Gonçalo Flores

Dr. Gonçalo Flores

orcid

Research Focus & Metrics

Academic Career Length

4Years (2023-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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16 September 2024 in Healthcare
Verified
Journal Article
Open access
PDF file
BSBeatriz Filipa Carvalho dos Santos
Beatriz Filipa Carvalho dos Santos
DMDiogo Monteiro
Diogo Monteiro
FSFernanda M. Silva
Fernanda M. Silva
GFGonçalo Flores
Gonçalo Flores
Teresa BentoTeresa Bento
Teresa Bento
PDPedro Duarte-Mendes
Pedro Duarte-Mendes
Background: This systematic review analysed the association between objectively measured physical activity and sedentary behaviour with cardiovascular risk and HRQoL in adults without previous CVD. Additionally, we analysed the impact of the intensity of the physical activity in this association. Methods: The search was carried out in three electronic databases with access until February 2023 to find studies with an observational design. For quality assessment, we used The National Institute of Health (NIH) Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies. Results: We identified 5819 references, but only five studies were included. One study shows a positive association between physical activity and HRQoL, while sedentary behaviour was negatively related to HRQoL. Another study showed an association between high-intensity physical activity with a better physical component of HRQoL and low-intensity physical activity with a better mental component of HRQoL. Three studies concluded that higher levels of physical activity are associated with lower levels of cardiovascular risk and higher levels of sedentary behaviour are associated with higher levels of cardiovascular risk. Conclusion: Our findings suggested that people who spend more time being active and spend less time being sedentary appear to have lower cardiovascular risk and higher HRQoL.

28 May 2023 in Scandinavian Journal of Medicine & Science in Sports
Verified
Journal Article
Closed access
GFGonçalo Flores
Gonçalo Flores
DMDiogo Monteiro
Diogo Monteiro
FSFernanda M. Silva
Fernanda M. Silva
PDPedro Duarte-Mendes
Pedro Duarte-Mendes

10 September 2024 in Journal of Rehabilitation Medicine
Verified
Journal Article
Open access
PDF file
GFGonçalo Flores
Gonçalo Flores
DMDiogo Monteiro
Diogo Monteiro
FSFernanda Silva
Fernanda Silva
PDPedro Duarte-Mendes
Pedro Duarte-Mendes
Objectives: The aim of this study is to analyse the adaptations of the autonomic nervous system after a musculoskeletal injury, obtained by measuring heart rate variability in athletes. It was hypothesized that there is an alteration in heart rate variability after a musculoskeletal injury. Study design: Cohort study. Subjects: 15 semi-professional soccer players from three football teams, aged between 21 and 33 (mean age: 29.4 ± 3.31 years), with a recent musculoskeletal injury. Methods: Heart rate variability was collected using the Polar m200 and the chest strap H10 in two moments: within 72 h after the injury and between 5 and 7 days after full return-to-play. Results: Results show differences between T1 and T2 (p ≤ 0.05) in low-frequency power (n.u.) (p = 0.001) and high-frequency power (n.u.) (p = 0.001), in low-frequency/high-frequency ratio (p = 0.001) and in high-frequency power (ms2) (p = 0.017) measures. No statistical differences were found in low-frequency power (ms2) (p = 0.233). The low frequency power (n.u.) was significantly lower after injury compared with LF power (n.u.) values after full return-to-play. In high-frequency power there was a significant difference between both moments with high values after injury. Conclusions: The use of heart rate variability therefore seems to be promising to detect an imbalance in the autonomic nervous system and help clinical departments to identify a possible non-traumatic musculoskeletal injury. Further research should be performed considering a wide range of musculoskeletal injuries and to establish baseline values of the athletes.

22 February 2026 in Healthcare
Verified
Journal Article
Open access
PDF file
PRPedro Guilherme Matos Ramalho
Pedro Guilherme Matos Ramalho
ANAntónio João Nunes
António João Nunes
FSFernanda M. Silva
Fernanda M. Silva
ARAndré Ramalho
André Ramalho
GFGonçalo Flores
Gonçalo Flores
PDPedro Duarte-Mendes
Pedro Duarte-Mendes
Background/Objectives: We conducted a scoping review to map peer-reviewed evidence on occupational stress, burnout, and quality of life among radiographers and radiologic technologists and to identify measurement tools and reported consequences. Methods: Searches were conducted in Web of Science, Scopus, and PubMed. Eligible studies enrolled radiographers/radiologic technologists who were healthy adults; assessed at least one target construct (occupational stress, burnout, or quality of life) using validated instruments; and used cross-sectional, experimental, quasi-experimental, longitudinal, or mixed-methods designs. Articles published from 1995 onward in English, French, Spanish, or Portuguese were considered. Two reviewers independently screened, extracted data, and appraised methodological quality using Quality Assessment with Diverse Studies (QuADS). The synthesis was narrative only. Results: Of 2701 records, 10 studies from nine countries met inclusion. Most were cross-sectional, and two used mixed methods. Sample sizes ranged from 38 to 864. Frequently used instruments included MBI-HSS, OSI-R, HSE Indicator Tool, and SOC-13. Across studies, radiographers reported high stress and burnout—particularly emotional exhaustion and depersonalization—alongside reduced quality of life in multiple domains. Recurrent stressors involved workload and staffing pressures, role demands, anxiety about radiation exposure, and limited recognition. These factors were associated with intention to leave and a lower sense of coherence. Conclusions: The evidence base is largely cross-sectional, uses heterogeneous measures, and often relies on modest samples, with overall methodological quality mostly moderate. Findings indicate a persistent psychosocial risk profile in radiography and underscore the need for organizational and managerial actions—such as workplace physical activity programs—to reduce stress and burnout and protect the quality of life in this workforce.

16 April 2026 in Healthcare
Verified
Journal Article
Open access
PDF file
PRPedro Guilherme Matos Ramalho
Pedro Guilherme Matos Ramalho
ANAntónio João Nunes
António João Nunes
FSFernanda M. Silva
Fernanda M. Silva
ARAndré Ramalho
André Ramalho
GFGonçalo Flores
Gonçalo Flores
PDPedro Duarte-Mendes
Pedro Duarte-Mendes
Background/Objectives: Radiologic technologists are frequently exposed to occupational stressors that heighten the risk of burnout, compromising well-being and job performance. Workplace exercise programs have been identified as promising strategies to enhance physical and mental health across occupational groups; however, robust experimental evidence among radiologic technologists remains limited. This study aimed to evaluate the effects of a structured workplace exercise program on perceived stress, burnout, and quality of life among radiologic technologists. Methods: A small-scale randomized controlled experimental study was conducted with 19 radiologic technologists from the Local Health Unit of Castelo Branco, Portugal. Participants were randomly assigned to an experimental group (n = 10, age mean = 43.8 ± 9.92 years old) or a control group (n = 9, age mean = 48.2 ± 7.86 years old). The intervention consisted of a six-week workplace exercise program conducted during work hours, comprising sessions three times per week, twice per day. Each session lasted approximately 15–20 min and included balance, stretching, and light resistance exercises. Outcomes were assessed pre- and post-intervention using the Perceived Stress Scale, the Copenhagen Burnout Inventory, and the WHOQOL-BREF. Results: The experimental group showed significant reductions in perceived stress (p = 0.013, d = −0.697 (−1.6–0.206) [moderate]) and in personal (p = 0.004, d = −0.834 (−1.748–0.08) [moderate]) and work-related burnout (p = 0.026, d = −0.756 (−1.664–0.151) [moderate]), as well as improvements in the physical (p = 0.046, d = 0.592 (−0.303–1.488) [small]) and environmental (p = 0.032, d = 0.991 (0.062–1.92) [moderate]) domains of quality of life. No significant changes occurred in the control group. Conclusions: These preliminary findings suggest that a brief, low-cost workplace exercise program may reduce stress and burnout and improve quality of life among radiologic technologists. These findings support the integration of structured physical activity into healthcare work settings as a feasible, preventive, and health-promoting strategy.

2 March 2026 in Preprints.org
Verified
Preprint
Open access
PDF file
GFGonçalo Flores
Gonçalo Flores
PDPedro Duarte-Mendes
Pedro Duarte-Mendes
Helder FonsecaHelder Fonseca
Helder Fonseca
DMDiogo Monteiro
Diogo Monteiro
FSFernanda M. Silva
Fernanda M. Silva
João Paulo Vilas-BoasJoão Paulo Vilas-Boas
João Paulo Vilas-Boas
Background: Cardiovascular diseases are the main cause of mortality and morbidity in Portugal, with coronary artery bypass grafting (CABG) being one of the most performed surgeries by cardiothoracic centers. After cardiac surgery, patients often experience a decrease in physical capacity, which results in an increased risk of mortality or hospitalization expenditures. The objective of this systematic review was to characterize changes in respiratory function in patients undergoing CABG. Methods: This systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis. Web of Science, Pubmed, SCOPUS, and Sport Discus were searched using a predefined research strategy to identify relevant original studies published until August 2025. To be included, studies must have assessed adult patients submitted to CABG who evaluated the respiratory function before and after cardiac surgery. Studies that reported other types of cardiac surgery were excluded. The Risk of Bias in Non-randomized Studies-of-Exposure and the Cochrane risk-of-bias tool for randomized trials were used to analyse the risk of bias of the selected studies. Results: After screening 1184 potential articles, six studies met the inclusion criteria. Studies included participants with CABG (n=324), with a mean age ranging between 54.05 ± 13.6 and 67 ± 10 years. Conclusions: All included studies reported significant postoperative reductions in respiratory function following CABG in forced vital capacity, forced expiratory volume in one second, maximal inspiratory pressure and maximal expiratory pressure. This systematic review highlighted the decline in pulmonary function following CABG, supporting the clinical importance of monitoring these impairments to enhance health-related quality of life.