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  • Monitoring body composition and physical fitness of elite female basketball players after 16 weeks of in-season training
    Publication . França, Cíntia; França, Ana; Marques, Adilson; Ihle, Andreas; Lopes, Helder; Santos, Francisco; Gouveia, Élvio R.
    Understanding the physiological changes in players’ profiles during the season is crucial to optimize training prescription according to players’ needs towards a high-level game performance. The purpose of this study was to assess the variation in body composition and physical fitness of elite female basketball players after 16 weeks of in season training. The sample was composed of 13 elite female basketball players aged 19.7 ± 4.3 years (height: 173.7 ± 9.8 cm, body mass: 70.4 ± 11.3 kg). Body composition, static strength, lower-body explosive strength, speed, agility, and aerobic endurance, were assessed initially (T1) and 16 weeks after the regular season (T2). Significant improvements were found between T1 and T2 for the squat jump (t = -2.433, p ≤ 0.05, d = -0.39), the 20 m linear sprint (t = 2.493, p ≤ 0.05, d = 0.87), and the Yo-Yo Intermittent Endurance Test-Level 2 (t = -3.746, p ≤ 0.01, d = - 0.34). Lower-body explosive strength showed a significant contribution to agility and speed. The visceral fat area presented a greater negative correlation with the aerobic and anaerobic capacity. Sports practitioners and coaches should be aware of the importance of monitoring players’ body composition and physical fitness to assess the physiological responses to the training process and to optimize training prescription. Training contents may be adjusted according to the responses recorded to achieve the defined goals. The positive contribution of lower-body explosive strength to speed and agility, emphasizes the need to include in-season strength programs targeted to enhance players’ overall physical fitness.
  • Associations between Age, Body Composition, Balance, and Other Physical Fitness Parameters in Youth Soccer
    Publication . França, Cíntia; Martins, Francisco; Marques, Adilson; Nascimento, Marcelo de Maio; Ihle, Andreas; Przednowek, Krzysztof; Gouveia, Élvio Rúbio
    In sports, balance ability has been related to game performance and injury prevention. This study’s aims were twofold: (1) to analyze the balance performance of adolescent soccer players from different age groups; and (2) to examine the relationship between players’ age, body composi tion, balance, and other physical fitness parameters, such as strength and flexibility. In this study, 112 players from the under 15 (U15), under 16 (U16), and under 17 (U17) age groups participated. A one-way analysis of the variance was conducted to investigate differences between groups. Pearson correlations and hierarchical multiple regression were used to explore the relationship between variables. Regarding balance, the older group performed significantly worse in the stability indexes for both legs but significantly better in dynamic balance tests. Height correlated significantly and negatively with balance indicators. Both jumping tasks showed medium to large correlations with the sway indexes (−0.23 > r < −0.51). Although not significantly, body fat negatively affected balance, underlining the importance of monitoring body composition for players’ development. Overall, no substantial relationship was found between static and dynamic balance variables, and therefore, it is crucial to include both as complementary measures while evaluating youngsters’ postural balance.
  • Exploring the Role of Physical Activity in Mediating the Association between Educational Level and Health-Related Quality of Life in an Adult Lifespan Sample from Madeira Island
    Publication . García-Mayor, Jesús; Gouveia, Élvio Rúbio; Marques, Adilson; De la Cruz-Sánchez, Ernesto; Moreno-Llamas, Antonio; França, Cíntia; Gouveia, Bruna R.; Ihle, Andreas
    People more socioeconomically vulnerable tend to have a poorer health related quality of life (HRQoL). Studies are trying to analyse the factors that may condition this relationship, including physical activity (PA), which may influence the relationship between socioe conomic status (SES) and HRQoL. This study aimed to analyse the relationship between SES and HRQoL through specific domains of PA. Methods: A total of 381 adults (≥18 years) from the Au tonomous Region of Madeira completed the measurements. Mediation analyses using bootstrapping methods adjusted for confounding variables were performed to relate SES and HRQoL; the latter was evaluated using the physical component score (PCS) of the SF-12, the mental component score (MCS) of the SF-12, and the total score in the SF-12 questionnaire (SF-12 score), through physical activity. Results: Educational level was positively related to PCS and SF-12 score. Leisure-time PA (not including sports PA) and PA at work, as single mediating variables, did not mediate the relationship between SES and HRQoL. The total PA suppressed the socioeconomic gradient of HRQoL by 8–10%, 39–46%, and 15–16%, respectively, for the PCS, MCS, and the SF-12 score; sports PA mediated the relationship by 13–16%, 50%, and 15–21%, respectively. Conclusions: The results suggest that sports PA contributes to reducing the socioeconomic gradient of HRQoL.
  • Differential Patterns in Motivations for Practicing Sport and Their Effects on Physical Activity Engagement across the Lifespan
    Publication . Nascimento, Marcelo de Maio; Gouveia, Élvio Rúbio; Gouveia, Bruna R.; Marques, Adilson; França, Cíntia; Campos, Pedro Filipe Pereira; Martins, Francisco; García-Mayor, Jesús; Ihle, Andreas
    This study aims to report what motivates individuals to be physically active, to determine whether motivating factors influence physical activity (PA) levels, and whether this differs across the lifespan. This is a cross-sectional study with 498 individuals: 117 adolescents, 306 adults, and 75 older adults. PA was assessed using Baecke’s questionnaire, and motivating factors for practicing sports were investigated using a scale with twelve questions. The factor analysis identified three motivating factors for sports practice: psychosocial, bodily, and well-being. The scale’s overall reliability and internal consistency indicated a Cronbach’s alpha of 0.885. The analysis of covariance (ANCOVA) adjusted for sex indicated the three factors as having a significant effect on PA (p < 0.050); however, only the well-being factor showed a significant interaction with age groups (p = 0.023, ηp 2 = 0.030). Subsequently, the effect of the well-being factor on PA scores in each age group was explored through regression analyses. Only older adults showed a significant association in the unadjusted [OR = 0.378, p = 0.001, R2 = 0.243] and the sex-adjusted analysis [OR = 0.377, p = 0.001, R2 = 0.288]. These results help us to better understand the underlying motivational reasons in different age groups for engaging in sports.
  • Predictors of metabolic syndrome in adults and older adults from Amazonas, Brazil
    Publication . Gouveia, Élvio Rúbio; Gouveia, Bruna R.; Marques, Adilson; Peralta, Miguel; França, Cíntia; Lima, Alex; Campos, Alderlane; Jurema, Jefferson; Kliegel, Matthias; Ihle, Andreas
    : Metabolic syndrome has been considered a factor of vulnerability and a major public health problem because it increases the risk of cardiovascular disease and type 2 diabetes. The present study from Amazonas, Brazil aimed to estimate the prevalence of the individual and general components of metabolic syndrome in adults and older adults and identify the independent predictors of metabolic syndrome. The sample of the present cross-sectional study comprised 942 participants (590 women), with a mean age of 59.8 ± 19.7 (range: 17.5 to 91.8). Blood pressure in men (62.5%), abdominal obesity in women (67.3%), and lower high-density lipoprotein cholesterol (HDL-C) in both (52.2% in men and 65.0% in women) were the most prevalent individual risk factors for metabolic syndrome. Women had a higher prevalence of abdominal obesity (p < 0.001), low HDL-C (p < 0.001), and metabolic syndrome (p < 0.001) than men; however, opposite results were seen in men for blood pressure (p < 0.001). The overall prevalence of metabolic syndrome was 47.5%. Advanced age, being female, having a higher body mass index, and a having lower educational level independently increased the odds of metabolic syndrome. Due to the association of metabolic syndrome with deterioration of health status and increased vulnerability, this study sustains the need for early public health interventions in the Amazonas region.
  • Body composition variations between injured and non-injured professional soccer players
    Publication . Martins, Francisco; França, Cíntia; Henriques, Ricardo; Ihle, Andreas; Przednowek, Krzysztof; Marques, Adilson; Lopes, Helder; Sarmento, Hugo; Gouveia, Élvio Rúbio
    Professional soccer is characterized by its physical demands, making players’ exposure to high injury risks a growing problem. It is crucial to study the factors associated with injuries in professional soccer. This study aimed to investigate the relationship between age, body composition, and others variables related with the injury profle of professional soccer players of a specifc Portuguese team. Also, it analyzed the impact of the injury profle on soccer’s variations in body fat (BF%), skeletal muscle mass (SMM) and total body water (TBW) throughout the season. The sample comprised 31 male professional soccer players competing in the First Portuguese Soccer League. Older players had a higher prevalence of muscular injuries. Midfelders and forwards showed the highest number of muscular injuries during the season being quadriceps the most afected zone. Considering players’ BF% [Wilks’ Lambda = 0.42, F (7, 23) = 4.61, p= 0.002, r = 0.58], SMM [Wilks’ Lambda = 0.59, F (6, 23) = 2.70, p= 0.039, r = 0.41] and TBW [Wilks’ Lambda = 0.54, F (7, 23) = 2.80, p= 0.029, r = 0.46] there was a substantial main efect for the assessments performed throughout the season and the injury status. Age assumes relevance in explaining the injury profle. The impact of the injury profle on soccer’s variations in BF%, SMM and TBW throughout the season must be analyzed considering the clinical relevance.
  • Predictive Modeling of Injury Risk Based on Body Composition and Selected Physical Fitness Tests for Elite Football Players
    Publication . Martins, Francisco; Przednowek, Krzysztof; França, Cíntia; Lopes, Helder; Nascimento, Marcelo de Maio; Sarmento, Hugo; Marques, Adilson; Ihle, Andreas; Henriques, Ricardo; Gouveia, Élvio Rúbio
    : Injuries are one of the most significant issues for elite football players. Consequently, elite football clubs have been consistently interested in having practical, interpretable, and usable models as decision-making support for technical staff. This study aimed to analyze predictive modeling of injury risk based on body composition variables and selected physical fitness tests for elite football players through a sports season. The sample comprised 36 male elite football players who competed in the First Portuguese Soccer League in the 2020/2021 season. The models were calculated based on 22 independent variables that included players’ information, body composition, physical fitness, and one dependent variable, the number of injuries per season. In the net elastic analysis, the variables that best predicted injury risk were sectorial positions (defensive and forward), body height, sit-and reach performance, 1 min number of push-ups, handgrip strength, and 35 m linear speed. This study considered multiple-input single-output regression-type models. The analysis showed that the most accurate model presented in this work generates an error of RMSE = 0.591. Our approach opens a novel perspective for injury prevention and training monitorization. Nevertheless, more studies are needed to identify risk factors associated with injury prediction in elite soccer players, as this is a rising topic that requires several analyses performed in different contexts.
  • The Role of Physical Function in the Association between Physical Activity and Gait Speed in Older Adults: A Mediation Analysis
    Publication . Nascimento, Marcelo de Maio; Gouveia, Élvio Rúbio; Marques, Adilson; Gouveia, Bruna R.; Marconcin, Priscila; França, Cíntia; Ihle, Andreas
    Adequate levels of physical function (PF) are essential for vulnerable older adults to perform their daily tasks safely and remain autonomous. Our objective was to explore the mediating role of PF in the relationship between physical activity (PA) and gait speed (GS) in a large sample of older adults from the north of Brazil. This is a cross-sectional study that analyzed 697 older adults (mean age 70.35 ± 6.86 years) who participated in the project “Health, Lifestyle, and Physical Fitness in Older Adults in Amazonas” (SEVAAI). PA was assessed using the Baecke Questionnaire, PF using the Senior Fitness Test, and GS using the 50-foot Walk Test. Mediation pathways were analyzed to test the possible mediating role of PF between specific PA domains (PA-total score, PA-housework, PA-sport, PA-leisure) and GS. Regarding PA-total, the analysis showed that high-performance GS was partially mediated in approximately 19% by better PF performance. Moreover, the PF could partially mediate the association between PA-sport and PA-leisure with GS, at levels of approximately 9% and 46%, respectively. An inverse relationship was observed between PA-housework (sedentary lifestyle) and GS. This association was partially mediated to an extent of approximately 9% by better PF performance. We conclude that PF plays a crucial role in mediating the association between PA and GS among vulnerable older adults.
  • Digital health in schools: a systematic review
    Publication . França, Cíntia; Santos, Francisco; Martins, Francisco; Lopes, Helder; Gouveia, Bruna; Gonçalves, Frederica; Campos, Pedro; Marques, Adilson; Ihle, Andreas; Gonçalves, Tatiana; Gouveia, Élvio Rúbio
    Worldwide, the growing digitalization process and increase in smartphone usage have contributed to promoting mobile health (mHealth) services. This study provides an overview of the research targeting the effectiveness of mHealth interventions among children and adolescents in the school environment. A systematic literature review was performed following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) in the PubMed, Web of Science, and Scopus databases. The results show that physical activity and nutrition are the main intervention topics. Health literacy, mental health, productive health, vaccination rates, and social interaction were also considered in mHealth interventions. Of the 13 studies that remained for analysis, 12 described positive outcomes in at least one health variable after using an mHealth tool. Overall, interventions ranged between four and 24 weeks. Only seven studies managed to have at least 80% of the participants from the baseline until completion. Adding personal information, user interaction, and self-reference comparisons of performance seems crucial for designing successful health digital tools for school-aged children and adolescents.
  • Body Composition and Physical Fitness in Madeira Youth
    Publication . Martinho, Diogo V.; Gouveia, Élvio Rúbio; França, Cíntia; Lopes, Helder; Ihle, Andreas; Marques, Adilson; Rodrigues, Ana; Alves, Ricardo; Sarmento, Hugo
    Research on composition and physical fitness is lacking in school-aged children from Madeira. This study aimed to examine the frequencies of overweight and obese participants and, in addition, to compare the fitness levels of Madeira youth with reference data. Methods: The sample comprised 521 participants (n = 258 boys; n = 263 girls) aged 10.0–18.9 years old. Methods: Height and weight were measured. Body mass index (BMI) was calculated, and percent fat was derived from skinfolds. Tests detailed on FITESCOLA battery were performed. BMI was plotted against U.S. reference data and physical assessment contrasted with the cut-off points of FITESCOLA protocol and corresponding data developed in Portuguese youth. Results: The percentages of overweight and obesity were 15% (overweight) and 14% (obesity) for boys and 16% (overweight) and 6% (obesity) for girls. The median values of fat mass percentage were closely related to the cut-off standards; however, substantial variation was noted. Boys and girls tended to be below the recommendations of cardiorespiratory fitness. Conclusions: Sport participation should be promoted in Madeira to attain acceptable values of body composition and physical fitness levels.