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1. Burden of metabolic syndrome on primary healthcare costs among older adults: A cross-sectional study

Author

Suelen Jane Ricardo, Monique Yndawe Castanho Araujo, Lionai Lima dos Santos, Marcelo Romanzini, Rômulo Araújo Fernandes, Bruna C. Turi-Lynch, and Jamile Sanches Codogno

Subjects
Hypertension, Health services research, Diabetes mellitus, Obesity, Exercise, National Health Service, Health economics, Physical activity, Medicine
Abstract

ABSTRACT BACKGROUND: The impact of metabolic syndrome (MetS) on healthcare costs remains unclear in the literature. OBJECTIVES: To determine the impact of MetS on primary healthcare costs of adults, as well as to identify the impact of physical activity and other covariates on this phenomenon. DESIGN AND SETTING: This cross-sectional study was conducted in the city of Presidente Prudente, State of São Paulo/Brazil, in 2016. METHODS: The sample comprised 159 older adults (> 50 years) of both sexes (110 women) who were identified from their medical records in the Brazilian National Health Service. Healthcare costs (US$) were assessed through medical records and divided into medical consultations, medications, laboratory tests, and total costs. MetS was assessed using medical records. RESULTS: The Brazilian National Health Service spent more on consultations (US$ 22.75 versus US$ 19.39; + 17.3%) and medication (US$ 19.65 versus US$ 8.32; + 136.1%) among adults with MetS than among those without MetS, but the costs for laboratory tests were similar (P = 0.343). Total costs were 53.9% higher in adults with MetS than in those without the diagnosis of the disease (P = 0.001). Regarding total costs, there was an increase of US$ 38.97 when five components of MetS were present (P = 0.015), representing an increase of approximately 700%, even after adjusting for sex, age, and physical activity. CONCLUSION: In conclusion, the presence of the MetS is responsible for increasing primary care costs among older adults, especially in those related to medicines.

Published
2024
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2. Combined association of insufficient physical activity and sleep problems with healthcare costs: a longitudinal study

Author

Kelly Akemi Kikuti-Koyama, Ítalo Ribeiro Lemes, Luana Carolina de Morais, Henrique Luiz Monteiro, Bruna Camilo Turi-Lynch, Rômulo Araújo Fernandes, and Jamile Sanches Codogno

Subjects
Exercise, Health care cost, Sleep, Public health, Lifestyle, Observational, Medicine
Abstract

ABSTRACT BACKGROUND: The magnitude of economic losses attributed to sleep problems and insufficient physical activity (PA) remains unclear. This study aimed to investigate the association between insufficient PA, sleep problems, and direct healthcare costs. OBJECTIVE: To investigate the association between insufficient physical activity (PA), sleep problems, and direct healthcare costs among adults. DESIGN AND SETTING: Adults aged ≥ 50 years attended by the Brazilian National Health Service were tracked from 2010 to 2014. METHODS: Direct healthcare costs were assessed using medical records and expressed in US$. Insufficient PA and sleep problems were assessed through face-to-face interviews. Differences were identified using the analysis of covariance and variance for repeated measures. RESULTS: In total, 454 women and 166 men were enrolled. Sleep problems were reported by 28.9% (95%CI: 25.2% to 32.4%) of the sample, while insufficient PA was reported by 84.8% (95%CI: 82.1% to 87.6%). The combination of sleep problems and insufficient PA explained 2.3% of all healthcare costs spent on these patients from 2010 to 2014, which directly accounts for approximately US$ 4,765.01. CONCLUSION: The combination of sleep problems and insufficient PA plays an important role in increasing direct healthcare costs in adults. Public health stakeholders, policymakers, and health professionals can use these results to reinforce the need for strategies to improve sleep quality and increase PA, especially in nations that finance their National Health Systems.

Published
2024
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3. Impact of cycling and walking on adiposity and healthcare costs among adults: longitudinal study

Author

Rafael Orbolato, Rômulo Araújo Fernandes, Bruna Camilo Turi-Lynch, Monique Yndawe Castanho Araujo, Izabela dos Santos Ferro, Luis Alberto Gobbo, Everton Alex Carvalho Zanuto, and Jamile Sanches Codogno

Subjects
Exercise, Body Mass Index, Health Care Costs, Medicine, Public aspects of medicine, RA1-1270
Abstract

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.

Published
2024
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4. Sports participation in childhood and adolescence and physical activity intensity in adulthood.

Author

Mariana Biagi Batista, Mileny Caroline Menezes de Freitas, Catiana Leila Possamai Romanzini, Cynthia Correa Lopes Barbosa, Gabriela Blasquez Shigaki, Rômulo Araújo Fernandes, Marcelo Romanzini, and Enio Ricardo Vaz Ronque

Subjects
Medicine, Science
Abstract

ObjectivesThe aim of the present study was to analyze the association between sports participation in childhood and adolescence and the practice of physical activity at different intensities in adulthood, and to verify if some sports participation characteristics such as number of sports; type of sport (individual, collective or a combination of both) and total estimated sports participation time are associated with the different physical activity intensities in adulthood.DesignThis is a cross-sectional study.MethodsThis study included 129 young adults of both sexes aged 18-25 years. Sports participation in childhood (7-10 years) and adolescence (11-17 years) was retrospectively estimated through specific questionnaire. Light, moderate, vigorous and moderate to vigorous intensity physical activity was objectively estimated by accelerometers. To verify the association between SP in childhood and adolescence and BP intensities in adults, multiple linear regression was adopted, with 5% significance.ResultsAnalyses showed that, in females, sports participation in childhood (β = 0.315; R2 = 0.14; P = 0.020) and persistence in sports participation (β = 0.364; R2 = 0.18; P = 0.007) were positive predictors of vigorous physical activity in adulthood. In addition, the comparison according to the specificities of the sport practice, indicated that participation in two or more sports in childhood, one sport and collective sports in adolescence and at least one year of sports participation throughout childhood and adolescence were associated with longer time in vigorous physical activity intensity and MVPA (minutes/day) in adult females (P < 0.05).ConclusionsIt could be concluded that sports participation indicators in childhood and adolescence were considered predictors of vigorous physical activity in adult females. In addition, number of sports, type of sport and practice time in childhood and adolescence seem to predict vigorous and moderate to vigorous levels of physical activity for adult females.

Published
2024
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5. Impact of physical activity during weekdays and weekends on fat mass among adults: 12-month cohort study

Author

Alessandra Madia Mantovani, André Oliveira Werneck, Ricardo Ribeiro Agostinete, Manoel Carlos Spiguel Lima, Jamile Sanches Codogno, Bruna Camilo Turi-Lynch, and Rômulo Araújo Fernandes

Subjects
Body composition, Life style, Behavior, Exercise., Physical activity, Weekend warrior, Fat mass, Measurement of physical activity, Adiposity tissue., Medicine
Abstract

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.

Published
2020
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6. Identifying children who are susceptible to dropping out from physical activity and sport: a cross-sectional study

Author

Danilo Rodrigues Pereira da Silva, André Oliveira Werneck, Paul Collings, Rômulo Araújo Fernandes, Enio Ricardo Vaz Ronque, Luís Bettencourt Sardinha, and Edilson Serpeloni Cyrino

Subjects
Adolescent, Exercise, Environment, Public health., Medicine
Abstract

ABSTRACT BACKGROUND: Although the benefits of physical activity are clear, adherence to physical activity programs is a challenge, especially during transitional phases of life. OBJECTIVE: We aimed to identify adolescents who were more likely to drop out from physical activity and sports participation, from childhood to adolescence. DESIGN AND SETTING: This was a cross-sectional study on retrospective data regarding childhood activity among 803 Brazilian adolescents. The study was conducted at public schools in Londrina, Paraná, in 2011. METHODS: Habitual physical activity, sports participation during childhood, parental physical activity, socioeconomic status and perception of social relationships were self-reported. Cardiorespiratory fitness was estimated via a 20-m shuttle-run test and somatic maturation was estimated from the age at peak height velocity. RESULTS: Our results provided evidence that girls (physical activity: odds ratio, OR: 4.37 [95% confidence interval, CI: 1.86-10.3]; sports: OR: 2.65 [95% CI: 1.39-5.05]) and adolescents with low cardiorespiratory fitness (physical activity: OR: 1.77 [95% CI: 1.13-2.78]; sports: OR: 1.62 [95% CI: 1.15-2.26]) were more likely to drop out from active behaviors. Children with inactive mothers and inactive fathers (OR: 3.55 [95% CI: 1.12-11.3]) also showed a higher dropout rate from physical activity. Adolescents with negative perceptions of friendships (OR: 2.33 [95% CI: 1.21-4.47]) were more likely to drop out from sports. CONCLUSIONS: Higher dropout rates from active lifestyles during childhood were observed among girls and adolescents with low cardiorespiratory fitness. Parental inactivity and negative perceptions of friendships were also potential risk factors for discontinuation of childhood physical activity and sports.

Published
2019
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7. Sports participation and muscle mass affect sex-related differences in bone mineral density between male and female adolescents: A longitudinal study

Author

Rafael Luiz-de-Marco, Han Kemper, Ricardo Ribeiro Agostinete, André Oliveira Werneck, Santiago Maillane-Vanegas, Yuri da Silva Faustino-da-Silva, Isabella Exupério, and Rômulo Araújo Fernandes

Subjects
Adolescent, Bone and Bones, Growth and Development, Sports, Puberty, Medicine
Abstract

ABSTRACT BACKGROUND: Sports participation plays an important role in bone gain during childhood and adolescence. The aim here was to identify sex-related determinants of bone mineral density (BMD) differences between male and female adolescents, with emphasis on the role of sports participation. DESIGN AND SETTING: Longitudinal study conducted in a public university in Presidente Prudente, Brazil. METHODS: The sample comprised 48 adolescents aged 11-17 years, of both sexes, who were matched according to sex, age and sports participation. BMD was the main outcome, while muscle mass, sports participation, calendar age and biological maturation were treated as covariates. Participants were followed up after nine months. RESULTS: At baseline, BMD values were similar between the sexes. However, adjustment for covariates showed that BMD was higher among girls at all sites, with a contribution from lean soft tissue (LST) in the model (partial eta-squared, ES-r = 0.619 in upper limbs; 0.643 in lower limbs; 0.699 in spine; and 0.599 in whole body). Sports participation only explained the upper-limb variance (ES-r = 0.99). At the follow-up, the results resembled the baseline except in the lower limbs (P = 0.109), in which BMD was similar between the groups. BMD gain over time was similar between girls and boys in all segments, and baseline LST affected upper-limb and whole-body BMD accrual (ES-r = 0.396 and 0.107, respectively). CONCLUSION: Whole-body and specific-site BMD differed between baseline and follow-up. However,BMD accrual was similar between the sexes, given that muscle mass constituted the most relevant determinant of the difference between them.

Published
2019
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8. Social, behavioral and biological correlates of cardiorespiratory fitness according to sex, nutritional status and maturity status among adolescents. A cross-sectional study

Author

André Oliveira Werneck, Danilo Rodrigues Silva, Ricardo Ribeiro Agostinete, Rômulo Araújo Fernandes, Enio Ricardo Vaz Ronque, and Edilson Serpeloni Cyrino

Subjects
Physical fitness, Adolescent health, Motor activity, Social class, Medicine
Abstract

ABSTRACT BACKGROUND: Our aim was to analyze multilevel correlates of cardiorespiratory fitness (CRF) according to sex, nutritional status and maturity status among adolescents. DESIGN AND SETTING: Cross-sectional study conducted in public schools. METHODS: This was a cross-sectional study on 1,209 adolescents aged between 10 and 17 years. CRF was estimated from the 20-meter shuttle run test. Anthropometric data on body mass index and waist circumference were obtained. Somatic maturation was assessed from the peak height velocity. Questionnaires were used to evaluate socioeconomic variables (family income, parents’ education level and number of siblings) and behavioral variables (physical activity, screen time and alcohol and tobacco consumption) among the parents and adolescents. RESULTS: Boys, adolescents with normal weight and on-time maturers presented greater CRF (P < 0.05). Concerning socioeconomic correlates, girls (tobacco smoking, alcohol consumption, physical activity and screen time), adolescents with normal weight (alcohol consumption, physical activity and screen time), and on-time maturers (alcohol consumption, physical activity during childhood and habitual physical activity) demonstrated higher numbers of behavioral correlates with CRF. Normal-weight adolescents presented a higher number of biological correlates (chronological age, age at peak height velocity and waist circumference). CONCLUSIONS: Different correlates were observed according to sex, nutritional status and somatic maturation status. However, habitual physical activity, waist circumference and chronological age seemed to be the strongest factors associated with cardiorespiratory fitness among adolescents.

Published
2018
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9. Time trends in physical activity of adult users of the Brazilian National Health System: 2010-2014. Longitudinal study

Author

Bruna Camilo Turi, Jamile Sanches Codogno, Rômulo Araújo Fernandes, Kyle Robinson Lynch, Eduardo Kokubun, and Henrique Luiz Monteiro

Subjects
Atividade motora, Atenção primária à saúde, Saúde pública, Fatores de risco, Epidemiologia, Medicine
Abstract

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.

Published
2017
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10. THE INFLUENCE OF PASSIVE TOBACCO EXPOSURE AND PHYSICAL EXERCISE ON BONE TISSUE OF YOUNG RATS

Author

Regina Celi Trindade Camargo, Regiane Rocha Costalonga, Mário Jefferson Quirino Louzada, Rômulo Araújo Fernandes, José Carlos Silva Camargo Filho, and Jacqueline Bexiga Urban

Subjects
Exercise, Tobacco smoke pollution, Rats, Wistar/growth & development, Lactation, Birth weight, Medicine, Orthopedic surgery, RD701-811
Abstract

ABSTRACT Objective: The objective of this study is to investigate the effect of passive smoking during pregnancy and associated with swimming on bone area growth, bone mineral density (BMD), and bone mineral content (BMC). Methods: The offspring was grouped by control matrices (G1) and passive smokers (G2). The offspring was regrouped in eight subgroups, with exposure to smoking (2x/day) and physical exercise (1 session/day), respecting the group of matrices in: sedentary control (G1CS and G2CS), swimming control (G1CN and G2CN), sedentary passive smoker (G1FS and G2FS), and passive smoker swimmer (G1FN and G2FN). The area, BMD and BMC were measured by the tibia and femur and analyzed by densitometer. The results were analyzed by One-Way ANOVA test with Tukey post-test, with a significance level of 5%. Results: In the tibia BMC study, a better rate was observed in G2CN group when compared to G1CS, G1CN and G1FN (p ≤ 0.023). When assessing BMD in the femur, a higher density ratio was observed in G1FS group when compared to G2CS, G2CN, G2FS and G2FN (p

Published
2017
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11. Determinants of outpatient expenditure within primary care in the Brazilian National Health System

Author

Bruna Camilo Turi, Jamile Sanches Codogno, Flávia Mori Sarti, Nana Kwame Anokye, Rômulo Araújo Fernandes, and Henrique Luiz Monteiro

Subjects
Health expenditures, Primary health care, Public health, Risk factors, Epidemiology, Medicine
Abstract

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.

Published
2017
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12. The agreement between physical activity time reported by the IPAQ and accelerometer in postmenopausal women

Author

Clara Suemi Costa Rosa, Fabrício Eduardo Rossi, Camila Buonani, Rômulo Araújo Fernandes, Henrique Luiz Monteiro, and Ismael Forte Freitas Junior

Subjects
Medicine, Sports medicine, RC1200-1245
Abstract

The objective of this study was to assess, in a sample composed by postmenopausal women, the agreement between physical activity time reported by short version of the IPAQ and measured by accelerometer in different intensities. The participants consisted of postmenopausal women aged ≥ 50 years (N = 60, mean age 61.5±7.5 years). They completed the IPAQ (short version) and then wore an accelerometer for one week. Statistical analysis was composed by the Kappa index, McNemar’s test, specificity and sensitivity, Spearman’s rank correlation and the Wilcoxon test. The amount of time spent in moderate and vigorous physical activity had weak correlation (r=-0.04-0.28) between accelerometer and IPAQ. IPAQ overestimated the minutes spent in moderate and vigorous intensities and underestimated the time spent in light activities. There was not significant agreement between instruments (kappa index= 0.151±0.111; p= 0.185; sensibility, 46% and specificity, 28%). There was a significant inconsistence for the time of physical activity reported by IPAQ.

Published
2015
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13. Percepção da qualidade de vida e atividade física em idosos brasileiros

Author

Denilson Braga Porto, Dartagnan Pinto Guedes, Rômulo Araújo Fernandes, and Felipe Fossati Reichert

Subjects
Medicine, Sports medicine, RC1200-1245
Abstract

O objetivo deste estudo foi investigar a associação entre auto-percepção da qualidade de vida e atividade física em idosos brasileiros. Foram investigados 199 indivíduos (117 homens e 82 mulheres) com idade entre 60 a 70 anos, funcionários de uma universidade pública. A atividade física foi estimada pela versão curta do Questionário Internacional de Atividade Física (IPAQ). A auto-percepção da qualidade de vida foi avaliada utilizando o questionário World Health Organization Quality of Life (WHOQOL-Bref) composto por quatro domínios: físico, psicológico, relações sociais e meio ambiente. Não houve diferença na auto-percepção da qualidade de vida entre homens e mulheres. Em contrapartida, a qualidade de vida foi associada com atividade física quando ajustada pelo sexo, escolaridade e renda. O domínio físico foi o que apresentou a associação mais elevada com a atividade física (Odds Ratio = 2.70, IC 95% 1.87−3.52). Apenas o domínio meio ambiente avaliado pelo WHOQOL-Bref não foi associado com inatividade física. Em sujeitos idosos, a melhoria da auto-percepção da qualidade de vida está significativamente associada à atividade física.

Published
2012
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14. Associação entre desordens musculoesqueléticas e gastos com cuidado à saúde entre pacientes do Sistema Único de Saúde

Author

Jamile Sanches Codogno, Bruna Camilo Turi, Rômulo Araújo Fernandes, Mariana Rotta Bonfim, Carlos Marcelo Pastre, and Henrique Luiz Monteiro

Subjects
Dor Musculoesquelética, Custos e Análise de Custo, Atividade Motora, Saúde Pública., Medicine
Abstract

Delineamento: transversal. Objetivos: (i) Identificar a ocorrência de desordens musculoesqueléticas, (ii) identificar seus determinantes e (iii) suas relações com gastos com saúde em adultos atendidos pelo Sistema Único de Saúde. Métodos: Estudo transversal com 963 adultos, com 50 anos e de ambos os sexos tratados em unidades básicas de saúde. Participantes responderam questionários sobre doenças, condição econômica, desordens musculoesqueléticas, atividade ocupacional, consultas de fisioterapia e compra de medicamentos; peso e estatura foram mensurados para calcular o índice de massa corporal. Custos com saúde foram computados retroagindo 12 meses. Resultados: A prevalência de desordens musculoesqueléticas foi 65%, sendo maior em pacientes com doenças do tecido conjuntivo (OR=4,11 [2,98-5,67]) e pessoas que levantam cargas no trabalho (OR=1,45 [1,27-1,66]). Além disso, a ocorrência de desordens musculoesqueléticas nos ombros, região lombar, joelhos e tornozelos/pés foram relacionados a maiores gastos com medicamentos e consultas médicas. Conclusão: A ocorrência de desordens musculoesqueléticas foi elevada entre estes pacientes, é afetada por sexo e atividade ocupacional e positivamente relacionada com gastos com saúde.

Published
2015
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15. Determinantes da pressão arterial em diabéticos tipo 2 com alta ocorrência de controle glicêmico inadequado

Author

Jamile Sanches Codogno, Rômulo Araújo Fernandes, Ismael Forte Freitas Júnior, and Henrique Luiz Monteiro

Subjects
Atividade Física. Diabetes Mellitus. Pressão Arterial. Dieta., Medicine
Abstract

Modelo do estudo: Estudo de associaçãoObjetivo: Analisar a associação entre diferentes fatores de risco biológicos/comportamentais e pressãoarterial in uma amostra de diabéticos do tipo 2 com pobre controle glicêmico. Métodos: Uma amostra de121 diabéticos tipo 2 foi selecionada no sistema público de uma cidade brasileira de porte médio.Pressão arterial foi aferida usando um aparelho aneroide previamente calibrado. Seis determinantes dapressão arterial foram considerados: idade, hipoglicemiantes, obesidade geral, obesidade central, hábitos alimentares e atividade física. Resultados: Os diabéticos apresentaram média de idade de 60,1±8,9anos e ao menos um fator de risco. Hábitos alimentares (ORadj= 0.31 [0.12-0.75]) e prática esportiva(ORadj= 0.12 [0.02-0.75]) constituíram fatores de proteção associados a menor pressão arterial. Poroutro lado, idade foi positivamente associada com alta pressão arterial sistólica (ORadj= 3.81 [1.39-10.38]).Pacientes com 5-6 fatores de risco apresentaram maiores valores sistólicos (F= 3,857; p= 0,011 [post hoccom p= 0,039]) e diastólicos (F= 4,158; p= 0,008 [post hoc com p= 0,036]) e maior ocorrência de hipertensão (p= 0,001). Conclusão: Nossos achados indicam que variáveis comportamentais foram importantesdeterminantes de pressão arterial em pacientes com pobre controle glicêmico e a agregação de fatorescomportamentais e biológicos aumentaram a ocorrência de hipertensão.

Published
2012
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16. Associação entre doenças crônicas em adultos e redução dos níveis de atividade física

Author

Bruna Camilo Turi, Jamile Sanches Codogno, Rômulo Araújo Fernandes, and Henrique Luiz Monteiro

Subjects
Atividade física, diabetes mellitus, hipertensão arterial, Medicine
Abstract

Modelo do estudo: Estudo de prevalência. Objetivo: Descrever a ocorrência das doenças mais frequentes que acometem portadores de hipertensão arterial (HAS) e/ou diabetes mellitus (DM), usuários deUnidade Básica de Saúde (UBS) e associar a ocorrência das duas doenças com o nível de atividadefísica. Métodos: Estudo transversal envolvendo 222 indivíduos portadores de hipertensão arterial e/oudiabetes mellitus, de ambos os sexos e usuários de duas UBS da cidade de Bauru/SP. Foram analisados prontuários clínicos dos pacientes para verificação e constatação da ocorrência de doenças. Pesocorporal e estatura foram aferidos para classificação do estado nutricional e foi aplicado questionáriopara verificar o nível de atividade física. O teste qui-quadrado foi utilizado para analisar existência deassociações e a regressão logística binária expressou a magnitude das mesmas. As comparaçõesforam consideradas significativas quando p < 0,05. Resultados: A amostra teve predominância demulheres (64%), pessoas com obesidade (42,3%) e sedentarismo (78,8%). As doenças de maiorocorrência entre os pacientes hipertensos e diabéticos foram a hipercolesterolemia (31,5%), seguidapela artrite/artrose (23,8%) e lombalgia (23.8%). Houve associação significativa entre indicadores deprática de atividades físicas no lazer (intensidade, tempo semanal de prática e engajamento prévio)com menor ocorrência de doenças metabólicas. Independente de variáveis de confusão, indivíduosdiabéticos e diabéticos com hipertensão tiveram chances aumentados de apresentar comportamentosedentário. Conclusão: Os resultados sugerem que o acometimento de pacientes hipertensos e/oudiabéticos por comorbidades está associado às altas taxas de inatividade física e, conseqüentemente,ao aumento do número de agravos associados.

Published
2011
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17. Somatic maturation and the relationship between bone mineral variables and types of sports among adolescents: cross-sectional study

Author

Ricardo Ribeiro Agostinete, Igor Hideki Ito, Han Kemper, Carlos Marcelo Pastre, Mário Antônio Rodrigues-Júnior, Rafael Luiz-de-Marco, and Rômulo Araújo Fernandes

Subjects
Adolescente, Densidade óssea, Crescimento e desenvolvimento, Esportes, Puberdade, Medicine
Abstract

ABSTRACT CONTEXT AND OBJECTIVE: Peak height velocity (PHV) is an important maturational event during adolescence that affects skeleton size. The objective here was to compare bone variables in adolescents who practiced different types of sports, and to identify whether differences in bone variables attributed to sports practice were dependent on somatic maturation status. DESIGN AND SETTING: Cross-sectional study, São Paulo State University (UNESP). METHODS: The study was composed of 93 adolescents (12 to 16.5 years old), divided into three groups: no-sport group (n = 42), soccer/basketball group (n = 26) and swimming group (n = 25). Bone mineral density and content were measured using dual-energy x-ray absorptiometry and somatic maturation was estimated through using peak height velocity. Data on training load were provided by the coaches. RESULTS: Adolescents whose PHV occurred at an older age presented higher bone mineral density in their upper limbs (P = 0.018). After adjustments for confounders, such as somatic maturation, the swimmers presented lower values for bone mineral density in their lower limbs, spine and whole body. Only the bone mineral density in the upper limbs was similar between the groups. There was a negative relationship between whole-body bone mineral content and the weekly training hours (β: -1563.967; 95% confidence interval, CI: -2916.484 to -211.450). CONCLUSION: The differences in bone variables attributed to sport practice occurred independently of maturation, while high training load in situations of hypogravity seemed to be related to lower bone mass in swimmers.

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18. Musculoskeletal pain perception and hypertension

Author

Sandra Aires Ferreira, Eduardo Kokubun, Sebastião Gobbi, Rômulo Araújo Fernandes, and Marcos Roberto Queiroga

Subjects
analgesia, hypertension, pain clinics, Medicine, Medicine (General), R5-920
Abstract

BACKGROUND AND OBJECTIVES: Several human studies have shown an inverse relation between pain perception and blood pressure. This study aimed at investigating the association between musculoskeletal pain report and hypertension in a group of workers. METHODS: Using a body diagram with image and intensity scale (1 to 10), 349 workers (243 males and 106 females) were asked about the presence and sensitivity to musculoskeletal pain. All were submitted to blood pressure measurement and diagnosis of hypertension by the occupational physician. RESULTS: One hundred workers (28.7%) have reported some type of musculoskeletal pain and from these 12 were hypertensive and 88 normotensive. There has been no difference in musculoskeletal pain prevalence and sensitivity between hypertensive and normotensive workers. Notwithstanding the lack of significant difference, in average hypertensive workers had higher prevalence (38.7% vs 27.7%) and sensitivity to pain as compared to normotensive workers (2.3±0.8 vs 2.1±0.9, respectively). CONCLUSION: It was not possible to confirm in the group of studied workers literature evidences that hypertensive individuals have lower pain prevalence and sensitivity as compared to normotensive individuals.

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20. Effect of concurrent training on gender-specific biochemical variables and adiposity in obese adolescents

Author

Barbara de Moura Mello Antunes, Diego Giuliano Destro Christofaro, Paula Alves Monteiro, Loreana Sanches Silveira, Rômulo Araújo Fernandes, Jorge Mota, and Ismael Forte Freitas Júnior

Subjects
Training, obesity, adolescent, body composition, lipid profile, Medicine, Diseases of the endocrine glands. Clinical endocrinology, RC648-665
Abstract

Objective The purpose of the present study was to analyze the effects of a 20-week concurrent training (20 WCT) intervention program on gender-specific body composition and metabolic variables in obese adolescents.Subjects and methods Sample was composed of twenty-five obese adolescents, aged between 12 and 15 (13.4 ± 0.96) years. Fat-free mass (FFM), percentage trunk fat mass (TFM%) and percentage fat mass (%FM) were evaluated through dual-energy X-ray absorptiometry (DXA). Measurement of intra-abdominal adiposity (IAAT) was performed using ultrasound. Blood pressure was measured and blood samples analyzed for total cholesterol (TC), high-density lipoprotein cholesterol (HDL-c), low-density lipoprotein cholesterol (LDL-c), triglycerides (TG) and plasma glucose. All participants performed the concurrent training (combination of weight training and aerobic training) three times per week, one hour per day, for 20 weeks. Descriptive analysis and analysis of variance (ANOVA) for repeated measures were used to compare baseline, 10 week and 20 week moments using the Bonferroni post-hoc test. Statistical significance was set at p < 0.05. Significant decrease in TC, LDL-c and TFM% were verified in both genders after the 10 initial weeks of concurrent training.Results A significant increase in height was found in both the male and female groups (p = 0.001 and p = 0.047, respectively), after 20 weeks of concurrent training. In addition, several modifications were observed in body composition and metabolic variables, with a significant decrease in BMI (p = 0.002 and p = 0.017), BMI z-score (p = 0.033 and p = 0.004), FM% (p = 0.002 and p = 0.002), TFM% (p = 0.009 and p = 0.018), TC (p = 0.042 and p = 0.001) and LDL-c (p = 0.006 and p = 0.001) in the male and female groups, respectively, after 20 weeks of intervention when compared with baseline.Conclusion Our results identified that concurrent training was an effective intervention for treating metabolic variable and body composition disorders, in both genders, by decreasing adiposity with consequent improvement in BMI and BMI z-scores, and enhancement in lipid profile variables.

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21. Comparação de gastos com serviços de atenção básica à saúde de homens e mulheres em Bauru, São Paulo, 2010

Author

Jamile Sanches Codogno, Bruna Camilo Turi, Rômulo Araújo Fernandes, and Henrique Luiz Monteiro

Subjects
Controle de Custos, Gastos em Saúde, Sexo, Atenção Primária à Saúde, Estudos Transversais, Medicine, Public aspects of medicine, RA1-1270
Abstract

OBJETIVO: comparar gastos com serviços de atenção básica para homens e mulheres em Bauru-SP, Brasil. MÉTODOS: estudo transversal com amostra composta por usuários dos serviços com ≥50 anos de idade selecionados aleatoriamente; os gastos com saúde em consultas, exames, medicamento e gastos totais foram analisados retroagindo 12 meses. RESULTADOS: o estudo incluiu 707 mulheres e 256 homens atendidos; o gasto total foi maior para mulheres (mediana: R$128,1) do que para homens (R$108,6; p-valor=0,027); proporcionalmente, o gasto com consultas (27,6% e 18,4%; p=0,005) e exames (27,1% e 19,5%; p=0,022) foi maior para o sexo feminino do que para o masculino; após ajuste pelas variáveis de confusão (tabagismo, classe socioeconômica, atividade física e excesso de peso), o sexo feminino continuou associado a maiores gastos com exames (odds ratio = 1,47; intervalo de confiança de 95%: 1,01-2,14). CONCLUSÃO: o sexo feminino apresentou maiores gastos com exames, enquanto a obesidade, maiores gastos com consultas médicas.

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22. Chronic low back pain and physical activity among patients within the Brazilian National Health System: a cross-sectional study

Author

Everton Alex Carvalho Zanuto, Rômulo Araújo Fernandes, Bruna Camilo Turi-Lynch, Robson Chacon Castoldi, Luana Carolina de Morais, Pedro Victor Tonicante da Silva, and Jamile Sanches Codogno

Subjects
adult, public health, low back pain, exercise, risk factors, physical activity, chronic low back pain, alternative intervention, Medicine
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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23. Economic crises, behavioral changes and hospitalization due to affective disorders in Brazil between 2003 and 2017: a nationwide cross-sectional study

Author

André Oliveira Werneck, Rômulo Araújo Fernandes, and Danilo Rodrigues Silva

Subjects
economic recession, depression, exercise, economic crises, physical activity, lifestyle behavior, Medicine
Abstract

ABSTRACT Our aim was to analyze hospitalization due to affective disorders in Brazil from 2003 to 2017 and the possible association with economic indicators during crises. We used data on hospitalizations due to affective disorders within the Brazilian National Health System, obtained from DATASUS; data on health-related behavior (television-viewing and physical activity) from the VIGITEL database; and economic data from the World Bank database. We found that the numbers of hospitalizations increased one year after the 2009 crisis and one year after the 2016 crisis. Negative changes in health-related behavior also followed changes in the numbers of hospitalizations due to affective disorders.

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24. More than Sports Participation: The Role of Ground Reaction Force, Osteocalcin and Lean Soft Tissue on Bone Density Accrual in Adolescents: ABCD Growth Study

Author

Yuri Ventura da Silva Faustino-da-Silva, Han C. G. Kemper, Santiago Maillane-Vanegas, Pedro Henrique Narciso, Rafael Luiz-de-Marco, Rômulo Araújo Fernandes, Ricardo Ribeiro Agostinete, Universidade Estadual Paulista (UNESP), and Amsterdam Public Health Research Institute

Subjects
Male, musculoskeletal diseases, Adolescent, Bone density, Accrual, Endocrinology, Diabetes and Metabolism, Osteocalcin, osteocalcin, Body weight, Lower limb, Weight-Bearing, Absorptiometry, Photon, Bone Density, sport ground reaction force, Bone mineral density, Humans, Medicine, Radiology, Nuclear Medicine and imaging, Orthopedics and Sports Medicine, Ground reaction force, Swimming, biology, business.industry, Body Weight, Venous blood sample, Soft tissue, biology.protein, Female, lean soft tissue, sports, business, human activities, Sports, Demography
Abstract

Made available in DSpace on 2022-04-28T19:43:25Z (GMT). No. of bitstreams: 0 Previous issue date: 2022-01-01 The objective of this study was to identify predictors of 12-mo areal bone density accrual in different body segments, lean soft tissue, and osteogenic characteristics attributed to sports participation among adolescent girls and boys. Adolescents (Girls [n = 64], [aged = 14.7]); Boys [n = 129], [aged = 14.6]) were stratified into three groups according to their engagement in different sports (Control [n = 68], Swimming [n = 25], and Weight-bearing sports [n = 100]). Areal bone density (aBMD [g/cm²]) and lean soft tissue (LST) [kg] were measured by dual-energy x-ray absorptiometry (DXA; Lunar DPX-NT; General Electric Healthcare, Little Chalfont, Buckinghamshire, United Kingdom). The ground reaction force (GRF) index attributed to sports participation (Sport-GRF) was created considering the GRF attributed to each sport, body weight of the adolescent, and the amount of time spent in sports participation. Osteocalcin levels (ng/mL) were estimated from a venous blood sample. Multiple regression analysis showed that after adjusting for covariates, the models involving sport-GRF, LST (Δ), and osteocalcin explained 15.8% to 76.2% of the aBMD gains. Specifically in girls, OC was only associated with lower limb aBMD accrual. In boys, however, sport ground reaction forces were positively associated with total spine aBMD accrual. Furthermore, the LST (Δ) was positively associated with aBMD accrual in all body sites (β = 0.003 to 0.011) in both sexes. Increases in LST contributed significantly to gains in aBMD accrual in both sexes, being a more important predictor of changes in bone outcomes than ground reaction forces and osteocalcin. Post-Graduation Program in Movement Sciences Sao Paulo State University (UNESP) Laboratory of InVestigation in Exercise LIVE Department of Physical Education Sao Paulo State University (UNESP) Amsterdam UMC Amsterdam Public Health Research Institute Post-Graduation Program in Movement Sciences Sao Paulo State University (UNESP) Laboratory of InVestigation in Exercise LIVE Department of Physical Education Sao Paulo State University (UNESP)

Published
2022

25. ASSOCIATION BETWEEN SLEEP QUALITY AND LIFESTYLE HABITS OF COLLEGE STUDENTS

Author

Monique Yndawe Castanho Araujo, Rômulo Araújo Fernandes, Everton Alex Carvalho Zanuto, Bruna Camilo Turi-Lynch, and Jamile Sanches Codogno

Subjects
Gerontology, lcsh:R5-920, Sleep quality, business.industry, Medicine, lcsh:Medicine (General), Association (psychology), business, Lifestyle habits, Earth-Surface Processes
Abstract

The aim of this study was to verify sleep quality, as well as its determinants, among college students of a private university in Brazil. The sample consisted of 303 college students. Sleep quality was assessed by the Mini-sleep Questionnaire,and other variables included current physical activity, previous physical activity, sedentary behavior, bodymass index, alcohol consumption, smoking, and employment. We found a significant association between bad sleep quality and body mass index (p=0.001), alcohol consumption (p=0.001), smoking (p=0.005) and employment (p=0.030). However, having a job was considered a protective factor for bad sleep quality (OR=0.66 [0.40;0.98]), regardless of other factors. College students present a high prevalence of altered sleep, having as determinants alcohol consumption, smoking, overweight, and obesity. On the other hand, being employed was shown to be a protective factor for bad sleep quality.

Published
2021

26. Influential role of lean soft tissue in the association between training volume and bone mineral density among male adolescent practitioners of impact-loading sports: ABCD Growth study

Author

André O. Werneck, Pedro Henrique Narciso, Rafael Luiz-de-Marco, Yuri da Silva Ventura Faustino-da-Silva, Rômulo Araújo Fernandes, Santiago Maillane-Vanegas, Ricardo Ribeiro Agostinete, Universidade Estadual Paulista (Unesp), and Universidade de São Paulo (USP)

Subjects
Male, musculoskeletal diseases, medicine.medical_specialty, Adolescent, Adolescent athletes, education, bone tissue, 030209 endocrinology & metabolism, 03 medical and health sciences, 0302 clinical medicine, Absorptiometry, Photon, Bone Density, Statistical significance, Medicine, Humans, Association (psychology), Bone mineral, body composition, business.industry, lcsh:RJ1-570, Soft tissue, Mean age, lcsh:Pediatrics, 030229 sport sciences, Cross-Sectional Studies, muscle mass, Athletes, Pediatrics, Perinatology and Child Health, Impact loading, Physical therapy, business, Volume (compression), Research Article, Sports
Abstract

Made available in DSpace on 2021-06-25T10:14:31Z (GMT). No. of bitstreams: 0 Previous issue date: 2020-12-01 Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP) Background: Training volume is associated with direct and indirect pathways of bone adaptations. In addition, training volume is a training variable associated with lean soft tissue (LST), which has been shown to be an important predictor of areal bone mineral density (aBMD). Thus, the aim of this study is to investigate the influential role of lean soft tissue (LST) in the association between training volume and aBMD in male adolescent athletes. Methods: This cross-sectional study was composed of 299 male adolescent athletes, mean age 14.1 (1.8) years, from 9 different weight-bearing modalities. The Ethical Board approved the investigation. The adolescents reported the number of days per week they trained and the time spent training and, from this, the training volume (h/wk) was estimated. The LST and aBMD were assessed by dual-energy x-ray absorptiometry. Somatic maturation was estimated by the peak of height velocity. Mediation analysis was performed to investigate the role of LST in the association between training volume and aBMD. Level of significance was set at p < 0.05. Results: LST partially explained the association between training volume and aBMD in all body segments: upper limbs (58.37%; β = 0.00142), lower limbs (28.35%; β = 0.00156), spine (33.80%; β = 0.00124), and whole body (41.82%, β = 0.00131). There was no direct effect of training volume on aBMD in upper limbs (CI -0.00085 to 0.00287). Conclusion: The association between training volume and aBMD is influenced by LST in different body segments, mainly upper limbs, demonstrating that interventions aiming to enhance aBMD should also consider LST as an important variable to be managed. Department of Physical Education Sao Paulo State University (UNESP), Roberto Simonsen Avenue, 305. Educational Center School of Public Health University of Sao Paulo (USP) Department of Physical Education Post-Graduation Program in Movement Sciences Sao Paulo State University (UNESP) Department of Physical Therapy Post-Graduation Program in Physical Therapy Sao Paulo State University (UNESP) Department of Physical Education Sao Paulo State University (UNESP), Roberto Simonsen Avenue, 305. Educational Center Department of Physical Education Post-Graduation Program in Movement Sciences Sao Paulo State University (UNESP) Department of Physical Therapy Post-Graduation Program in Physical Therapy Sao Paulo State University (UNESP) FAPESP: 2015/19710-3 FAPESP: 2018/21935-1

Published
2020

27. Participation in Non-professional Sports and Cardiovascular Outcomes Among Adolescents: ABCD Growth Study

Author

Bruna Camilo Turi-Lynch, Diego Giulliano Destro Christofaro, Lucas Gabriel de Moraes-Chagas, Jamile Sanches Codogno, Rômulo Araújo Fernandes, Suziane Ungari Cayres-Santos, Jacqueline Bexiga Urban, Wésley Torres, and Universidade Estadual Paulista (Unesp)

Subjects
Male, medicine.medical_specialty, Adolescent, Epidemiology, Cardiovascular health, Blood Pressure, Disease cluster, Affect (psychology), Carotid Intima-Media Thickness, Interviews as Topic, 03 medical and health sciences, 0302 clinical medicine, Heart Rate, medicine, Humans, 030212 general & internal medicine, Sex Distribution, Risk factor, Child, Adiposity, 030219 obstetrics & reproductive medicine, business.industry, Public health, Public Health, Environmental and Occupational Health, Obstetrics and Gynecology, Trunk, Cross-Sectional Studies, Blood pressure, Pediatrics, Perinatology and Child Health, Female, business, human activities, Cardiovascular outcomes, Brazil, Sports, Demography
Abstract

Made available in DSpace on 2020-12-12T02:04:20Z (GMT). No. of bitstreams: 0 Previous issue date: 2020-06-01 Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP) 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. Laboratory of InVestigation in Exercise – LIVE Department of Physical Education São Paulo State University (UNESP), Roberto Simonsen Street, 305, Presidente Prudente Laboratory of InVestigation in Exercise – LIVE Department of Physical Education São Paulo State University (UNESP), Roberto Simonsen Street, 305, Presidente Prudente FAPESP: 2018/09131-4 FAPESP: 2018/22593-7

Published
2020

28. Bone Mineral Density and Sports Participation

Author

Bruna Camilo Turi-Lynch, Ricardo Ribeiro Agostinete, Rafael Luiz-de-Marco, Santiago Maillane-Vanegas, Mario A. Rodrigues-Junior, Rômulo Araújo Fernandes, Igor Hideki Ito, and Kyle R. Lynch

Subjects
Male, 0301 basic medicine, medicine.medical_specialty, Basketball, Adolescent, Bone density, Endocrinology, Diabetes and Metabolism, 030209 endocrinology & metabolism, Body Mass Index, 03 medical and health sciences, Absorptiometry, Photon, 0302 clinical medicine, Bone Density, Soccer, Humans, Medicine, Radiology, Nuclear Medicine and imaging, Orthopedics and Sports Medicine, Child, Muscle, Skeletal, Swimming, Bone mineral, Bone Development, business.industry, Youth Sports, Soft tissue, Mean age, Physical therapy, Female, 030101 anatomy & morphology, business, human activities, Body mass index, Martial Arts
Abstract

The objective of our study was to identify differences in bone mineral density (BMD) according to different sports among adolescents, as well as to identify assessments of relevant mediators. The sample consisted of 429 adolescents with a mean age of 13.3 ± 1.7 yr. The sports modalities that we evaluated were judo, karate, kung fu, swimming, basketball, and soccer. Nonsports group was composed of 111 adolescents. Bone density was assessed using dual-energy X-ray absorptiometry. Regarding BMD values, female engaged in karate had higher BMD values than girls from the no sports group (p = 0.01). Boys engaged in soccer and karate presented the highest BMD values than all the other groups (p = 0.01). The most relevant mediators were the body mass index and lean soft tissue for boys and girls. Different sports presented different results regarding BMD gains, which were influenced by body mass index and whole-body lean soft tissue.

Published
2020

29. Impact of sports participation on components of metabolic syndrome in adolescents: ABCD growth study

Author

Diego Giuliano Destro Christofaro, Verônica Alves Menezes, Lucas Gabriel Moraes Chagas, Jacqueline Bexiga Urban, Eduardo Duarte de Lima Mesquita, Rômulo Araújo Fernandes, Ademar Avelar Almeida Júnior, Wésley Torres, Ana Elisa von Ah Morano, Universidade Estadual Paulista (UNESP), and State University of Maringa

Subjects
Male, Gerontology, Adolescent, Endocrinology, Diabetes and Metabolism, adolescent behavior, Body Mass Index, Endocrinology, Text mining, medicine, Humans, cardiovascular parameters, Longitudinal Studies, Child, Metabolic Syndrome, business.industry, Cholesterol, HDL, medicine.disease, metabolic profile, risk factor, Pediatrics, Perinatology and Child Health, Female, Metabolic syndrome, business, sport for development, human activities, Brazil, Sports
Abstract

Objective The objective of this study was to analyze the impact of sports participation (12 months of practice) on components of the metabolic syndrome of both sexes.Methods Observational longitudinal study, party of the study entitled “Analysis of Behaviors of Children During Growth” (ABCD Growth Study), Presidente Prudente, SP. The sample consisted of 171 adolescents [112 boys and 59 girls], the groups were divided between non-sport and sport, according to the inclusion criteria: age 11 to 17 years; absence of known diseases previously diagnosed; no regular use of medications related to blood pressure or lipid metabolism; involvement in sports in the las 12 months (sports group) for at least one year without any regular involvement in sports training routines or physical exercises (non-sports group), signed written consent form parents and adolescents. The high-density cholesterol lipoproteins (HDL-c), triglycerides (TG), and glucose were analyzed by the dry chemical colorimetric method and processed biochemically. Systolic blood pressure (SBP) and diastolic blood pressure (DBP) were assessed using an automatic device. Body fat (BF) was estimated using a densitometry scanner. Ethnicity, sex, maturity, and body weight were treated as covariates.Results The adolescents involved in the sport were younger [p-value = 0.001] and with lower PVC [p-value = 0.001] than the non-sport group. The differences () after 12 months were of greater magnitude for the sports group when compared to non-sports group [p-value = 0.013], glucose (moderate magnitude in favor of the sports group; p-value = 0.001), HDL-c (small magnitude in favor of the sports group; p-value = 0.0015) and MetS (moderate magnitude in favor of the sports group; p-value = 0.001). Sport with high cardiorespiratory demand has more pronounced benefits than other groups. Sport seems to have a positive relationship in the variables sports participation, weekly volume, and load intensity. Conclusion Sports practice in adolescents had a protective effect on the metabolic components of the metabolic syndrome.

Published
2022

30. The effects of physical activity during childhood, adolescence, and adulthood on cardiovascular risk factors among adults

Author

Bruna Camilo Turi-Lynch, Manoel Carlos Spiguel Lima, Rômulo Araújo Fernandes, André O. Werneck, Ricardo Ribeiro Agostinete, Universidade Estadual Paulista (Unesp), and SC

Subjects
Adult, Male, Medicine (General), Cardiovascular risk factors, Exercício, Physical activity, Adipose tissue, Blood Pressure, 030204 cardiovascular system & hematology, Motor activity, Chronic disease, Body Mass Index, 03 medical and health sciences, 0302 clinical medicine, R5-920, Risk Factors, Humans, Medicine, 030212 general & internal medicine, Exercise physiology, Generalized estimating equation, Exercise, Triglycerides, business.industry, Cholesterol, HDL, Doença crônica, General Medicine, Middle Aged, C-Reactive Protein, Blood pressure, Adipose Tissue, Cardiovascular Diseases, Atividade motora, Pedometer, Female, Esportes, business, Body mass index, Demography, Sports
Abstract

SUMMARY OBJECTIVES: To analyze the association between physical activity during life and cardiovascular risk factors among adults. DESIGN: The sample was composed of 101 adults (59 men) between 30 and 50 years old, who were recruited from different gyms and from a University in Brasil. Participants were divided according to their engagement in sports in early life (self-reported) and current physical activity (pedometer) (sports participation during childhood/adolescence and currently active [n=26], sports participation during childhood/adolescence and currently inactive [n=26], and control [n=49]). Cardiovascular risk factors were measured, such as body fat (through DXA), HDL-C, triglycerides, HOMA index, systolic blood pressure, diastolic blood pressure, and C-reactive protein. We adopted the covariates of chronological age, sex, alcohol consumption, tobacco, and body mass index. General estimating equations were used, with p

Published
2019

31. Impact of sports participation on incidence of bone traumatic fractures and health-care costs among adolescents: ABCD – Growth Study

Author

Fabio Augusto Barbieri, Rômulo Araújo Fernandes, Bruna Camilo Turi-Lynch, Dimitris Vlachopoulos, Kyle R. Lynch, Jamile Sanches Codogno, Ricardo Ribeiro Agostinete, Nana Anokye, Universidade Estadual Paulista (Unesp), Brunel University, and University of Exeter

Subjects
Male, medicine.medical_specialty, Basketball, Adolescent, pediatrics, Physical Therapy, Sports Therapy and Rehabilitation, Athletic injuries, bone, Fractures, Bone, Risk Factors, Health care, Humans, Medicine, Orthopedics and Sports Medicine, Longitudinal Studies, Medicine use, Swimming, Potential impact, Martial arts, business.industry, Incidence, Incidence (epidemiology), Youth Sports, Health Care Costs, economics, Physical therapy, Female, bone mineral density, business, human activities, Brazil
Abstract

Made available in DSpace on 2020-12-12T01:50:05Z (GMT). No. of bitstreams: 0 Previous issue date: 2019-01-01 Objective: To analyze the risk of bone traumatic fractures according to the engagement in sports, as well as to identify the potential impact of sports participation and traumatic fractures on health-care costs among adolescents. Methods: This is a longitudinal 12-month study of 285 adolescents of both sexes in Brazil. We assessed the occurrence of traumatic fractures and health-care services (hospitalizations, medicine use, medical consultations, and exams) by phone contact every month for 12 months. Adolescents were divided into four groups according to sport characteristics: non-sport (n = 104), non-impact sport (swimming [n = 34]), martial arts (n = 49 [judo, karate, kung-Fu]) and impact sports (n = 98 [track-and-field, basketball, gymnastics, tennis, and baseball]). Results: The incidence of new fractures was 2.1%. The overall costs accounted during the 12-month follow-up were U$ 3,259.66. Swimmers (US$ 13.86) had higher health-care costs than non-sport (US$ 1.82), martial arts (US$ 2.23), and impact sports (US$ 2.32). Conclusion: swimming seems to be related to higher health-care costs among adolescents. Post-Graduation Program in Movement Science. Department of Physical Education Sao Paulo State University–UNESP Institute of Environment Health and Societies Brunel University Children’s Health and Exercise Research Centre Sport and Health Sciences University of Exeter Department of Physical Education São Paulo State University (UNESP) - Campus Bauru Human Movement Research Laboratory (MOVI-LAB) Laboratory of InVestigation in Exercise–LIVE. Department of Physical Education Sao Paulo State University–UNESP Post-Graduation Program in Movement Science. Department of Physical Education Sao Paulo State University–UNESP Department of Physical Education São Paulo State University (UNESP) - Campus Bauru Human Movement Research Laboratory (MOVI-LAB) Laboratory of InVestigation in Exercise–LIVE. Department of Physical Education Sao Paulo State University–UNESP

Published
2019

32. Structural equation model of the effect of biological maturation on metabolic syndrome risk and C-reactive protein: effect of trunk fat and sports participation

Author

André O. Werneck, Enio Ricardo Vaz Ronque, Rômulo Araújo Fernandes, Universidade Estadual Paulista (UNESP), and Universidade Estadual de Londrina (UEL)

Subjects
Trunk fat, Male, Longitudinal study, medicine.medical_specialty, Adolescent, Science, Cardiology, Models, Biological, Structural equation modeling, Article, Biological maturation, Internal medicine, medicine, Humans, Child, Adiposity, Metabolic Syndrome, Multidisciplinary, biology, business.industry, Athletes, C-reactive protein, Endocrine system and metabolic diseases, medicine.disease, biology.organism_classification, Trunk, Endocrinology, C-Reactive Protein, biology.protein, Medicine, Female, Disease Susceptibility, Metabolic syndrome, business, Biomarkers, Sports
Abstract

Made available in DSpace on 2022-04-28T19:44:34Z (GMT). No. of bitstreams: 0 Previous issue date: 2021-12-01 Our aim was to analyze the association between somatic maturation and alterations in metabolic syndrome (METs) risk and C-reactive protein (CRP), focusing on the effect of changes in trunk fat and sports practice. This was a longitudinal study with a one-year follow-up. The sample was composed of 139 adolescents (46 without sports participation and 93 young athletes), aged 10–17 years. As outcomes, we adopted CRP and METs risk (triglycerides, HDL-c, fasting glucose, and mean blood pressure). Somatic maturation was estimated using Mirwald’s method. Structural equation models were used. Somatic maturation was not associated with sports practice, trunk fat, METs risk neither CRP. Sports practice was associated with a reduction in METs risk (β = −0.926; 95%CI:−1.773, −0.080) and reduction in trunk fat (−10.957; −19.630, −2.283), which was associated with increases in METs risk (0.020; 0.004, 0.036). In the CRP model, sports practice was associated with a reduction in trunk fat (−10.324; −18.637, −2.010), which in turn was associated with a reduction in CRP (0.007; 0.001, 0.013). Sports practice and lower trunk adiposity were associated with reductions in trunk fat, METs risk, and CRP through direct and indirect pathways. Our findings highlight the role of sports practice in attenuating the negative effect of trunk adiposity. Laboratory of InVestigation in Exercise – LIVE Department of Physical Education Universidade Estadual Paulista “Júlio de Mesquita Filho” (UNESP), Rua Roberto Símonsen, 305 Physical Activity and Health Laboratory Department of Physical Education Londrina State University Laboratory of InVestigation in Exercise – LIVE Department of Physical Education Universidade Estadual Paulista “Júlio de Mesquita Filho” (UNESP), Rua Roberto Símonsen, 305

Published
2021

33. Moderating Effect of Vigorous Physical Activity on Health Care Costs among Adolescents: ABCD Growth Study

Author

Wésley Torres, Bruna Camilo Turi-Lynch, Lucas Gabriel Moraes Chagas, Rômulo Araújo Fernandes, Jamile Sanches Codogno, Nana Anokye, Monique Yndawe Castanho Araujo, Santiago Maillane-Vanegas, and Jacqueline Bexiga Urban

Subjects
genetic structures, business.industry, Environmental health, Health care, Physical activity, Medicine, business
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 at 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.

Published
2021

34. Relationship Between Muscle Strength, Body Composition and Bone Mineral Density in Adolescents

Author

Karoline Sousa Scarabelot, Agnes Day Alves, Gaia Salvador Claumann, Andreia Pelegrini, Mateus Augusto Bim, André de Araújo Pinto, Rômulo Araújo Fernandes, Hector Cris Colares de Angelo, Florianópolis, and Universidade Estadual Paulista (UNESP)

Subjects
Male, medicine.medical_specialty, Adolescent, Endocrinology, Diabetes and Metabolism, Adolescents, Bone health, Body composition, Fat mass, Absorptiometry, Photon, Bone Density, Internal medicine, medicine, Bone mineral density, Humans, Radiology, Nuclear Medicine and imaging, Orthopedics and Sports Medicine, Muscle Strength, Child, Bone mineral, Hand Strength, business.industry, Muscle strength, Endocrinology, Body Composition, Composition (visual arts), Female, business, Bone mass
Abstract

Made available in DSpace on 2022-04-29T08:36:35Z (GMT). No. of bitstreams: 0 Previous issue date: 2022-01-01 Adolescence is an important period for the acquisition of bone mass, which can be enhanced by several factors. This study aimed examine the relationships of handgrip strength, free-fat mass, and fat mass with bone mineral density in adolescents. 118 adolescents (60 girls), aged 10 to 14 years, participated in the study. Information on sex, age, handgrip strength, free-fat mass, fat mass and bone mineral density were collected. Multiple linear regression analyses were conducted to examine possible relationships between bone mineral density and handgrip strength, free-fat mass and fat mass. There was a relation between handgrip strength and free-fat mass with bone mineral density in both sexes. Fat mass was correlated with bone mineral density only in girls (r= 0.314, p< 0.014). The final models, adjusted for sexual maturation, included free-fat mass (girls - β= 0.419, p< 0.001; boys - β= 0.455; p< 0.001) and handgrip strength (girls - β= 0.358, p< 0.05; boys - β= 0.325; p< 0.05) and these variables together explained 51.8% and 62.9% of the variation of bone mineral density, in girls and boys, respectively. Handgrip strength and free-fat mass were positively associated with bone mineral density. A sex-specific difference indicated that higher levels of free-fat mass are of paramount importance for both sexes. Physical Education Department Santa Catarina State University Florianópolis Physical Education Department São Paulo State University Presidente Prudente Physical Education Department São Paulo State University Presidente Prudente

Published
2021

35. The Association Between Leisure-time Physical Activity, Sedentary Behavior, and Low Back Pain: A Cross-sectional Analysis in Primary Care Settings

Author

Jamile Sanches Codogno, Leanna M. Ross, Crystian Bitencourt Oliveira, Rômulo Araújo Fernandes, Ítalo Ribeiro Lemes, Rafael Z. Pinto, Bruna Camilo Turi Lynch, Henrique Luiz Monteiro, Universidade Estadual Paulista (Unesp), Universidade Federal de Minas Gerais (UFMG), SC, University of Western São Paulo (UNOESTE), and Duke University

Subjects
Adult, Male, medicine.medical_specialty, Longitudinal study, Cross-sectional study, Overweight, Logistic regression, Sitting, Body Mass Index, Cohort Studies, 03 medical and health sciences, Leisure Activities, 0302 clinical medicine, medicine, Humans, Orthopedics and Sports Medicine, Longitudinal Studies, Exercise, Aged, 030222 orthopedics, Primary Health Care, business.industry, Odds ratio, Middle Aged, Cross-Sectional Studies, Physical therapy, Female, Neurology (clinical), Sedentary Behavior, medicine.symptom, business, Low Back Pain, Body mass index, Brazil, 030217 neurology & neurosurgery, Cohort study
Abstract

Made available in DSpace on 2021-06-25T11:14:28Z (GMT). No. of bitstreams: 0 Previous issue date: 2021-05-01 STUDY DESIGN: Observational cross-sectional. OBJECTIVE: To investigate the association between leisure-time physical activity (LTPA) and low back pain (LBP) in adults from primary care settings, and to explore how sedentary behavior influences this association. SUMMARY OF BACKGROUND DATA: LTPA is inversely associated with LBP. However, there is no study investigating this association in primary care settings from a middle-income country. Moreover, the influence of sedentary behavior in this association is unknown. METHODS: Cross-sectional analysis of an ongoing longitudinal study with adults from Bauru, Brazil (n = 557). Data on physical activity, sedentary behavior (sitting time), LBP, body mass index (BMI), and chronic diseases were assessed by face-to-face interviews, physical evaluation, and medical records. Binary logistic regression was used to test the association of LTPA with the presence of LBP. Sociodemographic, behavioral, and health variables were used as covariables in the multivariable models. RESULTS: The fully adjusted model showed that active participants were 33% less likely to have LBP when compared with those insufficiently active (odds ratios [OR]: 0.67 [95% CI: 0.46-0.98]). A significant association was found for active participants who spent less than 3 h/day sitting (OR: 0.45 [95% CI: 0.23-0.89]) but not for those who spent 3 h/day or more in sedentary activities (OR: 0.78 [95% CI: 0.48-1.27]). An inverse association of LTPA with LBP was observed in obese participants (OR = 0.49 [95% CI: 0.25-0.94]), but not in those with normal BMI and overweight. CONCLUSION: LTPA was inversely associated with the prevalence of LBP in adults from primary care. This association was influenced by sedentary behavior and BMI.Level of Evidence: 4. Department of Physical Therapy São Paulo State University (UNESP) Department of Physical Therapy Universidade Federal de Minas Gerais (UFMG) MG Department of Physical Education and Exercise Science Lander University SC Department of Physical Education São Paulo State University (UNESP) Faculty of Medicine University of Western São Paulo (UNOESTE) Duke Molecular Physiology Institute Duke University Department of Physical Therapy São Paulo State University (UNESP) Department of Physical Education São Paulo State University (UNESP)

Published
2021

37. Association of TV Viewing and All-Cause Mortality in Older Adults With Hypertension: A 6-Year Longitudinal Study

Author

Xuemei Sui, Jamile Sanches Codogno, Steven N. Blair, Bruna Camilo Turi-Lynch, Rômulo Araújo Fernandes, Ítalo Ribeiro Lemes, and Henrique Luiz Monteiro

Subjects
Male, Risk, medicine.medical_specialty, Longitudinal study, Time Factors, Physical Therapy, Sports Therapy and Rehabilitation, Interviews as Topic, Risk Factors, Diabetes mellitus, Humans, Medicine, Medical history, Longitudinal Studies, Mortality, Exercise, business.industry, Public health, Medical record, Rehabilitation, Hazard ratio, Confounding, Middle Aged, medicine.disease, Confidence interval, Chronic Disease, Hypertension, Female, Television, Sedentary Behavior, Geriatrics and Gerontology, business, Gerontology, Brazil, Demography
Abstract

The purpose of this study was to examine the longitudinal association between television (TV) viewing and all-cause mortality in older adults with hypertension. Sedentary behavior, physical activity, hypertension, and other chronic diseases were assessed by face-to-face interviews and confirmed by medical history. Mortality was reported by relatives and confirmed in medical records of the National Health System. The fully adjusted model showed a direct association between high TV viewing time and all-cause mortality; hazard ratio: 1.65 (95% confidence interval [1.02-2.68]). Women with high TV viewing were more likely to die than men. Higher TV viewing time was associated with all-cause mortality among those with diabetes and hypertension; hazard ratio: 3.54 (95% confidence interval [1.64-7.66]). The findings from this longitudinal study show that higher TV viewing time is associated with higher risk for all-cause mortality among older adults with hypertension, independently of physical activity, and other potential confounders.

Published
2019

38. CORRELAÇÃO ENTRE OBESIDADE/SOBREPESO E PRESSÃO ARTERIAL ELEVADA EM ESCOLARES DE UMA CIDADE DO INTERIOR DE SÃO PAULO

Author

Diane de Vasconcelos Barrionuevo, Carlos Augusto de Carvalho Filho, Marcelo José Alves, Victor Hugo Santos Zangirolamo, Everton Alex Carvalho Zanuto, and Rômulo Araújo Fernandes

Subjects
obesidade, lcsh:R5-920, medicine.medical_specialty, sobrepeso, business.industry, Hemodynamics, Chronological age, Overweight, Body weight, medicine.disease, Obesity, Blood pressure, Internal medicine, índice de massa corporal, Cardiology, Medicine, cardiovascular diseases, pressão arterial, medicine.symptom, lcsh:Medicine (General), business, Body mass index, circulatory and respiratory physiology, Earth-Surface Processes, Pediatric population
Abstract

Introdução: Na atualidade a população pediátrica brasileira vem sendo exposta a fatores de risco causados pela inatividade física e má alimentação em consequente aumento do Índice de Massa Corporal (IMC), o que pode levar a problemas vasculares mesmo na infância. Objetivos: verificar a influência no IMC nos níveis pressóricos. Métodos: A amostragem foi composta por 61 crianças de ambos os sexos, idade cronológica entre seis e sete anos e regularmente matriculados/frequentando a escola. Estas crianças foram avaliadas em suas respectivas variáveis hemodinâmicas (pressão arterial sistólica e diastólica), peso corporal, estatura. Resultados: A média e desvio padrão de idade dos participantes foi de 7 (± 0,3) anos, sendo a PAS teve de 89,4 (± 10) e PAD de 57 (± 6,9), os eutróficos tiveram 88,7 (± 1,1) para PAS e 56 (± 5) para a PAD e para os com Sobrepeso/Obesidade (SO) 109 (± 5) para a PAS e 70,7 (± 8,2) pata PAD, com valor de p=0,0001, já a correlação de Pearson para o IMC com PAS e a PAD foi moderada para ambas, porém com beta de 1,53 na regressão linear para PAS e de 0,96 para a PAD. Conclusão: O IMC influência diretamente nãos níveis pressóricos sistólicos e diastólicos e que o controle do sobrepeso/obesidade faz necessário nas idades iniciais de vida.

Published
2019

39. Sports participation and muscle mass affect sex-related differences in bone mineral density between male and female adolescents: A longitudinal study

Author

Han C. G. Kemper, Yuri da Silva Ventura Faustino-da-Silva, Ricardo Ribeiro Agostinete, André O. Werneck, Rômulo Araújo Fernandes, Santiago Maillane-Vanegas, Rafael Luiz-de-Marco, Isabella Neto Exupério, APH - Health Behaviors & Chronic Diseases, Universidade Estadual Paulista (Unesp), and Amsterdam Public Health Research Institute

Subjects
Male, Longitudinal study, Time Factors, Adolescent, lcsh:Medicine, Affect (psychology), Muscle mass, Bone and Bones, Body Mass Index, 03 medical and health sciences, Biological maturation, Absorptiometry, Photon, Sex Factors, 0302 clinical medicine, Bone Density, Reference Values, Humans, Medicine, Longitudinal Studies, 030212 general & internal medicine, Child, Muscle, Skeletal, Bone mineral, business.industry, lcsh:R, Puberty, Sex related, General Medicine, Adolescent Development, Public university, Female, Growth and Development, business, Body mass index, 030217 neurology & neurosurgery, Sports, Demography
Abstract

Made available in DSpace on 2019-10-06T15:44:54Z (GMT). No. of bitstreams: 0 Previous issue date: 2019-01-01. Added 1 bitstream(s) on 2019-10-09T18:34:54Z : No. of bitstreams: 1 S1516-31802019000100075.pdf: 143963 bytes, checksum: 1f451fccbd1c7cb92695b3359225949f (MD5) BACKGROUND: Sports participation plays an important role in bone gain during childhood and adolescence. The aim here was to identify sex-related determinants of bone mineral density (BMD) differences between male and female adolescents, with emphasis on the role of sports participation. DESIGN AND SETTING: Longitudinal study conducted in a public university in Presidente Prudente, Brazil. METHODS: The sample comprised 48 adolescents aged 11-17 years, of both sexes, who were matched according to sex, age and sports participation. BMD was the main outcome, while muscle mass, sports participation, calendar age and biological maturation were treated as covariates. Participants were followed up after nine months. RESULTS: At baseline, BMD values were similar between the sexes. However, adjustment for covariates showed that BMD was higher among girls at all sites, with a contribution from lean soft tissue (LST) in the model (partial eta-squared, ES-r = 0.619 in upper limbs; 0.643 in lower limbs; 0.699 in spine and 0.599 in whole body). Sports participation only explained the upper-limb variance (ES-r = 0.99). At the follow-up, the results resembled the baseline except in the lower limbs (P = 0.109), in which BMD was similar between the groups. BMD gain over time was similar between girls and boys in all segments, and baseline LST affected upper-limb and whole-body BMD accrual (ES-r = 0.396 and 0.107, respectively). CONCLUSION: Whole-body and specific-site BMD differed between baseline and follow-up. However, BMD accrual was similar between the sexes, given that muscle mass constituted the most relevant determinant of the difference between them. Department of Physical Education Universidade Estadual Paulista (UNESP) Department of Physical Therapy UNESP Amsterdam UMC Amsterdam Public Health Research Institute Laboratory of InVestigation in Exercise(LIVE) Department of Physical Education Universidade Estadual Paulista (UNESP) Department of Physical Education Universidade Estadual Paulista (UNESP) Department of Physical Therapy UNESP Laboratory of InVestigation in Exercise(LIVE) Department of Physical Education Universidade Estadual Paulista (UNESP)

Published
2019

40. Sports Participation Decreases the Incidence of Traumatic, Nonsports-Related Fractures Among Adolescents

Author

Bruna Camilo Turi-Lynch, Mario A. Rodrigues-Junior, Ricardo Ribeiro Agostinete, Igor Hideki Ito, Kyle R. Lynch, Rafael Luiz-de-Marco, Michael Fredericson, and Rômulo Araújo Fernandes

Subjects
Male, Activities of daily living, Adolescent, Physical Therapy, Sports Therapy and Rehabilitation, Fractures, Bone, 03 medical and health sciences, 0302 clinical medicine, 030225 pediatrics, Humans, Medicine, Orthopedics and Sports Medicine, Longitudinal Studies, Child, business.industry, Incidence, Incidence (epidemiology), 030229 sport sciences, Athletic Injuries, Pediatrics, Perinatology and Child Health, Female, business, Youth sports, Brazil, Follow-Up Studies, Sports, Demography
Abstract

Objectives: To investigate the effects of different sports on the incidence of traumatic fractures (TF; sport-related fractures and those occurring in daily activities) among adolescents during the 9-month follow-up period. Methods: The adolescents were contacted in 11 different locations (3 public/private schools and 8 sports clubs), and the final sample was divided into 3 groups: control (n = 121), swimming (n = 51), and impact sports (n = 142). The incidence of TF was calculated by considering the exposure to sports (TF/1000 h). Results: In the overall sample, the incidence of TF was 1.29 TF/1000 hours of sports exposure, while the incidence of sport-related TF was 0.39 TF/1000 hours of sports exposure. Adolescents engaged in sports (P = .004), independently of type (P = .001), for 3 or more days per week (P = .004) and more than 60 minutes per day (P = .001) had lower incidence of TF. Adolescents engaged in more than 300 minutes per week of sport (0.17 TF/1000 h) had lower incidence than those who did not (2.06 TF/1000 h [P = .001]). A similar finding was observed for sport-related TF (≥300 min/wk: 0.08 TF/1000 h vs 300 min/wk: 0.615 TF/1000 h [P = .02]). Conclusion: Adolescents engaged in sports showed a lower incidence of TF than nonengaged adolescents.

Published
2019

41. Impact of sports participation on mortality rates among Brazilian adults

Author

Bruna Camilo Turi-Lynch, Ítalo Ribeiro Lemes, Rômulo Araújo Fernandes, Jamile Sanches Codogno, Henrique Luiz Monteiro, Xuemei Sui, Universidade Estadual Paulista (Unesp), and University of South Carolina

Subjects
Male, medicine.medical_specialty, Time Factors, 030209 endocrinology & metabolism, Physical Therapy, Sports Therapy and Rehabilitation, 03 medical and health sciences, 0302 clinical medicine, Cause of Death, Surveys and Questionnaires, Epidemiology, Humans, Medicine, Orthopedics and Sports Medicine, Longitudinal Studies, Mortality, Aged, business.industry, Mortality rate, Public health, public health, 030229 sport sciences, Middle Aged, Female, epidemiology, sports, business, Brazil, Sports, Demography
Abstract

Made available in DSpace on 2019-10-06T17:00:21Z (GMT). No. of bitstreams: 0 Previous issue date: 2019-07-03 Objective: To analyze the possible dose-response association between components of sports participation (intensity, volume and previous engagement) and 4-year mortality rates among Brazilian adults. Methods: 679 males and females (mean age among men = 66.7 ± 9.3 years old and mean age among women = 64.8 ± 8.9 years old) composed the study sample. Sports participation was assessed using Baecke’s questionnaire, which considers intensity, duration and previous engagement. Medical records were used to identify the cause of the death. Cox regression analysis was performed to determine the independent associations of exercise components and mortality. Results: Participants that reported exercising at moderate-vigorous intensity (Moderate/vigorous: 4.1% versus None/light: 10.3% [p-value = 0.012]; HR = 0.42 [0.1 to 0.94)] and for more than four months (≥4 months: 5.3% versus

Published
2019

42. Physical Activity and Skipping Breakfast Have Independent Effects on Body Fatness Among Adolescents

Author

Suziane Ungari Cayres, Jacqueline Bexiga Urban, and Rômulo Araújo Fernandes

Subjects
Male, Mediation (statistics), Longitudinal study, Adolescent, Structural equation modeling, 03 medical and health sciences, 0302 clinical medicine, Humans, Medicine, Longitudinal Studies, 030212 general & internal medicine, Exercise physiology, Child, Exercise, Adiposity, Breakfast, business.industry, digestive, oral, and skin physiology, Gastroenterology, Body fatness, Feeding Behavior, 030229 sport sciences, Trunk, Confidence interval, Adipose Tissue, Pediatrics, Perinatology and Child Health, Female, business, Student's t-test, Demography
Abstract

Objective We analyzed the longitudinal relationship between breakfast intake and adiposity among adolescents, and the possible mediation role of physical activity on this phenomenon. Methods We conducted the longitudinal study composed of 86 adolescents (11-14 years old), absence of any known chronic diseases and no regular medicine use that returned the formal consent and assent both signed. Breakfast intake was reported through face-to-face interviews. Adiposity was assessed using a densitometry scanner. Physical activity was estimated through step counts performed using pedometers. Biological maturation was estimated through the maturity level. Student t test for independent samples was used to compare adolescents who were "nonskipping breakfast" and "skipping breakfast," whereas the relationship between adiposity, physical activity, and skipping breakfast was assessed using Pearson correlation. Structural equation model was created to identify the mediation role of physical activity on the relationship between nonskipping breakfast and adiposity. Results After 12 months, adolescents who had consumed breakfast regularly presented decreased trunk fatness (-3.5% [95% confidence interval (CI): -6.9 to -0.2]) and body fatness (-2.3% [95% CI: -3.9 to -0.7]) compared with their counterparts. Physical activity had an inverse relationship with trunk fatness (r = -0.270 [95% CI: -0.457 to -0.060]). Nonskipping breakfast was, however, not significantly related to trunk fatness; however, physical activity seems to reduce trunk fatness in our sample (r = -0.281; 95% CI: -0.479 to -0.083). Conclusions Adolescents who ate breakfast regularly presented lower body fatness independent of physical activity, whereas trunk fatness decreased in adolescents who improved physical activity.

Published
2018

43. The Mediating Role of Lean Soft Tissue in the Relationship between Somatic Maturation and Bone Density in Adolescent Practitioners and Non-Practitioners of Sports

Author

Dimitris Vlachopoulos, Esther Ubago-Guisado, Annie M. Constable, Luis Gracia-Marco, André O. Werneck, Rômulo Araújo Fernandes, Santiago Maillane-Vanegas, Ricardo Ribeiro Agostinete, Universidade Estadual Paulista (Unesp), Universidade de São Paulo (USP), University of Granada, Instituto de Investigación Biosanitaria ibs GRANADA, Escuela Andaluza de Salud Pública (EASP), University of Exeter, and University of Eastern Finland

Subjects
Male, musculoskeletal diseases, Mediation (statistics), Youth, Team sport, Bone density, Adolescent, Somatic cell, Health, Toxicology and Mutagenesis, lcsh:Medicine, Physiology, 030209 endocrinology & metabolism, Article, Bone health, 03 medical and health sciences, 0302 clinical medicine, Absorptiometry, Photon, Bone Density, Medicine, Humans, bone health, Musculoskeletal System, Exercise, Bone mineral, youth, exercise, business.industry, lcsh:R, Public Health, Environmental and Occupational Health, Soft tissue, Mean age, Total body, 030229 sport sciences, Team sports, Lower Extremity, Female, team sport, business, human activities, Sports
Abstract

This study aimed to identify the mediating effect of lean soft tissue (LST) in the association between somatic maturation and areal bone mineral density (aBMD) in adolescents by sex and sport participation. The sample included 558 adolescents (401 males, mean age of 14.0 years) that were practitioners of sports (11 sport modalities, n = 402) and a non-sport group (n = 157). Somatic maturation was assessed by using a validated peak height velocity prediction equation. Dual-energy X-ray absorptiometry (DXA) was used to assess aBMD (upper and lower limbs, spine and total body less head—TBLH) and LST. For both sexes, LST mediated the association between somatic maturation and aBMD at all skeletal sites (mediation percentage ranging from 36.3% to 75.4%). For sport and non-sport groups, the LST also mediated the association between somatic maturation and aBMD at all skeletal sites (mediation percentage ranging from 51.6% to 85.6%). The direct effect was observed in all groups, except for lower limbs and TBLH in the non-sport group. The association between somatic maturation and aBMD was mediated by LST in adolescents of both sexes and regardless of involvement in organized sports. Our findings highlighted the role of improving LST to mitigate the association of somatic maturation with aBMD., São Paulo Research Foundation (FAPESP) (FAPESP Process 2013/06963-5, 2015/13543-8, 2016/06920-2, 2017/09182-5, 2018/24164-6 and 2015/19710-3), FAPESP (2017/27234-2), FAPESP (2016/20354-0), “La Caixa” Foundation within the Junior Leader fellowship programme (ID 100010434; code LCF/BQ/PR19/11700007)

Published
2021

44. Heterogeneous contributions of change in population distribution of body mass index to change in obesity and underweight

Author

Maryam Sharafkhah, Emanuel Zitt, Majid Ezzati, Luxia Zhang, Young-Ho Khang, Ellina Rakhimova, Kairit Mikkel, Tiina Vlasoff, Eruke E. Egbagbe, Sidsel Graff-Iversen, Ilona Nenko, Magdalena Klimek, Mathilde Savy, Sanjib Kumar Sharma, Alfonso Siani, Luís Lopes, Vanina Bongard, Gregor Jurak, Jacqueline F. Price, Christina-Paulina Lambrinou, Maria Lc Iurilli, Rainford J. Wilks, Bontha V. Babu, Fereidoun Azizi, Harunobu Nakamura, Marialaura Bonaccio, Angela Döring, Zhenyu Zhang, Naser Ahmadi, Jolanta Słowikowska-Hilczer, Ana Paula Carlos Cândido, Clive Osmond, Thirunavukkarasu Sathish, Robert J. Adams, Themistoklis Tzotzas, Reina Engle-Stone, Atul Trivedi, Shoichiro Tsugane, Niels Møller, Jorge Bezerra, Dénes Molnár, Muhammad Fadhli Mohd Yusoff, Badreya Al-Lahou, J. Jaime Miranda, Bahram Mohajer, Sigmund A. Anderssen, Lital Keinan Boker, Eero Kajantie, Martin Gulliford, Maties Torrent, Sumit Bharadwaj, Toshiharu Ninomiya, Zbigniew Gaciong, Nayu Ikeda, Li Juan Wu, Adrian Richter, Licia Iacoviello, Marc J. Gunter, Wenbin Wei, Norsyamlina Che Abdul Rahim, Eman Aly, Ambady Ramachandran, Nils Lehmann, Soile E. Puhakka, Giovanni Veronesi, Hongsheng Bi, Eiji Oda, Jia Li Duan, Per Tynelius, José María Huerta, Janne Schurmann Tolstrup, Rodrigo M. Carrillo-Larco, Rosangela Fernandes Lucena Batista, Victoria E Soto-Rojas, Hanno Ulmer, Shukri F. Mohamed, Anthony Kafatos, Suyeon Park, Mohsen Ibrahim, Hamed Pouraram, Bin Zhou, May Soe Aung, Lars Bo Andersen, Erfan Ghasemi, René Charles Sylva, Himanshu K. Chaturvedi, Luc Dauchet, Ahmad Ali Zainuddin, Angela Chetrit, Dan Zhu, Valérie Deschamps, Ko Ko Zaw, Peter Vollenweider, Tomas Vega, Yves Martin-Prével, Mahfuzar Rahman, Dorja Vočanec, Roman Topor-Madry, Vinay Nangia, Herculina S. Kruger, Asher Fawwad, Emily Sonestedt, Elena Pahomova, Aleksander Giwercman, Elżbieta Dziankowska-Zaborszczyk, Cecilia Björkelund, Tatjana Hejgaard, Maria Puiu, Maria Benedetta Donati, Andrew Wong, Carlos P. Boissonnet, Santosh K. Bhargava, Patrick Kolsteren, Dermot O'Reilly, Bahareh Kheiri, Wolfgang Kratzer, Susanne R. de Rooij, H. Bas Bueno-de-Mesquita, Günther Fink, José R. Banegas, Michele Monroy-Valle, Drude Molbo, Mahmudur Rahman, Hynek Pikhart, Rafael N. Pichardo, Massimo Salvetti, Hui Cai, Sarah Filippi, Georg Posch, Hung-Kwan So, Yonghua Hu, Katsuyasu Kouda, Joana Carvalho, Gailute Bernotiene, Hannu Uusitalo, Thein Thein Htay, Felix Kaducu, Maigeng Zhou, Lars Ängquist, Thi Tuyet-Hanh Tran, Charles Lunogelo, Michel Joffres, Sabina Zambon, Ronald D. Gregor, Vayia Rarra, Seyed Mohammad Hashemi-Shahri, Loreto Santa Marina, Galina Obreja, Rudolf Kaaks, Aya Mostafa, Maria do Carmo Franco, Beata Gurzkowska, Chien-Jen Chen, Marie Moitry, Nizal Sarrafzadegan, Xiangjun Wang, Diego Giulliano Destro Christofaro, Imperia Brajkovich, Fangfang Chen, Francesco Panza, Ling Yang, Holly E. Syddall, Cecily Kelleher, Michael Tornaritis, Ningli Wang, Lutgarde Thijs, Marjolein Visser, Angelika Schaffrath Rosario, María José Tormo, Jostein Steene-Johannessen, Norbert Amougou, Emmanuella Magriplis, Mar Alvarez-Pedrerol, Jingli Gao, Stig E. 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Magliano, Jitendra Jonnagaddala, Konstantinos Gkiouras, Paola Nardone, Alberto Barceló, Tomi-Pekka Tuomainen, Francesco Gianfagna, Stefania Maggi, Mohammad Hossein Somi, Behrooz Hamzeh, Miquel Porta, Vesna Jureša, Alexander D. Deev, David Faeh, Antonio Bernabe-Ortiz, Sirkka Keinänen-Kiukaanniemi, Ian Hambleton, Stefan Savin, Andre Pascal Kengne, R. Krishna Kumar, Kurt Widhalm, Marco M Ferrario, Parisa Amiri, Anjani Kumar Jha, Thamara Hubler Figueiró, Jana Kratenova, Claudia M. Hormiga, Maria Tsigga, Zivka Dika, Indrapal I. Meshram, Ei Ei K. Nang, Ian Rouse, Rusidah Selamat, Paul Korrovits, Grethe S. Tell, Julie Taylor, Anabela Mota-Pinto, Paolo Vineis, Kotsedi D Monyeki, Khuong Quynh Long, Frank J Rühli, Shelly R. McFarlane, Sara Santos Sanz, Edyta Łuszczki, Maria G. Stathopoulou, Tara Coppinger, Karin De Ridder, Lucie Viet, Anna Bugge, Mehdi Yaseri, Safiah Md Yusof, Sandra C. Fuchs, Muhammad Islam, Irfan Nuhoglu, Rui Providência, Bernard Maire, Leandra Abarca-Gómez, Sinead Brophy, Maria Ruiz-Castell, Daniela Pierannunzio, Cristina Taddei, Gowri Mahasampath, Gustavo Velasquez-Melendez, Hanna Tolonen, Sudhir Kowlessur, Bagher Larijani, Laura Torres-Collado, Susi Kriemler, Ali Akbar Shayesteh, Cynthia Robitaille, Jorge Escobedo-de la Peña, Yufang Bi, Chinh Nguyen Huu, Line Tang Møllehave, Vincent Jr DeGennaro, Noor Ani Ahmad, Anar Dushpanova, Agustinus Soemantri, Susana Sans, Ionela Pascanu, Gwenaëlle Le Coroller, Inger Ariansen, Kodanda R Kanala, Gert B. M. Mensink, Abhijit Sen, Sergej M. Ostojic, Hanan F. Abdul Rahim, Hélène Delisle, Francisco J. Félix-Redondo, Yadlapalli S. Kusuma, Michael Knoflach, Moein Yoosefi, Tanja G. M. Vrijkotte, Wolfgang Ahrens, Osvaldo Santos, Bethlehem D. Solomon, Erik Lykke Mortensen, Nikhil D. 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Aounallah-Skhiri , Joana Araújo , Inger Ariansen , Tahir Aris , Raphael E Arku , Nimmathota Arlappa , Krishna K Aryal , Thor Aspelund , Felix K Assah , Maria Cecília F Assunção , May Soe Aung , Juha Auvinen , Mária Avdicová , Shina Avi , Ana Azevedo , Mohsen Azimi-Nezhad , Fereidoun Azizi , Mehrdad Azmin , Bontha V Babu , Maja Bæksgaard Jørgensen , Azli Baharudin , Suhad Bahijri , Jennifer L Baker , Nagalla Balakrishna , Mohamed Bamoshmoosh , Maciej Banach , Piotr Bandosz , José R Banegas , Joanna Baran , Barbagallo CM, Alberto Barceló , Amina Barkat , Aluisio Jd Barros , Mauro Virgílio Gomes Barros , Abdul Basit , Joao Luiz D Bastos , Iqbal Bata , Anwar M Batieha , Rosangela L Batista , Zhamilya Battakova , Assembekov Batyrbek , Louise A Baur , Robert Beaglehole , Silvia Bel-Serrat , Antonisamy Belavendra , Habiba Ben Romdhane , Judith Benedics , Mikhail Benet , Ingunn Holden Bergh , Salim Berkinbayev , Antonio Bernabe-Ortiz , Gailute Bernotiene , Heloísa Bettiol , Jorge Bezerra , Aroor Bhagyalaxmi , Sumit Bharadwaj , Santosh K Bhargava , Zulfiqar A Bhutta , Hongsheng Bi , Yufang Bi , Daniel Bia , Elysée Claude Bika Lele, Mukharram M Bikbov , Bihungum Bista , Dusko J Bjelica , Peter Bjerregaard , Espen Bjertness , Marius B Bjertness , Cecilia Björkelund , Katia V Bloch , Anneke Blokstra , Simona Bo , Martin Bobak , Lynne M Boddy , Bernhard O Boehm , Heiner Boeing , Jose G Boggia , Elena Bogova , Carlos P Boissonnet , Stig E Bojesen , Marialaura Bonaccio , Vanina Bongard , Alice Bonilla-Vargas , Matthias Bopp , Herman Borghs , Lien Braeckevelt , Lutgart Braeckman , Marjolijn Ce Bragt , Imperia Brajkovich , Francesco Branca , Juergen Breckenkamp , João Breda , Hermann Brenner , Lizzy M Brewster , Garry R Brian , Lacramioara Brinduse , Sinead Brophy , Graziella Bruno , H Bas Bueno-de-Mesquita , Anna Bugge , Marta Buoncristiano , Genc Burazeri , Con Burns , Antonio Cabrera de León , Joseph Cacciottolo , Hui Cai , Tilema Cama , Christine Cameron , José Camolas , 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Cottel , Chris Cowell , Cora L Craig , Amelia C Crampin , Ana B Crujeiras , Semánová Csilla , Alexandra M Cucu , Liufu Cui , Felipe V Cureau , Ewelina Czenczek-Lewandowska , Graziella D'Arrigo , Eleonora d'Orsi , Liliana Dacica , María Ángeles Dal Re Saavedra , Jean Dallongeville , Camilla T Damsgaard , Rachel Dankner , Thomas M Dantoft , Parasmani Dasgupta , Saeed Dastgiri , Luc Dauchet , Kairat Davletov , Guy De Backer , Dirk De Bacquer , Giovanni de Gaetano , Stefaan De Henauw , Paula Duarte de Oliveira , David De Ridder , Karin De Ridder , Susanne R de Rooij , Delphine De Smedt , Mohan Deepa , Alexander D Deev , Vincent Jr DeGennaro , Abbas Dehghan , Hélène Delisle , Francis Delpeuch , Stefaan Demarest , Elaine Dennison , Katarzyna Dereń , Valérie Deschamps , Meghnath Dhimal , Augusto F Di Castelnuovo , Juvenal Soares Dias-da-Costa , María Elena Díaz-Sánchez , Alejandro Diaz , Zivka Dika , Shirin Djalalinia , Visnja Djordjic , Ha Tp Do , Annette J Dobson , Maria Benedetta Donati , 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, Daniel Fernández-Bergés , Daniel Ferrante , Thomas Ferrao , Marika Ferrari , Marco M Ferrario , Catterina Ferreccio , Eldridge Ferrer , Jean Ferrieres , Thamara Hubler Figueiró , Anna Fijalkowska , Günther Fink , Krista Fischer , Leng Huat Foo , Maria Forsner , Heba M Fouad , Damian K Francis , Maria do Carmo Franco , Ruth Frikke-Schmidt , Guillermo Frontera , Flavio D Fuchs , Sandra C Fuchs , Isti I Fujiati , Yuki Fujita , Matsuda Fumihiko , Takuro Furusawa , Zbigniew Gaciong , Mihai Gafencu , Andrzej Galbarczyk , Henrike Galenkamp , Daniela Galeone , Myriam Galfo , Fabio Galvano , Jingli Gao , Manoli Garcia-de-la-Hera , Marta García-Solano , Dickman Gareta , Sarah P Garnett , Jean-Michel Gaspoz , Magda Gasull , Adroaldo Cesar Araujo Gaya , Anelise Reis Gaya , Andrea Gazzinelli , Ulrike Gehring , Harald Geiger , Johanna M Geleijnse , Ali Ghanbari , Erfan Ghasemi , Oana-Florentina Gheorghe-Fronea , Simona Giampaoli , Francesco Gianfagna , Tiffany K Gill , Jonathan Giovannelli , Glen Gironella , Aleksander Giwercman , Konstantinos Gkiouras , Justyna Godos , Sibel Gogen , Marcel Goldberg , Rebecca A Goldsmith , David Goltzman , Santiago F Gómez , Aleksandra Gomula , Bruna Goncalves Cordeiro da Silva , Helen Gonçalves , David A Gonzalez-Chica , Marcela Gonzalez-Gross , Margot González-Leon , Juan P González-Rivas , Clicerio González-Villalpando , María-Elena González-Villalpando , Angel R Gonzalez , Frederic Gottrand , Antonio Pedro Graça , Sidsel Graff-Iversen , Dušan Grafnetter , Aneta Grajda , Maria G Grammatikopoulou , Ronald D Gregor , Tomasz Grodzicki , Else Karin Grøholt , Anders Grøntved , Giuseppe Grosso , Gabriella Gruden , Dongfeng Gu , Emanuela Gualdi-Russo , Pilar Guallar-Castillón , Andrea Gualtieri , Elias F Gudmundsson , Vilmundur Gudnason , Ramiro Guerrero , Idris Guessous , Andre L Guimaraes , Martin C Gulliford , Johanna Gunnlaugsdottir , Marc J Gunter , Xiu-Hua Guo , Yin Guo , Prakash C Gupta , Rajeev Gupta , Oye Gureje , Beata Gurzkowska , 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Huiart , Constanta Huidumac Petrescu , Martijn Huisman , Abdullatif Husseini , Chinh Nguyen Huu , Inge Huybrechts , Nahla Hwalla , Jolanda Hyska , Licia Iacoviello , Jesús M Ibarluzea , Mohsen M Ibrahim , Norazizah Ibrahim Wong , M Arfan Ikram , Violeta Iotova , Vilma E Irazola , Takafumi Ishida , Muhammad Islam , Sheikh Mohammed Shariful Islam , Masanori Iwasaki , Jeremy M Jacobs , Hashem Y Jaddou , Tazeen Jafar , Kenneth James , Kazi M Jamil , Konrad Jamrozik , Imre Janszky , Edward Janus , Juel Jarani , Marjo-Riitta Jarvelin , Grazyna Jasienska , Ana Jelakovic , Bojan Jelakovic , Garry Jennings , Anjani Kumar Jha , Chao Qiang Jiang , Ramon O Jimenez , Karl-Heinz Jöckel , Michel Joffres , Mattias Johansson , Jari J Jokelainen , Jost B Jonas , Jitendra Jonnagaddala , Torben Jørgensen , Pradeep Joshi , Farahnaz Joukar , Dragana P Jovic , Jacek J Jóźwiak , Anne Juolevi , Gregor Jurak , Iulia Jurca Simina , Vesna Juresa , Rudolf Kaaks , Felix O Kaducu , Anthony Kafatos , Eero O Kajantie , Zhanna Kalmatayeva , Ofra Kalter-Leibovici , Yves Kameli , Freja B Kampmann , Kodanda R Kanala , Srinivasan Kannan , Efthymios Kapantais , Argyro Karakosta , Line L Kårhus , Khem B Karki , Marzieh Katibeh , Joanne Katz , Peter T Katzmarzyk , Jussi Kauhanen , Prabhdeep Kaur , Maryam Kavousi , Gyulli M Kazakbaeva , Ulrich Keil , Lital Keinan Boker , Sirkka Keinänen-Kiukaanniemi , Roya Kelishadi , Cecily Kelleher , Han Cg Kemper , Andre P Kengne , Maryam Keramati , Alina Kerimkulova , Mathilde Kersting , Timothy Key , Yousef Saleh Khader , Davood Khalili , Kay-Tee Khaw , Bahareh Kheiri , Motahareh Kheradmand , Alireza Khosravi , Ilse Msl Khouw , Ursula Kiechl-Kohlendorfer , Stefan Kiechl , Japhet Killewo , Dong Wook Kim , Hyeon Chang Kim , Jeongseon Kim , Jenny M Kindblom , Heidi Klakk , Magdalena Klimek , Jeannette Klimont , Jurate Klumbiene , Michael Knoflach , Bhawesh Koirala , Elin Kolle , Patrick Kolsteren , Jürgen König , Raija Korpelainen , Paul Korrovits , Magdalena Korzycka , 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, Yves Martin-Prevel , Rosemarie Martin , Reynaldo Martorell , Eva Martos , Katharina Maruszczak , Stefano Marventano , Luis P Mascarenhas , Shariq R Masoodi , Ellisiv B Mathiesen , Prashant Mathur , Alicia Matijasevich , Tandi E Matsha , Christina Mavrogianni , Artur Mazur , Jean Claude N Mbanya , Shelly R McFarlane , Stephen T McGarvey , Martin McKee , Stela McLachlan , Rachael M McLean , Scott B McLean , Breige A McNulty , Sounnia Mediene Benchekor , Jurate Medzioniene , Parinaz Mehdipour , Kirsten Mehlig , Amir Houshang Mehrparvar , Aline Meirhaeghe , Jørgen Meisfjord , Christa Meisinger , Ana Maria B Menezes , Geetha R Menon , Gert Bm Mensink , Maria Teresa Menzano , Alibek Mereke , Indrapal I Meshram , Andres Metspalu , Haakon E Meyer , Jie Mi , Kim F Michaelsen , Nathalie Michels , Kairit Mikkel , Karolina Milkowska , Jody C Miller , Cláudia S Minderico , G K Mini , Juan Francisco Miquel , Mohammad Reza Mirjalili , Daphne Mirkopoulou , Erkin Mirrakhimov , Marjeta 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Theodoridis , Lutgarde Thijs , Nihal Thomas , Betina H Thuesen , Lubica Tichá , Erik J Timmermans , Anne Tjonneland , Hanna K Tolonen , Janne S Tolstrup , Murat Topbas , Roman Topór-Madry , Liv Elin Torheim , María José Tormo , Michael J Tornaritis , Maties Torrent , Laura Torres-Collado , Stefania Toselli , Giota Touloumi , Pierre Traissac , Thi Tuyet-Hanh Tran , Dimitrios Trichopoulos , Antonia Trichopoulou , Oanh Th Trinh , Atul Trivedi , Lechaba Tshepo , Maria Tsigga , Shoichiro Tsugane , Azaliia M Tuliakova , Marshall K Tulloch-Reid , Fikru Tullu , Tomi-Pekka Tuomainen , Jaakko Tuomilehto , Maria L Turley , Gilad Twig , Per Tynelius , Themistoklis Tzotzas , Christophe Tzourio , Peter Ueda , Eunice Ugel , Flora Am Ukoli , Hanno Ulmer , Belgin Unal , Zhamyila Usupova , Hannu Mt Uusitalo , Nalan Uysal , Justina Vaitkeviciute , Gonzalo Valdivia , Susana Vale , Damaskini Valvi , Rob M van Dam , Johan Van der Heyden , Yvonne T van der Schouw , Koen Van Herck , Hoang Van Minh , Natasja M Van Schoor , Irene Gm van Valkengoed , Dirk Vanderschueren , Diego Vanuzzo , Anette Varbo , Gregorio Varela-Moreiras , Patricia Varona-Pérez , Senthil K Vasan , Tomas Vega , Toomas Veidebaum , Gustavo Velasquez-Melendez , Biruta Velika , Giovanni Veronesi , Wm Monique Verschuren , Cesar G Victora , Giovanni Viegi , Lucie Viet , Salvador Villalpando , Paolo Vineis , Jesus Vioque , Jyrki K Virtanen , Marjolein Visser , Sophie Visvikis-Siest , Bharathi Viswanathan , Mihaela Vladulescu , Tiina Vlasoff , Dorja Vocanec , Peter Vollenweider , Henry Völzke , Ari Voutilainen , Sari Voutilainen , Martine Vrijheid , Tanja Gm Vrijkotte , Alisha N Wade , Aline Wagner , Thomas Waldhör , Janette Walton , Elvis Oa Wambiya , Wan Mohamad Wan Bebakar , Wan Nazaimoon Wan Mohamud , Rildo de Souza Wanderley Júnior , Ming-Dong Wang , Ningli Wang , Qian Wang , Xiangjun Wang , Ya Xing Wang , Ying-Wei Wang , S Goya Wannamethee , Nicholas Wareham , Adelheid Weber , Niels Wedderkopp , Deepa Weerasekera , Daniel Weghuber , Wenbin Wei , Aneta Weres , Bo Werner , Peter H Whincup , Kurt Widhalm , Indah S Widyahening , Andrzej Wiecek , Rainford J Wilks , Johann Willeit , Peter Willeit , Julianne Williams , Tom Wilsgaard , Bogdan Wojtyniak , Roy A Wong-McClure , Andrew Wong , Jyh Eiin Wong , Tien Yin Wong , Jean Woo , Mark Woodward , Frederick C Wu , Jianfeng Wu , Li Juan Wu , Shouling Wu , Haiquan Xu , Liang Xu , Nor Azwany Yaacob , Uruwan Yamborisut , Weili Yan , Ling Yang , Xiaoguang Yang , Yang Yang , Nazan Yardim , Mehdi Yaseri , Tabara Yasuharu , Xingwang Ye , Panayiotis K Yiallouros , Moein Yoosefi , Akihiro Yoshihara , Qi Sheng You , San-Lin You , Novie O Younger-Coleman , Safiah Md Yusof , Ahmad Faudzi Yusoff , Luciana Zaccagni , Vassilis Zafiropulos , Ahmad A Zainuddin , Seyed Rasoul Zakavi , Farhad Zamani , Sabina Zambon , Antonis Zampelas , Hana Zamrazilová , Maria Elisa Zapata , Abdul Hamid Zargar , Ko Ko Zaw , Tomasz Zdrojewski , Kristyna Zejglicova , Tajana Zeljkovic Vrkic , Yi Zeng , Luxia Zhang , Zhen-Yu Zhang , Dong Zhao , Ming-Hui Zhao , Wenhua Zhao , Shiqi Zhen , Wei Zheng , Yingfeng Zheng , Bekbolat Zholdin , Maigeng Zhou , Dan Zhu , Marie Zins , Emanuel Zitt , Yanina Zocalo , Julio Zuñiga Cisneros , Monika Zuziak , Majid Ezzati , Sarah Filippi, Epidemiology, Iurilli, Maria LC, Zhou, Bin, Bennett, James E, Carrillo-Larco, Rodrigo M, Sophiea, Marisa K, Rodriguez-Martinez, Andrea, Bixby, Honor, Solomon, Bethlehem D, Taddei, Cristina, Danaei, Goodarz, Di Cesare, Mariachiara, Stevens, Gretchen A, Riley, Leanne M, Savin, Stefan, Cowan, Melanie J, Bovet, Pascal, Damasceno, Albertino, Chirita-Emandi, Adela, Hayes, Alison J, Ikeda, Nayu, Jackson, Rod T, Khang, Young-Ho, Laxmaiah, Avula, Liu, Jing, Miranda, J Jaime, Saidi, Olfa, Sebert, Sylvain, Sorić, Maroje, Starc, Gregor, Gregg, Edward W, Abarca-Gómez, Leandra, Abdeen, Ziad A, Abdrakhmanova, Shynar, Ghaffar, Suhaila Abdul, Rahim, Hanan F Abdul, Abu-Rmeileh, Niveen M, Garba, Jamila Abubakar, Acosta-Cazares, 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Versailles Saint-Quentin-en-Yvelines (UVSQ)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris-Saclay-Université Paris Cité (UPCité), Université Paris Cité (UPCité), Centre International de Hautes Études Agronomiques Méditerranéennes (CIHEAM)-Centre International de Hautes Études Agronomiques Méditerranéennes (CIHEAM)-Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE)-Institut Agro - Montpellier SupAgro, and Institut national d'enseignement supérieur pour l'agriculture, l'alimentation et l'environnement (Institut Agro)-Institut national d'enseignement supérieur pour l'agriculture, l'alimentation et l'environnement (Institut Agro)

Subjects
Population -- Health aspects, Leanness, Baixo peso/Underweight, none, Double burden, alipainoisuus, tulotaso, global health, systematic analysis, Sedentary behaviors, RC1200, Prospective associations, 0302 clinical medicine, underweight, nälänhätä, Biology (General), skin and connective tissue diseases, Children, ComputingMilieux_MISCELLANEOUS, Body mass index, Human Nutrition & Health, education.field_of_study, Humane Voeding & Gezondheid, ylipaino, General Medicine, kansainvälinen vertailu, 3. Good health, World health, Medicine, A100 Pre-clinical Medicine, Population distribution, medicine.medical_specialty, QH301-705.5, Science, Socio-culturale, Nursing, Social sciences, General Biochemistry, Genetics and Molecular Biology, 03 medical and health sciences, Thinness, SDG 3 - Good Health and Well-being, BMI, epidemiology, obesity, None, Humans, Obesidade/Obesity, SDG 2 - Zero Hunger, education, VLAG, US adults, Omvårdnad, body mass index, malnutrition, obesity, underweight, nutritional and metabolic diseases, medicine.disease, terveellisyys, Obesity, Faculdade de Ciências Sociais, Body Mass Index, Prevalence, Risk Factors, General Biochemistry, WIAS, lihavuus, RA, Demography, N.A, double burden, Settore MED/09 - Medicina Interna, alueelliset erot, Nutrition and Disease, Animal Nutrition, [SDV]Life Sciences [q-bio], Medizin, 030204 cardiovascular system & hematology, 0601 Biochemistry and Cell Biology, Change distribution of body mass index, RA0421, Voeding en Ziekte, Epidemiology, Medicine and Health Sciences, Global health, Índice de massa corporal/Body Mass Index, 030212 general & internal medicine, Underweight, painoindeksi, 2. Zero hunger, General Neuroscience, aliravitsemus, elintarvikkeet, health, Public Health, Global Health, Social Medicine and Epidemiology, Diervoeding, 3142 Public health care science, environmental and occupational health, purl.org/pe-repo/ocde/ford#3.01.03 [https], Chinese adults, pooled analysis, medicine.symptom, Diet quality, B120 Physiology, Research Article, trends, purl.org/pe-repo/ocde/ford#1.06.03 [https], prevalence, Population, Mothers, Genetics and Molecular Biology, 3121 Internal medicine, medicine, Life Science, ddc:610, 3125 Otorhinolaryngology, ophthalmology, kehonkoostumus, Nutrition, Australian adults, General Immunology and Microbiology, purl.org/pe-repo/ocde/ford#3.01.04 [https], Ciências sociais, Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi, Malnutrition, Epidemiology and Global Health, sense organs, Estilos de Vida e Impacto na Saúde
Abstract

From 1985 to 2016, the prevalence of underweight decreased, and that of obesity and severe obesity increased, in most regions, with significant variation in the magnitude of these changes across regions. We investigated how much change in mean body mass index (BMI) explains changes in the prevalence of underweight, obesity, and severe obesity in different regions using data from 2896 population-based studies with 187 million participants. Changes in the prevalence of underweight and total obesity, and to a lesser extent severe obesity, are largely driven by shifts in the distribution of BMI, with smaller contributions from changes in the shape of the distribution. In East and Southeast Asia and sub-Saharan Africa, the underweight tail of the BMI distribution was left behind as the distribution shifted. There is a need for policies that address all forms of malnutrition by making healthy foods accessible and affordable, while restricting unhealthy foods through fiscal and regulatory restrictions., Wellcome Trust, Medical Research Council, peer-reviewed

Published
2021

45. Author response: Heterogeneous contributions of change in population distribution of body mass index to change in obesity and underweight

Author

Zahra Mohammadi, Abdul Basit, Helena I. S. Nogueira, Soile E. Puhakka, Hongsheng Bi, Ari Voutilainen, Davood Khalili, Bin Zhou, Dermot O'Reilly, Natascia Rinaldo, Paulo A. Lotufo, Bahareh Kheiri, Thein Thein Htay, Simona Giampaoli, Goodarz Danaei, M. Fernanda Lima-Costa, Simona Bo, Peter Schnohr, Jerzy Chudek, Francesco Panza, Ling Yang, Katia Vergetti Bloch, Vincenzo Capuano, Holly E. Syddall, Dong Zhao, Indah Suci Widyahening, Maria Lorenza Muiesan, Leng Huat Foo, Mohsen Azimi-Nezhad, Merete Osler, Laura Torres-Collado, Manu Raj, Adroaldo Cesar Araujo Gaya, Susi Kriemler, Ali Akbar Shayesteh, Aneta Grajda, Anette Varbo, Kazem Mohammad, Leila Beltrami Moreira, Shu Ti Chiou, Iuliia A Rusakova, Jyh Eiin Wong, Torben Jørgensen, Lela Sturua, Lubica Ticha, Hamid Hakimi, Hazzaa M. Al-Hazzaa, Yanina Zócalo, Freda Pitakaka, Savvas C. Savva, Rajeev Gupta, Jennifer Servais, Marie Kunešová, Johanna M. Geleijnse, Elysée Claude Bika Lele, Yannis Manios, Jorge Escobedo-de la Peña, Yufang Bi, Chinh Nguyen Huu, Sibel Gogen, Viviane Cunha Cardoso, Kristine H. Allin, Ana Azevedo, Line Tang Møllehave, Vincent Jr DeGennaro, Novie O. Younger-Coleman, Gretchen A Stevens, Dickman Gareta, Holger Theobald, Anja Schienkiewitz, Bekbolat Zholdin, Janice Luisa Lukrafka, Adela Chirita-Emandi, Ulla Roggenbuck, Kenisha Russell Jonsson, Robespierre Ribeiro, Gabriele Eiben, Eero Kajantie, Sounnia Mediene Benchekor, Fariborz Mansour-Ghanaei, Mary Simon, Prakash C. Gupta, Mohammad Esmaeel Motlagh, Emanuela Gualdi-Russo, María Elena Díaz-Sánchez, Pilar Guallar-Castillón, Bee Koon Poh, Cristina Padez, Azaliia M Tuliakova, Sarah P. Garnett, William R. Tebar, Yingfeng Zheng, Suhad Bahijri, Christina Mavrogianni, Mihaela Vladulescu, Jan A. Staessen, Paula Duarte de Oliveira, Rui Ornelas, Michael Sjöström, Charles Agyemang, Slawomir Koziel, Shohreh Naderimagham, Jari Jokelainen, Stephen T. McGarvey, Patrick Pasquet, Farnam Mohebi, Nader Saki, Aida Pilav, Azim Nejatizadeh, Marianna Noale, Habiba Ben Romdhane, Luís B. Sardinha, Laura Lauria, Jun Hata, Kodanda R Kanala, Gert B. M. Mensink, Nils Lehmann, Elio Riboli, Carolina Tarqui-Mamani, Rodrigo M. Carrillo-Larco, Rosangela Fernandes Lucena Batista, Victoria E Soto-Rojas, Luis Serra-Majem, Martina Müller-Nurasyid, Felipe Vogt Cureau, Lekhraj Rampal, Zhamilya Battakova, Ludmila Sevcikova, Suhaila Abdul Ghaffar, Fikru Tullu, Aung Soe Htet, Angel R. Gonzalez, Annette J. Dobson, Kavumpurathu Raman Thankappan, Hélène Delisle, Francisco J. Félix-Redondo, Ramón Suárez-Medina, Annika Rosengren, Sania Nishtar, Tanja G. M. Vrijkotte, Wolfgang Ahrens, Osvaldo Santos, Maria Cecília Formoso Assunção, Kazi M. Jamil, Stefano Marventano, Wenbin Wei, Norsyamlina Che Abdul Rahim, Shukri F. Mohamed, Bente Sparboe-Nilsen, Soon-Woo Park, Ana Isabel Rito, David Goltzman, W. M. Monique Verschuren, Catterina Ferreccio, Marta Buoncristiano, Ramón Alberto Rascón-Pacheco, Pradeep Joshi, Edward D Janus, Laetitia Huiart, Ala'a Alkerwi, Lorenza Pilotto, Mohannad Al Nsour, Daan Kromhout, Marius B. Bjertness, Oanh T. H. Trinh, Nico Dragano, Angélica Ochoa-Avilés, Ingunn Holden Bergh, Yuki Fujita, Juraci Almeida Cesar, Hajer Aounallah-Skhiri, Maria Dorobantu, Jordi Sunyer, Wolfgang Kratzer, Susanne R. de Rooij, Drude Molbo, Rebecca Goldsmith, Jean Woo, Mohammad El-khateeb, Tiffany K. Gill, Nish Chaturvedi, Benjamin Acosta-Cazares, Erik Lykke Mortensen, Nikhil D. Patel, Francesco Pistelli, Yuan He, Ivana Radic, Yi Zeng, Ilse Khouw, Reynaldo Martorell, Ching-Yu Cheng, Stine Schramm, Hana Shimizu-Furusawa, Jacek Jóźwiak, Radwan Qasrawi, Isti Ilmiati Fujiati, Charles Sossa Jérome, Ben Schöttker, Mikhail Benet, Anastasia Markaki, Christopher T. Cowell, Bharathi Viswanathan, Renata Kuciene, Jose Eugenio Lozano, Pedro J Ortiz, Delphine De Smedt, Elaine M. Murtagh, Kamel Ajlouni, Carlos A. Aguilar-Salinas, Graziella D'Arrigo, Xiangjun Wang, Lars Lind, Macia Enguerran, Marjeta Mišigoj-Duraković, Bo Werner, Jean-Michel Gaspoz, Kyungwon Oh, Seyed Rasoul Zakavi, Daniel Fernández-Bergés, Felix Kaducu, Ramon O. Jimenez, Jonathan E. Shaw, Nipa Rojroongwasinkul, Aicha Soumare, Astrid Petersmann, Tomasz Grodzicki, Parvina Mukhtorova, Eha Nurk, Bhawesh Koirala, Óscar Lopes, Ana Jelakovic, Karolina Milkowska, Magda Gasull, Regina Heidinger-Felso, Marcela González-Gross, Belong Cho, Daphne Mirkopoulou, Salvador Villalpando, Tran Quoc Bao, José Boggia, Daniela Galeone, Josep Redon, Matthias Bopp, Abbas Rezaianzadeh, Dusko Bjelica, Amir Houshang Mehrparvar, Felipe F. 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Casajús, Guang Ning, Emmanuella Magriplis, Laura Censi, Graziella Bruno, Valentina Peterkova, Angelique Chan, Yvonne T. van der Schouw, Charalambos Hadjigeorgiou, Anjani Kumar Jha, Toomas Veidebaum, Thamara Hubler Figueiró, Jana Kratenova, Michelle Cilia, Ivo Rakovac, Bill Stavreski, Ya Xing Wang, Oscar Noboa, Romana Roccaldo, Sara Magnacca, Johan Sundström, Peter Stehle, Tania Lopez, Francis Delpeuch, Julianne Williams, Ellisiv B. Mathiesen, Leanne M. Riley, Claudia M. Hormiga, Joanne Katz, Ekaterina Stoyanova, Heloisa Bettiol, Gabriele Nagel, Alireza Khosravi, Lars Bo Andersen, João Breda, Jørgen Meisfjord, Ahmad Faudzi Yusoff, Marjeta Majer, Robert Beaglehole, Caleb Ochimana, Shynar Abdrakhmanova, George S. Stergiou, Blanca Sandra Ruiz-Betancourt, Leon A. Simons, Eng Joo Tan, Victoria Farrugia Sant'Angelo, Gry Skodje, Maryam Keramati, Liv Elin Torheim, Seppo Koskinen, Assembekov Batyrbek, Jaakko Tuomilehto, Marjo-Riitta Järvelin, Ming-Hui Zhao, Krista Fischer, Tobias F. 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Minderico, Betina H. Thuesen, Queenie Chan, Ulf Ekelund, Laura A. Rodríguez-Villamizar, Line Lund Kårhus, Cihangir Erem, Amina Barkat, Maria Paula Santos, Fernanda Cunha Soares, Constanta Huidumac Petrescu, Allan G. Hill, Honor Bixby, Benoît Salanave, Joana Carvalho, Maigeng Zhou, Ofra Kalter-Leibovici, Roy A Wong-McClure, Kim F. Michaelsen, Doris Stöckl, Rosalynn Siantar, Jouko Saramies, José R. Banegas, Quang Ngoc La, Uruwan Yamborisut, Parinaz Mehdipour, Farhad Pourfarzi, Sudha Ramachandra Rao, Katsuyasu Kouda, Chien-Jen Chen, Rafael dos Santos Henrique, Martin Nankap, Allan Linneberg, Ronald D. Gregor, Rudolf Kaaks, Maria do Carmo Franco, Marta García-Solano, Beata Gurzkowska, Bahman Cheraghian, Stefaan De Henauw, Daniel Ferrante, Johanna A. 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Capanzana, Con Burns, Emanuela Pettenuzzo, Ming-Dong Wang, Jonathan Giovannelli, Stela McLachlan, Ellis Owusu-Dabo, Stefania Toselli, Maria Teresa Anselmo Olinto, Senthil K Vasan, Sara Schramm, Xenophon Theodoridis, Moyses Szklo, Ramfis Nieto-Martínez, Viswanathan Mohan, Guillermo Frontera, Rahul Malhotra, Thomas Ferrao, Dongfeng Gu, Tomas Vega, Hynek Pikhart, Päivi Mäki, Heba Fouad, Vilnis Dzerve, Christina Howitt, Seyed Mohammad Hashemi-Shahri, Jenny M. Kindblom, Marjolijn C. E. Bragt, G. K. Mini, Qian Wang, Liufu Cui, Andrzej Galbarczyk, Sylvain Sebert, Vilmundur Gudnason, Loreto Santa Marina, Kairat Davletov, Afshin Ostovar, Niloofar Peykari, Nicholas J. Wareham, Wilma M. Hopman, Karl-Heinz Jöckel, Jussi Kauhanen, Breige A. McNulty, Alina Kerimkulova, Youcef Laid, Claes Ohlsson, Stefan Kiechl, Alicia Matijasevich, Boban Mugoša, Srinivasan Kannan, Jyrki K. Virtanen, Mohan Deepa, Mangesh S. Pednekar, Shahla AlDhukair, Cynthia M. Pérez, Vera Lanska, Tint Swe Latt, Dominique Hange, João Luiz Bastos, Eliza Markidou Ioannidou, Leticia Hernandez Cadena, Maya Tanrygulyyeva, Reza Malekzadeh, Dimitrios Poulimeneas, Pedro Ordunez, Thomas Waldhör, Ioannis Pagkalos, Carlo M. Barbagallo, Abla M. Sibai, Peter Vollenweider, Asher Fawwad, Emily Sonestedt, Elena Pahomova, Santosh K. Bhargava, Patrick Kolsteren, Aya Mostafa, Fangfang Chen, Flavio Nervi, Imre Janszky, Arvind Pandey, Renata Cifkova, Alexandre C. Pereira, Alejandro Diaz, Alireza Ansari-Moghaddam, Rachakulla Hari Kumar, Jaakko Mursu, Luis A. Moreno, Glen Gironella, Jelena Kos, Tilema Cama, Haakon E. Meyer, Jun Ma, Raphael E. Arku, Ziad Abdeen, Rusidah Selamat, Dianna J. Magliano, Jitendra Jonnagaddala, Konstantinos Gkiouras, Paul Korrovits, Paola Nardone, Paolo Vineis, Kotsedi D Monyeki, Khuong Quynh Long, Alberto Barceló, Camilla T. Damsgaard, Constance Schultsz, Frank J Rühli, Santiago F. Gomez, Tara Coppinger, Muhammad Islam, Pierre Traissac, Eleonora d'Orsi, Irfan Nuhoglu, Rui Providência, Bernard Maire, Leandra Abarca-Gómez, Sinead Brophy, Daniela Pierannunzio, Cristina Taddei, Wen-Harn Pan, Gregor Starc, Abdullah Alkandari, Saeed Dastgiri, Lien Braeckevelt, Gustavo Velasquez-Melendez, Sudhir Kowlessur, Bagher Larijani, Cynthia Robitaille, Mohamed M. Ali, Steiner Krokstad, Noor Ani Ahmad, Anar Dushpanova, Agustinus Soemantri, Susana Sans, Ionela Pascanu, Gwenaëlle Le Coroller, Inger Ariansen, Abhijit Sen, Sergej M. Ostojic, Silvana Donoso, Felix K. Assah, Juan A Rivera, Peter H. Whincup, Oana-Florentina Gheorghe-Fronea, Hanan F. Abdul Rahim, Yadlapalli S. Kusuma, Michael Knoflach, Moein Yoosefi, Cassiano Ricardo Rech, Paul Ferdinand M. Reganit, Tomi-Pekka Tuomainen, Francesco Gianfagna, Stefania Maggi, Mohammad Hossein Somi, Behrooz Hamzeh, Bethlehem D. Solomon, Herman Borghs, Zhanna Kalmatayeva, Heidi Klakk, Akram Pourshams, Naomi S. Levitt, Miquel Porta, Vesna Jureša, Alexander D. Deev, Son Thai Pham, Paula Margozzini, Silvia Bel-Serrat, Dora Romaguera, Monira Alarouj, Winsome R. Parnell, Marloes Cardol, David Faeh, Antonio Bernabe-Ortiz, Giota Touloumi, Maryam Kavousi, Sanja Musić Milanović, Jalila El Ati, Sauli Herrala, Liang Xu, Sirkka Keinänen-Kiukaanniemi, Ian Hambleton, Stefan Savin, Andre Pascal Kengne, R. Krishna Kumar, Kurt Widhalm, Marco M Ferrario, Parisa Amiri, Yi Song, Jianfeng Wu, Jeannette Klimont, Jean Ferrières, Farhad Zamani, Shina Avi, Luis Paulo Gomes Mascarenhas, Aluísio J D Barros, Reecha Sofat, Koen Van Herck, Hoang Van Minh, Enrique Gutiérrez-González, Martine Vrijheid, Susana Cararo Confortin, Antonis Zampelas, Bogdan Wojtyniak, Ausra Petrauskiene, Juha Auvinen, Maryam Sharafkhah, Emanuel Zitt, Majid Ezzati, Young-Ho Khang, Ellina Rakhimova, Magdalena Klimek, Luís Lopes, Erkin M. Mirrakhimov, Maria Lc Iurilli, Günay Can, Mark Woodward, Esther Lopez-Garcia, Mauro Virgílio Gomes de Barros, Ahmed A. Madar, Rainford J. Wilks, Shoaib Afzal, Melanie J. Cowan, Gareth Stratton, Eduardo Salazar Martinez, Sameer Narake, Norie Sawada, Li Juan Wu, Adrian Richter, Licia Iacoviello, Hanno Ulmer, Deepak Amarapurkar, Mohsen Ibrahim, Hamed Pouraram, Massimo Salvetti, Hung-Kwan So, Yonghua Hu, Lars Ängquist, Thi Tuyet-Hanh Tran, Charles Lunogelo, Sabina Zambon, Angelika Schaffrath Rosario, Lauren Lissner, Kamarul Imran Musa, Deepa Weerasekera, Bihungum Bista, Takafumi Ishida, Ekaterina Chikova-Iscener, Mirjam M. Heinen, Tazeen H. Jafar, Semánová Csilla, Raija Korpelainen, Edward W. Gregg, Laura Gutierrez, Victor M. Herrera, Aristides M. Machado-Rodrigues, Fatemeh Malekzadeh, Shouling Wu, Jennifer L. Baker, Clicerio González-Villalpando, Irene G. M. van Valkengoed, Anna Fijałkowska, Meghnath Dhimal, Murat Topbaş, George Moschonis, Robert Eggertsen, Quang Ngoc Nguyen, Janette Walton, Elnaz Faramarzi, Nasheeta Peer, Radka Taxová Braunerová, Harald Geiger, Morteza Shamshirgaran, Lela Shengelia, María Ángeles Dal Re Saavedra, Khem Bahadur Karki, Timothy J. Key, Maria G. Grammatikopoulou, Susana Vale, Bernhard O. Boehm, Songhomitra Panda-Jonas, Iveta Pudule, Elisabete Ramos, Lacramioara Aurelia Brinduse, Paul H. Lee, Terence W O'Neill, Javad Aghazadeh-Attari, Margus Punab, Bojan Jelaković, Eliza Cinteza, Ha Tp Do, and Alison J. Hayes

Subjects
education.field_of_study, business.industry, Population, Distribution (economics), medicine.disease, Obesity, Geography, medicine, Underweight, medicine.symptom, education, business, Body mass index, Demography
Published
2020

46. Categorizing 10 Sports According to Bone and Soft Tissue Profiles in Adolescents

Author

André O. Werneck, Dimitris Vlachopoulos, Santiago Maillane-Vanegas, Pedro Henrique Narciso, Ricardo Ribeiro Agostinete, Rômulo Araújo Fernandes, Universidade Estadual Paulista (Unesp), and University of Exeter

Subjects
Male, Apparent density, Bone density, Adolescent, Gymnastics, Adolescent athletes, Physical Therapy, Sports Therapy and Rehabilitation, EXERCISE, Basketball, Baseball, Fat mass, Absorptiometry, Photon, Sex Factors, Bone Density, Soccer, Medicine, Humans, Orthopedics and Sports Medicine, Child, Swimming, Orthodontics, Bone mineral, business.industry, Track and Field, Soft tissue, Body Height, LEAN MASS, Volleyball, FAT MASS, Adipose Tissue, ADOLESCENCE, Lean body mass, Body Composition, Female, Whole body, business, SPORT PARTICIPATION, human activities, Martial Arts, BONE MINERAL DENSITY, Sports
Abstract

Made available in DSpace on 2021-06-25T10:14:23Z (GMT). No. of bitstreams: 0 Previous issue date: 2020-12-01 Purpose Considering the different loading and training characteristics of the sports practiced during growth, it is important to specify and categorize the bone and soft tissue adaptations in adolescent athletes. This study aimed to categorize 10 different loading sports and a nonsport group and identify the differences in bone density and soft tissues. Methods The sample included 625 adolescents (10 to 17 yr of age) of 10 sports (soccer, basketball, volleyball, track and field, judo, karate, kung fu, gymnastics, baseball, and swimming) and a nonsport group. Dual-energy x-ray absorptiometry assessed areal bone mineral density (aBMD), bone mineral apparent density (BMAD), and soft tissues (lean soft tissue and fat mass). The results were adjusted for sex, peak height velocity status, lean soft tissue, fat mass, and weekly training volume. Results The comparisons among groups showed that soccer had the highest whole-body aBMD (mean ± SEM: 1.082 ± 0.007 g·cm-2) and lower limb aBMD (1.302 ± 0.010 g·cm-2). Gymnastics presented the highest upper limb aBMD (0.868 ± 0.012 g·cm-2) and whole-body BMAD (0.094 ± 0.001 g·cm-3). Swimming presented the lowest aBMD values in all skeletal sites (except at the upper limbs) and whole-body BMAD. The soft tissue comparisons showed that soccer players had the highest lean soft tissue (43.8 ± 0.7 kg). The lowest fat mass was found in gymnasts (8.04 ± 1.0 kg). Conclusion The present study investigated and categorized for the first time 10 different sports according to bone density and soft tissue profiles. Soccer and gymnastics sport groups were found to have the highest bone density in most body segments, and both sports were among the groups with the lowest fat mass. Laboratory of Investigation in Exercise (LIVE) Department of Physical Education Sao Paulo State University (UNESP) Children's Health and Exercise Research Centre Sport and Health Sciences University of Exeter Laboratory of Investigation in Exercise (LIVE) Department of Physical Education Sao Paulo State University (UNESP)

Published
2020

47. Reproducibility and inter-observer agreement of Greulich-Pyle protocol to estimate skeletal age among female adolescent soccer players

Author

Yuri Ventura da Silva Faustino-da-Silva, Manuel J. Coelho-e-Silva, Ricardo Ribeiro Agostinete, Lauren B. Sherar, João Valente-dos-Santos, Jorge Conde, Enio Ricardo Vaz Ronque, Diogo V. Martinho, Tomás G. Oliveira, Rômulo Araújo Fernandes, Universidade Estadual Paulista (Unesp), FCDEF, CIDAF (uid/dtp/04213/2020), Lusófona University, Polytechnic Institute of Coimbra, Education Ministry, Universidade Estadual de Londrina (UEL), and Loughborough University

Subjects
Male, Adolescent, Inter observer agreement, Radiography, Female adolescent, 03 medical and health sciences, Biological maturation, 0302 clinical medicine, Atlas method, Age Determination by Skeleton, Soccer, Humans, Medicine, 030212 general & internal medicine, Greulich pyle, Child, Observer Variation, Orthodontics, Protocol (science), Reproducibility, business.industry, lcsh:RJ1-570, Reproducibility of Results, lcsh:Pediatrics, Bone age, 030229 sport sciences, Pediatrics, Perinatology and Child Health, Female, Youth sports, Female athlete, business, Research Article
Abstract

Made available in DSpace on 2021-06-25T10:37:04Z (GMT). No. of bitstreams: 0 Previous issue date: 2020-12-01 Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP) Fundação para a Ciência e a Tecnologia Background: Skeletal age (SA) is considered the best method of assessing biological maturation. The aim of this study was to determine intra-observer (reproducibility) and inter-observer agreement of SA values obtained via the Greulich-Pyle (GP) method. In addition, the variation in calculated SAs by alternative GP protocols was examined. Methods: The sample was composed of 100 Portuguese female soccer players aged 12.0–16.7 years. SAs were determined using the GP method by two observers (OB1: experience < 100 exams using GP; OB2: experience > 2000 exams using several methods). The radiographs were examined using alternative GP protocols: (wholeGP) the plate was matched to the atlas as an overall approach; (30-boneGP) bone-by-bone inspections of 30-bones; (GPpmb) bone-by-bone inspections of the pre-mature bones only. For the 30-boneGP and GPpmb approaches, SA was calculated via the mean (M) and the median (Md). Results: Reproducibility ranged 82–100% and 88–100% for OB1 and OB2, respectively. Inter-observer agreement (100 participants multiplied by 30 bones) was 92.1%. For specific bones, agreement rates less than 90% were found for scaphoid (81%), medial phalange V (83%), trapezium (84%) and metacarpal V (87%). Differences in wholeGP SAs obtained by the two observers were moderate (d-cohen was 0.79). Mean differences between observers when using bone-by bone SAs were trivial (30-boneGP: d-cohen less than 0.05; GPpmb: d-cohen less than 0.10). The impact of using the mean or the median was negligible, particularly when analyses did not include bones scored as mature. Conclusion: The GP appeared to be a reasonably reproducible method to assess SA and inter-observer agreement was acceptable. There is evidence to support a recommendation of only scoring pre-mature bones during later adolescence. Further research is required to examine whether these findings are consistent in younger girls and in boys. Scientific Research Group Related to Physical Activity (GICRAF) Laboratory of InVestigation in Exercise (LIVE) Department of Physical Education Sao Paulo State University “Júlio de Mesquita Filho” (UNESP) Presidente Prudente University of Coimbra FCDEF University of Coimbra CIDAF (uid/dtp/04213/2020) Faculty of Physical Education and Sport Lusófona University Department of Clinical Physiology School of Health and Technology Polytechnic Institute of Coimbra Education Ministry Londrina State University Study and Research Group in Physical Activity and Exercise (GEPAFE) School of Sport Exercise and Health Sciences Loughborough University Scientific Research Group Related to Physical Activity (GICRAF) Laboratory of InVestigation in Exercise (LIVE) Department of Physical Education Sao Paulo State University “Júlio de Mesquita Filho” (UNESP) Presidente Prudente FAPESP: 2018/09230-2 FAPESP: 2019/15959-8 Fundação para a Ciência e a Tecnologia: SFRH/BD/121441/2016 Fundação para a Ciência e a Tecnologia: uid/dtp/04213/2020

Published
2020

48. Body size dissatisfaction associated with dietary pattern, overweight, and physical activity in adolescents: A cross-sectional study

Author

Catarina Covolo Scarabottolo, Jamile Sanches Codogno, Diego Giulliano Destro Chistofaro, Fernanda C S Gil, William R. Tebar, Rômulo Araújo Fernandes, and Universidade Estadual Paulista (Unesp)

Subjects
Male, Adolescent, Cross-sectional study, Physical activity, physical activity, body mass index, Overweight, Body size, Body Mass Index, 03 medical and health sciences, 0302 clinical medicine, Environmental health, parasitic diseases, Body Dissatisfaction, medicine, Body Image, Body Size, Humans, 030212 general & internal medicine, Child, Socioeconomic status, Exercise, General Nursing, 030504 nursing, business.industry, General Medicine, Feeding Behavior, Dietary pattern, Cross-Sectional Studies, Quartile, Social Class, adolescent, body size dissatisfaction, Female, dietary pattern, medicine.symptom, 0305 other medical science, business, Body mass index
Abstract

Made available in DSpace on 2020-12-10T20:06:29Z (GMT). No. of bitstreams: 0 Previous issue date: 2020-07-27 Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) This study analyzed the association of body size dissatisfaction with body mass index, dietary pattern, and physical activity in adolescents. A sample of 1074 participants between 10 and 17 years of age was recruited. Body size dissatisfaction was assessed with the silhouettes' scale. Dietary pattern, physical activity, and socioeconomic status were assessed with questionnaires. Body mass index was measured objectively. The prevalence of body size dissatisfaction was 77.0%, where 29.8% desired to increase body size and 47.2% desired to decrease body size. Adolescents who desired to increase body size were more likely to consume vegetables and sweets and less likely to be in the highest quartile of physical activity than satisfied adolescents. Adolescents who desired to reduce body size were more likely to report lower fruit and vegetable consumption than satisfied adolescents. Health actions aiming to reduce body dissatisfaction in adolescents should address improvement in dietary pattern and physical activity engagement, considering that desires to increase or decrease body size were differently associated in this study. Sao Paulo State Univ, Movement Sci Postgrad Program, Presidente Prudente, Brazil Sao Paulo State Univ, Physiotherapy Postgrad Program, Presidente Prudente, Brazil Sao Paulo State Univ, Movement Sci Postgrad Program, Presidente Prudente, Brazil Sao Paulo State Univ, Physiotherapy Postgrad Program, Presidente Prudente, Brazil CAPES: 001

Published
2020

49. Impact of physical activity during weekdays and weekends on fat mass among adults: 12-month cohort study

Author

Jamile Sanches Codogno, Rômulo Araújo Fernandes, Bruna Camilo Turi-Lynch, Ricardo Ribeiro Agostinete, Manoel Carlos Spiguel Lima, Alessandra Madia Mantovani, André O. Werneck, Universidade Estadual Paulista (Unesp), and Lander University

Subjects
Adult, Male, Mediation (statistics), education, Physical activity, Adiposity tissue, Body composition, Fat mass, Cohort Studies, 03 medical and health sciences, 0302 clinical medicine, Humans, Medicine, Longitudinal Studies, 030212 general & internal medicine, Longitudinal cohort, Exercise, Behavior, Measurement of physical activity, business.industry, Weekend warrior, Body fatness, General Medicine, Pedometer, Public university, Life style, Female, business, Brazil, 030217 neurology & neurosurgery, Demography, Cohort study
Abstract

Made available in DSpace on 2020-12-12T01:31:18Z (GMT). No. of bitstreams: 0 Previous issue date: 2020-05-01. Added 1 bitstream(s) on 2021-07-15T15:07:17Z : No. of bitstreams: 1 S1516-31802020000300201.pdf: 215277 bytes, checksum: 82ab1ac68fbe025f6d3a699eebcea4dd (MD5) Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP) 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 Pres-idente 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 con-sisted 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 sta-ble (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 moder-ately 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. Universidade Estadual Paulista (UNESP) Department of Physical Education and Exercise Science Lander University Universidade Estadual Paulista (UNESP) CAPES: 001 FAPESP: 2015/20460-1 FAPESP: 2017/09182-5 FAPESP: 2017/50026-7

Published
2020

50. Economic crises, behavioral changes and hospitalization due to affective disorders in Brazil between 2003 and 2017: a nationwide cross-sectional study

Author

Danilo R. Silva, Rômulo Araújo Fernandes, André O. Werneck, and Universidade Estadual Paulista (Unesp)

Subjects
Economic recession, Databases, Factual, Cross-sectional study, media_common.quotation_subject, Health Behavior, Physical activity, economic crises, physical activity, lcsh:Medicine, Economic crises, Economic recession [(MeSH terms)], lifestyle behavior, Recession, 03 medical and health sciences, 0302 clinical medicine, Economic indicator, Environmental health, Medicine, Humans, 030212 general & internal medicine, Exercise, Depression (differential diagnoses), media_common, National health, exercise, business.industry, Mood Disorders, Depression, lcsh:R, Lifestyle behavior, General Medicine, Hospitalization, Economic data, Cross-Sectional Studies, depression, business, economic recession, 030217 neurology & neurosurgery, Brazil
Abstract

Made available in DSpace on 2020-12-12T01:25:44Z (GMT). No. of bitstreams: 0 Previous issue date: 2020-03-01. Added 1 bitstream(s) on 2021-07-15T15:07:15Z : No. of bitstreams: 1 S1516-31802020000200167.pdf: 157243 bytes, checksum: 77575e7afd70fb328a5491b810334294 (MD5) Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP) Our aim was to analyze hospitalization due to affective disorders in Brazil from 2003 to 2017 and the pos-sible association with economic indicators during crises. We used data on hospitalizations due to affective disorders within the Brazilian National Health System, obtained from DATASUS; data on health-related behavior (television-viewing and physical activity) from the VIGITEL database; and economic data from the World Bank database. We found that the numbers of hospitalizations increased one year after the 2009 crisis and one year after the 2016 crisis. Negative changes in health-related behavior also followed changes in the numbers of hospitalizations due to affective disorders. Department of Physical Education Universidade Estadual Paulista (UNESP) Department of Physical Education Universidade Estadual Paulista (UNESP) FAPESP: 2017/27234-2

Published
2020

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