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  • The association of healthy lifestyle behaviors with overweight and obesity among older adults from 21 countries
    Publication . Marconcin, Priscila; Ihle, Andreas; Werneck, André O.; Gouveia, Élvio R.; Ferrari, Gerson; Peralta, Miguel; Marques, Adilson
    This study aimed to analyze the association of healthy lifestyle behaviors with overweight and obesity among Europeans aged 65+ years. Data were from the 2014 European Social Survey, analyzing 21 countries. Five lifestyle behaviors (physical activity, fruit and vegetable consumption, sleep quality, drinking alcohol, and smoking) were analyzed. Binary logistic regressions were performed. A total of 8938 participants (4099 men) 65 years and older, mean age—73.6 (SD: 6.6) presented prevalence of overweight of 42.3% (95% CI: 41.3 to 43.3) and obesity of 20.9% (95% CI: 20.1 to 21.8). Adopting five healthy behaviors was associated with lower odds of obesity (OR = 0.50, 95% CI: 0.39 to 0.63), but not overweight (OR: 0.93; 95% CI: 0.79 to 1.10). Physical activity (≥5 days/week) was the most protective behavior, reducing by 42% the odds of obesity. Sex moderated the association of fruits and vegetables consumption, alcohol use, and smoking with obesity. Strategies aiming to reduce obesity levels in older adults should focus on the promotion of multiple lifestyle health behaviors, particularly physical activity in order to decrease vulnerability risk in old age.
  • Physical Activity Dimensions Differentially Predict Physical and Mental Components of Health-Related Quality of Life: Evidence from a Sport for All Study
    Publication . Ihle, Andreas; Gouveia, Bruna R.; Gouveia, Élvio R.; Cheval, Boris; Nascimento, Marcelo de Maio; Conceição, Lúcia; Marconcin, Priscila; Peralta, Miguel; Ferrari, Gerson; Oliveira, Duarte; Kliegel, Matthias
    The present cross-sectional study aimed to investigate the relationship between different dimen sions of physical activity (PA) (i.e., work, sport, leisure) and health-related quality of life (HRQoL) (i.e., overall, physical component, mental component) in an adult lifespan sample of 381 active individuals (age range: 18–88 years; 38.8% men), while controlling for important covariates in terms of sex, age, education, and health profile regarding medical history. HRQoL was assessed using the 12-item Short-Form Health Survey (SF-12). Usual (i.e., previous 12 months) PA was assessed during face-to-face interviews using the Baecke questionnaire. Hierarchical regression analyses showed in Step 1 that the three PA dimensions work, sport, and leisure (entered simultaneously) together predicted 8%, 10%, and 4% of the variance in SF-12 total score, SF-12 physical component, and SF-12 mental component, respectively. In the final model, adjusting for sex, age, education, and health profile regarding medical history, sport emerged as the only PA dimension predicting SF-12 total score and the SF-12 physical component. In conclusion, health-policy targets at the community level should include the promotion of lifelong engagement in PA, especially sport, to allow the sustainability of HRQoL across the lifespan of our society.
  • Aulas de educação física baseadas na educação desportiva: uma revisão sistemática
    Publication . Góis, Francisca Maria Damasceno; Gouveia, Élvio Rúbio; Sarmento, Hugo; Peralta, Miguel; Marques, Adilson
    O presente trabalho teve como objetivo sumarizar as evidências de estudos sobre como a participação em aulas de educação física (EF) baseadas na educação desportiva (EDE) tem sido relacionada a atividade física (AF) em adolescentes, sobretudo quanto a participação em atividade física moderada a vigorosa (AFMV), fatores psicológicos e sociais. Foi realizada uma revisão sistemática que incluiu 8 bases eletrônicas (PubMed, Scopus, Web of Science, LILACS, SPORTDiscus, PSYCINFO, ERIC e COCHRANE). Uma pesquisa inicial alcançou 162 títulos, permanecendo 149 após a retirada dos duplicados. Outros 10 estudos foram incluídos com base nas listas de referências, totalizando 159 estudos na fase de identificação. Na triagem, foram excluídas 89 referências, permanecendo 70 referências para análise de texto completo. Nesta etapa, foram excluídas 53 referências, resultando em 17 referências que preencheram os critérios de inclusão. Os estudos foram realizados entre 2002 e 2017, a maioria nos Estados Unidos. A maioria dos estudos reportou melhoras quanto aos fatores psicológicos e sociais, principalmente a motivação. Os dados sobre a participação dos adolescentes em AFMV foram contraditórios e inconclusivos, dificultando a compreensão do contributo do modelo para prática de AF dos alunos.
  • Bidirectional Association between Physical Activity and Dopamine Across Adulthood—A Systematic Review
    Publication . Marques, Adilson; Marconcin, Priscila; Werneck, André O.; Ferrari, Gerson; Gouveia, Élvio R.; Kliegel, Matthias; Peralta, Miguel; Ihle, Andreas
    Physical activity (PA) may influence the secretion of neurotransmitters and thereby have positive consequences for an individual’s vulnerability (i.e., reducing anxiety and depressive symp toms). This systematic review aims to analyse the potential bidirectional effects of exercise on dopamine from young adulthood to old age. The article search was conducted in PubMed, Scopus, and Web of Science in December 2020. The inclusion criteria were longitudinal and experimental study design; outcomes included dopamine and exercise; effect of exercise on dopamine and vice versa; adults; and articles published in English, Portuguese, or Spanish. Fifteen articles were included in the review. We observed robust findings concerning the potential effects of PA on dopamine, which notably seem to be observable across a wide range of participants characteristics (including age and sex), a variety of PA characteristics, and a broad set of methods to analyse dopamine. By contrast, regarding the potential effects of dopamine on PA, findings were mixed across studies. Thus, there are robust effects of physical exercise on dopamine. These findings further strengthen the idea that innovative approaches could include PA interventions for treating and preventing mental disorders. Therefore, it seems that PA is a potential alternative to deal with mental health issues.
  • Effects of Exercise during Pregnancy on Postpartum Depression: A Systematic Review of Meta-Analyses
    Publication . Marconcin, Priscila; Peralta, Miguel; Gouveia, Élvio R.; Ferrari, Gerson; Carraça, Eliana; Ihle, Andreas; Marques, Adilson
    Postpartum depression (PPD) is a public health issue. Exercise is a nonpharmacologic alter native to deal with PPD. This study conducted a systematic review of previous meta-analyses and an exploratory pooled analysis regarding the effects of exercise on depressive symptoms among women during the postpartum period. We searched for previous meta-analyses of randomised controlled trials on PubMed, Web of Science and Scopus, date of inception to 31 May 2021. The methodological quality was assessed using the Assessment of Multiple Systematic Reviews 2 (AMSTAR2) instrument. We pooled the standardised mean differences from the selected studies. Of the 52 records screened, five were included. The results revealed a significant moderate effect of exercise on depressive symptoms among women during the postpartum period (SMD = −0.53; 95% CI: −0.80 to −0.27, p < 0.001). The pooled effect of the five meta-analyses established that exercise had a significant, small effect on depressive symptoms (SMD = −0.41; 95% CI: −0.50 to −0.32, p < 0.001). Our study indicates that exercise is effective in reducing PPD symptoms. Compared with traditional control approaches (psychosocial and psychological interventions), exercise seems have a superior effect on PPD symptoms. The implications of the present synthesis of past meta-analytical findings to guide health policies and research are discussed.
  • Estimation of engagement in moderate-to-vigorous physical activity from direct observation: a proposal for school physical education
    Publication . Gouveia, Élvio R.; Gouveia, Bruna R.; Marques, Adilson; Lopes, Hélder; Rodrigues, Ana; Quintal, Tomás; Pestana, Marcelo; Peralta, Miguel; Kliegel, Matthias; Ihle, Andreas
    This study aimed to test an observational momentary time sampling tool to estimate in class moderate-to-vigorous physical activity (MVPA), in terms of validity, reliability and agreement between observational momentary time sampling and accelerometry, and to develop a regression equation to estimate MVPA from observational momentary time sampling. The sample comprised 78 pupils (38 girls), mean age 14.0 ± 1.1 years. Measurements were taken in three similar Physical Education classes, on three different days. To monitor MVPA, we applied the observational momen tary time sampling method. Students wore an ActiGraph GT3X+ accelerometer. Reliabilities were determined by the intraclass correlations, the agreement between methods was analyzed using the Bland–Altman method, and a multiple regression analysis was performed to estimate the equation. The observational momentary time sampling showed good reliability across time (0.59 < r < 0.72, p < 0.001). It was significantly correlated with accelerometry (r = 0.51, p < 0.001). The MVPA assessed via accelerometer could be predicted from the following equation: Y = 44.3 + 0.47·(MVPA observa tional momentary time sampling method) + 8.0·(sex; with 0 = girls and 1 = boys). This observational momentary time sampling method is a stable and reliable tool to estimate MVPA. A regression equation using the score of observational momentary time sampling and sex can be used to better estimate the real MVPA.
  • Cardiorespiratory fitness and telomere length: a systematic review
    Publication . Marques, Adilson; Gouveia, Élvio Rúbio; Peralta, Miguel; Martins, João; Venturini, Joed; Henriques-Neto, Duarte; Sarmento, Hugo
    length (TL). Studies were identified from searches in Cochrane Central, PubMed, Scopus, Sportdiscus, and Web of Science databases through July 2019. Eligibility criteria included: cross-sectional, prospective, and experimental study design; outcomes included TL; results expressed the relationship between cardiore spiratory fitness and TL; studies published in English, Portuguese, or Spanish. A total of 20 articles met the inclusion criteria. Sixteen studies (80%) reported a significant relationship between cardiorespiratory fitness, or training load, and TL. Better cardiorespiratory fitness or a large cardiorespiratory training load are associated with an increase in TL. Although, TL was related to regular moderate-to-vigorous aerobic exercise and cardiorespiratory fitness in older healthy humans, it was not related to cardiorespiratory fitness among young subjects. There seems to be a positive and significant relationship between cardiorespiratory fitness and TL, mainly among middle age and older people, which emphasizes the importance of cardiorespiratory fitness for healthy ageing. Therefore, endurance exercise and better cardiorespiratory fitness may regulate the TL in middle age and older adults, slowing the cellular ageing process.
  • Adaptation of the Behavioural Regulation in Active Commuting to School (BR-ACS) Questionnaire in Portuguese Youth
    Publication . Marques, Adilson; Santos, Thiago; Demetriou, Yolanda; Schönbach, Dorothea M. I.; Peralta, Miguel; Lagestad, Pål; Martins, João; Kleszczewska, Dorota; Dzielska, Anna; Gouveia, Élvio R.
    This study aimed to translate and adapt the psychometric properties of the Behavioural Regulation in Active Commuting to School (BR-ACS) questionnaire to young Portuguese students. This study had two stages: (1) translation and adaptation of the questionnaire; (2) evaluation of the psychometric properties. A sample of 338 participants (212 female, 126 male) aged 11 to 19 years (Mage = 15.6 ± 2.1) from 31 cities and Madeira island participated in this study. The confirmatory factor analysis suggested an acceptable fit to the data for the first-order and third-order measurement models. The composite reliability values ranged from 0.71 (identified regulation) to 0.90 (integrated regulation), demonstrating internal consistency. The AVE values ranged from 0.40 (amotivation) to 0.69 (integrated regulation), demonstrating an acceptable convergent validity for all constructs. The model estimation had an acceptable fit, with values akin to those of the first-order tested model. Finally, the results of the multigroup analysis for the successive restricted models (CFI < 0.010 and RMSEA < 0.015) point out that the null hypothesis of factor invariance between gender cannot be rejected. The psychometric properties demonstrates the suitability of this questionnaire among Portuguese youths aged 11 to 19. This questionnaire will help understand the motivation aspects that underpin active commuting to school and consequently help to increase physical activity among Portuguese adolescents.