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Background: Physical fitness levels and the amount of accumulated adipose tissue (fatness) relate to current and future individuals’ heath status. Nevertheless, the interrelationships of their combined patterns with polypharmacy and the types of medications consumed have not been sufficiently investigated. Methods: This cross-sectional study was carried out in six Spanish regions between 2008 and 2009 with a sample of older community-dwelling adults (≥65 years old) without dementia or cancer. Fitness was measured with one-leg balance and senior fitness tests, as well as by measuring weight and fat mass with a bioelectrical impedance analyzer. Polypharmacy was defined as the use of five or more medications. An analysis of variance was performed for comparisons between the physical fitness and fatness patterns and the medication consumed. Results: A total of 1709 elders were included in the study (72.1 ± 5.2 years). The two unfit patterns were those with the highest drug consumption. The High-Fat–Unfit pattern was the one that had the most significant consumption and had the highest percentage of polymedicated subjects. The Low-Fat–Fit pattern had a significantly lower percentage of people that did not consume any medications. The highest percentages of drug consumption in 7 of the 10 groups that were included were concentrated in the two unfit patterns. Conclusions: This study highlights the importance of fitness in older adults, as it is at least as important as the avoidance of accumulation of excess fat with respect to the consumption of a smaller number of medicines.
David Navarrete-Villanueva; Eva Gesteiro; Alba Gómez-Cabello; Asier Mañas; Rufino Pedro Olivares; José-Gerardo Villa-Vicente; Narcís Gusi; Marcela González-Gross; Ignacio Ara; Germán Vicente-Rodríguez; José Antonio Casajús. Fat–Fit Patterns, Drug Consumption, and Polypharmacy in Older Adults: The EXERNET Multi-Center Study. Nutrients 2021, 13, 2872 .
AMA StyleDavid Navarrete-Villanueva, Eva Gesteiro, Alba Gómez-Cabello, Asier Mañas, Rufino Pedro Olivares, José-Gerardo Villa-Vicente, Narcís Gusi, Marcela González-Gross, Ignacio Ara, Germán Vicente-Rodríguez, José Antonio Casajús. Fat–Fit Patterns, Drug Consumption, and Polypharmacy in Older Adults: The EXERNET Multi-Center Study. Nutrients. 2021; 13 (8):2872.
Chicago/Turabian StyleDavid Navarrete-Villanueva; Eva Gesteiro; Alba Gómez-Cabello; Asier Mañas; Rufino Pedro Olivares; José-Gerardo Villa-Vicente; Narcís Gusi; Marcela González-Gross; Ignacio Ara; Germán Vicente-Rodríguez; José Antonio Casajús. 2021. "Fat–Fit Patterns, Drug Consumption, and Polypharmacy in Older Adults: The EXERNET Multi-Center Study." Nutrients 13, no. 8: 2872.
The main objective of this study was to device-assess the levels of physical activity and sedentary behaviour patterns of older adults during the situation prior to the COVID-19 pandemic, home confinement, and phase-0 of the deescalation. We also aimed to analyse the effectiveness of an unsupervised home-based exercise routine to counteract the potential increase in sedentary behaviour during the periods within the pandemic. A total of 18 noninstitutionalized older adults( 78.4 ± 6.0 y.), members of the Spanish cohort of the EXERNET-Elder 3.0 project, participated in the study. They were recommended to perform an exercise prescription based on resistance, balance, and aerobic exercises during the pandemic. Wrist triaxial accelerometers (ActiGraph GT9X) were used to assess the percentage of sedentary time, physical activity, sedentary bouts and breaks of sedentary time. An ANOVA for repeated measures was performed to analyse the differences between the three different periods. During home quarantine, older adults spent more time in sedentary behaviours ( 71.6 ± 5.3 % ) in comparison with either the situation prior to the pandemic ( 65.5 ± 6.7 % ) or the ending of isolation ( 67.7 ± 7.1 % ) (all p < 0.05 ). Moreover, participants performed less bouts of physical activity and with a shorter duration during home quarantine (both p < 0.05 ). Additionally, no differences in the physical activity behaviours were found between the situation prior to the pandemic and the phase-0 of deescalation. According to our results, the home confinement could negatively affect health due to increased sedentary lifestyle and the reduction of physical activity. Therefore, our unsupervised exercise program does not seem to be a completely effective strategy at least in this period.
Ángel I. Fernández-García; Jorge Marin-Puyalto; Alba Gómez-Cabello; Ángel Matute-Llorente; Jorge Subías-Perié; Jorge Pérez-Gómez; Gabriel Lozano-Berges; Asier Mañas; Amelia Guadalupe-Grau; Marcela González-Gross; Ignacio Ara; José A. Casajús; Germán Vicente-Rodríguez. Impact of the Home Confinement Related to COVID-19 on the Device-Assessed Physical Activity and Sedentary Patterns of Spanish Older Adults. BioMed Research International 2021, 2021, 1 -8.
AMA StyleÁngel I. Fernández-García, Jorge Marin-Puyalto, Alba Gómez-Cabello, Ángel Matute-Llorente, Jorge Subías-Perié, Jorge Pérez-Gómez, Gabriel Lozano-Berges, Asier Mañas, Amelia Guadalupe-Grau, Marcela González-Gross, Ignacio Ara, José A. Casajús, Germán Vicente-Rodríguez. Impact of the Home Confinement Related to COVID-19 on the Device-Assessed Physical Activity and Sedentary Patterns of Spanish Older Adults. BioMed Research International. 2021; 2021 ():1-8.
Chicago/Turabian StyleÁngel I. Fernández-García; Jorge Marin-Puyalto; Alba Gómez-Cabello; Ángel Matute-Llorente; Jorge Subías-Perié; Jorge Pérez-Gómez; Gabriel Lozano-Berges; Asier Mañas; Amelia Guadalupe-Grau; Marcela González-Gross; Ignacio Ara; José A. Casajús; Germán Vicente-Rodríguez. 2021. "Impact of the Home Confinement Related to COVID-19 on the Device-Assessed Physical Activity and Sedentary Patterns of Spanish Older Adults." BioMed Research International 2021, no. : 1-8.
Recreational running (RR) is becoming a popular way to increase physical activity for improving health, together with a higher incidence of knee injuries. The aim was to analyze the effect of a four-week supplementation with a mixture of Harpagophytum procumbens, Zingiber officinale and Bixa orellana on males, middle-aged, RR with an undiagnosed knee discomfort. A randomized triple-blind placebo-control trial was conducted among male RR aged 40–60 years suffering from self-declared knee discomfort after training. Participants were assigned to supplementation (2 g/day in 6 doses; n = 13; intervention group (IG)) or matched placebo (n = 15; control group (CG)) for 4 weeks. At pre- and post-intervention, assessment of routine blood biomarkers, body composition, running biomechanics and body temperature was performed using standardized procedures. Machine learning (ML) techniques were used to classify whether subjects belonged to IG or CG. ML model was able to correctly classify individuals as IG or CG with a median accuracy of 0.857. Leg fat mass decreased significantly (p = 0.037) and a deeper reduction in knee thermograms was observed in IG (p< 0.05). Safety evaluation revealed no significant differences in the rest of parameters studied. Subjects belonging to IG or CG are clearly differentiated, pointing into an effect of the supplement of ameliorating inflammation.
Marcela González-Gross; Carlos Quesada-González; Javier Rueda; Manuel Sillero-Quintana; Nicolas Issaly; Angel Díaz; Eva Gesteiro; David Escobar-Toledo; Rafael Torres-Peralta; Marc Roller; Amelia Guadalupe-Grau. Analysis of Effectiveness of a Supplement Combining Harpagophytum procumbens, Zingiber officinale and Bixa orellana in Healthy Recreational Runners with Self-Reported Knee Pain: A Pilot, Randomized, Triple-Blind, Placebo-Controlled Trial. International Journal of Environmental Research and Public Health 2021, 18, 5538 .
AMA StyleMarcela González-Gross, Carlos Quesada-González, Javier Rueda, Manuel Sillero-Quintana, Nicolas Issaly, Angel Díaz, Eva Gesteiro, David Escobar-Toledo, Rafael Torres-Peralta, Marc Roller, Amelia Guadalupe-Grau. Analysis of Effectiveness of a Supplement Combining Harpagophytum procumbens, Zingiber officinale and Bixa orellana in Healthy Recreational Runners with Self-Reported Knee Pain: A Pilot, Randomized, Triple-Blind, Placebo-Controlled Trial. International Journal of Environmental Research and Public Health. 2021; 18 (11):5538.
Chicago/Turabian StyleMarcela González-Gross; Carlos Quesada-González; Javier Rueda; Manuel Sillero-Quintana; Nicolas Issaly; Angel Díaz; Eva Gesteiro; David Escobar-Toledo; Rafael Torres-Peralta; Marc Roller; Amelia Guadalupe-Grau. 2021. "Analysis of Effectiveness of a Supplement Combining Harpagophytum procumbens, Zingiber officinale and Bixa orellana in Healthy Recreational Runners with Self-Reported Knee Pain: A Pilot, Randomized, Triple-Blind, Placebo-Controlled Trial." International Journal of Environmental Research and Public Health 18, no. 11: 5538.
Low vitamin D is usual; however, data are limited for elite team players. The aim was to investigate the vitamin D levels in Football Club Barcelona (FCB) first division players of six sport modalities. Ninety-five elite male players (27.3 ± 4.6 y) belonging to FCB provided data for vitamin D throughout a season. In this study, 25(OH)D was measured in serum by chemiluminescent immunoassay. Outdoor/indoor training and supplementation were also considered. Total mean 25(OH)D concentrations were 91.9 ± 23.1 nmol/L in all players, with higher mean levels among supplemented players (94.7 ± 24.3 nmol/L). Around 25% of the team players were below optimal levels (<75 nmol/L), but none were below 50 nmol/L. Caucasian, supplemented football and handball players had the highest mean vitamin D concentrations over the whole year, whereas basketball players (indoor training) had the lowest ones. The highest rate of vitamin D insufficiency was found in spring (40%). A positive significant effect was observed for the interaction between indoor/outdoor training and supplementation with 25(OH)D concentrations (p < 0.05). Those team players training outdoors with supplementation had higher total vitamin D concentrations than those with indoors training and/or supplementation. A positive interaction of outdoor training with supplementation exists to determine 25(OH)D concentrations in team players.
Jara Valtueña; Raquel Aparicio-Ugarriza; Daniel Medina; Antonia Lizarraga; Gil Rodas; Marcela González-Gross; Franchek Drobnic. Vitamin D Status in Spanish Elite Team Sport Players. Nutrients 2021, 13, 1311 .
AMA StyleJara Valtueña, Raquel Aparicio-Ugarriza, Daniel Medina, Antonia Lizarraga, Gil Rodas, Marcela González-Gross, Franchek Drobnic. Vitamin D Status in Spanish Elite Team Sport Players. Nutrients. 2021; 13 (4):1311.
Chicago/Turabian StyleJara Valtueña; Raquel Aparicio-Ugarriza; Daniel Medina; Antonia Lizarraga; Gil Rodas; Marcela González-Gross; Franchek Drobnic. 2021. "Vitamin D Status in Spanish Elite Team Sport Players." Nutrients 13, no. 4: 1311.
With aging, bone density is reduced, increasing the risk of suffering osteoporosis and fractures. Increasing physical activity (PA) may have preventive effects. However, until now, no studies have considered movement behaviors with compositional data or its association to bone mass and structure measured by peripheral computed tomography (pQCT). Thus, the aim of our study was to investigate these associations and to describe movement behavior distribution in older adults with previous falls and fractures and other related risk parameters, taking into account many nutritional and metabolic confounders. In the current study, 70 participants above 65 years old (51 females) from the city of Zaragoza were evaluated for the EXERNET-Elder 3.0 project. Bone mass and structure were assessed with pQCT, and PA patterns were objectively measured by accelerometry. Prevalence of fear of falling, risk of falling, and history of falls and fractures were asked through the questionnaire. Analyses were performed using a compositional data approach. Whole-movement distribution patterns were associated with cortical thickness. In regard to other movement behaviors, moderate-to-vigorous PA (MVPA) showed positive association with cortical thickness and total true bone mineral density (BMD) at 38% (all p < 0.05). In addition, less light PA (LPA) and MVPA were observed in those participants with previous fractures and fear of falling, whereas those at risk of falling and those with previous falls showed higher levels of PA. Our results showed positive associations between higher levels of MVPA and volumetric bone. The different movement patterns observed in the groups with a history of having suffered falls or fractures and other risk outcomes suggest that different exercise interventions should be designed in these populations in order to improve bone and prevent the risk of osteoporosis and subsequent fractures.
Ana Moradell; Irene Rodríguez-Gómez; Ángel Fernández-García; David Navarrete-Villanueva; Jorge Marín-Puyalto; Jorge Pérez-Gómez; José Villa-Vicente; Marcela González-Gross; Ignacio Ara; José Casajús; Alba Gómez-Cabello; Germán Vicente-Rodríguez. Associations between Daily Movement Distribution, Bone Structure, Falls, and Fractures in Older Adults: A Compositional Data Analysis Study. International Journal of Environmental Research and Public Health 2021, 18, 3757 .
AMA StyleAna Moradell, Irene Rodríguez-Gómez, Ángel Fernández-García, David Navarrete-Villanueva, Jorge Marín-Puyalto, Jorge Pérez-Gómez, José Villa-Vicente, Marcela González-Gross, Ignacio Ara, José Casajús, Alba Gómez-Cabello, Germán Vicente-Rodríguez. Associations between Daily Movement Distribution, Bone Structure, Falls, and Fractures in Older Adults: A Compositional Data Analysis Study. International Journal of Environmental Research and Public Health. 2021; 18 (7):3757.
Chicago/Turabian StyleAna Moradell; Irene Rodríguez-Gómez; Ángel Fernández-García; David Navarrete-Villanueva; Jorge Marín-Puyalto; Jorge Pérez-Gómez; José Villa-Vicente; Marcela González-Gross; Ignacio Ara; José Casajús; Alba Gómez-Cabello; Germán Vicente-Rodríguez. 2021. "Associations between Daily Movement Distribution, Bone Structure, Falls, and Fractures in Older Adults: A Compositional Data Analysis Study." International Journal of Environmental Research and Public Health 18, no. 7: 3757.
Both intradialytic and out-of-clinic exercise programs (EP) have been proven to be a safe and effective way to increase fitness levels in end-stage chronic kidney disease (CKD) patients. The actual COVID-19 pandemic situation has forced the suspension of EP offered in hemodialysis centers in many countries; as well as all activities considered as “non-essential” (i.e., sport facilities and fitness centers). Therefore, there is a high risk that movement restrictions would promote physical inactivity and its associated diseases in CKD patients; especially those undergoing domiciliary confinement situations. Given the importance for CKD patients’ overall health to maintain exercise levels and reach physical activity recommendations, the aim of this Protocol was to design a personalized, well-structured, multicomponent physical EP that CKD patients can safely follow at home. We also aimed to provide an initial fitness evaluation tool that allows patients to adapt the EP to their fitness level. Current general exercise recommendations for people living with chronic conditions have been analyzed to develop the present home-based EP proposal.
Olga López-Torres; Celia Azpeitia-Martínez; Marcela González-Gross; Dace Reihmane; Amelia Guadalupe-Grau. Multicomponent Home-Based Training Program for Chronic Kidney Disease Patients during Movement Restriction. International Journal of Environmental Research and Public Health 2021, 18, 3416 .
AMA StyleOlga López-Torres, Celia Azpeitia-Martínez, Marcela González-Gross, Dace Reihmane, Amelia Guadalupe-Grau. Multicomponent Home-Based Training Program for Chronic Kidney Disease Patients during Movement Restriction. International Journal of Environmental Research and Public Health. 2021; 18 (7):3416.
Chicago/Turabian StyleOlga López-Torres; Celia Azpeitia-Martínez; Marcela González-Gross; Dace Reihmane; Amelia Guadalupe-Grau. 2021. "Multicomponent Home-Based Training Program for Chronic Kidney Disease Patients during Movement Restriction." International Journal of Environmental Research and Public Health 18, no. 7: 3416.
Obesity prevalence has been simultaneously increasing with high consumption of large food portion sizes (PS). However, there is scarce information on PS of energy-dense (ED) foods as a potential risk factor of obesity in adolescents. In the present study, we investigate the association between the PS of the most ED foods and body composition. A sample of 1889 adolescents (54.4% females) from the Healthy Lifestyle in Europe by Nutrition in Adolescence cross-sectional multicenter study (HELENA–CSS) study were included. Most ED foods (e.g., cheese) were selected according to higher fat and/or sugar content and low fiber and water. Linear and ordinal logistic regression models were adjusted for age, physical activity, total energy intake (TEI), and socioeconomic status (SES). Analysis was performed both in those adolescents reporting plausible energy intake according to the approach of Goldberg et al. and in the whole sample. In male plausible reporters, PS from “breakfast cereals” showed a significant and positive association with BMI (β = 0.012; 0.048). PS from “carbonated soft drinks” in males (OR = 1.001; 95% CI 1.000; 1.002) and “bread and rolls” in females (OR = 1.002; 95% CI 1.000; 1.004) were associated with higher probability of having obesity, while “sweet bakery products” were associated with lower probability of having obesity (OR = 0.996; 95% CI 0.991; 0.999) in females. The present study suggests association between PS of ED foods and obesity in European adolescents. Prospective studies are needed to examine the effect of prolonged exposure to large PS and obesity development.
Sondos Flieh; María Miguel-Berges; Esther González-Gil; Frédéric Gottrand; Laura Censi; Kurt Widhalm; Yannis Manios; Anthony Kafatos; Dénes Molnár; Jean Dallongeville; Peter Stehle; Marcela Gonzalez-Gross; Ascensión Marcos; Stefaan De Henauw; Cristina Molina-Hidalgo; Inge Huybrechts; Luis Moreno. The Association between Portion Sizes from High-Energy-Dense Foods and Body Composition in European Adolescents: The HELENA Study. Nutrients 2021, 13, 954 .
AMA StyleSondos Flieh, María Miguel-Berges, Esther González-Gil, Frédéric Gottrand, Laura Censi, Kurt Widhalm, Yannis Manios, Anthony Kafatos, Dénes Molnár, Jean Dallongeville, Peter Stehle, Marcela Gonzalez-Gross, Ascensión Marcos, Stefaan De Henauw, Cristina Molina-Hidalgo, Inge Huybrechts, Luis Moreno. The Association between Portion Sizes from High-Energy-Dense Foods and Body Composition in European Adolescents: The HELENA Study. Nutrients. 2021; 13 (3):954.
Chicago/Turabian StyleSondos Flieh; María Miguel-Berges; Esther González-Gil; Frédéric Gottrand; Laura Censi; Kurt Widhalm; Yannis Manios; Anthony Kafatos; Dénes Molnár; Jean Dallongeville; Peter Stehle; Marcela Gonzalez-Gross; Ascensión Marcos; Stefaan De Henauw; Cristina Molina-Hidalgo; Inge Huybrechts; Luis Moreno. 2021. "The Association between Portion Sizes from High-Energy-Dense Foods and Body Composition in European Adolescents: The HELENA Study." Nutrients 13, no. 3: 954.
Governments have restricted public life during the COVID-19 pandemic, inter alia closing sports facilities and gyms. As regular exercise is essential for health, this study examined the effect of pandemic-related confinements on physical activity (PA) levels. A multinational survey was performed in 14 countries. Times spent in moderate-to-vigorous physical activity (MVPA) as well as in vigorous physical activity only (VPA) were assessed using the Nordic Physical Activity Questionnaire (short form). Data were obtained for leisure and occupational PA pre- and during restrictions. Compliance with PA guidelines was calculated based on the recommendations of the World Health Organization (WHO). In total, n = 13,503 respondents (39 ± 15 years, 59% females) were surveyed. Compared to pre-restrictions, overall self-reported PA declined by 41% (MVPA) and 42.2% (VPA). Reductions were higher for occupational vs. leisure time, young and old vs. middle-aged persons, previously more active vs. less active individuals, but similar between men and women. Compared to pre-pandemic, compliance with WHO guidelines decreased from 80.9% (95% CI: 80.3–81.7) to 62.5% (95% CI: 61.6–63.3). Results suggest PA levels have substantially decreased globally during the COVID-19 pandemic. Key stakeholders should consider strategies to mitigate loss in PA in order to preserve health during the pandemic.
Jan Wilke; Lisa Mohr; Adam Tenforde; Pascal Edouard; Chiara Fossati; Marcela González-Gross; Celso Sánchez Ramírez; Fernando Laiño; Benedict Tan; Julian Pillay; Fabio Pigozzi; David Jimenez-Pavon; Bernhard Novak; Johannes Jaunig; Mandy Zhang; Mireille van Poppel; Christoph Heidt; Steffen Willwacher; Gustavo Yuki; Daniel Lieberman; Lutz Vogt; Evert Verhagen; Luiz Hespanhol; Karsten Hollander. A Pandemic within the Pandemic? Physical Activity Levels Substantially Decreased in Countries Affected by COVID-19. International Journal of Environmental Research and Public Health 2021, 18, 2235 .
AMA StyleJan Wilke, Lisa Mohr, Adam Tenforde, Pascal Edouard, Chiara Fossati, Marcela González-Gross, Celso Sánchez Ramírez, Fernando Laiño, Benedict Tan, Julian Pillay, Fabio Pigozzi, David Jimenez-Pavon, Bernhard Novak, Johannes Jaunig, Mandy Zhang, Mireille van Poppel, Christoph Heidt, Steffen Willwacher, Gustavo Yuki, Daniel Lieberman, Lutz Vogt, Evert Verhagen, Luiz Hespanhol, Karsten Hollander. A Pandemic within the Pandemic? Physical Activity Levels Substantially Decreased in Countries Affected by COVID-19. International Journal of Environmental Research and Public Health. 2021; 18 (5):2235.
Chicago/Turabian StyleJan Wilke; Lisa Mohr; Adam Tenforde; Pascal Edouard; Chiara Fossati; Marcela González-Gross; Celso Sánchez Ramírez; Fernando Laiño; Benedict Tan; Julian Pillay; Fabio Pigozzi; David Jimenez-Pavon; Bernhard Novak; Johannes Jaunig; Mandy Zhang; Mireille van Poppel; Christoph Heidt; Steffen Willwacher; Gustavo Yuki; Daniel Lieberman; Lutz Vogt; Evert Verhagen; Luiz Hespanhol; Karsten Hollander. 2021. "A Pandemic within the Pandemic? Physical Activity Levels Substantially Decreased in Countries Affected by COVID-19." International Journal of Environmental Research and Public Health 18, no. 5: 2235.
The aim of this study is to evaluate if screen time and parents’ education levels are associated with adherence to a Mediterranean dietary pattern. This cross-sectional study analyzed a representative sample of 3333 children and adolescents (8 to 16 years) included in the Physical Activity, Sedentarism, lifestyles and Obesity in Spanish youth (PASOS) study in Spain (which ran from March 2019 to February 2020). Data on screen time (television, computer, video games, and mobile phone) per day, Mediterranean diet adherence, daily moderate or vigorous physical activity, and parents’ education levels were gathered using questionnaires. A descriptive study of the variables according to sex and parents’ education level was performed. Logistic regression models (adjusted by sex and weight status) were fitted to evaluate the independent association between screen time and Kids’ level of adherence to the Mediterranean diet (KIDMED) index, as well as some of its items. A greater amount of screen time was associated with worse adherence to the Mediterranean diet; a lower consumption of fruit, vegetables, fish, legumes, and nuts; and a greater consumption of fast food, sweets, and candies. A lower parents’ education level was associated with worse adherence to the Mediterranean diet. It is necessary to promote the responsible, limited use of screen time, especially in children with parents with a lower education level.
Julia Wärnberg; Napoleón Pérez-Farinós; Juan Benavente-Marín; Santiago Gómez; Idoia Labayen; Augusto G. Zapico; Narcis Gusi; Susana Aznar; Pedro Alcaraz; Miguel González-Valeiro; Lluís Serra-Majem; Nicolás Terrados; Josep Tur; Marta Segú; Camille Lassale; Clara Homs; Maddi Oses; Marcela González-Gross; Jesús Sánchez-Gómez; Fabio Jiménez-Zazo; Elena Marín-Cascales; Marta Sevilla-Sánchez; Estefanía Herrera-Ramos; Susana Pulgar; María Bibiloni; Olga Sancho-Moron; Helmut Schröder; F. Barón-López. Screen Time and Parents’ Education Level Are Associated with Poor Adherence to the Mediterranean Diet in Spanish Children and Adolescents: The PASOS Study. Journal of Clinical Medicine 2021, 10, 795 .
AMA StyleJulia Wärnberg, Napoleón Pérez-Farinós, Juan Benavente-Marín, Santiago Gómez, Idoia Labayen, Augusto G. Zapico, Narcis Gusi, Susana Aznar, Pedro Alcaraz, Miguel González-Valeiro, Lluís Serra-Majem, Nicolás Terrados, Josep Tur, Marta Segú, Camille Lassale, Clara Homs, Maddi Oses, Marcela González-Gross, Jesús Sánchez-Gómez, Fabio Jiménez-Zazo, Elena Marín-Cascales, Marta Sevilla-Sánchez, Estefanía Herrera-Ramos, Susana Pulgar, María Bibiloni, Olga Sancho-Moron, Helmut Schröder, F. Barón-López. Screen Time and Parents’ Education Level Are Associated with Poor Adherence to the Mediterranean Diet in Spanish Children and Adolescents: The PASOS Study. Journal of Clinical Medicine. 2021; 10 (4):795.
Chicago/Turabian StyleJulia Wärnberg; Napoleón Pérez-Farinós; Juan Benavente-Marín; Santiago Gómez; Idoia Labayen; Augusto G. Zapico; Narcis Gusi; Susana Aznar; Pedro Alcaraz; Miguel González-Valeiro; Lluís Serra-Majem; Nicolás Terrados; Josep Tur; Marta Segú; Camille Lassale; Clara Homs; Maddi Oses; Marcela González-Gross; Jesús Sánchez-Gómez; Fabio Jiménez-Zazo; Elena Marín-Cascales; Marta Sevilla-Sánchez; Estefanía Herrera-Ramos; Susana Pulgar; María Bibiloni; Olga Sancho-Moron; Helmut Schröder; F. Barón-López. 2021. "Screen Time and Parents’ Education Level Are Associated with Poor Adherence to the Mediterranean Diet in Spanish Children and Adolescents: The PASOS Study." Journal of Clinical Medicine 10, no. 4: 795.
Childhood obesity is a worldwide epidemic. Mediterranean diet (MD) is inversely associated with childhood obesity, but the interaction with other environmental factors, such screen time, might influence the health benefits of a high MD adherence in adolescents. The aim of the present study was to assess whether an association between MD and screen time exists in European adolescents. Moreover, we also explored whether sedentary time has a modulatory effect on the association between MD and adiposity. Adherence to the MD (24 h recalls), screen time (questionnaire), pubertal development, body mass index (BMI), fat mass index (FMI) and waist circumference (WC) were evaluated in 2053 adolescents (54.7% females), aged 12.5–17.5 years. In females, MD adherence was associated with lower BMI and FMI only when they were exposed to less than 338 min/day of screen time (81.8% of females); MD adherence was also associated with lower WC only when females were exposed to less than 143 min/day of screen time (31.5% of females). No significant MD-screen time interaction was observed in males. In conclusion, screen-time-based sedentary behaviours had a modulatory effect in the association between MD adherence and adiposity in European female adolescents.
Miguel Seral-Cortes; Sergio Sabroso-Lasa; Alexandro Bailo-Aysa; Marcela Gonzalez-Gross; Dénes Molnár; Laura Censi; Cristina Molina-Hidalgo; Frederic Gottrand; Stefaan Henauw; Yannis Manios; Christina Mavrogianni; Kurt Widhalm; Anthony Kafatos; Jean Dallongeville; Luis Moreno; Luis Esteban; Idoia Labayen; Pilar De Miguel-Etayo; on behalf of the HELENA Study Group. Mediterranean Diet, Screen-Time-Based Sedentary Behavior and Their Interaction Effect on Adiposity in European Adolescents: The HELENA Study. Nutrients 2021, 13, 474 .
AMA StyleMiguel Seral-Cortes, Sergio Sabroso-Lasa, Alexandro Bailo-Aysa, Marcela Gonzalez-Gross, Dénes Molnár, Laura Censi, Cristina Molina-Hidalgo, Frederic Gottrand, Stefaan Henauw, Yannis Manios, Christina Mavrogianni, Kurt Widhalm, Anthony Kafatos, Jean Dallongeville, Luis Moreno, Luis Esteban, Idoia Labayen, Pilar De Miguel-Etayo, on behalf of the HELENA Study Group. Mediterranean Diet, Screen-Time-Based Sedentary Behavior and Their Interaction Effect on Adiposity in European Adolescents: The HELENA Study. Nutrients. 2021; 13 (2):474.
Chicago/Turabian StyleMiguel Seral-Cortes; Sergio Sabroso-Lasa; Alexandro Bailo-Aysa; Marcela Gonzalez-Gross; Dénes Molnár; Laura Censi; Cristina Molina-Hidalgo; Frederic Gottrand; Stefaan Henauw; Yannis Manios; Christina Mavrogianni; Kurt Widhalm; Anthony Kafatos; Jean Dallongeville; Luis Moreno; Luis Esteban; Idoia Labayen; Pilar De Miguel-Etayo; on behalf of the HELENA Study Group. 2021. "Mediterranean Diet, Screen-Time-Based Sedentary Behavior and Their Interaction Effect on Adiposity in European Adolescents: The HELENA Study." Nutrients 13, no. 2: 474.
Background Dietary misreporting is the main limitation of dietary assessments and has been associated with BMI during youth. However there are no prior studies assessing misreporting and cardiometabolic risks (CMRs) in adolescence. Objectives To examine the associations between dietary misreporting and CMR factors in adolescents and to assess the potential bias in the association between CMR and energy intake (EI) driven by dietary misreporting. Methods Two 24-hour dietary recalls were obtained from 1512 European adolescents (54.8% girls) aged 12.5–17.5 years. Physical activity was measured by accelerometry. Cut-offs suggested by Huang were applied to identify misreporters. Height, waist circumference (WC), the sum of 4 skinfold thicknesses, diastolic blood pressure (DBP), systolic blood pressure (SBP), and cardiorespiratory fitness (CRF) measurements were taken and serum triglycerides and total-/high-density lipoprotein cholesterol ratio were analyzed. A sex- and age-specific clustered CMR score (n = 364) was computed. Associations were investigated by multilevel regression analyses adjusting for age, sex, center, socioeconomic status, and physical activity. Results Underreporting (24.8% adolescents) was significantly (P < 0.05) associated with a higher WC, waist-to-height ratio (WHeR), and sum of skinfold thickness, whereas overreporting (23.4% adolescents) was significantly associated with a lower WC, WHeR, sum of skinfold thickness, and SBP. Associations between CMR factors and EI were significantly affected by misreporting, considering various approaches. Significant, positive associations became inverse after adjusting for misreporting for WC and WHeR. The opposite was true for the sum of skinfold thickness, SBP, and CMR score. The associations between EI and DBP and CRF did not remain significant after adjusting for misreporting. Conclusions CMR factors differed among misreporting groups, and both abdominal and total fat mass indicators were more strongly associated with all forms of misreporting than was BMI. Moreover, misreporting seems to bias EI and CMR associations in adolescents. Therefore, energy misreporting should be taken into account when examining diet-CMR associations.
Esther M González-Gil; Inge Huybrechts; Concepción M Aguilera; Laurent Béghin; Christina Breidenassel; Eva Gesteiro; Marcela González-Gross; Stefaan de Henauw; Mathilde Kersting; Cinzia Le Donne; Yannis Manios; Ascensión Marcos; Aline Meirhaeghe; Pilar De Miguel-Etayo; Cristina Molina-Hidalgo; Dénes Molnár; Angeliki Papadaki; Kurt Widhalm; Luis A Moreno; Silvia Bel-Serrat. Cardiometabolic Risk is Positively Associated with Underreporting and Inversely Associated with Overreporting of Energy Intake Among European Adolescents: The Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) Study. The Journal of Nutrition 2021, 151, 675 -684.
AMA StyleEsther M González-Gil, Inge Huybrechts, Concepción M Aguilera, Laurent Béghin, Christina Breidenassel, Eva Gesteiro, Marcela González-Gross, Stefaan de Henauw, Mathilde Kersting, Cinzia Le Donne, Yannis Manios, Ascensión Marcos, Aline Meirhaeghe, Pilar De Miguel-Etayo, Cristina Molina-Hidalgo, Dénes Molnár, Angeliki Papadaki, Kurt Widhalm, Luis A Moreno, Silvia Bel-Serrat. Cardiometabolic Risk is Positively Associated with Underreporting and Inversely Associated with Overreporting of Energy Intake Among European Adolescents: The Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) Study. The Journal of Nutrition. 2021; 151 (3):675-684.
Chicago/Turabian StyleEsther M González-Gil; Inge Huybrechts; Concepción M Aguilera; Laurent Béghin; Christina Breidenassel; Eva Gesteiro; Marcela González-Gross; Stefaan de Henauw; Mathilde Kersting; Cinzia Le Donne; Yannis Manios; Ascensión Marcos; Aline Meirhaeghe; Pilar De Miguel-Etayo; Cristina Molina-Hidalgo; Dénes Molnár; Angeliki Papadaki; Kurt Widhalm; Luis A Moreno; Silvia Bel-Serrat. 2021. "Cardiometabolic Risk is Positively Associated with Underreporting and Inversely Associated with Overreporting of Energy Intake Among European Adolescents: The Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) Study." The Journal of Nutrition 151, no. 3: 675-684.
During the COVID-19 pandemic, entire populations were instructed to live in home-confinement to prevent the expansion of the disease. Spain was one of the countries with the strictest conditions, as outdoor physical activity was banned for nearly two months. This study aimed to analyse the changes in physical activity and sedentary behaviours in Spanish university students before and during the confinement by COVID-19 with special focus on gender. We also analysed enjoyment, the tools used and motivation and impediments for doing physical activity. An online questionnaire, which included the International Physical Activity Questionnaire Short Form and certain “ad hoc” questions, was designed. Students were recruited by distributing an invitation through the administrative channels of 16 universities and a total of 13,754 valid surveys were collected. Overall, university students reduced moderate (−29.5%) and vigorous (−18.3%) physical activity during the confinement and increased sedentary time (+52.7%). However, they spent more time on high intensity interval training (HIIT) (+18.2%) and mind-body activities (e.g., yoga) (+80.0%). Adaptation to the confinement, in terms of physical activity, was handled better by women than by men. These results will help design strategies for each gender to promote physical activity and reduce sedentary behaviour during confinement periods.
Ana Rodríguez-Larrad; Asier Mañas; Idoia Labayen; Marcela González-Gross; Ander Espin; Susana Aznar; José Antonio Serrano-Sánchez; Francisco J. Vera-Garcia; Domingo González-Lamuño; Ignacio Ara; Luis Carrasco-Páez; José Castro-Piñero; Mari Carmen Gómez-Cabrera; Sara Márquez; Josep A. Tur; Narcis Gusi; Pedro J. Benito; Diego Moliner-Urdiales; Jonatan R. Ruiz; Francisco B. Ortega; David Jiménez-Pavón; José Antonio Casajús; Jon Irazusta. Impact of COVID-19 Confinement on Physical Activity and Sedentary Behaviour in Spanish University Students: Role of Gender. International Journal of Environmental Research and Public Health 2021, 18, 369 .
AMA StyleAna Rodríguez-Larrad, Asier Mañas, Idoia Labayen, Marcela González-Gross, Ander Espin, Susana Aznar, José Antonio Serrano-Sánchez, Francisco J. Vera-Garcia, Domingo González-Lamuño, Ignacio Ara, Luis Carrasco-Páez, José Castro-Piñero, Mari Carmen Gómez-Cabrera, Sara Márquez, Josep A. Tur, Narcis Gusi, Pedro J. Benito, Diego Moliner-Urdiales, Jonatan R. Ruiz, Francisco B. Ortega, David Jiménez-Pavón, José Antonio Casajús, Jon Irazusta. Impact of COVID-19 Confinement on Physical Activity and Sedentary Behaviour in Spanish University Students: Role of Gender. International Journal of Environmental Research and Public Health. 2021; 18 (2):369.
Chicago/Turabian StyleAna Rodríguez-Larrad; Asier Mañas; Idoia Labayen; Marcela González-Gross; Ander Espin; Susana Aznar; José Antonio Serrano-Sánchez; Francisco J. Vera-Garcia; Domingo González-Lamuño; Ignacio Ara; Luis Carrasco-Páez; José Castro-Piñero; Mari Carmen Gómez-Cabrera; Sara Márquez; Josep A. Tur; Narcis Gusi; Pedro J. Benito; Diego Moliner-Urdiales; Jonatan R. Ruiz; Francisco B. Ortega; David Jiménez-Pavón; José Antonio Casajús; Jon Irazusta. 2021. "Impact of COVID-19 Confinement on Physical Activity and Sedentary Behaviour in Spanish University Students: Role of Gender." International Journal of Environmental Research and Public Health 18, no. 2: 369.
Obesity and metabolic syndrome (MetS) are worldwide major health challenges. The Mediterranean diet (MD) is associated with a better cardiometabolic profile, but these beneficial effects may be influenced by genetic variations, modulating the predisposition to obesity or MetS. The aim was to assess whether interaction effects occur between an obesity genetic risk score (obesity-GRS) and the MD on adiposity and MetS in European adolescents. Multiple linear regression models were used to assess the interaction effects of an obesity-GRS and the MD on adiposity and MetS and its components. Interaction effects between the MD on adiposity and MetS were observed in both sex groups (p < 0.05). However, those interaction effects were only expressed in a certain number of adolescents, when a limited number of risk alleles were present. Regarding adiposity, a total of 51.1% males and 98.7% females had lower body mass index (BMI) as a result of higher MD adherence. Concerning MetS, only 9.9% of males with higher MD adherence had lower MetS scores. However, the same effect was observed in 95.2% of females. In conclusion, obesity-related genotypes could modulate the relationship between MD adherence and adiposity and MetS in European adolescents; the interaction effect was higher in females than in males.
Miguel Seral-Cortes; Sergio Sabroso-Lasa; Pilar De Miguel-Etayo; Marcela Gonzalez-Gross; Eva Gesteiro; Cristina Molina-Hidalgo; Stefaan De Henauw; Éva Erhardt; Laura Censi; Yannis Manios; Eva Karaglani; Kurt Widhalm; Anthony Kafatos; Laurent Beghin; Aline Meirhaeghe; Diego Salazar-Tortosa; Jonatan R. Ruiz; Luis A. Moreno; Luis Mariano Esteban; Idoia Labayen. Interaction Effect of the Mediterranean Diet and an Obesity Genetic Risk Score on Adiposity and Metabolic Syndrome in Adolescents: The HELENA Study. Nutrients 2020, 12, 3841 .
AMA StyleMiguel Seral-Cortes, Sergio Sabroso-Lasa, Pilar De Miguel-Etayo, Marcela Gonzalez-Gross, Eva Gesteiro, Cristina Molina-Hidalgo, Stefaan De Henauw, Éva Erhardt, Laura Censi, Yannis Manios, Eva Karaglani, Kurt Widhalm, Anthony Kafatos, Laurent Beghin, Aline Meirhaeghe, Diego Salazar-Tortosa, Jonatan R. Ruiz, Luis A. Moreno, Luis Mariano Esteban, Idoia Labayen. Interaction Effect of the Mediterranean Diet and an Obesity Genetic Risk Score on Adiposity and Metabolic Syndrome in Adolescents: The HELENA Study. Nutrients. 2020; 12 (12):3841.
Chicago/Turabian StyleMiguel Seral-Cortes; Sergio Sabroso-Lasa; Pilar De Miguel-Etayo; Marcela Gonzalez-Gross; Eva Gesteiro; Cristina Molina-Hidalgo; Stefaan De Henauw; Éva Erhardt; Laura Censi; Yannis Manios; Eva Karaglani; Kurt Widhalm; Anthony Kafatos; Laurent Beghin; Aline Meirhaeghe; Diego Salazar-Tortosa; Jonatan R. Ruiz; Luis A. Moreno; Luis Mariano Esteban; Idoia Labayen. 2020. "Interaction Effect of the Mediterranean Diet and an Obesity Genetic Risk Score on Adiposity and Metabolic Syndrome in Adolescents: The HELENA Study." Nutrients 12, no. 12: 3841.
Few studies have evaluated the association between dietary free sugars intake (FSI) and obesity in adolescents. We examined the relation between FSI and their contributors from the main food groups and obesity in European adolescents. We included 843 adolescents (51.6% male) from the cross-sectional HELENA study with two completed 24 h recalls and anthropometric data. Linear mixed models were applied to investigate the relation between FSI and different anthropometric indices. Odds ratios for having a high body mass index (BMI) were also estimated by multilevel ordinal regression. Total FSI was higher in males than females (102.60 g and 87.58 g, respectively, p < 0.001). No effect was observed between free sugar from the main food groups and BMI. Consumers of FSI from “cakes, pies and biscuits” in males (odd ratio (OR) = 0.455; 95% Confidence interval (CI) 0.251, 0.824) and from “breakfast cereals” in females had a lower probability of having obesity (OR = 0.423; 95%CI 0.204, 0.878), whereas females consuming FSI from ‘fruit and vegetables juices’ had a higher probability of obesity (OR= 2.733; 95% CI 1.286, 5.810). This study provides no evidence that increased FSI is associated with obesity in adolescents. Further studies are needed to assess the longitudinal exposure to FSI and their effect on obesity development.
Sondos M. Flieh; Luis A. Moreno; María L. Miguel-Berges; Peter Stehle; Ascensión Marcos; Dénes Molnár; Kurt Widhalm; Laurent Béghin; Stefaan De Henauw; Anthony Kafatos; Catherine Leclercq; Marcela Gonzalez-Gross; Jean Dallongeville; Cristina Molina-Hidalgo; Esther M. González-Gil. Free Sugar Consumption and Obesity in European Adolescents: The HELENA Study. Nutrients 2020, 12, 3747 .
AMA StyleSondos M. Flieh, Luis A. Moreno, María L. Miguel-Berges, Peter Stehle, Ascensión Marcos, Dénes Molnár, Kurt Widhalm, Laurent Béghin, Stefaan De Henauw, Anthony Kafatos, Catherine Leclercq, Marcela Gonzalez-Gross, Jean Dallongeville, Cristina Molina-Hidalgo, Esther M. González-Gil. Free Sugar Consumption and Obesity in European Adolescents: The HELENA Study. Nutrients. 2020; 12 (12):3747.
Chicago/Turabian StyleSondos M. Flieh; Luis A. Moreno; María L. Miguel-Berges; Peter Stehle; Ascensión Marcos; Dénes Molnár; Kurt Widhalm; Laurent Béghin; Stefaan De Henauw; Anthony Kafatos; Catherine Leclercq; Marcela Gonzalez-Gross; Jean Dallongeville; Cristina Molina-Hidalgo; Esther M. González-Gil. 2020. "Free Sugar Consumption and Obesity in European Adolescents: The HELENA Study." Nutrients 12, no. 12: 3747.
Mexico shows a high prevalence of obesity in children and adolescents. Geographical location and cultural environment could play a role in the promotion of healthy lifestyles in terms of physical activity (PA), sedentary behavior (SB) and nutrition. The purpose of this study was to assess rural and urban differences in body composition (BC), physical fitness (PF), PA and nutritional status of adolescents from the state of Jalisco (Mexico). The study involved 469 students aged 13–17 years (55.0% girls) from eight high schools. BC was analyzed by bioimpedance and PF by standardized field tests. Objective measurements of PA and SB were taken in a subsample (n = 240). Energy intake (EI) was calculated from two 24h recalls. Rural residents presented a higher prevalence of overweight, waist circumference, trunk fat mass, regional fat free mass and muscle handgrip strength (all p < 0.05, η2p < 0.06). Cardiorespiratory fitness was similar among participants, whereas urban adolescents showed higher muscle power, speed-agility and flexibility scores (all p < 0.05, η2p < 0.07). Overall lifestyle behavior in urban adolescents was more sedentary (p < 0.05, η2p = 0.11). EI was similar in both locations. In conclusion, rural Mexican adolescents presented a generally lower sedentary behavior and a lower fitness and fatness profile than their urban peers.
María Rivera-Ochoa; Javier Brazo-Sayavera; Barbara Vizmanos-Lamotte; Asier Mañas; Juan Ricardo López-Taylor; Marcela González-Gross; Amelia Guadalupe-Grau. Health-Related Factors in Rural and Urban Mexican Adolescents from the State of Jalisco: The HELENA-MEX Study. International Journal of Environmental Research and Public Health 2020, 17, 8959 .
AMA StyleMaría Rivera-Ochoa, Javier Brazo-Sayavera, Barbara Vizmanos-Lamotte, Asier Mañas, Juan Ricardo López-Taylor, Marcela González-Gross, Amelia Guadalupe-Grau. Health-Related Factors in Rural and Urban Mexican Adolescents from the State of Jalisco: The HELENA-MEX Study. International Journal of Environmental Research and Public Health. 2020; 17 (23):8959.
Chicago/Turabian StyleMaría Rivera-Ochoa; Javier Brazo-Sayavera; Barbara Vizmanos-Lamotte; Asier Mañas; Juan Ricardo López-Taylor; Marcela González-Gross; Amelia Guadalupe-Grau. 2020. "Health-Related Factors in Rural and Urban Mexican Adolescents from the State of Jalisco: The HELENA-MEX Study." International Journal of Environmental Research and Public Health 17, no. 23: 8959.
ObjectivesThe main objective of this study was to device-assess the levels of physical activity and sedentary behaviour patterns of older adults during the situation prior to COVID-19 pandemic, home-quarantine and the ending of isolation. We also aimed analysing the effectiveness of an unsupervised home-based exercise routine to counteract the potential increase in sedentary behaviour during the periods within the pandemic.Methods18 non-institutionalized elderly (78.4±6.0 y.), members of the Spanish cohort of EXERNET-Elder 3.0 project participated in the study. They were recommended to perform an exercise prescription based on resistance, balance and aerobic exercises during the pandemic. Wrist triaxial accelerometers (ActiGraph GT9X) were used to assess the percentage of sedentary time, physical activity and sedentary bouts and breaks of sedentary time. An ANOVA for repeated measures was performed to analyse the differences between the three different periods.ResultsDuring home-quarantine, older adults spent more time in sedentary behaviours (71.6±5.3%) in comparison with either the situation prior to the pandemic (65.5±6.7%) or the ending of isolation (67.7±7.1%) (all ppConclusionsAccording with our results, the home-quarantine could negatively affect health due to increased sedentary lifestyle and the reduction of physical activity. Therefore, our unsupervised exercise program does not seem to be a completely effective strategy at least in this period.What is already known on this topicAlthough the available information is scarce and includes subjective methodology (questionnaires), it seems that the COVID-19 pandemic has negatively affected physical activity patterns.It is known that physical activity interventions are effective in improving health and reducing sedentary lifestyle in older adults. Nevertheless, little is known about whether an unsupervised home-based exercise routine is an effective alternative to counteract the potential increase in sedentary behaviour in this specific population during the pandemic lockdown.What are the findings? / What this study addsDespite unsupervised training, during home-quarantine, older adults spent more sedentary time than in the situation prior to COVID-19 and the ending of isolation (phase 0).There were no differences in break of sedentary time patterns between the situation prior to COVID-19 and the periods within the pandemic.During home-quarantine older adults performed fewer and shorter physical activity bouts than in the situation prior to COVID-19 despite unsupervised training.Our unsupervised home-exercise routine was not a completely effective alternative to avoid the increase of sedentary behaviour during home-quarantine.How might it impact on clinical practice in the future?Our findings can be used as a starting point to manage isolation restrictions more effectively and to develop strategies to promote physical activity and reduce sedentary behaviour among older adults during situations of forced lockdowns, as in the present COVID-19 pandemic.
Ángel I. Fernández-García; Jorge Marin-Puyalto; Alba Gómez-Cabello; Ángel Matute-Llorente; Jorge Subías-Perié; Jorge Pérez-Gómez; Gabriel Lozano-Berges; Asier Mañas; Amelia Guadalupe-Grau; Marcela González-Gross; Ignacio Ara; José A. Casajús; Germán Vicente-Rodríguez. Impact of the home confinement related to COVID-19 on the device-assessed physical activity and sedentary patterns of Spanish older adults. 2020, 1 .
AMA StyleÁngel I. Fernández-García, Jorge Marin-Puyalto, Alba Gómez-Cabello, Ángel Matute-Llorente, Jorge Subías-Perié, Jorge Pérez-Gómez, Gabriel Lozano-Berges, Asier Mañas, Amelia Guadalupe-Grau, Marcela González-Gross, Ignacio Ara, José A. Casajús, Germán Vicente-Rodríguez. Impact of the home confinement related to COVID-19 on the device-assessed physical activity and sedentary patterns of Spanish older adults. . 2020; ():1.
Chicago/Turabian StyleÁngel I. Fernández-García; Jorge Marin-Puyalto; Alba Gómez-Cabello; Ángel Matute-Llorente; Jorge Subías-Perié; Jorge Pérez-Gómez; Gabriel Lozano-Berges; Asier Mañas; Amelia Guadalupe-Grau; Marcela González-Gross; Ignacio Ara; José A. Casajús; Germán Vicente-Rodríguez. 2020. "Impact of the home confinement related to COVID-19 on the device-assessed physical activity and sedentary patterns of Spanish older adults." , no. : 1.
Mexico shows a high prevalence of obesity in children and adolescents. Geographical location and cultural environment could play a role in the promotion of healthy lifestyles in terms of physical activity (PA), sedentary behavior (SB) and nutrition. The purpose of this study was to assess rural and urban differences in body composition (BC), physical fitness (PF), PA and nutritional status of adolescents from the state of Jalisco (Mexico). The study involved 469 students aged 13-17 years (55.0% girls) from 8 high schools. BC was analyzed by bioimpedance, and PF by standardized field tests. Objective measurements of PA and SB were taken in a subsample (n=240). Energy intake (EI) was calculated from two 24h recalls. Rural residents presented a higher prevalence of overweight, waist circumference, trunk fat mass, regional fat free mass and muscle handgrip strength (all p<0.05, ηp2<0.06). Cardiorespiratory fitness was similar among participants, whereas urban adolescents showed higher muscle power, speed-agility and flexibility scores (all p<0.05, ηp2<0.07). Overall lifestyle behavior in urban adolescents was more sedentary (p<0.05, ηp2= 0.11). EI was similar in both locations. In conclusion, urban Mexican adolescents presented a generally higher sedentary behavior and better fitness and fatness profile than their rural peers.
María Rivera-Ochoa; Javier Brazo-Sayavera; Barbara Vizmanos-Lamotte; Asier Mañas; Juan R. López-Taylor; Marcela González-Gross; Amelia Guadalupe-Grau. Health-Related Factors in Rural and Urban Mexican Adolescents: The HELENA-MEX Study. 2020, 1 .
AMA StyleMaría Rivera-Ochoa, Javier Brazo-Sayavera, Barbara Vizmanos-Lamotte, Asier Mañas, Juan R. López-Taylor, Marcela González-Gross, Amelia Guadalupe-Grau. Health-Related Factors in Rural and Urban Mexican Adolescents: The HELENA-MEX Study. . 2020; ():1.
Chicago/Turabian StyleMaría Rivera-Ochoa; Javier Brazo-Sayavera; Barbara Vizmanos-Lamotte; Asier Mañas; Juan R. López-Taylor; Marcela González-Gross; Amelia Guadalupe-Grau. 2020. "Health-Related Factors in Rural and Urban Mexican Adolescents: The HELENA-MEX Study." , no. : 1.
A Follow-up of vitamin B12 and lipids status is essential in older people, being closely related to non-communicable diseases. Their relationships with cognitive and physical status are not clear. The aim was to analyze the evolution of vitamin B12 and related parameters, lipid and hematological profiles, and their relationships with cognitive and physical status among institutionalized elderly. Sixty residents, ranged from 62 to 99, were evaluated. Biomarkers (vitamin B12 and related parameters, lipid and hematological profiles), functional capacity (handgrip, arm and leg strength), and cognitive status (Mini-Mental State Examination) were evaluated four times at 4-month intervals. At the beginning of the study, 63% and 70% of the sample showed abnormal homocysteine and folate values, respectively. At the end of the year, abnormal homocysteine increased to 68%, abnormal folate values decreased to 50%. Throughout the year, serum folate showed a significant increase (14.9 vs. 16.3 nmol/L), (p < 0.05). Serum cobalamin (299 vs. 273 pmol/L). HDL-cholesterol (49.9 vs. 47.0 mg/dL) and triglyceride levels (102.4 vs. 123.2 mg/dL) showed a significant decrease and increase respectively in mean values (all p < 0.05). Serum cobalamin and HDL-cholesterol were the most important biomarkers associated with cognitive function (both p < 0.05). The most relevant biomarkers associated with poor physical strength depending on the body part analyzed were low concentrations of HDL-cholesterol, LDL-cholesterol, apolipoprotein A1, and albumin (all p < 0.05). The evolution of lipid biomarkers, their significance with cognitive values, and association with handgrip, point to the importance of the handgrip measurement, a very simple test, as an important health marker. Both serum albumin and physical strength are important health markers in older people.
Raquel Pedrero-Chamizo; Ulrike Albers; Gonzalo Palacios; Klaus Pietrzik; Agustín Meléndez; Marcela González-Gross. Health Risk, Functional Markers and Cognitive Status in Institutionalized Older Adults: A Longitudinal Study. International Journal of Environmental Research and Public Health 2020, 17, 7303 .
AMA StyleRaquel Pedrero-Chamizo, Ulrike Albers, Gonzalo Palacios, Klaus Pietrzik, Agustín Meléndez, Marcela González-Gross. Health Risk, Functional Markers and Cognitive Status in Institutionalized Older Adults: A Longitudinal Study. International Journal of Environmental Research and Public Health. 2020; 17 (19):7303.
Chicago/Turabian StyleRaquel Pedrero-Chamizo; Ulrike Albers; Gonzalo Palacios; Klaus Pietrzik; Agustín Meléndez; Marcela González-Gross. 2020. "Health Risk, Functional Markers and Cognitive Status in Institutionalized Older Adults: A Longitudinal Study." International Journal of Environmental Research and Public Health 17, no. 19: 7303.
Worldwide health policies are trying to implement physical activity on prescription (PAP) at healthcare settings. However, there is not a proper methodology to analyze PHC organizational staff factors. This study aims to validate two questionnaires to assess the self-perception of nurses and general practitioners to implement PAP at primary healthcare (PHC) settings. The designed choice-modeling Google-form questionnaire was sent to 11 expert nurses and 11 expert sports medicine physicians. Experts evaluated each question on a 1–5 points Likert-type scale according to their expertise. Aiken’s V coefficient values ≥0.75 were used to validate separately each question using the Visual Basic-6.0 software. A total of 10 sports medicine physicians and 10 nurses with 28.4 ± 5.1 y and 16.3 ± 11.8 y of PAP experience, respectively, validated the questionnaire. One expert in each group was not considered for offering 3 ± SD answers in ≥2 questions respect to the mean of the rest of experts. Final Aiken’s V coefficient values were 0.89 (0.77–1.00) for the nurses’ questionnaire and 0.84 (0.77–0.95) for the physicians’ one. The questionnaires designed to assess the PAP self-perception of PHC nurses and physicians were validated. This methodology could be used to analyze PHC organizational staff factors in order to achieve an efficient PAP implementation in other PHC contexts.
Sergio Calonge-Pascual; Francisco Fuentes-Jiménez; José A. Casajús Mallén; Marcela González-Gross. Design and Validity of a Choice-Modeling Questionnaire to Analyze the Feasibility of Implementing Physical Activity on Prescription at Primary Health-Care Settings. International Journal of Environmental Research and Public Health 2020, 17, 6627 .
AMA StyleSergio Calonge-Pascual, Francisco Fuentes-Jiménez, José A. Casajús Mallén, Marcela González-Gross. Design and Validity of a Choice-Modeling Questionnaire to Analyze the Feasibility of Implementing Physical Activity on Prescription at Primary Health-Care Settings. International Journal of Environmental Research and Public Health. 2020; 17 (18):6627.
Chicago/Turabian StyleSergio Calonge-Pascual; Francisco Fuentes-Jiménez; José A. Casajús Mallén; Marcela González-Gross. 2020. "Design and Validity of a Choice-Modeling Questionnaire to Analyze the Feasibility of Implementing Physical Activity on Prescription at Primary Health-Care Settings." International Journal of Environmental Research and Public Health 17, no. 18: 6627.
Purpose: Physical activity on prescription (PAP) is being introduced in healthcare systems around the world. To apply a successful treatment is as important as to know if the patient is able to follow-up. In order to contribute to the development of effective PAP strategies, we have analyzed PAP-related adherence factors with a multi-dimensional approach. Methods PAP adherence factors in studies published in the WoS, Pubmed, and PsycInfo were reviewed, according to the WHO five dimensions adherence model. In a setting of prediction or adherence analysis of adults with high-risk factors or chronic diseases, the methods used to measure physical activity (PA), PAP treatments, PAP adherence, and mentioned theories related to human behavior change were analyzed. Results A total of 32 studies fulfilled our inclusion criteria. According to the WHO five dimensions adherence model, these total clustered adherence variables were observed: social/economic (n = 100), healthcare system/healthcare team (n = 18), condition-related (n = 61), therapy-related (n = 20), and patient-related (n = 47). PAP adherence has mainly been measured by adherence to measurement methods and by calculating attended versus total sessions scheduled. PA level was measured mainly by questionnaires and exercise referrals were the most frequent PAP resource in analyzed studies. Transtheoretical model of behavior change was the theory most referenced. Conclusion A lack of considering health system/healthcare-team factors and therapy-related factors has been identified, as most studies only analyze social/economic factors in non-pharmacological PAP adherence studies in healthcare settings. A multidimensional approach should be adopted to analyze PAP adherence in healthcare settings.
Sergio Calonge Pascual; José Antonio Casajús Mallén; Marcela González-Gross. Adherence Factors Related to Exercise Prescriptions in Healthcare Settings: A Review of the Scientific Literature. Research Quarterly for Exercise and Sport 2020, 1 -10.
AMA StyleSergio Calonge Pascual, José Antonio Casajús Mallén, Marcela González-Gross. Adherence Factors Related to Exercise Prescriptions in Healthcare Settings: A Review of the Scientific Literature. Research Quarterly for Exercise and Sport. 2020; ():1-10.
Chicago/Turabian StyleSergio Calonge Pascual; José Antonio Casajús Mallén; Marcela González-Gross. 2020. "Adherence Factors Related to Exercise Prescriptions in Healthcare Settings: A Review of the Scientific Literature." Research Quarterly for Exercise and Sport , no. : 1-10.