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To evaluate the impact of adding food education sessions to an exercise programme on cardiovascular risk factors in middle-aged and older patients with type 2 diabetes (T2D), a randomised parallel-group study was performed. Glycated haemoglobin, body mass index (BMI), waist circumference, fat mass (FM) and blood pressure were assessed at baseline and after 9 months. The recruitment was made in three primary healthcare centres from Vila Real, Portugal. Thirty-three patients (65⋅4 ± 5⋅9 years old) were engaged in a 9-month community-based lifestyle intervention programme: a supervised exercise programme (EX; n = 15; combined aerobic, resistance, agility/balance and flexibility exercise; three sessions per week; 75 min per session); or the same exercise programme plus concomitant food education sessions (EXFE; n = 18; 15-min lectures and dual-task strategies during exercise (answer nutrition questions while walking); 16 weeks). Significant differences between groups were identified in the evolution of BMI (P < 0.001, ) and FM (P < 0.001, ), with best improvements observed in the EXFE group. The addition of a simple food education dietary intervention to an exercise programme improved body weight and composition, but not glycaemic control and blood pressure in middle-aged and older patients with T2D.
Carlos Eduardo Gonçalves da Costa Vasconcelos; Maria Manuela Lobato Guimarães Ferreira Cabral; Elisabete Conceição Pereira Ramos; Romeu Duarte Carneiro Mendes. Benefits of adding food education sessions to an exercise programme on cardiovascular risk factors in patients with type 2 diabetes. Journal of Nutritional Science 2021, 10, 1 .
AMA StyleCarlos Eduardo Gonçalves da Costa Vasconcelos, Maria Manuela Lobato Guimarães Ferreira Cabral, Elisabete Conceição Pereira Ramos, Romeu Duarte Carneiro Mendes. Benefits of adding food education sessions to an exercise programme on cardiovascular risk factors in patients with type 2 diabetes. Journal of Nutritional Science. 2021; 10 ():1.
Chicago/Turabian StyleCarlos Eduardo Gonçalves da Costa Vasconcelos; Maria Manuela Lobato Guimarães Ferreira Cabral; Elisabete Conceição Pereira Ramos; Romeu Duarte Carneiro Mendes. 2021. "Benefits of adding food education sessions to an exercise programme on cardiovascular risk factors in patients with type 2 diabetes." Journal of Nutritional Science 10, no. : 1.
Rapid worldwide decreases in physical activity (PA), an increase in sedentary behaviour (SB) and poorer dietary patterns have been reported during COVID-19 confinement periods. However, as national variability has been observed, this study sought to describe PA, SB and eating patterns, and to explore their gender as well as other socio-demographic correlates and how they interrelate in a representative sample of Portuguese adults during the COVID-19 first mandatory social confinement. The survey was applied online and by telephone to 5856 adults (mean age = 45.8 years; 42.6% women). The majority reported high (46.0%) or moderate (20.5%) PA levels. Men, younger participants, those with higher education levels and a favourable perception of their financial situation reported higher PA levels, with the opposite pattern for SB. Physical fitness activities and household chores were more reported by women, with more strength training and running activities reported by men. Regarding eating behaviours, 45.1% reported changes, positive (58%) and negative (42%), with 18.2% reporting increases in consumption of fruit, vegetables, and fish and other seafood consumption, while 10.8% (most with lower educational level and less comfortable with their income) reported an increase in consumption of ready-to-eat meals, soft drinks, savoury snacks, and take-away and delivered meals. Two clusters—a health-enhancing vs. risky pattern—emerged through multiple correspondence analysis characterized by co-occurrence of high vs. low PA levels, positive vs. negative eating changes, awareness or not of the COVID-19 PA and dietary recommendations, perceived financial situation, higher vs. lower educational level and time in social confinement. In conclusion, while in social confinement, both positive and negative PA and eating behaviours and trends were displayed, highlighting the role of key sociodemographic correlates contributing to healthy vs. risky patterns. Results may inform future health interventions and policies to be more targeted to those at risk, and also advocate the promotion of PA and healthy eating in an integrated fashion.
Marlene Silva; Maria Gregório; Rute Santos; Adilson Marques; Bruno Rodrigues; Cristina Godinho; Catarina Silva; Romeu Mendes; Pedro Graça; Miguel Arriaga; Graça Freitas. Towards an In-Depth Understanding of Physical Activity and Eating Behaviours during COVID-19 Social Confinement: A Combined Approach from a Portuguese National Survey. Nutrients 2021, 13, 2685 .
AMA StyleMarlene Silva, Maria Gregório, Rute Santos, Adilson Marques, Bruno Rodrigues, Cristina Godinho, Catarina Silva, Romeu Mendes, Pedro Graça, Miguel Arriaga, Graça Freitas. Towards an In-Depth Understanding of Physical Activity and Eating Behaviours during COVID-19 Social Confinement: A Combined Approach from a Portuguese National Survey. Nutrients. 2021; 13 (8):2685.
Chicago/Turabian StyleMarlene Silva; Maria Gregório; Rute Santos; Adilson Marques; Bruno Rodrigues; Cristina Godinho; Catarina Silva; Romeu Mendes; Pedro Graça; Miguel Arriaga; Graça Freitas. 2021. "Towards an In-Depth Understanding of Physical Activity and Eating Behaviours during COVID-19 Social Confinement: A Combined Approach from a Portuguese National Survey." Nutrients 13, no. 8: 2685.
Tools to identify good practices in the design, implementation, and evaluation of physical activity community-based interventions (PACIs) are key to address the physical inactivity pandemic. Existing tools tend to be extensive and with limited applicability to assess small-scale PACIs. This work aimed to report the development and preliminary validity results of a simple, practical, and user-friendly tool to evaluate PACIs in local/municipal contexts. Eighty-six good practice characteristics defined by the World Health Organization (WHO), the Joint Action Framework on Chronic Diseases (CHRODIS), and an umbrella review of good practice characteristics of diet and physical activity interventions were initially extracted and refined in four rounds of revision from an expert panel using a Delphi-type methodology and rated on their relative importance. A pilot application was conducted, and data on the tool usability and applicability were collected through three semi-structured interviews with specialists and coordinators of local/municipal PACIs. For preliminary validation, the refined tool was applied to five community-based programs mostly aimed at an elderly population. The final tool included thirty-four selected characteristics, with a brief explanation and practical examples for each, under three main sections: design, evaluation, and implementation. Each characteristic has a rating (i.e., somewhat important, highly important, mandatory) and a percentage weight. Preliminary validation of this tool pointed to an adequate evaluation of good practice characteristics of municipal PACIs in a reliable, practical, and user-friendly way. Given its adequacy, this tool can support the definition of quality standards for PACIs, encouraging their dissemination and adoption at a regional or national level.
Sofia Franco; Cristina Godinho; Catarina Silva; Bruno Avelar-Rosa; Rute Santos; Romeu Mendes; Marlene Silva. Assessment of Good Practices in Community-Based Interventions for Physical Activity Promotion: Development of a User-Friendly Tool. International Journal of Environmental Research and Public Health 2021, 18, 4734 .
AMA StyleSofia Franco, Cristina Godinho, Catarina Silva, Bruno Avelar-Rosa, Rute Santos, Romeu Mendes, Marlene Silva. Assessment of Good Practices in Community-Based Interventions for Physical Activity Promotion: Development of a User-Friendly Tool. International Journal of Environmental Research and Public Health. 2021; 18 (9):4734.
Chicago/Turabian StyleSofia Franco; Cristina Godinho; Catarina Silva; Bruno Avelar-Rosa; Rute Santos; Romeu Mendes; Marlene Silva. 2021. "Assessment of Good Practices in Community-Based Interventions for Physical Activity Promotion: Development of a User-Friendly Tool." International Journal of Environmental Research and Public Health 18, no. 9: 4734.
Objectives The aim of the study is to compare how member states of the European Union (EU) develop their national physical activity (PA) recommendations and to provide an overview of the methodologies they apply in doing so. Information was collected directly from the physical activity focal points of EU member states in 2018. Five countries were chosen for detailed case study analysis of development processes. Design Cross-sectional survey. Participants The representatives of the 28 EU member state governments to the EU physical activity Focal Point Network. Outcome measures From national documents we extracted data on (1) the participants of the development process, (2) the different methods used during development, and (3) on which sources national PA recommendations were based. An additional survey for case study countries provided details on (1) anonymised information on the participants of development process, (2) methods employed and rationale for choosing them, (3) development process and timeline, and (4) main source documents used for recommendation development. Results Eighteen national documents on PA recommendations contained information about development process. The results showed that countries used different approaches to develop national recommendations. The main strategies were (1) adoption of WHO 2010 recommendations or (2) a combination of analysis and adoption of other national and international recommendations and literature review. All of the five case study countries relied on review processes rather than directly adopting WHO recommendations. Conclusions While there are arguments for the use of particular strategies for PA recommendation development, there is currently no evidence for the general superiority of a specific approach. Instead, our findings highlight the broad spectrum of potential development methods, resources utilisation and final recommendations design currently available to national governments. These results may be a source of inspiration for other countries currently planning the development or update of national PA recommendations.
Antonina Tcymbal; Peter Gelius; Karim Abu-Omar; Charlie Foster; Stephen Whiting; Romeu Mendes; Sylvia Titze; Thomas Ernst Dorner; Christian Halbwachs; Martine Duclos; Jean-Francois Toussaint; Wanda Wendel-Vos; Beelin Baxter; Susanne Ferschl; Joao Joaquim Breda. Development of national physical activity recommendations in 18 EU member states: a comparison of methodologies and the use of evidence. BMJ Open 2021, 11, e041710 .
AMA StyleAntonina Tcymbal, Peter Gelius, Karim Abu-Omar, Charlie Foster, Stephen Whiting, Romeu Mendes, Sylvia Titze, Thomas Ernst Dorner, Christian Halbwachs, Martine Duclos, Jean-Francois Toussaint, Wanda Wendel-Vos, Beelin Baxter, Susanne Ferschl, Joao Joaquim Breda. Development of national physical activity recommendations in 18 EU member states: a comparison of methodologies and the use of evidence. BMJ Open. 2021; 11 (4):e041710.
Chicago/Turabian StyleAntonina Tcymbal; Peter Gelius; Karim Abu-Omar; Charlie Foster; Stephen Whiting; Romeu Mendes; Sylvia Titze; Thomas Ernst Dorner; Christian Halbwachs; Martine Duclos; Jean-Francois Toussaint; Wanda Wendel-Vos; Beelin Baxter; Susanne Ferschl; Joao Joaquim Breda. 2021. "Development of national physical activity recommendations in 18 EU member states: a comparison of methodologies and the use of evidence." BMJ Open 11, no. 4: e041710.
The availability of wearable devices (WDs) to collect biometric information and their use during activities of daily living is significantly increasing in the general population. These small electronic devices, which record fitness and health-related outcomes, have been broadly utilized in industries such as medicine, healthcare, and fitness. Since they are simple to use and progressively cheaper, they have also been used for numerous research purposes. However, despite their increasing popularity, most of these WDs do not accurately measure the proclaimed outcomes. In fact, research is equivocal about whether they are valid and reliable methods to specifically evaluate physical activity and health-related outcomes in older adults, since they are mostly designed and produced considering younger subjects’ physical and mental characteristics. Additionally, their constant evolution through continuous upgrades and redesigned versions, suggests the need for constant up-to-date reviews and research. Accordingly, this article aims to scrutinize the state-of-the-art scientific evidence about the usefulness of WDs, specifically on older adults, to monitor physical activity and health-related outcomes. This critical review not only aims to inform older consumers but also aid researchers in study design when selecting physical activity and healthcare monitoring devices for elderly people.
Eduardo Teixeira; Hélder Fonseca; Florêncio Diniz-Sousa; Lucas Veras; Giorjines Boppre; José Oliveira; Diogo Pinto; Alberto Alves; Ana Barbosa; Romeu Mendes; Inês Marques-Aleixo. Wearable Devices for Physical Activity and Healthcare Monitoring in Elderly People: A Critical Review. Geriatrics 2021, 6, 38 .
AMA StyleEduardo Teixeira, Hélder Fonseca, Florêncio Diniz-Sousa, Lucas Veras, Giorjines Boppre, José Oliveira, Diogo Pinto, Alberto Alves, Ana Barbosa, Romeu Mendes, Inês Marques-Aleixo. Wearable Devices for Physical Activity and Healthcare Monitoring in Elderly People: A Critical Review. Geriatrics. 2021; 6 (2):38.
Chicago/Turabian StyleEduardo Teixeira; Hélder Fonseca; Florêncio Diniz-Sousa; Lucas Veras; Giorjines Boppre; José Oliveira; Diogo Pinto; Alberto Alves; Ana Barbosa; Romeu Mendes; Inês Marques-Aleixo. 2021. "Wearable Devices for Physical Activity and Healthcare Monitoring in Elderly People: A Critical Review." Geriatrics 6, no. 2: 38.
The purpose of this study was to analyse the effects of a food education programme, with easy‐to‐implement strategies integrated in a community‐based exercise programme, on dietary pattern of patients with type 2 diabetes (T2D). Thirty‐three patients (65.4 ± 5.9 years old) were engaged in a 9‐month randomised controlled trial: a supervised exercise programme (control group [CON]; n = 15; combined exercise; three sessions per week; 75 min per session) or the same exercise programme plus a concomitant 16‐week food education programme (experimental group [EXP]; n = 18:15‐min group classes and dual‐task strategies during exercise). Dietary pattern was assessed using a 3‐day food record at baseline and at 9 months. The intake of total fat, polyunsaturated fat, and the daily servings of vegetables significantly increased in EXP compared with the CON group. Retention and adherence to the programme were 54% and 49.5 ± 27.2%, respectively. This food education programme improved dietary pattern of patients with T2D. Special attention should be given to strategies that support participants’ attendance.
Carlos Vasconcelos; Maria Cabral; Elisabete Ramos; Romeu Mendes. The impact of a community‐based food education programme on dietary pattern in patients with type 2 diabetes: Results of a pilot randomised controlled trial in Portugal. Health & Social Care in the Community 2021, 1 .
AMA StyleCarlos Vasconcelos, Maria Cabral, Elisabete Ramos, Romeu Mendes. The impact of a community‐based food education programme on dietary pattern in patients with type 2 diabetes: Results of a pilot randomised controlled trial in Portugal. Health & Social Care in the Community. 2021; ():1.
Chicago/Turabian StyleCarlos Vasconcelos; Maria Cabral; Elisabete Ramos; Romeu Mendes. 2021. "The impact of a community‐based food education programme on dietary pattern in patients with type 2 diabetes: Results of a pilot randomised controlled trial in Portugal." Health & Social Care in the Community , no. : 1.
Background: Children are becoming less physically active as opportunities for safe active play, recreational activities, and active transport decrease. At the same time, sedentary screen-based activities both during school and leisure time are increasing. Objectives: This study aimed to evaluate physical activity (PA), screen time, and sleep duration of girls and boys aged 6–9 years in Europe using data from the WHO European Childhood Obesity Surveillance Initiative (COSI). Method: The fourth COSI data collection round was conducted in 2015–2017, using a standardized protocol that included a family form completed by parents with specific questions about their children’s PA, screen time, and sleep duration. Results: Nationally representative data from 25 countries was included and information on the PA behaviour, screen time, and sleep duration of 150,651 children was analysed. Pooled analysis showed that: 79.4% were actively playing for >1 h each day, 53.9% were not members of a sport or dancing club, 50.0% walked or cycled to school each day, 60.2% engaged in screen time for <2 h/day, and 84.9% slept for 9–11 h/night. Country-specific analyses of these behaviours showed pronounced differences, with national prevalences in the range of 61.7–98.3% actively playing for >1 h/day, 8.2–85.6% were not members of a sport or dancing club, 17.7–94.0% walked or cycled to school each day, 32.3–80.0% engaged in screen time for <2 h/day, and 50.0–95.8% slept for 9–11 h/night. Conclusions: The prevalence of engagement in PA and the achievement of healthy screen time and sleep duration are heterogenous across the region. Policymakers and other stakeholders, including school administrators and parents, should increase opportunities for young people to participate in daily PA as well as explore solutions to address excessive screen time and short sleep duration to improve the overall physical and mental health and well-being of children.
Stephen Whiting; Marta Buoncristiano; Peter Gelius; Karim Abu-Omar; Mary Pattison; Jolanda Hyska; Vesselka Duleva; Sanja Musić Milanović; Hana Zamrazilová; Tatjana Hejgaard; Mette Rasmussen; Eha Nurk; Lela Shengelia; Cecily C. Kelleher; Mirjam M. Heinen; Angela Spinelli; Paola Nardone; Akbota Abildina; Shynar Abdrakhmanova; Gulmira Aitmurzaeva; Zhamyila Usuopva; Iveta Pudule; Aušra Petrauskiene; Victoria Farrugia Sant’Angelo; Enisa Kujundzic; Stevo Popovic; Anne-Siri Fismen; Ingunn Holden Bergh; Anna Fijalkowska; Ana Isabel Rito; Alexandra Cucu; Lacramioara Aurelia Brinduse; Valentina Peterkova; Andrea Gualtieri; Marta García-Solano; Enrique Gutiérrez-González; Zulfinissio Abdurrahmonova; Khadichamo Boymatova; Nazan Yardim; Maya Tanrygulyyeva; Daniel Weghuber; Karin Schindler; Dragana Stojisavljević; Aida Filipović Hadžiomeragić; Eliza Markidou Ionnaidu; Wolfgang Ahrens; Maria Hassapidou; Viktoria Anna Kovacs; Sergej M. Ostojic; Lubica Ticha; Gregor Starc; Kenisha Russell Jonsson; Igor Spiroski; Harry Rutter; Romeu Mendes; Julianne Williams; Ivo Rakovac; João Breda. Physical Activity, Screen Time, and Sleep Duration of Children Aged 6–9 Years in 25 Countries: An Analysis within the WHO European Childhood Obesity Surveillance Initiative (COSI) 2015–2017. Obesity Facts 2020, 14, 1 -13.
AMA StyleStephen Whiting, Marta Buoncristiano, Peter Gelius, Karim Abu-Omar, Mary Pattison, Jolanda Hyska, Vesselka Duleva, Sanja Musić Milanović, Hana Zamrazilová, Tatjana Hejgaard, Mette Rasmussen, Eha Nurk, Lela Shengelia, Cecily C. Kelleher, Mirjam M. Heinen, Angela Spinelli, Paola Nardone, Akbota Abildina, Shynar Abdrakhmanova, Gulmira Aitmurzaeva, Zhamyila Usuopva, Iveta Pudule, Aušra Petrauskiene, Victoria Farrugia Sant’Angelo, Enisa Kujundzic, Stevo Popovic, Anne-Siri Fismen, Ingunn Holden Bergh, Anna Fijalkowska, Ana Isabel Rito, Alexandra Cucu, Lacramioara Aurelia Brinduse, Valentina Peterkova, Andrea Gualtieri, Marta García-Solano, Enrique Gutiérrez-González, Zulfinissio Abdurrahmonova, Khadichamo Boymatova, Nazan Yardim, Maya Tanrygulyyeva, Daniel Weghuber, Karin Schindler, Dragana Stojisavljević, Aida Filipović Hadžiomeragić, Eliza Markidou Ionnaidu, Wolfgang Ahrens, Maria Hassapidou, Viktoria Anna Kovacs, Sergej M. Ostojic, Lubica Ticha, Gregor Starc, Kenisha Russell Jonsson, Igor Spiroski, Harry Rutter, Romeu Mendes, Julianne Williams, Ivo Rakovac, João Breda. Physical Activity, Screen Time, and Sleep Duration of Children Aged 6–9 Years in 25 Countries: An Analysis within the WHO European Childhood Obesity Surveillance Initiative (COSI) 2015–2017. Obesity Facts. 2020; 14 (1):1-13.
Chicago/Turabian StyleStephen Whiting; Marta Buoncristiano; Peter Gelius; Karim Abu-Omar; Mary Pattison; Jolanda Hyska; Vesselka Duleva; Sanja Musić Milanović; Hana Zamrazilová; Tatjana Hejgaard; Mette Rasmussen; Eha Nurk; Lela Shengelia; Cecily C. Kelleher; Mirjam M. Heinen; Angela Spinelli; Paola Nardone; Akbota Abildina; Shynar Abdrakhmanova; Gulmira Aitmurzaeva; Zhamyila Usuopva; Iveta Pudule; Aušra Petrauskiene; Victoria Farrugia Sant’Angelo; Enisa Kujundzic; Stevo Popovic; Anne-Siri Fismen; Ingunn Holden Bergh; Anna Fijalkowska; Ana Isabel Rito; Alexandra Cucu; Lacramioara Aurelia Brinduse; Valentina Peterkova; Andrea Gualtieri; Marta García-Solano; Enrique Gutiérrez-González; Zulfinissio Abdurrahmonova; Khadichamo Boymatova; Nazan Yardim; Maya Tanrygulyyeva; Daniel Weghuber; Karin Schindler; Dragana Stojisavljević; Aida Filipović Hadžiomeragić; Eliza Markidou Ionnaidu; Wolfgang Ahrens; Maria Hassapidou; Viktoria Anna Kovacs; Sergej M. Ostojic; Lubica Ticha; Gregor Starc; Kenisha Russell Jonsson; Igor Spiroski; Harry Rutter; Romeu Mendes; Julianne Williams; Ivo Rakovac; João Breda. 2020. "Physical Activity, Screen Time, and Sleep Duration of Children Aged 6–9 Years in 25 Countries: An Analysis within the WHO European Childhood Obesity Surveillance Initiative (COSI) 2015–2017." Obesity Facts 14, no. 1: 1-13.
Riitta-Maija Hämäläinen; João Breda; Fabio Da Silva Gomes; Gyanendra Gongal; Wasiq Khan; Romeu Mendes; Leo Nederveen; Nivo Ramanandraibe; Binta Sako; Stephen Whiting. New global physical activity guidelines for a more active and healthier world: the WHO Regional Offices perspective. British Journal of Sports Medicine 2020, 54, 1449 -1450.
AMA StyleRiitta-Maija Hämäläinen, João Breda, Fabio Da Silva Gomes, Gyanendra Gongal, Wasiq Khan, Romeu Mendes, Leo Nederveen, Nivo Ramanandraibe, Binta Sako, Stephen Whiting. New global physical activity guidelines for a more active and healthier world: the WHO Regional Offices perspective. British Journal of Sports Medicine. 2020; 54 (24):1449-1450.
Chicago/Turabian StyleRiitta-Maija Hämäläinen; João Breda; Fabio Da Silva Gomes; Gyanendra Gongal; Wasiq Khan; Romeu Mendes; Leo Nederveen; Nivo Ramanandraibe; Binta Sako; Stephen Whiting. 2020. "New global physical activity guidelines for a more active and healthier world: the WHO Regional Offices perspective." British Journal of Sports Medicine 54, no. 24: 1449-1450.
To raise perceived capability (C), opportunity (O) and motivation (M) for physical activity (PA) behaviour (B) among adults, the Portuguese Directorate-General of Health developed a mass media campaign named “Follow the Whistle”, based on behaviour change theory and social marketing principles. Comprehensive formative and process evaluation suggests this media-led campaign used best-practice principles. The campaign adopted a population-wide approach, had clear behavioural goals, and clear multi-strategy implementation. We assessed campaign awareness and initial impact using pre (n = 878, 57% women) and post-campaign (n = 1319, 58% women) independent adult population samples via an online questionnaire, comprising socio-demographic factors, campaign awareness and recall, and psychosocial and behavioural measures linked to the COM-B model. PA was assessed with IPAQ and the Activity Choice Index. The post-campaign recall was typical of levels following national campaigns (24%). Post-campaign measures were higher for key theory-based targets (all p < 0.05), namely self-efficacy, perceived opportunities to be more active and intrinsic motivation. The impact on social norms and self-efficacy was moderated by campaign awareness. Concerning PA, effects were found for vigorous activity (p < 0.01), but not for incidental activity. Overall the campaign impacted key theory-based intermediate outcomes, but did not influence incidental activity, which highlights the need for sustained and repeated campaign efforts.
Marlene Silva; Cristina Godinho; Marta Salavisa; Katherine Owen; Rute Santos; Catarina Silva; Romeu Mendes; Pedro Teixeira; Graça Freitas; Adrian Bauman. “Follow the Whistle: Physical Activity Is Calling You”: Evaluation of Implementation and Impact of a Portuguese Nationwide Mass Media Campaign to Promote Physical Activity. International Journal of Environmental Research and Public Health 2020, 17, 8062 .
AMA StyleMarlene Silva, Cristina Godinho, Marta Salavisa, Katherine Owen, Rute Santos, Catarina Silva, Romeu Mendes, Pedro Teixeira, Graça Freitas, Adrian Bauman. “Follow the Whistle: Physical Activity Is Calling You”: Evaluation of Implementation and Impact of a Portuguese Nationwide Mass Media Campaign to Promote Physical Activity. International Journal of Environmental Research and Public Health. 2020; 17 (21):8062.
Chicago/Turabian StyleMarlene Silva; Cristina Godinho; Marta Salavisa; Katherine Owen; Rute Santos; Catarina Silva; Romeu Mendes; Pedro Teixeira; Graça Freitas; Adrian Bauman. 2020. "“Follow the Whistle: Physical Activity Is Calling You”: Evaluation of Implementation and Impact of a Portuguese Nationwide Mass Media Campaign to Promote Physical Activity." International Journal of Environmental Research and Public Health 17, no. 21: 8062.
During the COVID-19 pandemic, the temporary closure of physical activity and sports facilities, and the generalized cancellation or postponement of sports events have a massive impact on social and economic development. In this study, we explored the feasibility of using tracking data from a football match to assess interpersonal contact between individuals by calculating two measures of respiratory exposure. The dynamic tracking positioning of all players and referees during one international football match was analyzed. For each individual, two measures of respiratory exposure were calculated, based on the 2 m interpersonal distance recommendations for contact tracing for COVID-19 control. Overall, individuals spent a median of 0.12 mm/ss (IQR = 0.45 mm/ss) exposed to interpersonal contact of fewer than 2 m from others. The highest value of exposure was observed between two players of opposing teams (6.35 mm/ss). The results suggest that tracking data can be used to assess respiratory exposure to interpersonal contact in team sports, such as football. The measures of exposure calculated can be used to the prompt identification of high-risk contacts of COVID-19 cases during a match or a training session, but also the risk stratification of different sports and physical activities.
Bruno Gonçalves; Romeu Mendes; Hugo Folgado; Pedro Figueiredo; Bruno Travassos; Henrique Barros; Adalberto Campos-Fernandes; Paulo Beckert; João Brito. Can Tracking Data Help in Assessing Interpersonal Contact Exposure in Team Sports during the COVID-19 Pandemic? Sensors 2020, 20, 6163 .
AMA StyleBruno Gonçalves, Romeu Mendes, Hugo Folgado, Pedro Figueiredo, Bruno Travassos, Henrique Barros, Adalberto Campos-Fernandes, Paulo Beckert, João Brito. Can Tracking Data Help in Assessing Interpersonal Contact Exposure in Team Sports during the COVID-19 Pandemic? Sensors. 2020; 20 (21):6163.
Chicago/Turabian StyleBruno Gonçalves; Romeu Mendes; Hugo Folgado; Pedro Figueiredo; Bruno Travassos; Henrique Barros; Adalberto Campos-Fernandes; Paulo Beckert; João Brito. 2020. "Can Tracking Data Help in Assessing Interpersonal Contact Exposure in Team Sports during the COVID-19 Pandemic?" Sensors 20, no. 21: 6163.
Background: This umbrella review aimed to summarise the evidence presented in systematic reviews and meta-analyses regarding the effect of physical activity on academic achievement of school-age children and adolescents. Methods: A comprehensive electronic search for relevant systematic reviews and meta-analyses were performed in Pubmed, Cochrane Library, Web of Science, Scopus, and Latin American and Caribbean of Health Sciences Information System, and reference lists of the included studies, from inception to May 2020. Studies were included if they were systematic reviews or meta-analyses, included school-age children or adolescents, the intervention included physical activity, and the outcome was the academic achievement. Two independent authors screened the text of potentially eligible studies and assessed the methodological quality of the studies using the AMSTAR 2 tool. Results: Forty-one systematic reviews and meta-analyses that examined the effects of physical activity on children and adolescents’ academic achievement were identified. Overall, the systematic reviews reported small positive or mixed associations between physical activity and academic achievement. From meta-analyses, it was observed that physical activity had null or small-to-medium positive effects on academic achievement. Chronic physical activity showed a medium positive effect on academic achievement, and acute physical activity did not demonstrate benefits. Conclusions: Physical activity seems not to be detrimental to school-age children and adolescents’ academic achievement, and may, in fact, be beneficial.
Ana Barbosa; Stephen Whiting; Philippa Simmonds; Rodrigo Scotini Moreno; Romeu Mendes; João Breda. Physical Activity and Academic Achievement: An Umbrella Review. International Journal of Environmental Research and Public Health 2020, 17, 5972 .
AMA StyleAna Barbosa, Stephen Whiting, Philippa Simmonds, Rodrigo Scotini Moreno, Romeu Mendes, João Breda. Physical Activity and Academic Achievement: An Umbrella Review. International Journal of Environmental Research and Public Health. 2020; 17 (16):5972.
Chicago/Turabian StyleAna Barbosa; Stephen Whiting; Philippa Simmonds; Rodrigo Scotini Moreno; Romeu Mendes; João Breda. 2020. "Physical Activity and Academic Achievement: An Umbrella Review." International Journal of Environmental Research and Public Health 17, no. 16: 5972.
This study aimed to analyze the feasibility and safety of a community-based walking football program in middle-aged and older men with type 2 diabetes (T2D). Thirty-one male (age, 64.4 ± 4.5 years old; glycated hemoglobin, 6.7 ± 1.0%; body mass index: 28.8 ± 3.3 kg/m2) patients with T2D were recruited from primary health care units in Porto, Portugal. The participants engaged in a 12-wk walking football program (three sessions per week of 60 min; consisting of strength and conditioning exercises, technical skills drills, and small-sided walking football games). Exercise intensity was planned to be gradual throughout the program in three 4-wk phases (phase I, light-intensity; phase II, moderate-intensity; phase III, vigorous-intensity) through the manipulation of game constraints, and monitored by OMNI scale and heart rate reserve (HRR). Sessions' enjoyment level, and exercise-related injuries and adverse events were recorded in all sessions. The median (P25–P75) adherence to the program was 86.1% (77.8–97.2%). The median enjoyment levels reported by participants was 5 (4–5) points in phase I, 5 (5–5) points in phase II and 5 (5–5) points in phase III. Sessions' average subjective exercise intensity was 3.0 ± 0.6 points in OMNI scale in phase I, 3.5 ± 0.4 points in phase II, and 3.8 ± 0.4 points in phase III. Sessions' average HRR was 35.8 ± 6.7% in phase I, 41.6 ± 4.2% in phase II, and 37.3 ± 4.3% in phase III. Most participants attained vigorous-intensity peaks in all phases. Falls (n = 25) and musculoskeletal injuries (n = 8) were the most frequent adverse events. 31% of these events interfered with exercise participation, but no harm has resulted from it. A community-based walking football program for T2D patients revealed high levels of adherence and enjoyment, and light-to-vigorous exercise intensity. The adverse events were according to the expected for the population and activity. Therefore, walking football seems to be feasible and safe exercise strategy, and therefore has the potential for large scale implementation for T2D control. NCT03810846.
Ana Barbosa; João Brito; Júlio Costa; Pedro Figueiredo; André Seabra; Romeu Mendes. Feasibility and safety of a walking football program in middle-aged and older men with type 2 diabetes. Progress in Cardiovascular Diseases 2020, 63, 786 -791.
AMA StyleAna Barbosa, João Brito, Júlio Costa, Pedro Figueiredo, André Seabra, Romeu Mendes. Feasibility and safety of a walking football program in middle-aged and older men with type 2 diabetes. Progress in Cardiovascular Diseases. 2020; 63 (6):786-791.
Chicago/Turabian StyleAna Barbosa; João Brito; Júlio Costa; Pedro Figueiredo; André Seabra; Romeu Mendes. 2020. "Feasibility and safety of a walking football program in middle-aged and older men with type 2 diabetes." Progress in Cardiovascular Diseases 63, no. 6: 786-791.
This work aimed to summarize the health effects of recreational football practice in individuals with prediabetes and type 2 diabetes (T2D), through a systematic review. An electronic search was performed in PubMed, Scopus, Web of Science, LILACS and list of references of the available reviews, until July 2019. Studies were eligible if they included any form of football practice, in patients diagnosed with prediabetes or T2D. After recreational football practice, participants with prediabetes or T2D improved fasting glucose, total and LDL cholesterol, triglycerides, body mass, body fat percentage, waist circumference, blood pressure, and maximal oxygen uptake. Further benefits were found in fat-free mass and resting heart rate for participants with prediabetes, and in glycated haemoglobin, body mass index and fat mass in individuals with T2D. This systematic review showed promising benefits of recreational football practice on both the prevention and control of T2D and related cardiovascular risk.
Ana Barbosa; João Brito; Pedro Figueiredo; André Seabra; Romeu Mendes. Football can tackle type 2 diabetes: a systematic review of the health effects of recreational football practice in individuals with prediabetes and type 2 diabetes. Research in Sports Medicine 2020, 1 -19.
AMA StyleAna Barbosa, João Brito, Pedro Figueiredo, André Seabra, Romeu Mendes. Football can tackle type 2 diabetes: a systematic review of the health effects of recreational football practice in individuals with prediabetes and type 2 diabetes. Research in Sports Medicine. 2020; ():1-19.
Chicago/Turabian StyleAna Barbosa; João Brito; Pedro Figueiredo; André Seabra; Romeu Mendes. 2020. "Football can tackle type 2 diabetes: a systematic review of the health effects of recreational football practice in individuals with prediabetes and type 2 diabetes." Research in Sports Medicine , no. : 1-19.
Moving towards universal health coverage, promoting health and wellbeing, and protecting against health emergencies are the WHO global priorities1WHOThe Thirteenth General Programme of Work, 2019–2023. World Health Organization, Geneva2019Google Scholar that are shared by the proposed WHO European Programme of Work 2020–25.2Kluge H A new vision for WHO's European Region: united action for better health.Lancet Public Health. 2020; 5: e133-e134Summary Full Text Full Text PDF PubMed Scopus (2) Google Scholar The coronavirus disease 2019 (COVID-19) pandemic has underlined the importance of interconnecting these strategic priorities. Of the six WHO regions, the European region is the most affected by non-communicable disease (NCD)-related morbidity and mortality3WHONoncommunicable diseases country profiles 2018. World Health Organization, Geneva2018Google Scholar and the growth of the NCDs is concerning. Cardiovascular diseases, cancers, chronic respiratory diseases, and diabetes are among the leading causes of death and disability in the region,3WHONoncommunicable diseases country profiles 2018. World Health Organization, Geneva2018Google Scholar and an increasing proportion of children and adults are living with overweight or obesity,4WHOOverweight. European Health Information Gateway.https://gateway.euro.who.int/en/indicators/h2020_6-overweight/visualizations/#id=17077Date: 2018Date accessed: May 5, 2020Google Scholar one of the major risk factors for NCDs. Prevention and control of NCDs are important during this pandemic because NCDs are major risk factors for patients with COVID-19.5Wang B Li R Lu Z Huang Y Does comorbidity increase the risk of patients with COVID-19: evidence from meta-analysis.Aging (Albany NY). 2020; 12: 6049-6057Crossref PubMed Google Scholar Additionally, some of the restrictive measures such as lockdowns, social distancing, and travel restrictions to reduce the spread of infection in many countries impact specifically on people living with NCDs by limiting their activity, ability to secure healthy foods, and access to preventive or health promotion services.6WHONoncommunicable diseases in emergencies. World Health Organization, Geneva2016Google Scholar
Hans Henri P Kluge; Kremlin Wickramasinghe; Holly L Rippin; Romeu Mendes; David H Peters; Anna Kontsevaya; Joao Breda. Prevention and control of non-communicable diseases in the COVID-19 response. The Lancet 2020, 395, 1678 -1680.
AMA StyleHans Henri P Kluge, Kremlin Wickramasinghe, Holly L Rippin, Romeu Mendes, David H Peters, Anna Kontsevaya, Joao Breda. Prevention and control of non-communicable diseases in the COVID-19 response. The Lancet. 2020; 395 (10238):1678-1680.
Chicago/Turabian StyleHans Henri P Kluge; Kremlin Wickramasinghe; Holly L Rippin; Romeu Mendes; David H Peters; Anna Kontsevaya; Joao Breda. 2020. "Prevention and control of non-communicable diseases in the COVID-19 response." The Lancet 395, no. 10238: 1678-1680.
ObjectivesWe analysed the information on current national physical activity recommendations in all EU Member States provided by governments in a joint EU/WHO survey on the implementation status of the EU Council Recommendation on Health-Enhancing Physical Activity across Sectors.DesignCross-sectional survey.ParticipantsThe representatives of the 28 EU Member State governments to the EU Physical Activity Focal Point Network.Outcome measuresNational recommendations on: (A) minimum frequency, duration, intensity and lengths of bouts of physical activity, (B) preventing inactivity or sedentary behaviour and (C) further recommendations for additional health benefits, obesity prevention and specific types of activity.ResultsAn official document could be located for 23 of the 28 EU Member States, while four are currently developing recommendations. For children and adolescents, most countries follow the 2010 WHO Global Recommendations for Physical Activity, but there are notable differences in the delimitation of age groups. 14 countries also followed WHO in their recommendations for adults, and 11 countries have additional advice on avoiding inactivity and sitting among adults. 18 Member States have recommendations for older adults, 12 of which follow WHO. Thirteen countries also address at least one special population (eg, pregnant women, people with disabilities and people with chronic diseases), but the level of detail varies substantially between countries.ConclusionsThe large majority of EU Member States either has physical activity recommendations in place or is in the process of developing them. There is a general tendency to use the WHO Global Recommendations as a basis, with the greatest variation observable for children and adolescents. Comparing results with a previous round of data collection shows that the number of EU countries with physical activity recommendations is increasing and that both special groups and sedentary behaviour have become more important in recent years.
Peter Gelius; Antonina Tcymbal; Karim Abu-Omar; Romeu Mendes; Sara Tribuzi Morais; Stephen Whiting; Joao Breda. Status and contents of physical activity recommendations in European Union countries: a systematic comparative analysis. BMJ Open 2020, 10, e034045 .
AMA StylePeter Gelius, Antonina Tcymbal, Karim Abu-Omar, Romeu Mendes, Sara Tribuzi Morais, Stephen Whiting, Joao Breda. Status and contents of physical activity recommendations in European Union countries: a systematic comparative analysis. BMJ Open. 2020; 10 (2):e034045.
Chicago/Turabian StylePeter Gelius; Antonina Tcymbal; Karim Abu-Omar; Romeu Mendes; Sara Tribuzi Morais; Stephen Whiting; Joao Breda. 2020. "Status and contents of physical activity recommendations in European Union countries: a systematic comparative analysis." BMJ Open 10, no. 2: e034045.
This study evaluated the impact of a multicomponent exercise program on cognitive functions in participants with Type 2 Diabetes. Participants (n = 70, 65.6 ± 5.9 years) engaged in the program (75 min per session; 3 x week) for 32 weeks. A battery of cognitive tests was performed at baseline and study completion. Two groups were formed according to their attendance rate (low and high attendance), and statistical comparisons were computed on their changes in cognitive performance. Such changes were also associated with the attendance rate for all participants. Results showed no significant differences between groups in their change scores, although there were some within-group differences in both groups. Correlation analysis showed that the attendance rate was not associated with cognitive performance changes, except for one variable. As the exercise program did not improve cognitive function, we discuss the potential of future interventions to incorporate dual-task activities merging physical and cognitive stimulation.
Nilton Leite; Romeu Mendes; Armando Raimundo; Cristina Pinho; João Viana; José Marmeleira. Impact of a supervised multicomponent physical exercise program on cognitive functions in patients with type 2 diabetes. Geriatric Nursing 2020, 41, 421 -428.
AMA StyleNilton Leite, Romeu Mendes, Armando Raimundo, Cristina Pinho, João Viana, José Marmeleira. Impact of a supervised multicomponent physical exercise program on cognitive functions in patients with type 2 diabetes. Geriatric Nursing. 2020; 41 (4):421-428.
Chicago/Turabian StyleNilton Leite; Romeu Mendes; Armando Raimundo; Cristina Pinho; João Viana; José Marmeleira. 2020. "Impact of a supervised multicomponent physical exercise program on cognitive functions in patients with type 2 diabetes." Geriatric Nursing 41, no. 4: 421-428.
Background: This paper aims to discuss how physical activity (PA) brief assessment, brief counseling, and self-monitoring tools were designed and implemented in the Portuguese National Health Service (NHS), and to report on their current use by health professionals and citizens. Methods: Three digital tools to facilitate PA promotion in primary health care (PHC) were developed: 1) a PA brief assessment tool was incorporated in the electronic health record platform “SClínico Cuidados de Saúde Primários“; 2) a brief counseling tool was developed in the software “PEM—Prescrição Eletrónica Médica” (electronic medical prescription); and 3) a “Physical Activity Card” was incorporated in an official NHS smartphone app called “MySNS Carteira”. Results: From September 2017 to June 2019, 119,386 Portuguese patients had their PA assessed in PHC. Between December 2017 and June 2019, a total of 7957 patients received brief intervention for PA by a medical doctor. Regarding the app “MySNS Carteira”, 93,320 users activated the “Physical Activity Card”, between February 2018 and December 2018. Conclusions: These tools represent key actions to promote PA among Portuguese citizens using PHC as a priority setting. Further initiatives will follow, including proper assessment of their clinical impact and training programs for health care professionals on PA promotion.
Romeu Mendes; Marlene Nunes Silva; Catarina Santos Silva; Adilson Marques; Cristina Godinho; Rita Tomás; Marcos Agostinho; Sara Madeira; Alexandre Rebelo-Marques; Henrique Martins; Pedro J. Teixeira; Diogo Cruz; Silva. Physical Activity Promotion Tools in the Portuguese Primary Health Care: An Implementation Research. International Journal of Environmental Research and Public Health 2020, 17, 815 .
AMA StyleRomeu Mendes, Marlene Nunes Silva, Catarina Santos Silva, Adilson Marques, Cristina Godinho, Rita Tomás, Marcos Agostinho, Sara Madeira, Alexandre Rebelo-Marques, Henrique Martins, Pedro J. Teixeira, Diogo Cruz, Silva. Physical Activity Promotion Tools in the Portuguese Primary Health Care: An Implementation Research. International Journal of Environmental Research and Public Health. 2020; 17 (3):815.
Chicago/Turabian StyleRomeu Mendes; Marlene Nunes Silva; Catarina Santos Silva; Adilson Marques; Cristina Godinho; Rita Tomás; Marcos Agostinho; Sara Madeira; Alexandre Rebelo-Marques; Henrique Martins; Pedro J. Teixeira; Diogo Cruz; Silva. 2020. "Physical Activity Promotion Tools in the Portuguese Primary Health Care: An Implementation Research." International Journal of Environmental Research and Public Health 17, no. 3: 815.
João Firmino-Machado; Romeu Mendes; Amélia Moreira; Nuno Lunet. Translating Evidence into Practice: Insights on the Reporting of Trial Results to Health Professionals and Institutions. Acta Médica Portuguesa 2019, 32, 683 -685.
AMA StyleJoão Firmino-Machado, Romeu Mendes, Amélia Moreira, Nuno Lunet. Translating Evidence into Practice: Insights on the Reporting of Trial Results to Health Professionals and Institutions. Acta Médica Portuguesa. 2019; 32 (11):683-685.
Chicago/Turabian StyleJoão Firmino-Machado; Romeu Mendes; Amélia Moreira; Nuno Lunet. 2019. "Translating Evidence into Practice: Insights on the Reporting of Trial Results to Health Professionals and Institutions." Acta Médica Portuguesa 32, no. 11: 683-685.
Background: This study aimed to compare the acute effects of high-intensity interval training (HIIT) versus moderate-intensity continuous training (MICT) on glycemic control in middle-aged and older patients with type 2 diabetes (T2D), using treadmill walking as aerobic exercise mode. Methods: Fifteen patients with T2D (60.25 ± 3.14 years; glycated hemoglobin 7.03 ± 0.33%; medicated with metformin and/or gliptins), participated in a randomized controlled crossover trial. They underwent three experimental conditions (treadmill walking HIIT session (5 × (3 min at 70% of heart rate reserve (HRR) + 3 min at 30% HRR)); treadmill walking MICT session (30 min at 50% HRR); and a control session of rest (CON)) in random order and in the postprandial state. Measurements of capillary blood glucose (BG) were taken immediately before, during, and until 50 min after the experimental conditions. Results: Both HIIT and MICT treadmill walking sessions reduced BG levels during exercise and laboratory 50 min recovery period compared to CON (time*condition interaction effect; p < 0.001). The effect of HIIT was greater compared with MICT (p = 0.017). Conclusions: Treadmill walking HIIT seems a safe and more effective exercise strategy on immediate acute glycemic control compared with MICT in middle-aged and older patients with T2D under therapy with metformin and/or gliptins. Trial Registration Number: ISRCTN09240628.
Romeu Mendes; Nelson Sousa; José Luís Themudo-Barata; Victor Machado Reis. High-Intensity Interval Training Versus Moderate-Intensity Continuous Training in Middle-Aged and Older Patients with Type 2 Diabetes: A Randomized Controlled Crossover Trial of the Acute Effects of Treadmill Walking on Glycemic Control. International Journal of Environmental Research and Public Health 2019, 16, 4163 .
AMA StyleRomeu Mendes, Nelson Sousa, José Luís Themudo-Barata, Victor Machado Reis. High-Intensity Interval Training Versus Moderate-Intensity Continuous Training in Middle-Aged and Older Patients with Type 2 Diabetes: A Randomized Controlled Crossover Trial of the Acute Effects of Treadmill Walking on Glycemic Control. International Journal of Environmental Research and Public Health. 2019; 16 (21):4163.
Chicago/Turabian StyleRomeu Mendes; Nelson Sousa; José Luís Themudo-Barata; Victor Machado Reis. 2019. "High-Intensity Interval Training Versus Moderate-Intensity Continuous Training in Middle-Aged and Older Patients with Type 2 Diabetes: A Randomized Controlled Crossover Trial of the Acute Effects of Treadmill Walking on Glycemic Control." International Journal of Environmental Research and Public Health 16, no. 21: 4163.
AimsTo analyse nutrition-related knowledge and its determinants in middle-aged and older patients with T2D.MethodsIn a cross sectional study, a total of 116 participants with T2D, aged 50–80 years, were recruited in primary health care. Data was collected by a self-reported questionnaire — the modified version of General Nutrition Knowledge Questionnaire (0–56 points). Sociodemographic data was also collected: gender, age, personal monthly income, living situation, education level, and marital status. One-way analysis of variance (ANOVA) was performed to assess differences in nutrition-related knowledge score among the different levels of sociodemographic characteristics.ResultsQuestions on general dietary recommendations, dietary behaviors to reduce cardiovascular disease and cancer are the items with higher proportion of correct answers. On the other hand, health problems related with lower intake of fruit, vegetables and fiber and knowledge about antioxidants vitamins presented the lower proportion of correct answers.Higher scores were found among those with lower age, higher personal monthly income, and higher education.ConclusionsMiddle-aged and older patients with T2D showed alarming deficits on nutrition-related knowledge. Age, personal monthly income, and education level were observed as major determinants of nutrition-related knowledge.Trial Registration: NCT02631902.
Carlos Vasconcelos; António Almeida; Carla Sá; João Viana; Maria Cabral; Elisabete Ramos; Romeu Mendes. Nutrition-related knowledge and its determinants in middle-aged and older patients with type 2 diabetes. Primary Care Diabetes 2019, 14, 119 -125.
AMA StyleCarlos Vasconcelos, António Almeida, Carla Sá, João Viana, Maria Cabral, Elisabete Ramos, Romeu Mendes. Nutrition-related knowledge and its determinants in middle-aged and older patients with type 2 diabetes. Primary Care Diabetes. 2019; 14 (2):119-125.
Chicago/Turabian StyleCarlos Vasconcelos; António Almeida; Carla Sá; João Viana; Maria Cabral; Elisabete Ramos; Romeu Mendes. 2019. "Nutrition-related knowledge and its determinants in middle-aged and older patients with type 2 diabetes." Primary Care Diabetes 14, no. 2: 119-125.