Manuel J. Coelho-e-Silva

The independent associations of sedentary behaviour and physical activity on cardiorespiratory fitness.

Background During childhood and adolescence, both physical activity (PA) and sedentary behaviour seem to influence cardiorespiratory fitness (CRF); however, the combined association of PA and sedentary behaviour remains to be understood. We analysed the combined association of objectively measured sedentary behaviour and moderate-to-vigorous intensity PA (MVPA) on CRF in Portuguese children and adolescents. Methods The sample comprised 2506 Portuguese healthy children and adolescents aged 10–18 years, from a cross-sectional school-based study (2008). PA and sedentary behaviour were assessed with accelerometry. Participants were classified as meeting current PA guidelines for youth versus not meeting, and as low versus high sedentary (according to the median value of sedentary time/day by age and gender), and then grouped as follows: Low active—high sedentary; low active—low sedentary; high active—high sedentary; high active—low sedentary. CRF was assessed with the FITNESSGRAM 20 m shuttle-run test. Binary logistic regression models were constructed to verify the relationship between high CRF and the combined influence of MVPA/sedentary behaviour, adjusting for age, gender, body mass index and accelerometer wear time. Results Participants classified as high active/low sedentary (OR=1.81; 95% CI 1.21 to 2.69), as well as those classified as low active/low sedentary (OR=1.27; 95% CI 1.01 to 1.61) were more likely to be fit, compared with those from the low-active/high-sedentary group. Conclusion MVPA and sedentary behaviour may act independently in their relation with CRF, and that MVPA levels may not overcome the deleterious influence of high-sedentary time in maximising CRF.

Prevalence of overweight, obesity, and abdominal obesity in a representative sample of Portuguese adults

This study determined the prevalence of overweight, obesity, and abdominal obesity in the Portuguese adults and examined the relationship between above mentioned prevalences and educational level. Body mass, stature, and waist circumference were measured in a representative sample of the Portuguese population aged 18–103 years (n = 9,447; 18–64 years: n = 6,908; ≥65 years: n = 2,539). Overweight and obesity corresponded to a body mass index ranging between 25–29.9 kg/m2 and ≥30 kg/m2, respectively. Abdominal obesity was assessed as >102 cm for males and >88 cm for females. After adjusting for educational level, the combined prevalences of overweight and obesity were 66.6% in males and 57.9% in females (18–64 years). Respective values in older adults (≥65 years) were 70.4% for males and 74.7% for females. About 19.3% of adult males and 37.9% of adult females presented abdominal obesity. Correspondent values in older adults were 32.1%, for males, and 69.7%, for females. In adults, low educational level was related to an increased risk for overweight (OR = 2.54; 95% CI: 2.08–3.09), obesity (OR = 2.76; 95% CI: 2.20–3.45), and abdominal obesity (OR = 5.48; 95% CI: 4.60–6.52). This reinforces the importance of adjusting public health strategies for educational level.

Anthropometric Characteristics, Physical Fitness and Technical Performance of Under-19 Soccer Players by Competitive Level and Field Position

Anthropometric characteristics, physical fitness and technical skills of under-19 (U19) soccer players were compared by competitive level (elite, n=95; non-elite, n=85) and playing position (goalkeeper, central defender, fullback, midfield, forward). Fitness tests included 5- and 30-m sprints, agility, squat jump (SJ) and countermovement jump (CMJ), strength and Yo-Yo intermittent endurance test level 2 (Yo-Yo IE2). Soccer-specific skills included ball control and dribbling. Independent of position, elite players presented more hours of training per year than non-elite players (d>1.2). Stature and body mass discriminated elite from non-elite players among goalkeepers and central defenders (d>0.6). Major differences were noted between elite and non-elite goalkeepers for SJ, CMJ, Yo-Yo IE2, and ball control (d>1.2). Elite central defenders performed better than their non-elite counterparts in SJ and ball control tests (d>1.2). Elite players presented better agility and Yo-Yo IE2 performances than non-elite players within all positional roles (d>0.6). In conclusion, U19 players differed in anthropometric characteristics, physical fitness and technical skills by competitive level within field positions.

Sport Injuries Aligned to Peak Height Velocity in Talented Pubertal Soccer Players

In young athletes, demands of sports are superimposed on normal growth and maturation. It has been suggested that this causes a temporarily increased vulnerability for injuries. We followed 26 talented soccer players (mean age 11.9±0.84 years) longitudinally for 3 years around their adolescent growth spurt, called Peak Height Velocity, to identify differences in number of traumatic and overuse injuries and days missed due to injuries. Peak Height Velocity was calculated according to the Maturity Offset Protocol. The number of injuries was calculated for each player per year. A repeated measurement analysis showed that athletes had significantly more traumatic injuries in the year of Peak Height Velocity (1.41) than in the year before Peak Height Velocity (0.81). A moderate effect size of 0.42 was found for the difference in number of overuse injuries per player per year before (0.81) and after Peak Height Velocity (1.41), respectively. Finally, a moderate effect size of 0.55 was found for difference between days missed due to injuries before (7.27 days per player per year) and during Peak Height Velocity (15.69 days per player per year). Adolescent growth spurt seems to result in increased vulnerability for traumatic injuries. Afterwards athletes seem to be susceptible to overuse injuries.

Anthropometric measures and blood pressure in school children

OBJECTIVE To investigate the association of blood pressure and body mass index, waist circumference, waist-to-height ratio and triceps skinfold, in children and adolescents in Curitiba, state of Paraná, Brazil. METHODS Cross-sectional study with a random sample of 1,441 students from public schools, aged from 10 to 16 years (655 boys and 786 girls). The following indicators were assessed: weight, height, waist circumference, triceps skinfold, systolic and diastolic blood pressures, pubertal stage, and socioeconomic status. Pearson correlation tests and multivariate logistic regression were used, considering p<0.05. RESULTS We found weak correlations among all the anthropometric parameters and systolic and diastolic levels, with coefficients values ranging from 0.18 to 0.28 (p<0.001). In multivariate analysis, only body mass index [odds ratio (OR)=2.9; 95% confidence interval (95%CI) 1.9-4.5] and triceps skinfold (OR=1.9; 95%CI 1.3-3.1) were found as predictors of high blood pressure, regardless of abdominal adiposity, sexual maturation and socioeconomic status. CONCLUSION Total body adiposity seems to be a better predictor of high blood pressure risk than abdominal fat in this population.

A biocultural model of maturity-associated variance in adolescent physical activity

A model for adolescent involvement in physical activity (PA) that incorporates individual differences in biological maturation is presented. The biocultural model of maturity-associated variance in physical activity recognizes PA as a complex and multifaceted behaviour that exists in multiple contexts (e.g., transport, vocation, sport, exercise) and can be viewed from multiple perspectives (e.g., energy expenditure, movement counts, performance outcomes, fitness). The model holds that biological maturation can exert both direct and indirect effects on PA during adolescence. Direct effects imply a direct and unmediated effect of individual differences in maturation on PA. Indirect effects imply influences of individual differences in maturation on PA that are mediated by psychological constructs (e.g., self-perceptions, beliefs) and/or are moderated by exogenous factors (e.g., social interaction, culture) associated with pubertal maturation.

Nutritional status, biological maturation and cardiorespiratory fitness in Azorean youth aged 11–15 years

BackgroundSex and individual differences in biological maturity status can influence height, weight, and body fat. Thus, the rigorous control of these variables seems necessary for estimating overweight and obesity in adolescents. The aims of this study were to estimate the prevalence of overweight and obesity and over-fatness in Azorean adolescents and to examine the contributions of chronological age, sex, estimated maturity status, and cardiorespiratory fitness (CRF) to the risk of overweight and obesity and over-fatness.MethodsThe sample comprised 1,206 youth aged 11–15 years (626 boys and 580 girls) from the Azores Islands, Portugal. Body mass, stature, and skinfolds (triceps and subscapular) were measured. Body mass index (BMI) was calculated and percent fat was predicted from skinfolds. Age- and sex-specific IOTF cut-off values of the BMI defined nutritional status. Biological maturation was estimated as present height expressed as a percentage of predicted adult (mature) stature. The CRF was analyzed from the 20-m shuttle run test.ResultsThe total prevalence rates of overweight/obesity and over-fatness were of 31% and 27%, respectively. Low CRF (unfit) and being average and advanced in maturity status were positively and significantly associated with overweight/obesity and with risk of being over-fatness in both sexes.ConclusionsHigh prevalence rates of overweight/obesity and over-fatness were identified in Azorean youth, and low CRF and advanced biological maturation were positively associated with overweight/obesity and over-fatness in our sample of adolescents.

Urban - rural contrasts in fitness, physical activity, and sedentary behaviour in adolescents

Research considering physical activity (PA), physical inactivity and health outcomes among urban and rural youth has produced equivocal findings. This study examined PA, physical inactivity, sedentary behaviours and cardiorespiratory fitness (CRF) in adolescents from urban and rural communities in the Portuguese Midlands. The sample included 362 adolescents (165 males, 197 females) of 13-16 years of age. CRF was assessed by the PACER test. A GT1M accelerometer was used to record 5 consecutive days of PA and time spent sedentary. Analyses of covariance (chronological age as co-variate) were performed to test the effect of the area of residence on sedentary behaviour, PA and CRF. Urban youth of both sexes spent less time in sedentary activities than rural youth. Urban males were more active than rural peers at the weekend, whereas urban females were significantly less active than rural females on week days and across all days assessed. Rural youth of both sexes had higher levels of CRF than urban youth. Area of residence was related to aerobic fitness, PA and time spent in sedentary behaviours among Portuguese youth. Interventions seeking to enhance health and active lifestyles in Portuguese youth should consider the potential impact of socio-geographic factors.

Multilevel Approach of a 1-Year Program of Dietary and Exercise Interventions on Bone Mineral Content and Density in Metabolic Syndrome--the RESOLVE Randomized Controlled Trial.

Background Weight loss is a public health concern in obesity-related diseases such as metabolic syndrome (MetS). However, restrictive diets might induce bone loss. The nature of exercise and whether exercise with weight loss programs can protect against potential bone mass deficits remains unclear. Moreover, compliance is essential in intervention programs. Thus, we aimed to investigate the effects that modality and exercise compliance have on bone mineral content (BMC) and density (BMD). Methods We investigated 90 individuals with MetS who were recruited for the 1-year RESOLVE trial. Community-dwelling seniors with MetS were randomly assigned into three different modalities of exercise (intensive resistance, intensive endurance, moderate mixed) combined with a restrictive diet. They were compared to 44 healthy controls who did not undergo the intervention. Results This intensive lifestyle intervention (15–20 hours of training/week + restrictive diet) resulted in weight loss, body composition changes and health improvements. Baseline BMC and BMD for total body, lumbar spine and femoral neck did not differ between MetS groups and between MetS and controls. Despite changes over time, BMC or BMD did not differ between the three modalities of exercise and when compared with the controls. However, independent of exercise modality, compliant participants increased their BMC and BMD compared with their less compliant peers. Decreases in total body lean mass and negative energy balance significantly and independently contributed to decreases in lumbar spine BMC. Conclusion After the one year intervention, differences relating to exercise modalities were not evident. However, compliance with an intensive exercise program resulted in a significantly higher bone mass during energy restriction than non-compliance. Exercise is therefore beneficial to bone in the context of a weight loss program. Trial Registration ClinicalTrials.gov NCT00917917

Age-related variation of anaerobic power after controlling for size and maturation in adolescent basketball players

Background: Adolescence is characterized by increments in body size and physical performance. Short bursts of maximal intensity, requiring anaerobic metabolism, are important in many team sports including basketball. Aim: Variation of anaerobic power of adolescent basketball players (n = 93, 14–16 years) in relation to years before and after estimated age at peak height velocity (PHV) and variation in body size was considered. Methods: The cross-sectional study included chronological age, estimated age at PHV, training experience; stature, body mass (BM), free-fat mass (FFM) and estimated lower-limb volume (LLV) by anthropometry; and short-term power outputs derived from the Wingate Anaerobic Test (WAnT). Based on proportional allometric modeling, power outputs were partitioned for biological maturity status and size variables. Pearson correlations were used to estimate the associations between distance to PHV (maturity offset) and training experience with absolute and scaled estimates of short-term power. Results: Absolute WAnT increased linearly (PP, r = 0.72; MP, r = 0.74) through the interval of rapid growth of the adolescent spurt. Increments were related mainly to BM and muscle mass. Nevertheless, a residual significant positive influence of chronological age per se on maximal short-term power outputs remained independent of body size. Conclusion: Allometric modelling to partition size may reveal other potentially meaningful factors in the development of short-term performance in adolescent athletes.