in healthcare costs of US$ 83.99/24 months (95 % CI: - 159.15; - 8.84), and the sum of comorbidities did not mediate this relationship. CONCLUSION It is concluded that healthcare costs seem to be affected by HPA among patients with CVD, while this phenomenon seems not to be mediated by the sum of comorbidities.
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Affiliation(s)
- Monique Yndawe Castanho Araujo
- Post-graduation Program in Movement Sciences, São Paulo State University - UNESP, Presidente Prudente, São Paulo, Brazil; Group of Studies in Health, Physical Activity, and Economy (GESAFE), São Paulo State University-UNESP, Presidente Prudente, São Paulo, Brazil.
| | | | | | - Lionai Lima Dos Santos
- Group of Studies in Health, Physical Activity, and Economy (GESAFE), São Paulo State University-UNESP, Presidente Prudente, São Paulo, Brazil
| | - Bruna Camilo Turi Lynch
- Department of Physical Education and Exercise Science, Lander University, Greenwood, SC, USA
| | - Jamile Sanches Codogno
- Post-graduation Program in Movement Sciences, São Paulo State University - UNESP, Presidente Prudente, São Paulo, Brazil; Group of Studies in Health, Physical Activity, and Economy (GESAFE), São Paulo State University-UNESP, Presidente Prudente, São Paulo, Brazil
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Torres W, de Moraes Chagas LG, Fernandes RA, Araujo MYC, Urban JB, Maillane-Vanegas S, Turi-Lynch BC, Codogno JS, Anokye NK. Relationship between vigorous physical activity and health care costs among adolescents: ABCD Growth Study. BMC Pediatr 2022; 22:141. [PMID: 35300655 PMCID: PMC8927523 DOI: 10.1186/s12887-022-03201-9] [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] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/07/2021] [Accepted: 03/08/2022] [Indexed: 11/10/2022] Open
Abstract
Background The relationship between physical activity and health care costs among adolescents is not yet clear in the literature. Objective To analyze the relationship between physical activity and annual health care costs among adolescents. Methods The present sample was composed of 85 adolescents of both sexes with ages ranging from 11 to 18 years (mean age 15.6 ± 2.1). Health care costs were self-reported every month for 12 months, and information on health care values was verified with local pharmacies, private health care plans, and the National Health Service. The time spent in different physical activity intensities was objectively measured by accelerometers. Confounding variables were: sex, age, somatic maturation, body fatness, blood pressure, and components of dyslipidemia and insulin resistance. Multivariate models were generated using generalized linear models with gamma distribution and a log-link function. Results The overall annual health care cost was US$ 733.60/ R$ 2,342.38 (medication: US$ 400.46 / R$ 1,278.66; primary and secondary care: US$ 333.14 / R$ 1,063.70). The time spent in vigorous physical activity (minutes/day) was negatively related to health care costs (r = -0.342 [95% CI: -0.537,—0.139]; β = -0.06 cents (95% CI: -0.089, -0.031). Conclusion Vigorous physical activity seems to be associated with lower health care costs among adolescents.
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Affiliation(s)
- Wésley Torres
- Department of Physical Education, Laboratory of InVestigation in Exercise - LIVE, São Paulo State University (UNESP), Roberto Simonsen Street, 305, Presidente Prudente, São Paulo, Brazil.
| | - Lucas Gabriel de Moraes Chagas
- Department of Physical Education, Laboratory of InVestigation in Exercise - LIVE, São Paulo State University (UNESP), Roberto Simonsen Street, 305, Presidente Prudente, São Paulo, Brazil
| | - Rômulo Araújo Fernandes
- Department of Physical Education, Laboratory of InVestigation in Exercise - LIVE, São Paulo State University (UNESP), Roberto Simonsen Street, 305, Presidente Prudente, São Paulo, Brazil
| | - Monique Yndawe Castanho Araujo
- Department of Physical Education, Laboratory of InVestigation in Exercise - LIVE, São Paulo State University (UNESP), Roberto Simonsen Street, 305, Presidente Prudente, São Paulo, Brazil
| | - Jacqueline Bexiga Urban
- Department of Physical Education, Laboratory of InVestigation in Exercise - LIVE, São Paulo State University (UNESP), Roberto Simonsen Street, 305, Presidente Prudente, São Paulo, Brazil
| | - Santiago Maillane-Vanegas
- Department of Physical Education, Laboratory of InVestigation in Exercise - LIVE, São Paulo State University (UNESP), Roberto Simonsen Street, 305, Presidente Prudente, São Paulo, Brazil
| | - Bruna Camilo Turi-Lynch
- Department of Physical Education, Laboratory of InVestigation in Exercise - LIVE, São Paulo State University (UNESP), Roberto Simonsen Street, 305, Presidente Prudente, São Paulo, Brazil.,Department of Physical Education & Exercise Science, Lander University, Greenwood, USA
| | - Jamile Sanches Codogno
- Department of Physical Education, Laboratory of InVestigation in Exercise - LIVE, São Paulo State University (UNESP), Roberto Simonsen Street, 305, Presidente Prudente, São Paulo, Brazil
| | - Nana Kwame Anokye
- Institute of Environment, Health and Societies, Brunel University, Uxbridge, UK
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Araujo MYC, Sarti FM, Turi-Lynch BC, Queiroz DC, Neves VJS, Silvestrini MM, Codogno JS. Cost-utility analysis of traditional drug therapy with and without exercise program for hypertensive patients in real-life data primary health care. Motriz: rev educ fis 2022. [DOI: 10.1590/s1980-657420220006522] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Affiliation(s)
| | | | | | - Dayane Cristina Queiroz
- Universidade Estadual Paulista “Julio de Mesquita Filho”, Brazil; Universidade Estadual Paulista “Julio de Mesquita Filho”, Brazil
| | | | | | - Jamile Sanches Codogno
- Universidade Estadual Paulista “Julio de Mesquita Filho”, Brazil; Universidade Estadual Paulista “Julio de Mesquita Filho”, Brazil
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Fernandes RA, Codogno JS, Turi-Lynch BC, Cayres SU. Sports Participation And Changes In High-density Lipoprotein Among Lean Adolescents: Abcd Growth Study. Med Sci Sports Exerc 2020. [DOI: 10.1249/01.mss.0000679224.46385.47] [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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Codogno JS, Turi-Lynch B, Fernandes RA, Monteiro HL. Impact Of Sports Participation On Healthcare Costs: Findings From A Brazilian Longitudinal Study. Med Sci Sports Exerc 2020. [DOI: 10.1249/01.mss.0000678576.18584.86] [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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Mantovani AM, Werneck AO, Agostinete RR, Lima MCS, Codogno JS, Turi-Lynch BC, Fernandes RA. Impact of physical activity during weekdays and weekends on fat mass among adults: 12-month cohort study. SAO PAULO MED J 2020; 138:201-207. [PMID: 32401834 PMCID: PMC9671227 DOI: 10.1590/1516-3180.2019.0465.r1.16012020] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [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: 12/18/2019] [Accepted: 01/16/2020] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND Physical activity (PA) practices seem to differ between weekdays and weekends and these pattern changes can affect body fat differently. However, previous studies did not assess the mediation effect of weekday and weekend PA on maintenance of body fat using sophisticated statistical models. OBJECTIVE To analyze the mediation effect of PA during weekdays and weekends on maintenance of fat mass over a 12-month follow-up. DESIGN AND SETTING Longitudinal cohort study (12 months) conducted at a public university in Presidente Prudente, Brazil. METHODS A sample of 225 adults (117 females) was used. Body fatness and fat mass were assessed using dual-energy X-ray absorptiometry. PA levels were assessed using a pedometer. The statistical analysis consisted of paired-sample t tests, independent-sample t tests, Pearson correlations and mediation models. RESULTS After 12 months, weekend PA had decreased while body composition indicators remained stable (without changes). The correlation between fat mass at baseline and follow-up was high for both sexes (men: 0.966; women: 0.941; P-value = 0.001 for both). Moreover, PA indices were inversely but moderately related to fat mass at baseline and follow-up. Lastly, weekend PA mediated the association between fat mass at baseline and follow-up (P-value < 0.05) by around 2% and 4%. CONCLUSION Weekend PA mediated the association between fat mass at baseline and fat mass after one year of follow-up among these adults. Further studies are required to investigate the association between physical activity, body fat and other variables such as dietary patterns and sleep time.
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Affiliation(s)
- Alessandra Madia Mantovani
- PhD. Postdoctoral Researcher, Postgraduate Program on Movement Sciences, Universidade Estadual Paulista (UNESP), Presidente Prudente (SP), Brazil; Researcher, Laboratory of Investigation on Exercise (LIVE), Department of Physical Education, Universidade Estadual Paulista (UNESP), Presidente Prudente (SP), Brazil.
| | - André Oliveira Werneck
- BSc. Master’s Student, Postgraduate Program on Movement Sciences, Universidade Estadual Paulista (UNESP), Presidente Prudente (SP), Brazil; Researcher, Laboratory of Investigation on Exercise (LIVE), Department of Physical Education, Universidade Estadual Paulista (UNESP), Presidente Prudente (SP), Brazil.
| | - Ricardo Ribeiro Agostinete
- MSc. Doctoral Student, Postgraduate Program on Movement Sciences, Universidade Estadual Paulista (UNESP), Presidente Prudente (SP), Brazil; Researcher, Laboratory of Investigation on Exercise (LIVE), Department of Physical Education, Universidade Estadual Paulista (UNESP), Presidente Prudente (SP), Brazil.
| | - Manoel Carlos Spiguel Lima
- PhD. Researcher, Laboratory of Investigation on Exercise (LIVE), Department of Physical Education, Universidade Estadual Paulista (UNESP), Presidente Prudente (SP), Brazil.
| | - Jamile Sanches Codogno
- PhD. Assistant Professor, Postgraduate Program on Movement Sciences, Universidade Estadual Paulista (UNESP), Presidente Prudente (SP), Brazil; Lead Researcher, Laboratory of Investigation on Exercise (LIVE), Department of Physical Education, Universidade Estadual Paulista (UNESP), Presidente Prudente (SP), Brazil.
| | - Bruna Camilo Turi-Lynch
- PhD. Assistant Professor, Department of Physical Education and Exercise Science. Lander University, Greenwood (SC), United States; Researcher, Laboratory of Investigation on Exercise (LIVE), Department of Physical Education, Universidade Estadual Paulista (UNESP), Presidente Prudente (SP), Brazil.
| | - Rômulo Araújo Fernandes
- PhD. Associate Professor, Postgraduate Program on Movement Sciences, Universidade Estadual Paulista (UNESP), Presidente Prudente (SP), Brazil; Lead Researcher, Laboratory of Investigation on Exercise (LIVE), Department of Physical Education, Universidade Estadual Paulista (UNESP), Presidente Prudente (SP), Brazil.
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Torres W, Cayres-Santos SU, Urban JB, de Moraes-Chagas LG, Christofaro DGD, Turi-Lynch BC, Codogno JS, Fernandes RA. Participation in Non-professional Sports and Cardiovascular Outcomes Among Adolescents: ABCD Growth Study. Matern Child Health J 2020. [DOI: https:/doi.org/10.1007/s10995-020-02919-1] [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: 01/17/2023]
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Torres W, Cayres-Santos SU, Urban JB, de Moraes-Chagas LG, Christofaro DGD, Turi-Lynch BC, Codogno JS, Fernandes RA. Participation in Non-professional Sports and Cardiovascular Outcomes Among Adolescents: ABCD Growth Study. Matern Child Health J 2020; 24:787-795. [PMID: 32323117 DOI: 10.1007/s10995-020-02919-1] [Citation(s) in RCA: 1] [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: 01/02/2023]
Abstract
OBJECTIVES Sports are an important way to improve health during adolescence. However, it is still unclear whether the association between sports, blood pressure, and metabolic profile could be affected by sex, biological maturation, and trunk fatness. The aim of this study was to analyze the association between sports participation and the cluster of cardiovascular markers among adolescents of both sexes. METHODS A cross-sectional study involving 285 adolescents aged from 11 to 17 years of age (202 boys and 83 girls). Cardiovascular variables were composed of systolic blood pressure (SBP), diastolic blood pressure (DBP), resting heart rate (RHR), and carotid (CIMT) and femoral (FIMT) intima-media thickness, which were used to calculate the CardiovascularZ score. Sports participation was assessed through a face-to-face interview. Age of peak height velocity (APHV) was used as a covariate. RESULTS Among girls, the group engaged in sports presented lower values of RHR (sport: - 0.344 [95% CI - 0.650 to - 0.037] versus non-sport: 0.540 [95% CI 0.125 to 0.954]) and CardiovascularZ score (sport: - 0.585 [95% CI - 1.329 to 0.159] versus non-sport: 0.879 [95% CI - 0.127 to 1.884]), explaining 12.2% and 6.1% of all variance, respectively. Among boys, the group engaged in sports presented lower values of DBP (sport: - 0.158 [95% CI - 0.335 to 0.018] versus non-sport: 0.160 [95% CI - 0.091 to 0.412]) and FIMT (sport: - 0.128 [95% CI - 0.300 to - 0.044] versus non-sport: 0.211 [95% CI - 0.032 to 0.454]), explaining 2.2% and 2.6% of all variance, respectively. CONCLUSIONS FOR PRACTICE Adolescents engaged in sports presented healthier cardiovascular parameters, and sports participation seems to affect cardiovascular health differently in boys and girls.
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Affiliation(s)
- Wésley Torres
- Laboratory of InVestigation in Exercise - LIVE, Department of Physical Education, São Paulo State University (UNESP), Roberto Simonsen Street, 305, Presidente Prudente, São Paulo, 19060900, Brazil.
| | - Suziane Ungari Cayres-Santos
- Laboratory of InVestigation in Exercise - LIVE, Department of Physical Education, São Paulo State University (UNESP), Roberto Simonsen Street, 305, Presidente Prudente, São Paulo, 19060900, Brazil
| | - Jacqueline Bexiga Urban
- Laboratory of InVestigation in Exercise - LIVE, Department of Physical Education, São Paulo State University (UNESP), Roberto Simonsen Street, 305, Presidente Prudente, São Paulo, 19060900, Brazil
| | - Lucas Gabriel de Moraes-Chagas
- Laboratory of InVestigation in Exercise - LIVE, Department of Physical Education, São Paulo State University (UNESP), Roberto Simonsen Street, 305, Presidente Prudente, São Paulo, 19060900, Brazil
| | - Diego Giulliano Destro Christofaro
- Laboratory of InVestigation in Exercise - LIVE, Department of Physical Education, São Paulo State University (UNESP), Roberto Simonsen Street, 305, Presidente Prudente, São Paulo, 19060900, Brazil
| | - Bruna Camilo Turi-Lynch
- Laboratory of InVestigation in Exercise - LIVE, Department of Physical Education, São Paulo State University (UNESP), Roberto Simonsen Street, 305, Presidente Prudente, São Paulo, 19060900, Brazil
| | - Jamile Sanches Codogno
- Laboratory of InVestigation in Exercise - LIVE, Department of Physical Education, São Paulo State University (UNESP), Roberto Simonsen Street, 305, Presidente Prudente, São Paulo, 19060900, Brazil
| | - Rômulo Araújo Fernandes
- Laboratory of InVestigation in Exercise - LIVE, Department of Physical Education, São Paulo State University (UNESP), Roberto Simonsen Street, 305, Presidente Prudente, São Paulo, 19060900, Brazil
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Torres W, Cayres-Santos SU, Urban JB, de Moraes-Chagas LG, Christofaro DGD, Turi-Lynch BC, Codogno JS, Fernandes RA. Participation in Non-professional Sports and Cardiovascular Outcomes Among Adolescents: ABCD Growth Study. Matern Child Health J 2020. [DOI: https://doi.org/10.1007/s10995-020-02919-1] [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: 01/16/2023]
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Zanuto EAC, Fernandes RA, Turi-Lynch BC, Castoldi RC, de Morais LC, da Silva PVT, Codogno JS. Chronic low back pain and physical activity among patients within the Brazilian National Health System: a cross-sectional study. SAO PAULO MED J 2020; 138:106-111. [PMID: 32491085 PMCID: PMC9662845 DOI: 10.1590/1516-3180.2019.0312.r1.19112019] [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: 11/08/2019] [Accepted: 11/19/2019] [Indexed: 11/21/2022] Open
Abstract
BACKGROUND This study was based on filling a gap in our knowledge regarding the issue of what the protective effect of physical exercise on patients within the Brazilian National Health System could be, in relation to low back pain. OBJECTIVES To determine the prevalence of chronic low back pain (CLBP) and to analyze the protective effect of physical exercise among patients over 50 years old attended at primary healthcare units (PHUs). DESIGN AND SETTING Analytical cross-sectional study at Universidade Estadual Paulista (UNESP) that was conducted in two PHUs (Parque Cedral and Vila Real), located in different regions of the city of Presidente Prudente, Brazil. METHODS In total, 327 patients were interviewed and evaluated at which retrospective characteristics covering the previous 12 months. The Nordic questionnaire was used to classify CLBP, and the Baecke questionnaire for physical activity level. The body mass index (kg/m2) was calculated using body mass and height values, both collected at the time of the interview. RESULTS High prevalence of low back pain was found; 175 patients (53.5%) reported having had at least one episode of low back pain in the previous year. Of these, 71 (21.7%) answered yes to all four questions on the Nordic questionnaire and were classified as CLBP. Physical exercise remained associated with CLBP, independent of other factors (odds ratio = 0.35; 95% confidence interval = 0.15-0.80). CONCLUSION High prevalence of low back pain was identified among PHU users. Physical exercise was associated as an independent protective factor against this pathological condition.
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Affiliation(s)
- Everton Alex Carvalho Zanuto
- PhD. Physiotherapist/Physical Educator and Teacher, Department of Physical Education, Universidade do Oeste Paulista (UNOESTE), Presidente Prudente (SP), Brazil.
| | - Rômulo Araújo Fernandes
- PhD. Physical Educator and Teacher, Department of Physical Education and Postgraduate Physiotherapy Program, Faculdade de Ciências e Tecnologia (FCT), Universidade Estadual Paulista (UNESP), Presidente Prudente (SP), Brazil.
| | - Bruna Camilo Turi-Lynch
- PhD. Physical Educator, Department of Physical Education, Universidade Estadual Paulista (UNESP), Rio Claro (SP), Brazil.
| | - Robson Chacon Castoldi
- PhD. Physical Educator and Teacher, Department of Physical Education, Universidade do Oeste Paulista (UNOESTE), Presidente Prudente (SP), Brazil.
| | - Luana Carolina de Morais
- MSc. Physical Educator and Doctoral Student, Faculdade de Ciências e Tecnologia (FCT), Universidade Estadual Paulista (UNESP), Presidente Prudente (SP), Brazil. Author’s Title: MSc
| | - Pedro Victor Tonicante da Silva
- Undergraduate Student, Department of Physical Education, Universidade do Oeste Paulista (UNOESTE), Presidente Prudente (SP), Brazil.
| | - Jamile Sanches Codogno
- PhD. Physical Educator and Teacher, Department of Physical Education and Postgraduate Physiotherapy Program, Faculdade de Ciências e Tecnologia (FCT), Universidade Estadual Paulista (UNESP), Presidente Prudente (SP), Brazil.
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Silva EPD, Rocha APR, Araujo MYC, Turi BC, Fernandes RA, Codogno JS. Sleep pattern, obesity and healthcare expenditures in Brazilian adults. Cien Saude Colet 2019; 24:4103-4110. [PMID: 31664383 DOI: 10.1590/1413-812320182411.26972017] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2017] [Accepted: 04/17/2018] [Indexed: 11/21/2022] Open
Abstract
The aim of this study was to analyze the relationship between sleep pattern and healthcare expenditures in adults, as well as to identify whether physical activity, biochemical markers and obesity affect this relationship. The sample was composed of 168 adults aged ≥ 50 years attended by two Basic Healthcare Units in Presidente Prudente, SP, Brazil. Health expenditure, sleep pattern, anthropometry, adiposity index, physical activity, metabolic and cardiovascular variables were assessed. Statistical analyses were performed using Kruskal-Wallis, Mann-Whitney and Spearman tests. Sleep disorders were positively correlated to higher costs with medicines and negatively correlated to costs with laboratory tests, even after adjusts by confounders. In addition, healthcare costs were also correlated to physical activity score, blood pressure, obesity and metabolic variables. Severe sleep disorders and high percentage of body fat were associated with increased use of medications. Sleep pattern is correlated to primary care healthcare costs, obesity and physical activity level.
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Affiliation(s)
- Eduardo Pereira da Silva
- Faculdade de Ciência e Tecnologia, Universidade Estadual Paulista Júlio de Mesquita Filho. R. Roberto Simonsen 305, Jardim das Rosas. 19060-900 Presidente Prudente, SP, Brasil.
| | | | - Monique Yndawe Castanho Araujo
- Faculdade de Ciência e Tecnologia, Universidade Estadual Paulista Júlio de Mesquita Filho. R. Roberto Simonsen 305, Jardim das Rosas. 19060-900 Presidente Prudente, SP, Brasil.
| | - Bruna Camilo Turi
- Physical Education and Exercise Science Department, Lander University. Greenwood, SC, EUA
| | - Rômulo Araújo Fernandes
- Faculdade de Ciência e Tecnologia, Universidade Estadual Paulista Júlio de Mesquita Filho. R. Roberto Simonsen 305, Jardim das Rosas. 19060-900 Presidente Prudente, SP, Brasil.
| | - Jamile Sanches Codogno
- Faculdade de Ciência e Tecnologia, Universidade Estadual Paulista Júlio de Mesquita Filho. R. Roberto Simonsen 305, Jardim das Rosas. 19060-900 Presidente Prudente, SP, Brasil.
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Queiroz DC, Turi BC, Sarti FM, Dos Santos Ferro I, de Morais LC, Sanches Codogno J. Association between quality of life, physical activity, use of medication and costs of treatment for chronic diseases in Primary Care. J Sports Med Phys Fitness 2019; 60:456-463. [PMID: 31684710 DOI: 10.23736/s0022-4707.19.10170-3] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
Abstract
BACKGROUND The aim of this study was to investigate the costs and the health outcomes of primary care treatments for chronic diseases and to analyze the association between domains of quality of life (QoL), physical activity and healthcare costs. METHODS The sample encompassed 292 patients aged 50 years or more in Brazilian primary care facilities, categorized in three groups: no drug treatment or only regular physical activity, only drug treatment, and drug treatment with regular physical activity. Patients were assessed in relation to quality of life, healthcare costs, regular physical activity, and use of medications. RESULTS Results indicate higher cost-utility ratio among primary care patients adopting only drug treatment (3.92), followed by drug treatment with regular physical activity (3.21), and no drug treatment or only regular physical activity (0.12). CONCLUSIONS QoL was significantly associated with risk factors for chronic diseases, especially obesity, and limitations in mobility showed important increases in healthcare costs. The dominant strategy in terms of cost-utility ratio was identified among primary care patients without drug treatment or physically active, followed by patients in drug treatment combined with regular physical activity. Drug treatment without regular physical activity showed worst results in relation to other primary care strategies.
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Affiliation(s)
- Dayane C Queiroz
- São Paulo State University, Campus of Presidente Prudente, Presidente Prudente, Brazil -
| | - Bruna C Turi
- São Paulo State University, Campus of Presidente Prudente, Presidente Prudente, Brazil
| | | | | | - Luana C de Morais
- São Paulo State University, Campus of Presidente Prudente, Presidente Prudente, Brazil
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18
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Fernandes RA, Mantovani AM, Codogno JS, Turi-Lynch BC, Pokhrel S, Anokye N. The Relationship between Lifestyle and Costs Related to Medicine Use in Adults. Arq Bras Cardiol 2019; 112:749-755. [PMID: 30892384 PMCID: PMC6636366 DOI: 10.5935/abc.20190049] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2018] [Accepted: 09/19/2018] [Indexed: 01/03/2023] Open
Abstract
BACKGROUND The unhealthy lifestyle is growing and this can have repercussions on health status demanding actions on the occurrence of diseases and leads to increased expenses. OBJECTIVE To examine the interrelationship between the costs of medicine use and lifestyle behaviors. METHODS A cohort study with 118 participants, age around 51.7 ± 7.1 years old. It was collected personal and anthropometric data and information about medicine of continuous use to calculate the costs. Lifestyle variables included habitual physical activity (PA) assessed by pedometer, sedentary behavior by Baecke questionnaire, sleep quality by mini sleep questionnaire and self-report of smoke and alcohol consumption. Statistical analyses were performed by BioEstat (version 5.2) and the significance level set at p-value < 0.05. RESULTS In 12 months, 62 subjects bought 172 medicines, representing an overall cost of US$ 3,087.01. Expenditures with drugs were negatively related to PA (r = -0.194, p-value = 0.035 and r = -0.281, p-value = 0.002), but positively related with sleep quality (r = 0.299, p-value=0.001 and r = 0.315, p-value = 0.001) and age (r = 0.274, p-value = 0.003). Four multivariate models were executed considering lifestyle behaviors in different moments of cohort and medicine costs, and all these models identify important relationship between lifestyle behaviors with expenditures with drugs. CONCLUSION Worse sleep quality seems to increase the costs related to medicine use in adults, while obesity and ageing play a relevant role in this phenomenon and alcohol consumption seems a variable with relevant economic impact.
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Affiliation(s)
- Romulo Araujo Fernandes
- Programa de Pós-Graduação em Ciências da Motricidade - Instituto de Biociências - Universidade Estadual Paulista (UNESP), Rio Claro, SP - Brazil.,Departmento de Educação Física - Faculdade de Ciências e Tecnologia - Universidade Estadual Paulista (UNESP), Presidente Prudente, SP - Brazil
| | - Alessandra Madia Mantovani
- Programa de Pós-Graduação em Ciências da Motricidade - Instituto de Biociências - Universidade Estadual Paulista (UNESP), Rio Claro, SP - Brazil
| | - Jamile Sanches Codogno
- Programa de Pós-Graduação em Ciências da Motricidade - Instituto de Biociências - Universidade Estadual Paulista (UNESP), Rio Claro, SP - Brazil.,Departmento de Educação Física - Faculdade de Ciências e Tecnologia - Universidade Estadual Paulista (UNESP), Presidente Prudente, SP - Brazil
| | - Bruna Camilo Turi-Lynch
- Programa de Pós-Graduação em Ciências da Motricidade - Instituto de Biociências - Universidade Estadual Paulista (UNESP), Rio Claro, SP - Brazil
| | - Subhash Pokhrel
- Institute of Environment - Health and Societies - Brunel University - Uxbridge, London - United Kingdom
| | - Nana Anokye
- Institute of Environment - Health and Societies - Brunel University - Uxbridge, London - United Kingdom
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19
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Turi-Lynch BC, Monteiro HL, Fernandes RA, Sui X, Lemes ÍR, Codogno JS. Impact of sports participation on mortality rates among Brazilian adults. J Sports Sci 2019; 37:1443-1448. [DOI: 10.1080/02640414.2019.1565109] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Affiliation(s)
- Bruna C. Turi-Lynch
- Faculty of Sciences and Technology, São Paulo State University (UNESP), Presidente Prudente, Brazil
| | | | - Rômulo Araújo Fernandes
- Faculty of Sciences and Technology, São Paulo State University (UNESP), Presidente Prudente, Brazil
| | - Xuemei Sui
- Department of Exercise Science, University of South Carolina, Columbia, SC, USA
| | - Ítalo Ribeiro Lemes
- Faculty of Sciences and Technology, São Paulo State University (UNESP), Presidente Prudente, Brazil
| | - Jamile Sanches Codogno
- Faculty of Sciences and Technology, São Paulo State University (UNESP), Presidente Prudente, Brazil
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20
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Neves LM, Silva-Batista C, Marquesini R, da Cunha TF, Dimateo E, Nascimento L, Moreira-Neto A, de Lima Miliatto AC, das Chagas Mendes S, Saad F, Codogno JS, Nunes RH, Ritti-Dias RM, Juday V, Lafer B, Ugrinowitsch C. Aerobic exercise program with or without motor complexity as an add-on to the pharmacological treatment of depression - study protocol for a randomized controlled trial. Trials 2018; 19:545. [PMID: 30305151 PMCID: PMC6180512 DOI: 10.1186/s13063-018-2906-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2018] [Accepted: 09/07/2018] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Patients with major depression disorder presents increased rates of cognitive decline, reduced hippocampal volume, poor sleep quality, hypertension, obesity, suicidal ideation and behavior, and decreased functionality. Although continuous aerobic exercise (CAE) improves some of the aforementioned symptoms, comorbidities, and conditions, recent studies have suggested that performing aerobic exercise with motor complexity (AEMC) may be more beneficial for cognitive decline, hippocampal volume, and functionality. Therefore, this randomized controlled trial will compare the effects of CAE and AEMC on depression score, cognitive function, hippocampal volume, brain-derived neurotrophic factor expression, sleep parameters, cardiovascular risk parameters, suicidal behavior, functionality, and treatment costs in patients with depression. METHODS/DESIGN Seventy-five medicated patients with depression will be recruited from a Basic Healthcare Unit to participate in this prospective, parallel group, single blinded, superiority, randomized controlled trial. Patients with depression according to DSM-V criteria will be balanced and randomly assigned (based on depression scores and number of depressive episodes) to a non-exercising control (C), CAE, and AEMC groups. The CAE and AEMC groups will exercise for 60 min, twice a week for 24 weeks (on non-consecutive days). Exercise intensity will be maintained between 12 and 14 points of the rating of perceived exertion scale (~ 70-80% of the maximum heart rate). The CAE group will perform a continuous aerobic exercise while the AEMC group will perform exercises with progressively increased motor complexity. Blinded raters will assess patients before and after the intervention period. The primary outcome measure will be the change in depression score measured by the Montgomery-Asberg Depression Rating Scale. Secondary outcomes will include measures of cognitive function, hippocampal volume, brain-derived neurotrophic factor expression, sleep parameters, cardiovascular risk parameters, suicidal behavior, functionality, and treatment costs. DISCUSSION This study was selected in the call of public policy programs for the Brazilian Unified National Health System - "PPSUS 2015". To our knowledge, this is the first pragmatic trial to test the effect of adding AEMC to the pharmacological treatment of patients with depression and to evaluate the possible reductions in depression symptoms and healthcare costs. TRIAL REGISTRATION Brazilian Clinical Trials Registry (ReBec) - RBR-9zgxzd - Registered on 4 Jan. 2017.
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Affiliation(s)
- Lucas Melo Neves
- School of Physical Education and Sport, University of São Paulo (EEFE-USP), São Paulo, Brazil
| | - Carla Silva-Batista
- School of Physical Education and Sport, University of São Paulo (EEFE-USP), São Paulo, Brazil
| | - Raquel Marquesini
- School of Physical Education and Sport, University of São Paulo (EEFE-USP), São Paulo, Brazil
| | - Telma Fátima da Cunha
- School of Physical Education and Sport, University of São Paulo (EEFE-USP), São Paulo, Brazil
| | - Elisa Dimateo
- School of Physical Education and Sport, University of São Paulo (EEFE-USP), São Paulo, Brazil
| | - Luciana Nascimento
- School of Physical Education and Sport, University of São Paulo (EEFE-USP), São Paulo, Brazil
| | - Acácio Moreira-Neto
- School of Physical Education and Sport, University of São Paulo (EEFE-USP), São Paulo, Brazil
| | | | | | - Flavia Saad
- Federal University of São Paulo (UNIFESP), São Paulo, Brazil
| | | | - Renato Hoffmann Nunes
- Medical Radiologist of DASA, São Paulo, Brazil
- Faculty of Medical Sciences Santa Casa de São Paulo, São Paulo, Brazil
| | | | | | - Beny Lafer
- Department of Psyquiatric, University of São Paulo (IPq-USP), São Paulo, Brazil
| | - Carlos Ugrinowitsch
- School of Physical Education and Sport, University of São Paulo (EEFE-USP), São Paulo, Brazil
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Lemes ÍR, Sui X, Turi-Lynch BC, Lee DC, Blair SN, Fernandes RA, Codogno JS, Monteiro HL. Sedentary behaviour is associated with diabetes mellitus in adults: findings of a cross-sectional analysis from the Brazilian National Health System. J Public Health (Oxf) 2018; 41:742-749. [DOI: 10.1093/pubmed/fdy169] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2018] [Revised: 08/17/2018] [Accepted: 09/04/2018] [Indexed: 01/03/2023] Open
Abstract
Abstract
Background
Sedentary behaviour (SB) may contribute to the development of several chronic diseases, such as hypertension, diabetes mellitus (DM) and all-cause mortality. The aim of this study is to investigate the association between different domains of SB with diabetes among adult users of the Brazilian National Health System (NHS).
Methods
Cross-sectional study from the primary care system of the Brazilian NHS in the city of Bauru, Brazil. SB, physical activity (PA), DM and other chronic diseases were assessed by face-to-face interviews and medical records. As potential confounders in the adjusted model, we used gender, age, economic status, smoking status, hypertension, hypercholesterolaemia and PA.
Results
The study was composed of 147 men and 410 women. The fully adjusted model showed that Brazilian adults spending ≥3 h per day in television viewing (OR = 1.61 [95% CI: 1.11–2.33]) and overall SB (OR = 1.60 [95% CI: 1.09–2.36]) had increased prevalence of DM compared to those spending <3 h per day.
Conclusions
TV viewing and overall SB was associated with higher prevalence of DM in Brazilian adults from the NHS, even after controlling for potential confounders including PA.
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Affiliation(s)
- Ítalo Ribeiro Lemes
- Department of Physiotherapy, School of Sciences and Technology, São Paulo State University—UNESP, 305 Roberto Simonsen, Presidente Prudente, Brazil
| | - Xuemei Sui
- Department of Exercise Science, Arnold School of Public Health, University of South Carolina, Public Health Research Center 229, 921 Assembly Street, Columbia, USA
| | - Bruna Camilo Turi-Lynch
- Department of Physical Education, Faculty of Dracena—UNIFADRA, 332 Bahia Street, Dracena, Brazil
| | - Duck-chul Lee
- Department of Kinesiology, Iowa State University, 103 H Forker building, 534 Wallace Road, Ames, USA
| | - Steven N Blair
- Department of Exercise Science, Arnold School of Public Health, University of South Carolina, Public Health Research Center 229, 921 Assembly Street, Columbia, USA
| | - Rômulo Araújo Fernandes
- Department of Physical Education, School of Sciences and Technology, São Paulo State University—UNESP, 305 Roberto Simonsen, Presidente Prudente, Brazil
| | - Jamile Sanches Codogno
- Department of Physical Education, School of Sciences and Technology, São Paulo State University—UNESP, 305 Roberto Simonsen, Presidente Prudente, Brazil
| | - Henrique Luiz Monteiro
- Department of Physical Education, School of Sciences, São Paulo State University—UNESP, 14-01 Luiz Edmundo Carrijo Coube Av., Bauru, Brazil
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Maillane-Vanegas S, Codogno JS, Turi BC, Christofaro DGD, Fernandes RA. Prevalence of sports participation among Brazilian adolescents: a systematic review. Rev Bras Cineantropom Desempenho Hum 2018. [DOI: 10.5007/1980-0037.2018v20n4p388] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023] Open
Abstract
The objective of this study was to describe the prevalence of sports participation in Brazilian children and adolescents using a systematic review approach. This review follows the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) statement and the protocol was previously registered on PROSPERO (95441), the searches were performed in the following electronic databases: PubMed, ScIELO, Bireme, and EMBASE. The search strategy included a combination of keywords: Children and adolescents, prevalence and sports participation. Four papers included 7104 adolescents aged from 10 to 18 years old, living in four different cities located at Southeast (n= 1) and South (n= 3) of Brazil data collections were carried out between 2004 and 2012. Most of the studies had cross-sectional design and the findings of all surveys were published in international journals. The definition of “sports participation” was not the same in all papers. The overall prevalence of sports participation among adolescents was 58.1%, higher among boys (65.9%) than in girls (51.5%). The systematic review identified that the prevalence of sports participation among Brazilian adolescents is low and significantly affected by gender.
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Orbolato R, Fernandes RA, Turi BC, Castanho-Araujo MY, Bortolatto CR, Koyama KAK, Morais LCD, Codogno JS. Mudanças na atividade física de lazer, locomoção e tempo de televisão entre homens e mulheres usuários do Sistema Único de Saúde em uma cidade de médio porte: seguimento de 18 meses. Rev Bras Cineantropom Desempenho Hum 2018. [DOI: 10.5007/1980-0037.2018v20n1p20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
Abstract
Given the importance of physical activity for health promotion and for the prevention of chronic non-communicable diseases, the Unified Health System (SUS) has changed its strategy of action in the last decades, trying to adopt preventive activities, seeking better quality of life of the Brazilian population and reduce costs with treatment of diseases. The aim of this study was to investigate changes in physical activity and sedentary behavior patterns in users of the Brazilian National Unified Health System during 18 months and the impact of sex and time on such variables. One hundred and ninety-eight participants (58 men and 140 women) were evaluated. Physical activity level was assessed using the Baecke questionnaire. Men had higher scores in all physical activity variables compared to women: walking (p-value = 0.013), cycling (p-value = 0.001) and commuting (p-value= 0.007), but not for TV watching (p-value = 0.362). After 18 months, in the overall sample, walking score increased 25.9% (95%CI = 10.6 to 41.1), but not cycling (1.5% [95%CI = -2.7 to 5.7]), commuting (14.4% [95%CI = -0.4 to 29.3]) and TV watching (1.6% [95%CI = -5.7 to 9.1]). Men were usually more active than women in active behaviors, but not in TV watching. However, differences over time were similar between sexes.
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Araujo MYC, Turi BC, Queiroz DC, Ferro IDS, Bortolatto CR, Codogno JS. Type 2 diabetes, healthcare expenditures and its correlation with anthropometric factors and physical activity: 18-month follow-up in a Brazilian city. Motriz: rev educ fis 2018. [DOI: 10.1590/s1980-6574201800010006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/03/2023] Open
Affiliation(s)
| | - Bruna Camilo Turi
- Universidade Estadual Paulista, Brazil; Faculdades de Dracena, Brazil
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Maillane-Vanegas S, Turi-Lynch BC, Lira FSD, Codogno JS, Fernandes RA, Lima MCSD, Machado-Rodrigues A, Kemper HCG. Relationship between carotid intima-media thickness, physical activity, sleep quality, metabolic/inflamatory profile, body fatness, smoking and alcohol consumption in young adults. Motriz: rev educ fis 2017. [DOI: 10.1590/s1980-6574201700030020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Maillane-Vanegas S, Orbolato R, Exuperio IN, Codogno JS, Turi-Lynch BC, Queiroz DC, Christofaro DGD, Zanuto EAC. Can participation in sports during childhood influence physical activity in adulthood? Motriz: rev educ fis 2017. [DOI: 10.1590/s1980-6574201700si0095] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Turi BC, Codogno JS, Fernandes RA, Monteiro HL. Walking and health care expenditures among adult users of the Brazilian public healthcare system: retrospective cross-sectional study. Cien Saude Colet 2017; 20:3561-8. [PMID: 26602733 DOI: 10.1590/1413-812320152011.00092015] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2014] [Accepted: 03/09/2015] [Indexed: 11/21/2022] Open
Abstract
Physical inactivity is a major public health challenge due to its association with chronic diseases and the resulting economic impact on the public healthcare system. However, walking can help alleviate these problems. Aim To verify associations between walking during leisure-time, risk factors and health care expenditure among users of the Brazilian public health care system. Methods The sample consisted of 963 adults. Walking was evaluated using the Baecke questionnaire. The total expenditure per year was evaluated through the demand for health care services, verified in the medical records of each participant. Results Walking was reported as a physical activity during leisure-time by 64.4% of the participants. The group with the highest engagement in walking was younger and presented lower values for BMI, WC and expenditure on medication. Participants inserted in the category of higher involvement in walking were 41% less likely to be inserted into the group with higher total expenditure (OR = 0:59; 95% CI 0.39-0.89). Conclusion It was found that walking was the most frequent leisure-time physical activity reported by users of the Brazilian health care system and was associated with lower total and medication expenditure.
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Affiliation(s)
- Bruna Camilo Turi
- Universidade Estadual Paulista Júlio de Mesquita Filho, Rio Claro, SP, Brasil,
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Turi BC, Codogno JS, Fernandes RA, Lynch KR, Kokubun E, Monteiro HL. Time trends in physical activity of adult users of the Brazilian National Health System: 2010-2014. Longitudinal study. SAO PAULO MED J 2017; 135:369-375. [PMID: 28793130 PMCID: PMC10016000 DOI: 10.1590/1516-3180.2017.0025190317] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [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: 03/17/2017] [Accepted: 03/19/2017] [Indexed: 11/22/2022] Open
Abstract
CONTEXT AND OBJECTIVE: In this longitudinal study, we aimed to describe time trends of physical activity (PA) in different domains from 2010 to 2014 among users of the Brazilian National Health System, taking into account the effects of sex, age and economic status (ES). DESIGN AND SETTING: Longitudinal study conducted in five primary care units in Bauru (SP), Brazil. METHODS: The sample was composed of 620 men and women who were interviewed in 2010, 2012 and 2014. The same group of researchers conducted the interviews, using the questionnaire developed by Baecke et al. Scores for occupational, exercise/sport, leisure-time/transportation and overall PA were considered in this longitudinal survey. Time trends of PA over the four years of follow-up were assessed according to sex, age and ES. RESULTS: We found that after four years of follow-up, the reduction in overall PA (-13.6%; 95% confidence interval, CI = -11.9 to -15.3) was statistically significant. Additionally, declines in the occupational domain and exercise/sports participation were affected by age, while the reduction in overall PA was affected by sex, age and ES. CONCLUSIONS: Overall PA decreased significantly from 2010 to 2014 among these outpatients of the Brazilian National Health System, and age and male sex were important determinants of PA in its different domains.
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Affiliation(s)
- Bruna Camilo Turi
- MSc, PhD. Researcher, Postgraduate Program on Kinesiology, Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP), Rio Claro (SP), Brazil.
| | - Jamile Sanches Codogno
- MSc, PhD. Professor, Department of Physical Education, Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP), Presidente Prudente (SP), Brazil.
| | - Rômulo Araújo Fernandes
- MSc, PhD. Professor, Department of Physical Education, Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP), Presidente Prudente (SP), Brazil.
| | - Kyle Robinson Lynch
- Master’s Student, Postgraduate Program on Kinesiology, Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP-RC), Rio Claro (SP), Brazil.
| | - Eduardo Kokubun
- MSc, PhD. Professor, Department of Physical Education, Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP), Presidente Prudente (SP), Brazil.
| | - Henrique Luiz Monteiro
- MSc, PhD. Professor, Department of Physical Education, Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP), Presidente Prudente (SP), Brazil.
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Turi BC, Codogno JS, Sarti FM, Anokye NK, Fernandes RA, Monteiro HL. Determinants of outpatient expenditure within primary care in the Brazilian National Health System. SAO PAULO MED J 2017; 135:205-212. [PMID: 28380203 PMCID: PMC10019845 DOI: 10.1590/1516-3180.2016.0224141116] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [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: 11/02/2016] [Accepted: 11/14/2016] [Indexed: 11/22/2022] Open
Abstract
CONTEXT AND OBJECTIVE: One of the big challenges facing governments worldwide is the financing of healthcare systems. Thus, it is necessary to understand the factors and key components associated with healthcare expenditure. The aim here was to identify demographic, socioeconomic, lifestyle and clinical factors associated with direct healthcare expenditure within primary care, among adults attended through the Brazilian National Health System in the city of Bauru. DESIGN AND SETTING: Cross-sectional study conducted in five primary care units in Bauru (SP), Brazil. METHODS: Healthcare expenditure over the last 12 months was assessed through medical records of adults aged 50 years or more. Annual healthcare expenditure was assessed in terms of medication, laboratory tests, medical consultations and the total. Body mass index, waist circumference, hypertension, age, sex, physical activity and smoking were assessed through face-to-face interviews. RESULTS: The total healthcare expenditure for 963 participants of this survey was US$ 112,849.74 (46.9% consultations, 35.2% medication and 17.9% laboratory tests). Expenditure on medication was associated with overweight (odds ratio, OR = 1.80; 95% confidence interval, CI: 1.07-3.01), hypertension (OR = 3.04; 95% CI: 1.91-4.82) and moderate physical activity (OR = 0.56; 95% CI: 0.38-0.81). Expenditure on consultations was associated with hypertension (OR = 1.67; 95% CI: 1.12-2.47) and female sex (OR = 1.70; 95% CI: 1.14-2.55). CONCLUSIONS: Our results showed that overweight, lower levels of physical activity and hypertension were independent risk factors associated with higher healthcare expenditure within primary care.
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Affiliation(s)
- Bruna Camilo Turi
- MSc, PhD. Researcher, Postgraduate Program on Kinesiology, Universidade Estadual Paulista (UNESP), Rio Claro (SP), Brazil.
| | - Jamile Sanches Codogno
- MSc, PhD. Professor, Department of Physical Education, Universidade Estadual Paulista (UNESP), Presidente Prudente (SP), Brazil.
| | - Flávia Mori Sarti
- MSc, PhD. Professor, Department of Food and Experimental Nutrition, Universidade de São Paulo (USP), São Paulo (SP), Brazil.
| | - Nana Kwame Anokye
- PhD. Senior Research Fellow. Institute of Environment, Health and Societies, Brunel University, Uxbridge, London, United Kingdom.
| | - Rômulo Araújo Fernandes
- MSc, PhD. Researcher, Postgraduate Program on Kinesiology, Universidade Estadual Paulista (UNESP), Rio Claro (SP), Brazil.
| | - Henrique Luiz Monteiro
- MSc, PhD. Professor, Department of Physical Education, Universidade Estadual Paulista (UNESP), Bauru (SP), Brazil.
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Turi BC, Bonfim MR, Codogno JS, Fernandes RA, Araújo LGMD, Amaral SLD, Monteiro HL. EXERCISE, BLOOD PRESSURE AND MORTALITY: FINDINGS OF EIGHT YEARS OF FOLLOW-UP. REV BRAS MED ESPORTE 2017. [DOI: 10.1590/1517-869220172302158989] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [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] Open
Abstract
ABSTRACT Introduction: In the last decades, unhealthy habits, such as low levels of physical activity and poor diet, have increased. Consequently, the prevalence of cardiovascular diseases and mortality has increased significantly among adults. However, it is known that regular physical exercises help to improve health outcomes. Thus, the aim of this study was to analyze the effects of eight years of regular participation in an exercise program on blood pressure and mortality in the Brazilian public health system. Methods: The sample consisted of 34 participants with hypertension and/or type II diabetes who were followed up for eight years. They were paired by age, body mass index and chronic disease in two groups: exercise and control. During the follow-up period, medical records were used to assess systolic and diastolic blood pressure, as well as number of medical appointments and the occurrence of deaths. Results: In the follow-up period, five participants died in the control group and none in the exercise group. The Kaplan-Meier analysis identified 29.4% lower mortality among active participants (Fisher's exact test with p = 0.044). The number of medical appointments and the values of diastolic blood pressure were significantly lower for active participants. Conclusion: After a follow-up of eight years, participants in the exercise group attended fewer medical appointments, had better blood pressure control and a lower occurrence of deaths.
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Zanuto EAC, Codogno JS, Christófaro DGD, Vanderlei LCM, Cardoso JR, Fernandes RA. Prevalence of low back pain and associated factors in adults from a middle-size Brazilian city. Cien Saude Colet 2017; 20:1575-82. [PMID: 26017959 DOI: 10.1590/1413-81232015205.02162014] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2014] [Accepted: 09/28/2014] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To determine the prevalence of low back pain and some related variables among adults of both genders. METHODS Was conduct a cross-sectional study of population-based in the urban area of Presidente Prudente, São Paulo. The sample consisted of 743 adult residents for over two years in this city. Low back pain, quality of sleep and physical activity were collected through face to face interview at the residence of respondents. Was used the chi-square test to analyze the association between variables, later was created tree multivariate models with hierarchical inclusion of confounding factors. RESULTS The prevalence of low back pain reported last year was 50.2% (95% CI: 46.6, 53.8), and the last week 32.3% (95% CI: 28.9, 35.6). Was association among low back pain and females (p-value = 0.031), older age, lower education, altered sleep and overweight, the adjusted model found that people over the age of 45 years (45 to 59.9 years, OR = 13.1 [1.72-98.5] and ≥ 60 years, OR = 9.10 [1.15-71.7]), with some alteration of sleep (OR = 3.21 [1.84-5.61]) and obese (OR = 2.33 [1:26 to 4:33]) seems to be a risk group for low back pain. CONCLUSION The prevalence of low back pain is high and obese people aged over 45 years, with any sleep disturbance are a group at higher risk for low back pain.
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Affiliation(s)
| | - Jamile Sanches Codogno
- Departamento de Educação Física, Universidade Estadual Paulista, Presidente Prudente, SP, Brasil,
| | | | | | | | - Romulo Araújo Fernandes
- Departamento de Educação Física, Universidade Estadual Paulista, Presidente Prudente, SP, Brasil,
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Anzolin CC, Silva DAS, Zanuto EF, Cayres SU, Codogno JS, Costa Junior P, Machado DRL, Christofaro DGD. Accuracy of different cutoff points of body mass index to identify overweight according to body fat values estimated by DEXA. J Pediatr (Rio J) 2017; 93:58-63. [PMID: 27543808 DOI: 10.1016/j.jped.2016.04.010] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [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: 08/28/2015] [Revised: 03/30/2016] [Accepted: 04/06/2016] [Indexed: 11/17/2022] Open
Abstract
OBJECTIVE To evaluate the sensitivity and specificity of different cutoff points of body mass index for predicting overweight/obesity according to body fat values estimated by DEXA among Brazilian adolescents. METHODS Cross-sectional study including 229 male adolescents aged 10-15 years, in which body adiposity and anthropometric measures were assessed. Nutritional status was classified by BMI according to cutoff points described in scientific literature. RESULTS Moderate agreements were observed between body fat estimated by DEXA and cutoffs proposed by Cole et al. (K=0.61), Conde and Monteiro (K=0.65), Must et al. (K=0.61) and WHO (K=0.63). The BMI in continuous form showed good agreement with the Dexa (ICC=0.72). The highest sensitivity was observed for cutoff by Conde and Monteiro (0.74 [0.62, 0.84]) and the highest specificity by Cole et al. (0.98 [0.94, 0.99]). For the areas under the ROC curve of cutoff points analyzed, significant difference comparing the cutoff points by Cole et al. and Conde and Monteiro (0.0449 [0.00294, 0.0927]) was observed. CONCLUSIONS The cutoff proposed by Conde and Monteiro was more sensitive in identifying overweight and obesity when compared to the reference method, and the cutoff proposed by Cole et al. presented the highest specificity for such outcomes.
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Affiliation(s)
- Caroline Cristina Anzolin
- Universidade Estadual Paulista (UNESP), Programa de Pós-Graduação em Fisioterapia, Presidente Prudente, SP, Brazil
| | - Diego Augusto Santos Silva
- Universidade Federal de Santa Catarina (UFSC), Departamento de Educação Física, Florianópolis, SC, Brazil
| | - Edner Fernando Zanuto
- Universidade Estadual Paulista (UNESP), Programa de Pós-Graduação em Fisioterapia, Presidente Prudente, SP, Brazil
| | - Suziane Ungari Cayres
- Universidade de São Paulo (USP), Escola de Educação Física e Esporte, Ribeirão Preto, SP, Brazil
| | - Jamile Sanches Codogno
- Universidade Estadual Paulista (UNESP), Programa de Pós-Graduação em Fisioterapia, Presidente Prudente, SP, Brazil
| | - Paulo Costa Junior
- Universidade Estadual Paulista (UNESP), Programa de Pós-Graduação em Fisioterapia, Presidente Prudente, SP, Brazil
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Rocha APR, Turi-Lynch BC, Morais LCD, Araujo MYC, Palomo CPC, Fernandes RA, Codogno JS. Association between osteoporosis, health-related productivity loss and use of hospital services in outpatients of the Brazilian National Health System. Motriz: rev educ fis 2017. [DOI: 10.1590/s1980-6574201700030004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
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Turi BC, Codogno JS, Lynch KR, Araújo LGMD, Locci B, Monteiro HL. Physical activity during the early years of life and osteoporosis in adulthood: study among users of the Brazilian National Health System. Motriz: rev educ fis 2016. [DOI: 10.1590/s1980-6574201600040021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Affiliation(s)
- Bruna Camilo Turi
- Universidade Estadual Paulista "Júlio de Mesquita Filho", Brasil; Universidade Estadual Paulista "Júlio de Mesquita Filho", Brasil
| | - Jamile Sanches Codogno
- Universidade Estadual Paulista "Júlio de Mesquita Filho", Brasil; Universidade Estadual Paulista "Júlio de Mesquita Filho", Brasil
| | - Kyle Robinson Lynch
- Universidade Estadual Paulista "Júlio de Mesquita Filho", Brasil; Universidade Estadual Paulista "Júlio de Mesquita Filho", Brasil
| | | | - Bruna Locci
- Universidade Estadual Paulista "Júlio de Mesquita Filho", Brasil
| | - Henrique Luiz Monteiro
- Universidade Estadual Paulista "Júlio de Mesquita Filho", Brasil; Universidade Estadual Paulista "Júlio de Mesquita Filho", Brasil
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Mantovani AM, Lima MCS, Agostinete RR, Ito IH, Codogno JS, Lynch KR, Fernandes RA. Sports Practice and Bone Mass in Prepubertal Adolescents and Young Adults: A Cross-sectional Analysis. Motriz: rev educ fis 2016. [DOI: 10.1590/s1980-6574201600040018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Affiliation(s)
- Alessandra Madia Mantovani
- Laboratory of InVestigation in Exercise – LIVE; Universidade Estadual Paulista Júlio de Mesquita Filho, Brasil
| | | | - Ricardo Ribeiro Agostinete
- Laboratory of InVestigation in Exercise – LIVE; Universidade Estadual Paulista Júlio de Mesquita Filho, Brasil
| | - Igor Hideki Ito
- Laboratory of InVestigation in Exercise – LIVE; Universidade Estadual Paulista Júlio de Mesquita Filho, Brasil
| | - Jamile Sanches Codogno
- Laboratory of InVestigation in Exercise – LIVE; Universidade Estadual Paulista Júlio de Mesquita Filho, Brasil
| | - Kyle Robinson Lynch
- Laboratory of InVestigation in Exercise – LIVE; Universidade Estadual Paulista Júlio de Mesquita Filho, Brasil
| | - Rômulo Araújo Fernandes
- Laboratory of InVestigation in Exercise – LIVE; Universidade Estadual Paulista Júlio de Mesquita Filho, Brasil; Universidade Estadual Paulista Júlio de Mesquita Filho, Brasil
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Turi BC, Codogno JS, Fernandes RA, Monteiro HL. Physical activity, adiposity and hypertension among patients of public healthcare system. Rev Bras Epidemiol 2016; 17:925-37. [PMID: 25388492 DOI: 10.1590/1809-4503201400040011] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2012] [Accepted: 01/15/2013] [Indexed: 11/22/2022] Open
Abstract
INTRODUCTION Hypertension is a chronic disease that requires special attention in identifying comorbidities or risk factors including inactivity and obesity. Considering that a large proportion of the Brazilian population is hypertensive, obese, and sedentary, the relationship among these variables in the context of the public health system is unclear. OBJECTIVE To assess the association among physical activity, markers of adiposity, and hypertension in adult users of the public healthcare system in the city of Bauru, São Paulo, Brazil. METHODS The study was conducted in five Basic Health Units in Bauru, São Paulo, and consisted of 963 patients. Data were collected from habitual physical activity and previous (childhood and adolescence), education, purchasing power and anthropometric markers of overall and abdominal obesity. RESULTS The incidence of hypertension was 76.8%. Significant associations were found among sedentarism, presence of total and abdominal obesity, with the higher incidence of hypertension. It was also observed that the magnitude of association between hypertension and adiposity increased with decreased involvement in physical activity. CONCLUSION Further investigations are needed to analyze the occurrence of overweight and obesity in people suffering from chronic diseases in order to prevent future complications.
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Affiliation(s)
- Bruna Camilo Turi
- Universidade Estadual Paulista Júlio de Mesquita Filho, Presidente Prudente, SP, Brazil
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Bueno DR, Marucci MDFN, Codogno JS, Roediger MDA. [The costs of physical inactivity in the world: a general review]. Cien Saude Colet 2016; 21:1001-10. [PMID: 27075999 DOI: 10.1590/1413-81232015214.09082015] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2015] [Accepted: 07/18/2015] [Indexed: 11/22/2022] Open
Abstract
There is convincing evidence in the scientific literature of the effectiveness of regular physical activity and physical exercise in the conservation of health and the prevention of various ailments. However, studies into the association between costs of medical services and physical inactivity have not been duly addressed. International studies have quantified these costs and revealed the association between physical activity and/or sedentary behavior. Therefore, this review sought to gather information available from several countries and analyze the global costs associated with physical inactivity over the past few decades. The results of twenty-four original and well-researched articles in nine countries, including Brazil, were analyzed. The results showed that physical inactivity, irrespective of the method of classification, is burdensome to the economy of health worldwide, and directly responsible for the high cost of medication, the incidence of hospitalization and the frequency of medical appointments. The costs of the group of the physically inactive population affected by chronic diseases feature among the major components of the total costs involved in public health.
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Affiliation(s)
| | | | - Jamile Sanches Codogno
- Faculdade de Ciências e Tecnologia de Presidente Prudente, Universidade Estadual Paulista Júlio de Mesquita Filho, São Paulo, SP, Brasil
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Turi BC, Codogno JS, Fernandes RA, Monteiro HL. Low levels of physical activity and metabolic syndrome: cross-sectional study in the Brazilian public health system. Ciênc saúde coletiva 2016; 21:1043-50. [DOI: 10.1590/1413-81232015214.23042015] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2015] [Accepted: 11/29/2015] [Indexed: 11/21/2022] Open
Abstract
Abstract This study investigated whether low levels of physical activity in different domains is associated with risk factors for the occurrence of metabolic syndrome or metabolic syndrome itself. Habitual physical activity level was assessed among 963 participants, aged 50 years old or more, using Baecke’s questionnaire. Risk factors for metabolic syndrome followed the recommendations of “The IDF Consensus Worldwide Definition of the Metabolic Syndrome”. All the participants were users of the Brazilian Public Healthcare System. The prevalence of metabolic syndrome was 30.9%. Participants with lower levels of physical activity in leisure-time had higher chances of occurrence of diabetes mellitus, hypercholesterolemia and metabolic syndrome. Occurrence of arterial hypertension was associated with lower levels of sports activities. It was found high rates of risk indicators for the occurrence of metabolic syndrome, as well as for diseases alone as hypertension, diabetes mellitus, hypercholesterolemia, and obesity. Lower involvement in physical activity in different domains increases the prevalence of risk factors for metabolic syndrome.
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Turi BC, Monteiro HL, Fernandes RA, Codogno JS. The Impact of Physical Activity on Mitigation of Health Care Costs Related to Diabetes Mellitus: Findings from Developed and Developing Settings. Curr Diabetes Rev 2016; 12:307-311. [PMID: 26472573 DOI: 10.2174/1573399812666151016103245] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Over the last decades, the prevalence of diabetes mellitus (DM) has been increasing globally such that nowadays the disease constitutes an important outcome related to early mortality among adults. In parallel with the high prevalence, healthcare costs related to DM treatment have increased significantly, exacerbating its burden on modern society. The scientific literature points out that obesity and physical inactivity have a central role in the development of most DM cases. In fact, either physical exercise practice or an increase in the level of physical activity, constitute relevant tools in the guidelines for treatment of the disease. On the other hand, the effect of physical activity on the economic consequences of DM is not completely clear. The identification of the actual burden of lifestyle changes on the reduction of healthcare costs related to DM is relevant, primarily for developing nations, where it could represent a cheaper strategy for treating the disease and its complications than paying for drug treatment, which is commonly related to collateral effects. That being said, the prevention of DM and other diseases and consequently the mitigation of the costs related to these outcomes seem to depend essentially on the promotion of healthy habits. The aim of the present review was therefore to discuss recent evidence on the effects of physical activity/exercise on mitigation of health care cost related to DM.
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Affiliation(s)
| | | | - Rômulo Araújo Fernandes
- Department of Physical Education. Address: 305 Roberto Simonsen Street, Presidente Prudente, São Paulo, Zipcode: 19060900, Brazil.
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Christofaro DGD, De Andrade SM, Cardoso JR, Mesas AE, Codogno JS, Fernandes RA. High blood pressure and sedentary behavior in adolescents are associated even after controlling for confounding factors. Blood Press 2015. [DOI: 10.3109/08037051.2015.1070475] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Affiliation(s)
| | - Selma Maffei De Andrade
- Department of Public Health: PAIFIT Research Group, Universidade Estadual de Londrina, Londrina, Parana, Brazil
| | - Jefferson Rosa Cardoso
- Department of Physiotherapy: PAIFIT Research Group, Universidade Estadual de Londrina, Londrina, Parana, Brazil
| | - Arthur Eumann Mesas
- Department of Public Health: PAIFIT Research Group, Universidade Estadual de Londrina, Londrina, Parana, Brazil
| | - Jamile Sanches Codogno
- Department of Physical Education, UNESP Universidade Estadual Paulista, Presidente Prudente, São Paulo, Brazil
| | - Rômulo Araújo Fernandes
- Department of Physical Education, UNESP Universidade Estadual Paulista, Presidente Prudente, São Paulo, Brazil
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Cayres SU, Vanderlei LCM, Rodrigues AM, Silva MJCE, Codogno JS, Barbosa MF, Fernandes RA. [Sports practice is related to parasympathetic activity in adolescents]. Rev Paul Pediatr 2015; 33:174-80. [PMID: 25887927 PMCID: PMC4516371 DOI: 10.1016/j.rpped.2014.09.002] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/14/2014] [Accepted: 09/30/2014] [Indexed: 12/17/2022]
Abstract
OBJECTIVE To analyze the relationship among sports practice, physical education class, habitual physical activity and cardiovascular risk in adolescents. METHODS Cross-sectional study with 120 schoolchildren (mean: 11.7±0.7 years old), with no regular use of medicines. Sports practice and physical education classes were assessed through face-to-face interview, while habitual physical activity was assessed by pedometers. Body weight, height and height-cephalic trunk were used to estimate maturation. The following variables were measured: body fatness, blood pressure, resting heart rate, blood flow velocity, intima-media thickness (carotid and femoral) and heart rate variability (mean between consecutive heartbeats and statistical index in the time domain that show the autonomic parasympathetic nervous system activity root-mean by the square of differences between adjacent normal R-R intervals in a time interval. Statistical treatment used Spearman correlation adjusted by sex, ethnicity, age, body fatness and maturation. RESULTS Independently of potential confounders, sports practice was positively related to autonomic parasympathetic nervous system activity (β=0.039 [0.01; 0.76]). On the other hand, the relationship between sport practice and mean between consecutive heartbeats (β=0,031 [-0.01; 0.07]) was significantly mediated by biological maturation. CONCLUSIONS Sport practice was related to higher heart rate variability at rest.
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Codogno JS, Bruna Camilo T, Rômulo Araújo F, Henrique Luiz M. Comparação de gastos com serviços de atenção básica à saúde de homens e mulheres em Bauru, São Paulo, 2010. Epidemiol Serv Saúde 2015. [DOI: 10.5123/s1679-49742015000100013] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022] Open
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Porto DB, Azevedo BGD, Melo DGD, Christofaro DGD, Codogno JS, Silva CBD, Fernandes RA. Fatores associados à autoavaliação do peso corporal em mulheres praticantes de academia. Rev Bras Cineantropom Desempenho Hum 2015. [DOI: 10.5007/1980-0037.2015v17n2p175] [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: 10/23/2022] Open
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Zanuto EAC, de Lima MCS, de Araújo RG, da Silva EP, Anzolin CC, Araujo MYC, Codogno JS, Christofaro DGD, Fernandes RA. Sleep disturbances in adults in a city of Sao Paulo state. Rev Bras Epidemiol 2015; 18:42-53. [PMID: 25651010 DOI: 10.1590/1980-5497201500010004] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2013] [Accepted: 04/23/2014] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To analyze the occurrence of sleep-related disorders among adults from Presidente Prudente, Brazil, as well as to identify associations with behavioral, socio-demographic and nutritional status variables. METHODS After random selection of the sample, interviews were performed with 743 adults of both genders, living in Presidente Prudente, Brazil. Sleep-related disorders, demographic variables (sex, age, ethnicity and schooling), behavioral variables (leisure physical activity, alcohol consumption, and smoking) and nutritional status were analyzed by questionnaires. RESULTS The prevalence of sleep-related disorders was 46.7%, with 95% confidence interval (95%CI) 43.1 - 50.2. In the multivariate analysis, female sex, with odds ratio (OR) 1.74 (95%CI 1.26 - 2.40), schooling (OR = 0.49; 95%CI 0.28 - 0.82), overweight (OR = 1.99; 95%CI 1.39 - 2.85) and obesity (OR = 2.90; 95%CI 1.94 - 4.35) were associated with sleep-related disorders. CONCLUSION There is high occurrence of sleep-related disorders in this sample, which was associated with female sex, lower schooling, overweight and obesity.
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Affiliation(s)
- Everton Alex Carvalho Zanuto
- Departamento de Educação Física, Faculdade de Ciências e Tecnologia, Universidade Estadual Paulista, Presidente Prudente, SP, Brasil
| | - Manoel Carlos Spiguel de Lima
- Departamento de Educação Física, Faculdade de Ciências e Tecnologia, Universidade Estadual Paulista, Presidente Prudente, SP, Brasil
| | - Rafael Gavassa de Araújo
- Departamento de Educação Física, Faculdade de Ciências e Tecnologia, Universidade Estadual Paulista, Presidente Prudente, SP, Brasil
| | - Eduardo Pereira da Silva
- Departamento de Educação Física, Faculdade de Ciências e Tecnologia, Universidade Estadual Paulista, Presidente Prudente, SP, Brasil
| | - Caroline Cristina Anzolin
- Departamento de Educação Física, Faculdade de Ciências e Tecnologia, Universidade Estadual Paulista, Presidente Prudente, SP, Brasil
| | - Monique Yndawe Castanho Araujo
- Departamento de Educação Física, Faculdade de Ciências e Tecnologia, Universidade Estadual Paulista, Presidente Prudente, SP, Brasil
| | - Jamile Sanches Codogno
- Departamento de Educação Física, Faculdade de Ciências e Tecnologia, Universidade Estadual Paulista, Presidente Prudente, SP, Brasil
| | | | - Rômulo Araújo Fernandes
- Departamento de Educação Física, Faculdade de Ciências e Tecnologia, Universidade Estadual Paulista, Presidente Prudente, SP, Brasil
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Fernandes RA, Coelho-E-Silva MJ, Spiguel Lima MC, Cayres SU, Codogno JS, Lira FS. Possible underestimation by sports medicine of the effects of early physical exercise practice on the prevention of diseases in adulthood. Curr Diabetes Rev 2015; 11:201-5. [PMID: 25828743 DOI: 10.2174/1573399811666150401104515] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/23/2015] [Revised: 03/20/2015] [Accepted: 03/30/2015] [Indexed: 11/22/2022]
Abstract
In modern society, combatting cardiovascular and metabolic diseases has been highlighted as an urgent global challenge. In recent decades, the scientific literature has identified that behavioral variables (e.g. smoking, unhealthy diet and physical inactivity) are related to the development of these outcomes and, therefore, preventive actions should focus on the promotion of physical exercise practice and a healthy diet, as well as combatting the smoking habit from an early age. The promotion of physical exercise in the general population has been suggested as a relevant goal by significant health organizations around the world. On the other hand, recent literature has indicated that physical exercise performed in early life prevents the development of diabetes mellitus, dyslipidemia and arterial hypertension during adulthood, although this protective effect seems to be independent of the physical activity performed during adulthood. Apparently, the interaction between physical exercise and human growth in early life constitutes an issue which is not completely understood by sports medicine. The aim of the present review was therefore to discuss recent evidence on the effects of physical exercise performed during childhood and adolescence on cardiovascular and metabolic outcomes in adulthood.
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Affiliation(s)
- Romulo Araujo Fernandes
- Research Group Related to Physical Activity, Department of Physical Education, Universidade Estadual Paulista, UNESP, Street Roberto Simonsen, 305, 19060-900 Presidente Prudente, SP, Brazil.
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Fernandes RA, Christofaro DGD, Dias RMR, Codogno JS, Oliveira ARD. Desnutrição e sua associação com atividades durante o lazer entre adolescentes. Ciênc saúde coletiva 2014; 19:875-80. [DOI: 10.1590/1413-81232014193.07442013] [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] [Subscribe] [Scholar Register] [Received: 03/08/2013] [Accepted: 05/16/2013] [Indexed: 11/22/2022] Open
Abstract
O objetivo deste artigo é verificar a prevalência de desnutrição em adolescentes de duas cidades brasileiras e analisar possíveis associações com a prática de atividades físicas durante horários de lazer. Participaram do estudo 2782 adolescentes de 10 a 17 anos, de escolas da rede pública e privada de uma cidade do sudeste e uma da região sul. O peso e a estatura foram avaliados por balança digital e estadiômetro, respectivamente. A prática de atividade física considerou as variáveis: prática de esportes; andar (tratada como caminhada); andar de bicicleta e assistir televisão. O teste qui-quadrado e a regressão de Poisson foram empregados. A prevalência de desnutrição foi de 13,0%, sendo maior no sexo feminino (14,5%) quando comparado ao masculino (11,9%) [p = 0,047]. A prática esportiva foi associada com menor ocorrência do desfecho (p = 0,001). Foi significativamente menor a prevalência de desnutrição entre aqueles que mantinham frequência moderada de caminhadas em comparação àqueles que apresentavam baixa frequência dessa prática. A prevalência de desnutrição no presente estudo pode ser considerada elevada. Além disso, a condição nutricional inadequada nos adolescentes aparentemente está associada a comportamentos de risco à saúde, caso da prática insuficiente de atividade física durante horários de lazer.
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Carvalho FO, Fernandes RA, Christofaro DGD, Codogno JS, Monteiro HL, Moreira SR, Cyrino ES, Campbell CSG, Simões HG. Agregação de fatores de risco cardiovascular e ocorrência de hipertensão arterial em adultos sedentários. REV BRAS MED ESPORTE 2013. [DOI: 10.1590/s1517-86922013000600008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
OBJETIVO: Analisar em uma grande amostra de adultos sedentários a possível associação entre hipertensão arterial e baixa aptidão cardiorrespiratória, obesidade geral e central. MÉTODOS: A amostra foi composta por 1.092 adultos sedentários brasileiros (429 homens e 633 mulheres). Pressão arterial foi acessada e hipertensão arterial diagnosticada. Três fatores de risco cardiovascular foram considerados: obesidade geral (índice de massa corporal), obesidade abdominal (circunferência de cintura) e baixa aptidão cardiorrespiratória (teste submáximo em cicloergômetro). RESULTADOS: A taxa de hipertensão arterial foi de 9,3% (IC95% = 7,6 - 11,2). Houve associação entre mais alta prevalência de hipertensão arterial e diagnóstico de obesidade (p = 0,001), valores elevados de circunferência de cintura (p = 0,001) e baixo VO2máx (p = 0,013). Independentemente de idade e sexo, indivíduos sedentários com simultaneamente baixo consumo máximo de oxigênio e obesidade geral (RP = 5,21 [IC95% = 8,94 - 3,03]; p = 0,001) ou abdominal (RP = 4,05 [IC95% = 2,22 - 7,40]; p = 0,001) apresentaram maior probabilidade de ser hipertenso que os sedentários com nenhum fator de risco. CONCLUSÃO: Adultos sedentários, independentemente de sexo e idade, a presença de baixa aptidão cardiorrespiratória está associada à hipertensão arterial apenas quando também há obesidade geral ou abdominal, indicando que a interação destas variáveis tem relevante peso na gênese da doença.
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dos Santos VR, Christofaro DGD, Gomes IC, Codogno JS, dos Santos LL, Freitas Júnior IF. Association between bone mass and functional capacity among elderly people aged 80 years and over. Revista Brasileira de Ortopedia (English Edition) 2013; 48:512-518. [PMID: 31304162 PMCID: PMC6565986 DOI: 10.1016/j.rboe.2013.12.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/17/2012] [Accepted: 11/28/2012] [Indexed: 11/09/2022]
Abstract
Objective Analyzed the association of bone mass with the functional capacity of elderly aged 80 or more. Methods The sample consisted of 93 elderly aged 80 and 91 years (83.2±2.5 years) being 61 women (83.3±2.7 years) and 32 men (83.1±2.2 years) living in the city of Presidente Prudente – São Paulo/Brazil. The assessment of bone mass was realized by absorptiometry dual-energy X-ray (DXA), where have been measured values bone mineral content (BMC) and bone mineral density (BMD) of the femur and spine (L1–L4). The functional capacity was evaluated by means of walking speed tests, static equilibrium and strength of lower limbs contained in the questionnaire Wellness Health and Aging (SABE). The variables of bone mass and functional capacity were categorized according to the median values and score tests, respectively. For statistical analysis we carried out the chi-square test, the software used was SPSS (13.0) and the significance level was set at 5%. Results Elderly male with higher performance in the functional tests showed higher femur BMC compared to lower performance, result not found when evaluated women. Conclusion Thus, the bone of the femur for the oldest old male is associated with functional capacity. The constant assessment of the bone mineral mass and practive of physical activity throughout life would be measures to prevent falls in the elderly.
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Abstract
No envelhecimento, hábito inativo está associado a doenças crônicas. Existem diferentes domínios da atividade física, tais como: tempo livre e locomoção. O objetivo foi analisar associações entre diferentes domínios de atividade física, comorbidades e idade em hipertensos. Foram entrevistados 192 hipertensos. Classificados em menos ativos e mais ativos para atividades no lazer, locomoção, ocupação e total e estratificados em grupos etários. A circunferência de cintura foi avaliada e comorbidades auto referidas. O teste Qui-quadrado analisou as associações e o teste ANOVA one way comparou os grupos etários, adotando significância estatística quando p<0,05. As médias de atividade física ocupacional e total foram menores para idade igual ou acima dos 60 e 70 anos, respectivamente. A atividade ocupacional esteve associada à idade em mulheres e, ao colesterol e diabetes em homens, que também tiveram atividade física de locomoção associada à circunferência de cintura. Em síntese a atividade física de hipertensos associa-se a comorbidades para diferentes grupos etários e sexos.
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Júnior IFF, Cardoso JR, Christofaro DGD, Codogno JS, de Moraes ACF, Fernandes RA. The relationship between visceral fat thickness and bone mineral density in sedentary obese children and adolescents. BMC Pediatr 2013; 13:37. [PMID: 23510224 PMCID: PMC3606829 DOI: 10.1186/1471-2431-13-37] [Citation(s) in RCA: 37] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/11/2012] [Accepted: 03/12/2013] [Indexed: 12/11/2022] Open
Abstract
Background Among adults, obesity has been positively related to bone mineral density. However, recent findings have pointed out that abdominal obesity could be negatively related to bone density. The above mentioned relationship is not clear among pediatric populations. Therefore, this cross-sectional study analyzed the relationship between thickness of abdominal adipose tissue and bone mineral variables in sedentary obese children and adolescents. Methods One hundred and seventy five obese children and adolescents (83 male and 92 female) with ages ranging from 6 to 16 years-old were analyzed. Bone mineral content and density were estimated by dual-energy X-ray absorptiometry and ultrasound equipment which estimated the thickness of the abdominal adipose tissue. Pubertal stage was self-reported by the participants. Results The mean age was 11.1 (SD = 2.6). Thickness of the abdominal adipose tissue was negatively related to bone mineral density (r = −0.17 [r95%CI: -0.03;-0.32]), independent of gender, pubertal stage and other confounders (β = −0.134 ± 0.042 [β95%CI: -0.217; -0.050]). Conclusions In sedentary obese children and adolescents abdominal obesity is negatively related to bone mineral density, suggesting a potential link between abdominal obesity and osteoporosis.
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