scholarly journals Μελέτη στοιχείων προσωπικότητας και διαστάσεων ενεστώσης ψυχοπαθολογίας σε παχύσαρκους

2016 ◽  
Author(s):  
Δημήτριος Δημητριάδης

Η πρόσφατη βιβλιογραφία υποδεικνύει ότι υπάρχει σημαντική συσχέτιση μεταξύ παχυσαρκίας και ψυχοπαθολογίας, η φύση της οποίας, όμως, παραμένει αδιευκρίνιστη. Μελετήσαμε το διαμεσολαβητικό ρόλο των βιοχημικών διαταραχών, της σωματικής δραστηριότητας, των διατροφικών συνηθειών και του καπνίσματος στη σχέση αυτή, σε ένα δείγμα παχύσαρκων ατόμων που αναζητούν θεραπεία.Στην μελέτη αυτή έλαβαν μέρος 142 ενήλικοι υπέρβαροι ή παχύσαρκοι και 119 ενήλικοι με φυσιολογικό BMI, με αντιστοιχία των δύο ομάδων ως προς την ηλικία και το φύλο (μέση ηλικία 35.88±10.42 vs 34.05±8.96) . Τα στοιχεία ψυχοπαθολογίας αξιολογήθηκαν μέσω της Κλίμακας Ελέγχου Συμπτωμάτων (Symptom Checklist 90-Revised - SCL 90-R), οι διατροφικές συνήθειες μέσω του Μεσογειακού Διατροφικού Σκορ (MedDietScore – MDS) και η σωματική άσκηση μέσω του Διεθνούς Ερωτηματολογίου Σωματικής Δραστηριότητας (International Physical Activity Questionnaire – IPAQ). Οι συμμετέχοντες στην μελέτη ερωτήθηκαν επίσης ως προς τις συνήθειες καπνίσματος. Επιπλέον, μετρήθηκαν τα επίπεδα πλάσματος γλυκόζης νηστείας, χοληστερόλης και τριγλυκεριδίων. Εφαρμόστηκε μία σειρά από γραμμικά και μη γραμμικά μοντέλα για τη στατιστική ανάλυση της μελέτης.Η παχυσαρκία σχετίστηκε θετικά και σημαντικά (p<0.05) με όλες τις υποκλίμακες της SCL-90R, με εξαίρεση εκείνες του άγχους και του φοβικού άγχους, καθώς και με τα επίπεδα πλάσματος γλυκόζης και λιπιδίων, την καθιστική δραστηριότητα και το κάπνισμα, ενώ σχετίστηκε αρνητικά με το συνολικό σκορ του MDS. Η συσχέτιση μεταξύ παχυσαρκίας και ψυχοπαθολογίας φαίνεται ότι διαμεσολαβείται μερικώς από τα επίπεδα λιπιδίων πλάσματος, την ανθυγιεινή διατροφή, την καθιστική ζωή και το κάπνισμα. Οι παθοφυσιολογικοί μηχανισμοί που πιθανώς ερμηνεύουν τις διαμεσολαβήσεις αυτές αφορούν καρδιαγγειακούς παράγοντες κινδύνου (όπως αύξηση των δεικτών φλεγμονής, ενδοθηλιακή δυσλειτουργία), βιοχημικές παραμέτρους (όπως μείωση των νευροτροφικών παραγόντων, π.χ. BDNF) και δομικές αλλοιώσεις του εγκεφάλου (όπως ατροφία του προμετωπιαίου φλοιού) που συνδέονται με το κάπνισμα, την έλλειψη σωματικής δραστηριότητας, την κακή διατροφή και τη δυσλιπιδαιμία. Δεδομένου ότι στη μελέτη μας συμμετείχαν σχετικά νεαρά σε ηλικία άτομα, είναι σκόπιμο να αναφέρουμε ότι πρόσφατες μελέτες δείχνουν πως οι καρδιαγγειακοί/ βιοχημικοί/ δομικοί παράγοντες αυτοί είναι δυνατό να εκδηλωθούν και σε άτομα νεαρής ηλικίας. Φαίνεται ότι σημαντικότερο ρόλο στους συγκεκριμένους παθοφυσιολογικούς μηχανισμούς δεν παίζει τόσο η ηλικία, αλλά o Δείκτης Μάζας Σώματος (Body Mass Index – ΒΜΙ), τα επίπεδα λιπίδίων πλάσματος και η παχυσαρκία.

MEDIKORA ◽  
2015 ◽  
Vol 11 (2) ◽  
Author(s):  
Prijo Sudibjo ◽  
Novita Intan Arovah ◽  
Rachmah Laksmi Ambardini

Mahasiswa Program Studi Pendidikan Kepelatihan Olahraga Fakultas Ilmu Keolahragaan dipersiapkan menjadi pelatih yang kompeten. Salah satu kompetensi yang diperlukan oleh pelatih adalah pemahaman dan keterampilan dalam pengukuran tingkat aktivitas fisik, status kecukupan energi dan status antropometrik. Tujuan penelitian ini adalah untuk mengetahui dan memahami pengukuran level aktivitas fisik, status kecukupan energy, dan status antropometrik mahasiswa Program Studi Pendidikan Kepelatihan Olahraga FIK UNY. Penelitian ini merupakan penelitian observasi cross sectional pada 30 mahasiswa Program Stusi Pendidikan Kepelatihan Olahraga FIK UNY yang telah menempuh mata kuliah Anatomi. Pengukuran tingkat pemahaman dilaksanakan dengan metode tes. Level aktivitas fisik diukur dengan kuesioner IPAQ (International Physical Activity Questionnaire), status kecukupan energi diukur dengan membagi antara asupan kalori dibagi dengan kebutuhan kalori, dan status antropometris dinilai dengan menggunakan rumus BMI (body mass index) dansomatotype berdasarkan Health Charter Manual. Data diolah secara deskriptif dan korelatif menggunakan analisis Korelasi Pearson untuk melihat hubungan antara tingkat pemahaman dan status level aktivitas fisik, status kecukupan energy, dan status antropometrik dengan program SPSS. Hasil penelitian menunjukkan bahwa pada semua mahasiswa Program Studi Pendidikan Kepelatihan Olahraga FIK UNY mempunyai level aktivitas fisik yang baik (skor IPAQ rata-rata 7248,13 ± 2420,58 METS), dan status kecukupan energi yang baik pula (rata-rata kecukupan energi sebesar 96,62 ± 19,81%). Di sisi lain, status gizi pada 90 % mahasiswa menunjukkan kriteria yang normal. Uji Korelasi Pearson menunjukkan adanya korelasi positif yang sangat kuat antara tingkat pemahaman level aktivitas fisik dan level aktivitas fisik (korelasi 0.902 dan p < 0,05), namun tidak terbukti adanya korelasi yang signifikan (p > 0,05) antara tingkat pemahaman dan status kecukupan energi dan status gizi yang secara berurutan didapatkan nilai korelasi sebesar 0,27 dan 0,048.Kata Kunci: level aktivitas fisik, status kecukupan energi, status antropometrik


2016 ◽  
Vol 32 (3) ◽  
pp. 578-586 ◽  
Author(s):  
Tanya M. Horacek ◽  
E. Dede Yildirim ◽  
K. Kattelmann ◽  
O. Brown ◽  
C. Byrd-Bredbenner ◽  
...  

Purpose: The purpose of this study was to assess the relationship between the walkability/bikeability of college campuses and students’ body mass index (BMI) with student physical activity (PA) attitudes and behaviors as potential mediators. Design: Cross-sectional. Setting: Thirteen university campuses. Participants: A total of 1384 student participants. Measures: Walkability/bikeability environmental score (ES): 12-item audit assessed an average of 44 path segments per campus. Students were measured for height and weight and completed online surveys. Physical activity stage of change/behavior intentions were assessed using the transtheoretical model. The Cognitive Behavioral Physical Activity Questionnaire assessed outcome expectations, self-regulation, and personal barriers. International Physical Activity Questionnaire assessed walking-, moderate-, and vigorous-intensity PA. Analysis: Descriptive statistics, zero-order correlations, and path analysis with maximum likelihood estimation. Results: The overall model fit was good with χ2 of 171.388 ( df = 18), P < .001, comparative fit index value of .95, and a root mean square of approximation of .079. After controlling for gender, there was a direct negative association between walkability/bikeability ES and BMI (β = −.085) and positive association between personal barriers and BMI (β = .134). Walkability/bikeability ES was positively associated with walking-intensity PA (β = .010). Self-regulation was positively associated with moderate-intensity PA (β = .213), which, in turn, was negatively associated with BMI (β = −.057). Conclusions: The ease of walking and biking on a campus was related to college students’ walking behavior and their BMI. Students’ PA behavioral intentions were associated with moderate PA and lower BMI. These results provide evidence to focus on policies and structural supports for walkable/bikeable environments to supplement and enhance interventions encouraging individual behavior change for PA and weight management.


2020 ◽  
Vol 6 (1) ◽  
pp. 30-38
Author(s):  
Adi S ◽  
Mohamad Da’i ◽  
Olivia Dwi Cahyani

Physical activity is essential in maintaining health. This study aimed to investigate the level of physical activity of students at the time of the COVID-19 pandemic. The International Physical Activity Questionnaire (IPAQ) questionnaire was used to examine students' level of physical activity. Students who participated in this study were 1367. The number of female students in this study was 920, while male students were 447. The results showed there were differences in physical activity between male and female students. The average activity value of male students is three medium categories, while female students are two low categories. The biological activity of male students is one level higher than female students. The female student body mass index is included in the "light fat" category. This can be interpreted as the lower the level of physical activity, the more potentially these students are obese. Simultaneously, the body mass index of male students is included in the "normal" category. In conclusion, the higher the level of physical activity, the more potential the student has a good body mass index.  


2011 ◽  
Vol 60 (4) ◽  
pp. 315-320 ◽  
Author(s):  
Maria F. Laus ◽  
Telma M. Braga Costa ◽  
Sebastião S. Almeida

Objective: To evaluate body image dissatisfaction and its relationship with physical activity and body mass index in a Brazilian sample of adolescents. Methods: A total of 275 adolescents (139 boys and 136 girls) between the ages of 14 and 18 years completed measures of body image dissatisfaction through the Contour Drawing Scale and current physical activity by the International Physical Activity Questionnaire. Weight and height were also measured for subsequent calculation of body mass index. Results: Boys and girls differed significantly regarding body image dissatisfaction, with girls reporting higher levels of dissatisfaction. Underweight and eutrophic boys preferred to be heavier, while those overweight preferred be thinner and, in contrast, girls desired to be thinner even when they are of normal weight. Conclusion: Body image dissatisfaction was strictly related to body mass index, but not to physical activity.


2017 ◽  
Vol 37 (2) ◽  
pp. 93-98
Author(s):  
Aleksander Anischenko ◽  
Anna Arhangelskaya ◽  
Michael Klenov ◽  
Ekaterina Burdukova ◽  
Valrii Ogarev ◽  
...  

Purpose To analyze the prevalence of risk factors among Russian students. Methods In this study, 834 students were included from five Federal universities which were localized in four Federal regions of Russian Federation. Future doctors, school teachers, and wellness trainers were included in this study. Students were specifically asked about smoking, physical activity International Physical Activity Questionnaire (IPAQ), and food preference. Waist, hip, weight, and height were measured. Results The region of study and ethnic group were not influenced with respect to age and body mass index ( p > .1), while all other factors had a significant influence ( p < .05). High levels of smoking, hypodynamia, and motivation to intake of unhealthy food were found in medical students in comparison with those in future teachers and wellness instructors ( p < .05). The indicators of central obesity (due to levels of body mass index and waist–hip ratio) were found in medical students. Perspective Special programs to prevent the most common behavior risk factors in future medical doctors have to be designed.


2021 ◽  
Vol 21 (S1) ◽  
Author(s):  
Pongrác Ács ◽  
Réka Veress ◽  
Paulo Rocha ◽  
Tamás Dóczi ◽  
Bence László Raposa ◽  
...  

Abstract Background Physical inactivity is a global phenomenon in European welfare countries. Proper monitoring is essential to measure the physical activity level of the population. Methods In the Hungarian cohort of the European Physical Activity and Sport Monitoring System (EUPASMOS) project, our participants (N = 598) completed sociodemographic questions and the International Physical Activity Questionnaire – short form (IPAQ-SF) survey. The validity and reliability of the subjective measurement tool were examined, IPAQ-SF outcomes were contrasted against triaxial RM42 accelerometer wore for 7 consecutive days. Results The IPAQ-SF showed moderate internal consistency (Cronbach Alpha = 0.647). The concurrent validity of the IPAQ-SF to triaxial accelerometer indicated a significant weak-to-moderate correlation (R = 0.111–0.338, p = 0.042; p < 0.001). The test-retest reliability showed a significant correlation between two measurements (R = 0.788–0.981, p < 0.001). Conclusion The Hungarian version of the IPAQ-SF had excellent test-retest reliability, but low-to-fair concurrent validity for moderate and vigorous physical activity, walking and sitting time, as compared to the objective criterion measure among Hungarian adults.


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