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Dr. Maroje Sorić
Faculty of Kinesiology, University of Zagreb, Horvaćanski zavoj 15, 10110 Zagreb, Croatia

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0 Epidemiology
0 Exercise
0 Obesity
0 Children and adolescents
0 Physical Activity and Health

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Systematic review
Published: 26 April 2021 in International Journal of Environmental Research and Public Health
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Current lifestyles are marked by sedentary behaviour; thus, it is of great importance for policymaking to have valid and reliable tools to measure sedentary behaviour in order to combat it. Therefore, the aim of this review and meta-analysis is to critically review, assess, and compile the reliability, criterion validity, and construct validity of the single-item sedentary behaviour questions within national language versions of most commonly used international physical activity questionnaires for adults in the European Union: The International Physical Activity Questionnaire-Short Form and the Global Physical Activity Questionnaire. A total of 1749 records were screened, 287 full-text papers were read, and 14 studies were included in the meta-analysis. The results and quality of studies were evaluated by the Quality Assessment of Physical Activity Questionnaires checklist. Meta-analysis indicated moderate to high reliability (rw = 0.59) and concurrent validity (rw = 0.55) of national language versions of single-item sedentary behaviour questions. Criterion validity was rather low (rw = 0.23) but in concordance with previous studies. The risk of bias analysis highlighted the poor reporting of methods and results, with a total bias score of 0.42. Thus, we recommend using multi-item SB questionnaires and smart trackers for providing information on SB rather than single-item sedentary behaviour questions in physical activity questionnaires.

ACS Style

Kaja Meh; Gregor Jurak; Maroje Sorić; Paulo Rocha; Vedrana Sember. Validity and Reliability of IPAQ-SF and GPAQ for Assessing Sedentary Behaviour in Adults in the European Union: A Systematic Review and Meta-Analysis. International Journal of Environmental Research and Public Health 2021, 18, 4602 .

AMA Style

Kaja Meh, Gregor Jurak, Maroje Sorić, Paulo Rocha, Vedrana Sember. Validity and Reliability of IPAQ-SF and GPAQ for Assessing Sedentary Behaviour in Adults in the European Union: A Systematic Review and Meta-Analysis. International Journal of Environmental Research and Public Health. 2021; 18 (9):4602.

Chicago/Turabian Style

Kaja Meh; Gregor Jurak; Maroje Sorić; Paulo Rocha; Vedrana Sember. 2021. "Validity and Reliability of IPAQ-SF and GPAQ for Assessing Sedentary Behaviour in Adults in the European Union: A Systematic Review and Meta-Analysis." International Journal of Environmental Research and Public Health 18, no. 9: 4602.

Journal article
Published: 11 March 2021 in Sensors
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This study aimed to evaluate the agreement between a 7-day recall questionnaire and multiple-sensor monitor in identifying sufficiently active adolescents. A total of 282 students involved in the CRO-PALS study were randomly selected for a device-based measurement of physical activity (PA) using the SenseWear Armband device (SWA) no more than three weeks before or after having fulfilled the SHAPES questionnaire. Valid data was obtained from 150 participants (61 boys; 89 girls) and included in the analysis. In boys, SHAPES exhibited high specificity (92.3%), overall percent agreement (85.0%), and significant agreement (κ = 0.32, p = 0.014) with the SWA in recognising sufficiently active individuals. Conversely, no agreement was detected for quartiles of PA, although boys that were classified in the first and in the fourth quartile by SHAPES differed in device-based measured duration of MVPA (134 [95%CI: 109–160] vs. 87 [95%CI: 65–108], p = 0.032); and VPA (39 [95%CI: 23–56] vs. 14 [95%CI: 6–22], p = 0.011). In girls, no significant agreement between the two methods was found in any of the analyses. It appears that the SHAPES questionnaire is effective to identify individuals that comply with PA recommendations and to distinguish between the most active and the least active individuals for adolescent boys, but not for girls.

ACS Style

Ivan Radman; Maroje Sorić; Marjeta Mišigoj-Duraković. Agreement between the SHAPES Questionnaire and a Multiple-Sensor Monitor in Assessing Physical Activity of Adolescents Using Categorial Approach: A Cross-Sectional Study. Sensors 2021, 21, 1986 .

AMA Style

Ivan Radman, Maroje Sorić, Marjeta Mišigoj-Duraković. Agreement between the SHAPES Questionnaire and a Multiple-Sensor Monitor in Assessing Physical Activity of Adolescents Using Categorial Approach: A Cross-Sectional Study. Sensors. 2021; 21 (6):1986.

Chicago/Turabian Style

Ivan Radman; Maroje Sorić; Marjeta Mišigoj-Duraković. 2021. "Agreement between the SHAPES Questionnaire and a Multiple-Sensor Monitor in Assessing Physical Activity of Adolescents Using Categorial Approach: A Cross-Sectional Study." Sensors 21, no. 6: 1986.

Review
Published: 19 January 2021 in Obesity Reviews
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A systematic search of the literature was performed to compare the effects of interventions that targeted sedentary behaviours or physical activity (PA) or physical fitness on primary prevention of obesity in 6‐ to 12‐year‐old children. The search identified 146 reports that provided relevant data for meta‐analysis. Point estimates in % body fat were higher for fitness interventions compared with PA interventions (standardized mean difference = −0.11%; 95% CI = −0.26 to 0.04, and −0.04%; 95% CI = −0.15 to 0.06, respectively). Including sedentary behaviour to a PA‐ or fitness‐oriented intervention was not accompanied by an increase in intervention effectiveness, as the point estimates were slightly smaller compared with those for PA‐ or fitness‐only interventions. Overall, the effects tended to be larger in girls than in boys, especially for PA + sedentary behaviour interventions. There was some evidence for inequality, as the effects on body mass index were seen when interventions were delivered in the general population (standardized mean difference = −0.05, 95% CI = −0.07 to −0.02), but not in groups of disadvantaged children (standardized mean difference = −0.01, 95% CI = −0.29 to 0.19). In conclusion, school‐based PA interventions appear to be an effective strategy in the primary prevention of childhood obesity among 6‐ to 12‐year‐old children, but targeting sedentary behaviour in addition to PA or fitness does not increase the effectiveness of the intervention.

ACS Style

Hrvoje Podnar; Petra Jurić; Josip Karuc; Marc Saez; Maria A. Barceló; Ivan Radman; Gregor Starc; Gregor Jurak; Saša Đurić; Žan Luca Potočnik; Maroje Sorić. Comparative effectiveness of school‐based interventions targeting physical activity, physical fitness or sedentary behaviour on obesity prevention in 6‐ to 12‐year‐old children: A systematic review and meta‐analysis. Obesity Reviews 2021, 22, e13160 .

AMA Style

Hrvoje Podnar, Petra Jurić, Josip Karuc, Marc Saez, Maria A. Barceló, Ivan Radman, Gregor Starc, Gregor Jurak, Saša Đurić, Žan Luca Potočnik, Maroje Sorić. Comparative effectiveness of school‐based interventions targeting physical activity, physical fitness or sedentary behaviour on obesity prevention in 6‐ to 12‐year‐old children: A systematic review and meta‐analysis. Obesity Reviews. 2021; 22 (2):e13160.

Chicago/Turabian Style

Hrvoje Podnar; Petra Jurić; Josip Karuc; Marc Saez; Maria A. Barceló; Ivan Radman; Gregor Starc; Gregor Jurak; Saša Đurić; Žan Luca Potočnik; Maroje Sorić. 2021. "Comparative effectiveness of school‐based interventions targeting physical activity, physical fitness or sedentary behaviour on obesity prevention in 6‐ to 12‐year‐old children: A systematic review and meta‐analysis." Obesity Reviews 22, no. 2: e13160.

Journal article
Published: 20 December 2020 in Children
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This study aimed to investigate sex difference in the functional movement in the adolescent period. Seven hundred and thirty adolescents (365 boys) aged 16–17 years participated in the study. The participants performed standardized Functional Movement Screen™ (FMSTM) protocol and a t-test was used to examine sex differences in the total functional movement screen score, while the chi-square test was used to determine sex differences in the proportion of dysfunctional movement and movement asymmetries within the individual FMSTM tests. Girls demonstrated higher total FMSTM score compared to boys (12.7 ± 2.3 and 12.2 ± 2.4, respectively; p = 0.0054). Sex differences were present in several individual functional movement patterns where boys demonstrated higher prevalence of dysfunctional movement compared to girls in patterns that challenge mobility and flexibility of the body (inline lunge: 32% vs. 22%, df = 1, p = 0.0009; shoulder mobility: 47% vs. 26%, df = 1, p < 0.0001; and active straight leg raise: 31% vs. 9%, df = 1, p < 0.0001), while girls underperformed in tests that have higher demands for upper-body strength and abdominal stabilization (trunk stability push-up: 81% vs. 44%, df = 1, p < 0.0001; and rotary stability: 54% vs. 44%, df = 1, p = 0.0075). Findings of this study suggest that sex dimorphisms exist in functional movement patterns in the period of mid-adolescence. The results of this research need to be considered while using FMSTM as a screening tool, as well as the reference standard for exercise intervention among the secondary school-aged population.

ACS Style

Josip Karuc; Mario Jelčić; Maroje Sorić; Marjeta Mišigoj-Duraković; Goran Marković. Does Sex Dimorphism Exist in Dysfunctional Movement Patterns during the Sensitive Period of Adolescence? Children 2020, 7, 308 .

AMA Style

Josip Karuc, Mario Jelčić, Maroje Sorić, Marjeta Mišigoj-Duraković, Goran Marković. Does Sex Dimorphism Exist in Dysfunctional Movement Patterns during the Sensitive Period of Adolescence? Children. 2020; 7 (12):308.

Chicago/Turabian Style

Josip Karuc; Mario Jelčić; Maroje Sorić; Marjeta Mišigoj-Duraković; Goran Marković. 2020. "Does Sex Dimorphism Exist in Dysfunctional Movement Patterns during the Sensitive Period of Adolescence?" Children 7, no. 12: 308.

Journal article
Published: 10 December 2020 in International Journal of Environmental Research and Public Health
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This study examined the association between functional movement (FM) and adiposity in adolescent population (16–17 years). This study was conducted in a representative sample of urban adolescents as the part of the CRO-PALS longitudinal study (n = 652). Body mass index (BMI), a sum of four skinfolds (S4S), waist and hip circumference were measured, and FM was assessed via Functional Movement ScreenTM (FMSTM). Furthermore, total FMSTM screen was indicator of FM with the composite score ranged from 7 to 21, with higher score indicating better FM. Multilevel analysis was employed to determine the relationship between different predictors and total FMS score. In boys, after controlling for age, moderate-to-vigorous physical activity, socioeconomic status, and total FMS score was inversely associated with BMI (β = −0.18, p < 0.0001), S4S (β = −0.04, p < 0.0001), waist circumference (β = −0.08, p < 0.0001), and hip circumference (β = −0.09, p < 0.0001). However, among girls, in adjusted models, total FMS score was inversely associated with S4S (β = −0.03, p < 0.0001), while BMI (β = −0.05, p = 0.23), waist circumference (β = −0.04, p = 0.06), and hip circumference: β = −0.01, p = 0.70) failed to reach statistical significance. Results showed that the association between adiposity and FM in adolescence is sex-specific, suggesting that boys with overweight and obesity could be more prone to develop dysfunctional movement patterns. Therefore, exercise interventions directed toward correcting dysfunctional patterns should be sex-specific, targeting more boys with excess weight rather than adolescent girls with excess weight.

ACS Style

Josip Karuc; Goran Marković; Marjeta Mišigoj-Duraković; Michael J. Duncan; Maroje Sorić. Is Adiposity Associated with the Quality of Movement Patterns in the Mid-Adolescent Period? International Journal of Environmental Research and Public Health 2020, 17, 9230 .

AMA Style

Josip Karuc, Goran Marković, Marjeta Mišigoj-Duraković, Michael J. Duncan, Maroje Sorić. Is Adiposity Associated with the Quality of Movement Patterns in the Mid-Adolescent Period? International Journal of Environmental Research and Public Health. 2020; 17 (24):9230.

Chicago/Turabian Style

Josip Karuc; Goran Marković; Marjeta Mišigoj-Duraković; Michael J. Duncan; Maroje Sorić. 2020. "Is Adiposity Associated with the Quality of Movement Patterns in the Mid-Adolescent Period?" International Journal of Environmental Research and Public Health 17, no. 24: 9230.

Review
Published: 30 September 2020 in International Journal of Environmental Research and Public Health
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This review and meta-analysis (PROSPERO registration number: CRD42020138845) critically evaluates test-retest reliability, concurrent validity and criterion validity of different physical activity (PA) levels of three most commonly used international PA questionnaires (PAQs) in official language versions of European Union (EU): International Physical Activity Questionnaire (IPAQ-SF), Global Physical Activity Questionnaire (GPAQ), and European Health Interview Survey-Physical Activity Questionnaire (EHIS-PAQ). In total, 1749 abstracts were screened, 287 full-text articles were identified as relevant to the study objectives, and 20 studies were included. The studies’ results and quality were evaluated using the Quality Assessment of Physical Activity Questionnaires checklist. Results indicate that only ten EU countries validated official language versions of selected PAQs. A meta-analysis revealed that assessment of moderate-to-vigorous PA (MVPA) is the most relevant PA level outcome, since no publication bias in any of measurement properties was detected while test-retest reliability was moderately high (rw = 0.74), moderate for the criterion (rw = 0.41) and moderately-high for concurrent validity (rw = 0.72). Reporting of methods and results of the studies was poor, with an overall moderate risk of bias with a total score of 0.43. In conclusion, where only self-reporting of PA is feasible, assessment of MVPA with selected PAQs in EU adult populations is recommended.

ACS Style

Vedrana Sember; Kaja Meh; Maroje Sorić; Gregor Starc; Paulo Rocha; Gregor Jurak. Validity and Reliability of International Physical Activity Questionnaires for Adults across EU Countries: Systematic Review and Meta Analysis. International Journal of Environmental Research and Public Health 2020, 17, 7161 .

AMA Style

Vedrana Sember, Kaja Meh, Maroje Sorić, Gregor Starc, Paulo Rocha, Gregor Jurak. Validity and Reliability of International Physical Activity Questionnaires for Adults across EU Countries: Systematic Review and Meta Analysis. International Journal of Environmental Research and Public Health. 2020; 17 (19):7161.

Chicago/Turabian Style

Vedrana Sember; Kaja Meh; Maroje Sorić; Gregor Starc; Paulo Rocha; Gregor Jurak. 2020. "Validity and Reliability of International Physical Activity Questionnaires for Adults across EU Countries: Systematic Review and Meta Analysis." International Journal of Environmental Research and Public Health 17, no. 19: 7161.

Journal article
Published: 08 August 2020 in Sustainability
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This study aimed to investigate moderators of change in physical activity (PA) levels after 30 days (30-d) of restrictions due to the COVID-19 pandemic in young adults. This research is an extension of the CRO-PALS study and analyses for this study were performed on young adults (20–21 y.o., n = 91). Moderate-to-vigorous physical activity (MVPA), sport participation, student and socioeconomic status were assessed pre- and post-30-d restrictions. Differences in MVPA levels were examined using repeated-measures ANOVAs. After 30-d of restrictions, the drop in MVPA in females (−64.8 min/day, p = 0.006) and males was shown (−57.7 min/day, p < 0.00). However, active participants decreased, while non-active peers increased their MVPA level (−100.7 min/day, p < 0.00, and +48.9 min/day, p = 0.051, respectively). Moreover, students and non-students decreased their MVPA level (−69.0 min/day, p < 0.00, and −35.0 min/day, p = 0.22, respectively) as well as sport participants and non-sport participants (−95.3 min/day, p < 0.001, and −53.9 min/day, p < 0.00, respectively). Our results suggest that 30-d of restrictions equally affect females and males where the evident drop in MVPA is seen in both genders. However, active people decreased their PA level during lockdown and the opposite pattern was seen in non-active peers, where restrictions for them can represent an opportunity to change their behavior in a positive direction in order to gain better health status.

ACS Style

Josip Karuc; Maroje Sorić; Ivan Radman; Marjeta Mišigoj-Duraković. Moderators of Change in Physical Activity Levels during Restrictions Due to COVID-19 Pandemic in Young Urban Adults. Sustainability 2020, 12, 6392 .

AMA Style

Josip Karuc, Maroje Sorić, Ivan Radman, Marjeta Mišigoj-Duraković. Moderators of Change in Physical Activity Levels during Restrictions Due to COVID-19 Pandemic in Young Urban Adults. Sustainability. 2020; 12 (16):6392.

Chicago/Turabian Style

Josip Karuc; Maroje Sorić; Ivan Radman; Marjeta Mišigoj-Duraković. 2020. "Moderators of Change in Physical Activity Levels during Restrictions Due to COVID-19 Pandemic in Young Urban Adults." Sustainability 12, no. 16: 6392.

Review
Published: 07 August 2020
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This review and meta-analysis (PROSPERO registration number: CRD42020138845) critically evaluates test-retest reliability, concurrent validity and criterion validity of different physical activity (PA) levels of three most-common used international PA questionnaires (PAQs) in national language versions of EU-28: IPAQ-SF, GPAQ, and EHIS-PAQ. In total, 4969 abstracts were read, 287 full-text articles were identified as relvant to the study objectives, and 19 studies were included in the final meta-analysis. The studies’ results and quality were evaluated using the Quality Assessment of Physical Activity Questionnaires (QAPAQ) checklist. Results indicate that only five EU-28 countries validated national language versions of selected PAQs. Meta analysis revealed that assessment of moderate-to-vigourus PA (MVPA) is the most relevant PA level outcome, since no publication bias in any of measurement properties was detected while test-retest reliability was the moderately-high (rw=0.74), and moderate for both criterion (rw=0.41) and concurrent validity (rw=0.72). Reporting of methods and results of the studies was poor with overall moderate risk of bias with total score of 0.43. In conclusion, where only self-reporting is feasible, assessment of MVPA with selected PAQs in EU-28 adult population is recommended for policymaking.

ACS Style

Vedrana Sember; Kaja Meh; Maroje Sorić; Gregor Starc; Paulo Rocha; Gregor Jurak. Measurement Characteristics of the Most Common Used International Physical Activity Questionnaires for Adults Across EU-28 in National Language Versions: Systematic Review and Meta Analysis. 2020, 1 .

AMA Style

Vedrana Sember, Kaja Meh, Maroje Sorić, Gregor Starc, Paulo Rocha, Gregor Jurak. Measurement Characteristics of the Most Common Used International Physical Activity Questionnaires for Adults Across EU-28 in National Language Versions: Systematic Review and Meta Analysis. . 2020; ():1.

Chicago/Turabian Style

Vedrana Sember; Kaja Meh; Maroje Sorić; Gregor Starc; Paulo Rocha; Gregor Jurak. 2020. "Measurement Characteristics of the Most Common Used International Physical Activity Questionnaires for Adults Across EU-28 in National Language Versions: Systematic Review and Meta Analysis." , no. : 1.

Journal article
Published: 03 July 2020
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The aim of this study is to describe trends in overweight and obesity among Slovenian youth for the period 1989-2018. Nearly all schoolchildren in Slovenia had their height and weight measured annually, which lead to a total of 6,738,510 data-points during the 30-year period. The IOTF cut-off points and Joinpoint regression were used to examine annual percent change (APC) in overweight and obesity prevalence across 3 age groups (7-10, 11-14 and 15-18 years). Obesity approximately tripled, while overweight doubled between 1989 and late 2000s in both genders. Since then overweight has been steadily decreasing in all 3 age groups for boys and in 7-10-year-old girls. Obesity has also been declining since 2009, but only in the youngest boys and girls (APC = - 1.9, 95% CI = - 3.2 to - 0.6 and APC = - 1.6, 95% CI = - 3.0 to - 0.2, respectively). Unfavourable trends were noted only in 15-18-year-old girls, with obesity rising at an unchanged rate over the past 30 years (APC = 4.8, 95% CI = 4.5-5.1). Overweight and obesity among Slovenian youth has increased dramatically over the last 3 decades. Still, during the last decade this rise has been reversed or at least stopped. This reversal of trends was more marked in boys than in girls, and in young children compared to adolescents.

ACS Style

Maroje Sorić; Gregor Jurak; Saša Đurić; Marjeta Kovač; Janko Strel; Gregor Starc. Increasing trends in childhood overweight have mostly reversed: 30 years of continuous surveillance of Slovenian youth. 2020, 10, 11022 .

AMA Style

Maroje Sorić, Gregor Jurak, Saša Đurić, Marjeta Kovač, Janko Strel, Gregor Starc. Increasing trends in childhood overweight have mostly reversed: 30 years of continuous surveillance of Slovenian youth. . 2020; 10 (1):11022.

Chicago/Turabian Style

Maroje Sorić; Gregor Jurak; Saša Đurić; Marjeta Kovač; Janko Strel; Gregor Starc. 2020. "Increasing trends in childhood overweight have mostly reversed: 30 years of continuous surveillance of Slovenian youth." 10, no. 1: 11022.

Journal article
Published: 07 June 2020 in Nutrients
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Shifting of energy intake towards a later time in the day is associated with an increased risk of obesity in adults. However, there is a lack of data for adolescents. The aim of this study was to investigate adolescents eveningness in energy intake (EV) and its association with anthropometric indicators of nutritional status. This investigation was based on results from the Croatian physical activity in adolescence longitudinal study (CRO-PALS). The cohort included 607 adolescents (50.25% females and 49.75% males) who were assessed at the age of 15/16 and 18/19. A single multi-pass 24-h recall was used as a dietary assessment method, while anthropometric indicators of nutritional status included body mass index (BMI), waist to hip ratio (WHR) and the sum of four skinfolds. The School Health Action, Planning and Evaluation System (SHAPES) questionnaire was used to assess active daily energy expenditure and sedentary behaviors. EV was significantly higher at 18/19 years compared to 15/16 years in whole population (p < 0.01), among male adolescents (p < 0.01), but not among female adolescents (p > 0.05). Although a significant correlation between EV and WHR was found in females at the age of 15/16 (p < 0.01), the results of this study suggest that EV has no or a minor effect on anthropometric indicators of nutritional status in adolescence.

ACS Style

Josip Rešetar; Danijela Pfeifer; Marjeta Mišigoj-Duraković; Maroje Sorić; Jasenka Gajdoš Kljusurić; Zvonimir Šatalić. Eveningness in Energy Intake among Adolescents with Implication on Anthropometric Indicators of Nutritional Status: The CRO-PALS Longitudinal Study. Nutrients 2020, 12, 1710 .

AMA Style

Josip Rešetar, Danijela Pfeifer, Marjeta Mišigoj-Duraković, Maroje Sorić, Jasenka Gajdoš Kljusurić, Zvonimir Šatalić. Eveningness in Energy Intake among Adolescents with Implication on Anthropometric Indicators of Nutritional Status: The CRO-PALS Longitudinal Study. Nutrients. 2020; 12 (6):1710.

Chicago/Turabian Style

Josip Rešetar; Danijela Pfeifer; Marjeta Mišigoj-Duraković; Maroje Sorić; Jasenka Gajdoš Kljusurić; Zvonimir Šatalić. 2020. "Eveningness in Energy Intake among Adolescents with Implication on Anthropometric Indicators of Nutritional Status: The CRO-PALS Longitudinal Study." Nutrients 12, no. 6: 1710.

Journal article
Published: 02 May 2020 in International Journal of Environmental Research and Public Health
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The occurrence of chronic diseases in youth has become a serious global issue requiring early prevention. Due to the specific environment in large cities, urban youth are especially exposed to risky lifestyle patterns. Objective: This survey aimed to determine the prevalence of key modifiable cardiovascular risk factors in the adolescent population of the Croatian capital Zagreb. Methods: A clustered two-stage random sample design was employed to select a representative group of 903 adolescents (girls n = 444; boys n = 459; age 15.6 ± 0.4) starting their secondary education. Participants were invited to fulfil an electronic questionnaire meant to collect data on daily physical activity, screen time and tobacco use. In addition, anthropometric and blood pressure measurements were taken by medically trained personnel. Data that were not originally categorical were dichotomized based on internationally accepted cut-off values for each risk factor, summarized for females and males, and presented as percentages and 95% confidence intervals. Results: The outcomes suggest that that more than one half did not meet the recommended daily physical activity (girls 59.4%; boys 45.5%), while about one quarter exceeded 2 h of screen time per day and had high blood pressure (girls 26.6% and 21.6%; boys 27.0% and 27.0%, respectively). Moreover, the results indicated nearly one fifth of adolescents had excess weight (girls 16.1%; boys 22.2%) and a similar proportion smoked tobacco (girls 20.8%; boys 17.0%). Conclusions: Local and regional health stakeholders should make additional efforts to promote healthy lifestyles in urban teenagers. Special emphasis should be placed on promoting physical activity.

ACS Style

Ivan Radman; Maroje Sorić; Marjeta Mišigoj-Duraković. Prevalence of Key Modifiable Cardiovascular Risk Factors among Urban Adolescents: The CRO-PALS Study. International Journal of Environmental Research and Public Health 2020, 17, 3162 .

AMA Style

Ivan Radman, Maroje Sorić, Marjeta Mišigoj-Duraković. Prevalence of Key Modifiable Cardiovascular Risk Factors among Urban Adolescents: The CRO-PALS Study. International Journal of Environmental Research and Public Health. 2020; 17 (9):3162.

Chicago/Turabian Style

Ivan Radman; Maroje Sorić; Marjeta Mišigoj-Duraković. 2020. "Prevalence of Key Modifiable Cardiovascular Risk Factors among Urban Adolescents: The CRO-PALS Study." International Journal of Environmental Research and Public Health 17, no. 9: 3162.

Journal article
Published: 18 October 2019 in Nutrients
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It has been hypothesized that breakfast consumption is generally associated with healthy lifestyle behaviors, such as increased physical activity. The aim of this study was to examine the relations between breakfast consumption, adiposity measures and physical activity among adolescents. This investigation is a part of the Croatian physical activity in adolescence longitudinal study (CRO-PALS). This investigation is based on 802 participants (48% girls and 52% boys), aged between 15.2 and 16.0 years. Physical activity level and sedentary behaviors were assessed using the SHAPES questionnaire. Adiposity measures included the sum of four skinfolds, and multi-pass 24-h recall was used as the dietary assessment method. Participants who consumed breakfast had significantly lower body fat % (p = 0.011 for boys; p ≤ 0.001 for girls) compared to breakfast non-consumers. Physical activity has no mediating effect in the association of breakfast consumption on adiposity in boys (Sobel's t = -0.541; p = 0.588) and girls (Sobel's t = 1.020; p = 0.307). Breakfast consumption was negatively associated with adiposity only in the boys at the highest tertile of physical activity (p = 0.04). Physical activity has no mediating effect on the associations between breakfast consumption and adiposity, but has a moderation effect only in the most active boys. Breakfast consumption might exert beneficial effects only in the most active male adolescents, but not in the inactive ones.

ACS Style

Sara Sila; Ana Ilić; Marjeta Mišigoj-Duraković; Maroje Sorić; Ivan Radman; Zvonimir Šatalić. Obesity in Adolescents Who Skip Breakfast Is Not Associated with Physical Activity. Nutrients 2019, 11, 2511 .

AMA Style

Sara Sila, Ana Ilić, Marjeta Mišigoj-Duraković, Maroje Sorić, Ivan Radman, Zvonimir Šatalić. Obesity in Adolescents Who Skip Breakfast Is Not Associated with Physical Activity. Nutrients. 2019; 11 (10):2511.

Chicago/Turabian Style

Sara Sila; Ana Ilić; Marjeta Mišigoj-Duraković; Maroje Sorić; Ivan Radman; Zvonimir Šatalić. 2019. "Obesity in Adolescents Who Skip Breakfast Is Not Associated with Physical Activity." Nutrients 11, no. 10: 2511.

Conference paper
Published: 16 October 2019 in Transactions on Petri Nets and Other Models of Concurrency XV
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The purpose of this study was to redefine health and fitness categories of students, which were defined based on body mass index (BMI). BMI enables identifying overweight and obese persons, however, it inappropriately classifies overweight-and-fit and normal-weight-and-non-fit persons. Such a classification is required when personalized advice on healthy life style and exercises is provided to students. To overcome this issue, we introduced a clustering-based approach that takes into account a fitness score of students. This approach identifies fit and not-fit students, and in combination with BMI, students that are overweight-and-fit and those that are normal-weight-and-non-fit. These results enable us to better target students with personalized advice based on their actual physical characteristics.

ACS Style

Erik Dovgan; Bojan Leskošek; Gregor Jurak; Gregor Starc; Maroje Sorić; Mitja Luštrek. Enhancing BMI-Based Student Clustering by Considering Fitness as Key Attribute. Transactions on Petri Nets and Other Models of Concurrency XV 2019, 155 -165.

AMA Style

Erik Dovgan, Bojan Leskošek, Gregor Jurak, Gregor Starc, Maroje Sorić, Mitja Luštrek. Enhancing BMI-Based Student Clustering by Considering Fitness as Key Attribute. Transactions on Petri Nets and Other Models of Concurrency XV. 2019; ():155-165.

Chicago/Turabian Style

Erik Dovgan; Bojan Leskošek; Gregor Jurak; Gregor Starc; Maroje Sorić; Mitja Luštrek. 2019. "Enhancing BMI-Based Student Clustering by Considering Fitness as Key Attribute." Transactions on Petri Nets and Other Models of Concurrency XV , no. : 155-165.

Journal article
Published: 31 August 2018 in Sustainability
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Background: The aim of the present study was to investigate the extent of tracking of physical activity (PA), sports participation (SP), and sedentary behaviors (SB) over four years of high school education among the Croatian Physical Activity in Adolescence Longitudinal Study (CRO-PALS) cohort. Methods: In this investigation, participants were 844 high school students (15.6 years at baseline; 49% girls). The SHAPES questionnaire was used to assess PA, SP, and SB at ages 15, 16, 17, and 18 and tracking was assessed using generalized estimating equations. Results: Tracking coefficients for PA were similar in both sexes, ranged from 0.49 to 0.61, and indicated moderate tracking, while the tracking of SB tended to be somewhat higher over the four years of follow-up (β = 0.60–0.72). Youth that participated in sports at baseline had a 16 to 28 times higher odds of continued participation at follow-up, depending on the type of sport and gender. Finally, both low physical activity and high screen time showed strong tracking in both genders. Conclusion: PA and SB tracked moderately between ages 15 and 18. Moreover, the strong tracking of low PA and high screen time indicates that the detection of these risk factors at the beginning of high school should be advocated.

ACS Style

Lovro Štefan; Marjeta Mišigoj-Duraković; Antonela Devrnja; Hrvoje Podnar; Vilko Petrić; Maroje Sorić. Tracking of Physical Activity, Sport Participation, and Sedentary Behaviors over Four Years of High School. Sustainability 2018, 10, 3104 .

AMA Style

Lovro Štefan, Marjeta Mišigoj-Duraković, Antonela Devrnja, Hrvoje Podnar, Vilko Petrić, Maroje Sorić. Tracking of Physical Activity, Sport Participation, and Sedentary Behaviors over Four Years of High School. Sustainability. 2018; 10 (9):3104.

Chicago/Turabian Style

Lovro Štefan; Marjeta Mišigoj-Duraković; Antonela Devrnja; Hrvoje Podnar; Vilko Petrić; Maroje Sorić. 2018. "Tracking of Physical Activity, Sport Participation, and Sedentary Behaviors over Four Years of High School." Sustainability 10, no. 9: 3104.

Journal article
Published: 08 June 2018 in International Journal of Adolescent Medicine and Health
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Background Little is known about the concurrent change in physical activity (PA), sedentary behavior (SB) and sport participation (SP) during adolescence. The main purpose of this prospective and partly objective study was to simultaneously investigate PA, SBs and SP changes between the 1st and 2nd grades of high school in urban adolescents. Methods In this 1-year follow-up study, the participants were 81 secondary-school students (28 boys and 53 girls) aged 15.5 years at the baseline. PA was assessed with the SenseWear Armband multi-sensor activity monitor, while SBs were assessed by using School Health Action, Planning and Evaluation System (SHAPES) PA questionnaire. The SHAPES questionnaire was supplemented with two questions inquiring about SP in organized sports in school and outside of school. Results PA decreased markedly in both genders between the 1st and 2nd grades of high school. Total energy expenditure (TEE) was reduced by 13 kcal/kg/day on average in boys and by 10 kcal/kg/day in girls (p for both Conclusion In conclusion, a decline in PA between the 1st and 2nd grades of high school was marked but was not accompanied with an increase in SBs. Policies aimed at increasing PA should be targeting the period of entering secondary school to offset the observed drop in PA.

ACS Style

Lovro Štefan; Maroje Sorić; Antonela Devrnja; Vilko Petrić; Marjeta Mišigoj-Duraković. One-year changes in physical activity and sedentary behavior among adolescents: the Croatian Physical Activity in Adolescence Longitudinal Study (CRO-PALS). International Journal of Adolescent Medicine and Health 2018, 32, 1 .

AMA Style

Lovro Štefan, Maroje Sorić, Antonela Devrnja, Vilko Petrić, Marjeta Mišigoj-Duraković. One-year changes in physical activity and sedentary behavior among adolescents: the Croatian Physical Activity in Adolescence Longitudinal Study (CRO-PALS). International Journal of Adolescent Medicine and Health. 2018; 32 (5):1.

Chicago/Turabian Style

Lovro Štefan; Maroje Sorić; Antonela Devrnja; Vilko Petrić; Marjeta Mišigoj-Duraković. 2018. "One-year changes in physical activity and sedentary behavior among adolescents: the Croatian Physical Activity in Adolescence Longitudinal Study (CRO-PALS)." International Journal of Adolescent Medicine and Health 32, no. 5: 1.

Comparative study
Published: 20 November 2017 in International Journal of Environmental Research and Public Health
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The main aims of this study were: (1) to determine the objectively assessed physical activity (PA) patterns in urban 15-year-old male and female adolescents according to school type and (2) to assess the differences in PA between school days and weekend days. In this cross-sectional study, participants were 187 secondary-school male and female adolescents (61.4% females) attending grammar and vocational schools. Patterns of PA were objectively evaluated using a multi-sensor body monitor for 5 consecutive days. Confounders assessed included biological age, socio-economic status, sum of 4 skinfolds, maximal temperature and the amount of rainfall. Males and females from grammar schools achieved higher total daily energy expenditure (TEE) and active energy expenditure (AEE) compared to their peers from vocational schools (TEE: 50 ± 12 kcal/kg/day vs. 47 ± 12 kcal/kg/day, p = 0.02; AEE: 23 ± 5 kcal/kg/day vs. vocational = 21 ± 6 kcal/kg/day, p = 0.04). No differences in time spent in light (LPA), moderate (MPA) or vigorous (VPA) physical activity were noted between the two groups (p = 0.16–0.43). Next, a significant decline in TEE and MPA between school days and weekends was observed (p< 0.001 and p = 0.02, respectively), while VPA remained the same throughout the week (p = 0.76). Weekly patterns of PA did not show differences by school type or gender (p for interactions = 0.21–0.50). In addition, significantly lower amount of MPA was accumulated during weekends compared to school days, resulting in lower TEE, regardless of school type or gender. Policies and strategies on PA in adolescents should focus vocational schools and weekend days.

ACS Style

Lovro Štefan; Maroje Sorić; Antonela Devrnja; Hrvoje Podnar; Marjeta Mišigoj-Duraković. Is School Type Associated with Objectively Measured Physical Activity in 15-Year-Olds? International Journal of Environmental Research and Public Health 2017, 14, 1417 .

AMA Style

Lovro Štefan, Maroje Sorić, Antonela Devrnja, Hrvoje Podnar, Marjeta Mišigoj-Duraković. Is School Type Associated with Objectively Measured Physical Activity in 15-Year-Olds? International Journal of Environmental Research and Public Health. 2017; 14 (11):1417.

Chicago/Turabian Style

Lovro Štefan; Maroje Sorić; Antonela Devrnja; Hrvoje Podnar; Marjeta Mišigoj-Duraković. 2017. "Is School Type Associated with Objectively Measured Physical Activity in 15-Year-Olds?" International Journal of Environmental Research and Public Health 14, no. 11: 1417.

Journal article
Published: 06 December 2015 in Obesity
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To examine combined associations of cardiorespiratory fitness (CRF) and muscular fitness (MF) with metabolic syndrome (MetSy) in a sample of young men. Participants were 557 men aged 19-47 years. CRF was quantified as peak oxygen uptake measured during an incremental treadmill test by a metabolic cart, while a composite MF score was calculated as the sum of z-scores from a push-ups and sit-ups test. The presence of MetSy was defined according to the updated NCEP-ATP III criteria. We found a graded inverse relationship between CRF and MetSy presence. The most aerobically fit individuals had 90% lower odds of having MetSy compared to their least fit counterparts, independent of MF (odds ratio [OR] = 0.10, 95% CI = 0.04-0.21). Conversely, an increment in MF across the first three quartiles was not associated with lower odds of MetSy; only the most muscularly fit men were 2.5 times less likely to have MetSy (OR = 0.41, 95% CI = 0.21-0.78). Finally, participants with high CRF but low MF exhibited a 50% decrease in odds of having MetSy (OR = 0.49, 95% CI = 0.26-0.91), while no protective effect was found for having high MF but low CRF (OR = 0.95, 95% CI = 0.55-1.62). CRF exhibited a strong protective effect against having MetSy, while the effect of MF was less pronounced.

ACS Style

Marjeta Mišigoj-Duraković; Maroje Sorić; Dario Matika; Igor Jukić; Zijad Duraković. Which is more important for reducing the odds of metabolic syndrome in men: Cardiorespiratory or muscular fitness? Obesity 2015, 24, 238 -244.

AMA Style

Marjeta Mišigoj-Duraković, Maroje Sorić, Dario Matika, Igor Jukić, Zijad Duraković. Which is more important for reducing the odds of metabolic syndrome in men: Cardiorespiratory or muscular fitness? Obesity. 2015; 24 (1):238-244.

Chicago/Turabian Style

Marjeta Mišigoj-Duraković; Maroje Sorić; Dario Matika; Igor Jukić; Zijad Duraković. 2015. "Which is more important for reducing the odds of metabolic syndrome in men: Cardiorespiratory or muscular fitness?" Obesity 24, no. 1: 238-244.

Journal article
Published: 01 June 2015 in International Journal of Morphology
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ACS Style

Gregor Jurak; Ivana Milanović; Snezana Radisavljevic Janic; Maroje Soric; Marjeta Kovač. Some Indicators of Fatness and Motor Fitness in Slovenian and Serbian Children. International Journal of Morphology 2015, 33, 420 -427.

AMA Style

Gregor Jurak, Ivana Milanović, Snezana Radisavljevic Janic, Maroje Soric, Marjeta Kovač. Some Indicators of Fatness and Motor Fitness in Slovenian and Serbian Children. International Journal of Morphology. 2015; 33 (2):420-427.

Chicago/Turabian Style

Gregor Jurak; Ivana Milanović; Snezana Radisavljevic Janic; Maroje Soric; Marjeta Kovač. 2015. "Some Indicators of Fatness and Motor Fitness in Slovenian and Serbian Children." International Journal of Morphology 33, no. 2: 420-427.

Journal article
Published: 01 October 2014 in American Journal of Human Biology
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This multi‐center study was conducted to objectively evaluate energy expenditure and physical activity (PA) patterns on school days and weekends in urban 11‐year‐olds.

ACS Style

Gregor Jurak; Maroje Soric; Gregor Starc; Marjeta Kovač; Marjeta Mišigoj-Duraković; Katarina Borer; Janko Strel. School day and weekend patterns of physical activity in urban 11-year-olds: A cross-cultural comparison. American Journal of Human Biology 2014, 27, 192 -200.

AMA Style

Gregor Jurak, Maroje Soric, Gregor Starc, Marjeta Kovač, Marjeta Mišigoj-Duraković, Katarina Borer, Janko Strel. School day and weekend patterns of physical activity in urban 11-year-olds: A cross-cultural comparison. American Journal of Human Biology. 2014; 27 (2):192-200.

Chicago/Turabian Style

Gregor Jurak; Maroje Soric; Gregor Starc; Marjeta Kovač; Marjeta Mišigoj-Duraković; Katarina Borer; Janko Strel. 2014. "School day and weekend patterns of physical activity in urban 11-year-olds: A cross-cultural comparison." American Journal of Human Biology 27, no. 2: 192-200.

Review
Published: 01 March 2014 in Archives of Industrial Hygiene and Toxicology
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SažetakS visokom prevalencijom debljine i s njom povezanih kroničnih metaboličkih i srčano-žilnih bolesti aktualizirana je potreba primjene jednostavnih antropometrijskih pokazatelja u procjeni prekomjerne tjelesne mase i debljine i u primarnom probiru rizičnih skupina, najčešće ITM-om odnosno indeksom tjelesne mase. On se primjenjuje u epidemiološkim istraživanjima, ali i u svakodnevnom radu u primarnoj zdravstvenoj zaštiti, pri procjeni kardiovaskularnog rizika uz kliničku i laboratorijsku dijagnostiku, savjetovanju pravilne prehrane i praćenju učinaka dijetetskih mjera u prehrani te savjetovanju tjelesne aktivnosti i vježbanja. Međutim, s obzirom na to da nije pokazatelj tjelesnoga sastava, u individualnoj procjeni prekomjerne mase u mnogim slučajevima ne zadovoljava. To se osobito odnosi na procjenu tjelesno aktivnih osoba i sportaša s dobro razvijenom nemasnom tjelesnom masom, u kojih nalazimo prekomjernu tjelesnu masu, ali bez viška masti, kao i u osoba s normalnom tjelesnom masom i malom nemasnom masom i/ili gracilnim skeletom. Posljednjih desetljeća posebnu pozornost zaokuplja uloga različite raspodjele tjelesne masti u razvoju kroničnih metaboličkih i srčanožilnih bolesti. Najboljim antropometrijskim prediktorom kardiovaskularnog rizika smatra se opseg trbuha (OT). Neizravni je pokazatelj veličine nakupljanja visceralne masti. OT i omjer opsega struka i kukova dobri su pokazatelji distribucije tjelesne masti i kardio-metaboličkog rizika. Razmatra se varijabilnost i unutar skupine osoba s povećanim OT-om s obzirom na rizik od razvoja metaboličkog sindroma. Hipertrigliceridemija uz povećani OT smatra se prvim pokazateljem povećanog metaboličkog rizika. U radu su navedeni postupci analize tjelesnog sastava, posebno antropometrijski, koje se svrstava u skupinu jednostavnih i jeftinijih postupaka. Razvoj generaliziranih jednadžbi za procjenu gustoće tijela doveo je do uporabe antropometrije u analizi tjelesnog sastava u praktičnom radu.

ACS Style

Marjeta Misigoj-Durakovic; Maroje Soric; Zijad Durakovic. Anthropometry in cardio-metabolic risk assessment. Archives of Industrial Hygiene and Toxicology 2014, 65, 19 -27.

AMA Style

Marjeta Misigoj-Durakovic, Maroje Soric, Zijad Durakovic. Anthropometry in cardio-metabolic risk assessment. Archives of Industrial Hygiene and Toxicology. 2014; 65 (1):19-27.

Chicago/Turabian Style

Marjeta Misigoj-Durakovic; Maroje Soric; Zijad Durakovic. 2014. "Anthropometry in cardio-metabolic risk assessment." Archives of Industrial Hygiene and Toxicology 65, no. 1: 19-27.