Αξιολόγηση θρέψης σε υγιείς μετεμμηνοπαυσιακές Ελληνίδες

2018 ◽  
Author(s):  
Χρήστος Παπαβαγγέλης
Keyword(s):  
Physical Activity ◽  
Principal Component Analysis ◽  
International Physical Activity Questionnaire ◽  
Principal Component ◽  
Component Analysis ◽  
Physical Activity Questionnaire ◽  
Activity Questionnaire

Εισαγωγή: Η εμμηνόπαυση θέτει τις γυναίκες σε υψηλό κίνδυνο εμφάνισης χρόνιων νοσημάτων, όπως παχυσαρκία και καρδιαγγειακά νοσήματα. Παρόλα αυτά, εξαιρετικά λίγες μελέτες έχουν διεξαχθεί σε πληθυσμό μετεμμηνοπαυσιακών γυναικών με σκοπό την εκτίμηση της επίδρασης της διατροφής σε δομικούς και λειτουργικούς δείκτες αγγειακής λειτουργίας. Σκοπός: Κύριο σκοπό της παρούσας διατριβής αποτέλεσε η αξιολόγηση των διατροφικών συνηθειών μιας ομάδας υγιών μετεμμηνοπαυσιακών γυναικών. Παράλληλα, η διερεύνηση της υπάρχουσας σχέσης μεταξύ του Μεσογειακού τρόπου ζωής και της έκβασης δομικών και λειτουργικών αρτηριακών δεικτών σε υπο-ομάδα γυναικών αποτέλεσε επιπρόσθετο στόχο. Μεθοδολογία: Δείγμα της μελέτης αποτέλεσαν 638 γυναίκες που προσήλθαν στο εξωτερικό ιατρείο Κλιμακτηρίου και Εμμηνόπαυσης του Αρεταίειου Νοσοκομείου Αθηνών. Κριτήρια ένταξης ήταν η ύπαρξη εμμηνόπαυσης, δηλαδή απουσία έμμηνου ρύσεως για τουλάχιστον 12 συνεχόμενους μήνες και επίπεδα FSH >25 mIU/mL και οιστραδιόλης <50 pg/mL. Καταγράφηκαν τα δημογραφικά χαρακτηριστικά και το ιατρικό και γυναικολογικό ιστορικό των γυναικών. Επίσης, πραγματοποιήθηκε αξιολόγηση της σωματικής δραστηριότητας μέσω του International Physical Activity Questionnaire και διατροφική αξιολόγηση μέσω έγκυρου ερωτηματολογίου συχνότητας κατανάλωσης τροφίμων και υπολογίστηκε η προσκόλληση στη μεσογειακή δίαιτα μέσω του δείκτη MedDietScore. Τέλος, μετρήθηκαν ανθρωπομετρικά χαρακτηριστικά, πραγματοποιήθηκε κλινική εξέταση και αξιολογήθηκαν βιοχημικοί και ορμονικοί δείκτες. Αποτελέσματα: Η μέση ηλικία του δείγματος ήταν 57,7 ±7,6 έτη, ενώ ο ΔΜΣ ήταν 27,9 ± 5,0 kg/m2. Η μέση προσκόλληση στη μεσογειακή δίαιτα των συμμετεχουσών, σύμφωνα με το MedDietScore ήταν 36,1 ±4,7. Από την εφαρμογή πολλαπλής λογιστικής παλινδρόμησης παρατηρήθηκε ότι η Μεσογειακή δίαιτα σχετίστηκε αρνητικά με το ΔΜΣ και την περιφέρεια μέσης των γυναικών του δείγματος, μετά από προσαρμογή για συγχυτικούς παράγοντες. Ειδικότερα, οι γυναίκες υψηλής και μέτριας προσκόλλησης στη Μεσογειακή δίαιτα είχαν σημαντικά χαμηλότερους δείκτες παχυσαρκίας, υψηλότερο επίπεδο φυσικής δραστηριότητας και υψηλότερο μορφωτικό επίπεδο, σε σύγκριση με τις γυναίκες χαμηλής προσκόλλησης στο συγκεκριμένο διαιτητικό πρότυπο. Παράλληλα, μετά την εφαρμογή της Principal Component Analysis σε υπο-ομάδα 481 γυναικών του δείγματος δημιουργήθηκαν 8 διατροφικά πρότυπα, εκ των οποίων ένα διατροφικό πρότυπο πλούσιο σε διαιτητικές ίνες και σύνθετους υδατάνθρακες σχετίστηκε αρνητικά με το ΔΜΣ και την περιφέρεια μέσης των γυναικών, ενώ ένα ανθυγιεινό διατροφικό πρότυπο σχετίστηκε θετικά με το ΔΜΣ και την περιφέρεια μέσης των γυναικών, μετά την προσαρμογή για συγχυτικούς παράγοντες. Αναφορικά με την αγγειακή λειτουργία, παρατηρήθηκε σημαντική αρνητική συσχέτιση μεταξύ της ταχύτητας σφυγμικού κύματος αρτηρίας και της κατανάλωσης ροφημάτων καφέ/τσαγιού (r=-0.233, p<0.001). Ακόμη, παρατηρήθηκε θετική συσχέτιση μεταξύ του πάχους κοινής καρωτίδας και της κατανάλωσης επεξεργασμένων δημητριακών (r=0.116, p=0.04). Έπειτα από πολλαπλή γραμμική παλλινδρόμηση, η κατανάλωση ξηρών καρπών και ροφημάτων καφέ/τσαγιού σχετίστηκαν σημαντικά αρνητικά με το πάχος κοινής καρωτίδας (b-coefficient=-0.018, p=0.05) και την ταχύτητα σφυγμικού κύματος (b-coefficient= -0.327, p=0.002), αντίστοιχα. Ενώ, η κατανάλωση πατάτας σχετίστηκε σημαντικά θετικά με το πάχος κοινής καρωτίδας (b-coefficient=0.106, p<0.001). Συμπεράσματα: Η ύπαρξη διαφορετικών διατροφικών προτύπων σχετίστηκε, θετικά ή αρνητικά, με το σωματικό βάρος και την περιφέρεια μέσης στις μετεμμηνοπαυσιακές γυναίκες. Ειδικότερα, παρατηρήθηκε προστατευτική δράση της Μεσογειακής δίαιτας στους δείκτες παχυσαρκίας και η ύπαρξη σημαντικής συσχέτισης μεταξύ ορισμένων διατροφικών συνηθειών και δεικτών αγγειακής λειτουργίας

scholarly journals Content validity and test–retest reliability with principal component analysis of the translated Malay four-item version of Paffenbarger physical activity questionnaire

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Fazlisham Binti Ghazali ◽  
Siti Nurhafizah Saleeza Ramlee ◽  
Najib Alwi ◽  
Hazuan Hizan
Keyword(s):  
Public Health ◽  
Physical Activity ◽  
Principal Component Analysis ◽  
Content Validity ◽  
Principal Component ◽  
Local Context ◽  
Physically Active ◽  
Physical Activity Questionnaire ◽  
Content Type ◽  
Activity Questionnaire

PurposeThis study aimed to develop the construct validity for the Malay version of the Paffenbarger physical activity questionnaire (PPAQ) by adapting the original questionnaire to suit the local context.Design/methodology/approachThe PPAQ was adopted and translated into the Malay language and modified to reach good content agreement among a panel of experts. A total of 65 participants aged 22–55 years old, fluent and literate in the Malay language were selected. Principal component analysis (PCA) was used to investigate construct validity. Reliability of this adapted instrument was analyzed according to types of variables.FindingsThe panel of experts reached a consensus that the final four items chosen in the adapted Malay version of PPAQ were valid and supported by a good content validity index (CVI). In total, two domains consonant with the operational domain definition were identified by PCA. Based on scores from intensity and duration of exercise, the study further divided the group into who were physically active and those who chose the unstructured physical activity. Relative reliability after a 14-day interval demonstrated moderate strength of agreement with an acceptable range of measurement error.Research limitations/implicationsPPAQ has been used worldwide but was less familiar in the local context. The Malay-four item PPAQ will provide the locally validated version of physical activity questionnaire. In addition, the authors have improved the original PPAQ by dividing the question items into two distinct domains which will effectively identify those who are physically active and those who are involved in unplanned exercise. Nevertheless, further research is recommended in bigger and heterogeneous samples along with a number of reliability tests.Practical implicationsTo the authors’ knowledge, this is the first study to assess internal structure of the four-item version of PPAQ. This analysis successfully identified two components with eigenvalue more than one in the Malay four-item PPAQ. Based on this, the authors were able to separate pool of population into two groups, which are physically active and unplanned exercise (involved in unstructured exercise). The ability of the validated questionnaire to divide the population into various intensities of physical activity is a novel one, which may be useful in many public health studies where high intensity of physical activity; hence, greater energy expenditure is associated with increased longevity, better health benefit and improved cognitive function.Social implicationsIn addition, the second domain “unplanned exercise” was successfully grouped together. Implication of the unplanned exercise component is to identify pool of population with active lifestyle awareness and choose the unstructured exercise instead of vigorous and formal exercising. Even though the amount of intensity and duration of incidental exercise does not reach recommended public health recommendation, it has been proven that preferred healthier lifestyle is positively associated with better cognition in later life.Originality/valueThe adapted Malay version of PPAQ has sound psychometric properties and could assist in differentiating groups of population based on their physical activity.

scholarly journals Criterion validity and reliability of the International Physical Activity Questionnaire – Hungarian short form against the RM42 accelerometer

2021 ◽  
Vol 21 (S1) ◽  
Author(s):  
Pongrác Ács ◽  
Réka Veress ◽  
Paulo Rocha ◽  
Tamás Dóczi ◽  
Bence László Raposa ◽  
...  
Keyword(s):  
Physical Activity ◽  
Concurrent Validity ◽  
International Physical Activity Questionnaire ◽  
Short Form ◽  
Sitting Time ◽  
Validity And Reliability ◽  
Retest Reliability ◽  
Physical Activity Questionnaire ◽  
Test Retest Reliability ◽  
Activity Questionnaire

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.

RELAÇÕES ENTRE SEDENTARISMO E MOBILIDADE COM E SEM DUPLA TAREFA EM IDOSOS USUÁRIOS DA ATENÇÃO BÁSICA EM SAÚDE

2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Cintia Sulino Gomes ◽  
Mariana Thays Carvalho ◽  
Vitoria Helena Maciel Coelho ◽  
Isabel Aparecida Porcatti de Walsh ◽  
Lislei Jorge Patrizzi Martins ◽  
...  
Keyword(s):  
Physical Activity ◽  
International Physical Activity Questionnaire ◽  
Minas Gerais ◽  
Physical Activity Questionnaire ◽  
Activity Questionnaire

Os efeitos do sedentarismo nos sistemas musculoesquelético eneuromuscularpodem influenciar negativamente o desempenho dosidosos em atividades com dupla-tarefa, o que aumenta o risco dequedas, declínio funcional e morte. O objetivo foi investigar as relaçõesentre sedentarismo e mobilidade com e sem dupla tarefa em idososusuários da atenção básica em saúde. Trata-se de estudo transversal,com 139 idosos que frequentam três unidades matriciais de saúdealeatoriamente selecionadas, em Uberaba, Minas Gerais. O sedentarismofoi avaliado pelo International Physical Activity Questionnaire(IPAQ), sendo classificados como sedentários os idosos inativos ouinsuficientemente ativos. O estado cognitivo foi avaliado pela ProvaCognitiva de Leganés. A mobilidade com e sem dupla tarefa, bemcomo, a força muscular foram avaliadas por testes de desempenhofísico. As características sociodemográficas e o número de medicamentosforam avaliados por autorrelato. Os modelos multivariadosforam testados por regressão linear múltipla em blocos, com intervalode confiança de 95%. A maioria era mulheres (81,3%); idade média66,96 (8,24) anos; 17,3% eram sedentários. Pior desempenho namobilidade com dupla tarefa motora (p=0,040) e com dupla tarefacognitiva (p=0,040) foi observado entre os idosos sedentários. Osedentarismo foi preditor de baixa mobilidade com dupla-tarefa motorae cognitiva controlado por variáveis sociodemográficas, entretanto,tais efeitos não se mantiveram após inclusão de variáveis de saúde.Não foram observadas relações entre sedentarismo e mobilidadesem dupla tarefa. Conclui-se que o sedentarismo influencia a mobilidadecom dupla tarefa motora e cognitiva em idosos, porém outrascondições de saúde podem interferir nessas relações.

scholarly journals Atividade física em trabalhadores de Centros de Atenção Psicossocial do Sul do Brasil: tendências temporais

2014 ◽  
Vol 30 (12) ◽  
pp. 2656-2668
Author(s):  
Jeferson Santos Jerônimo ◽  
Vanda Maria da Rosa Jardim ◽  
Luciane Prado Kantorski ◽  
Marlos Rodrigues Domingues
Keyword(s):  
Physical Activity ◽  
International Physical Activity Questionnaire ◽  
Self Report ◽  
Physical Activity Questionnaire ◽  
Activity Questionnaire

O objetivo foi apresentar tendências temporais de atividade física e fatores associados em trabalhadores de Centros de Atenção Psicossocial (CAPS) da Região Sul do Brasil entre 2006 e 2011. Pesquisa transversal, parte do estudo Avaliação dos CAPS da Região Sul do Brasil/CAPSUL. Foram coletadas variáveis de saúde física, saúde mental por meio do Self-Report Questionnaire (SRQ-20) e atividade física usando-se o International Physical Activity Questionnaire (IPAQ). Participaram 435 trabalhadores de CAPS em 2006 e 546 trabalhadores em 2011. As prevalências totais de atividade física (≥ 150 minutos semanais) foram 23,2% em 2006 e 17,6% em 2011, e de distúrbios psiquiátricos menores 11% e 8,4%. Não houve diferença na atividade física de homens e mulheres. Em 2006, sujeitos com menor escolaridade (p = 0,03) e menor renda (p = 0,01) apresentaram maior nível de atividade física. Em 2011, trabalhadores de CAPS localizados em municípios de grande porte apresentaram maior nível de atividade física (p = 0,02). São necessárias intervenções promotoras de atividade física nessa população, principalmente em trabalhadores de CAPS residentes em municípios de pequeno porte.

scholarly journals Hábito alimentar, níveis de lipídios sangüíneos e o status antioxidante de adultos jovens fumantes e não fumantes

2009 ◽  
Vol 22 (3) ◽  
pp. 377-388
Author(s):  
Ellencristina da Silva Batista ◽  
Céphora Maria Sabarense ◽  
Silvia Eloiza Priore ◽  
Damiana Diniz Rosa ◽  
Izabela Maria Montezano ◽  
...  
Keyword(s):  
Physical Activity ◽  
International Physical Activity Questionnaire ◽  
Physical Activity Questionnaire ◽  
Activity Questionnaire

OBJETIVO: Avaliar o hábito alimentar, os níveis dos lipídios sangüíneos e o status antioxidante de jovens fumantes e não fumantes. MÉTODOS: Trata-se de um estudo transversal em que 68 indivíduos, de 18 a 26 anos, emparelhados por sexo e idade, foram divididos em dois grupos: fumantes (n=34) e não fumantes (n=34). Os voluntários selecionados em instituições de ensino, em Viçosa (MG) foram questionados quanto a: hábito de fumar, consumo de bebidas alcoólicas e atividade física; também foi estimada a dependência nicotínica. O hábito alimentar foi avaliado por questionário de freqüência de consumo. Quantificaram-se níveis séricos de lipídios, nível plasmático de malondialdeído, vitamina E e vitamina C. RESULTADOS: Os jovens começaram a fumar precocemente, independentemente do sexo. O hábito de fumar foi estratificado e encontrou-se 58,8% de fumantes leves e 41,2% de fumantes pesados. Os fumantes apresentaram hábitos alimentares inadequados e consumo freqüente de bebida alcoólica. De acordo com a recomendação do International Physical Activity Questionnaire 69% dos fumantes eram ativos e 27,6% eram muito ativos. Não se observou diferença significante na concentração sérica de lipídios entre fumantes e não fumantes. No grupo de fumantes mulheres, verificou-se correlação positiva entre o número de cigarros fumados por dia e os triglicerídeos séricos (r=0,824 e p=0,0001) e também entre o tempo que fumavam em anos e o nível de colesterol total (r=0,523 e p=0,031). Os fumantes apresentaram concentração inferior de vitaminas E e C (p=0,002 e p=<0,001, respectivamente) e a concentração de malondialdeído plasmático correlacionou-se ao tempo de tabagismo em anos (r=0,352 e p=0,041). CONCLUSÃO: O grupo de fumantes apresentou hábito alimentar inadequado, principalmente para alimentos gordurosos, e consumo freqüente de bebida alcoólica. Os valores para malondialdeído plasmático apresentaram correlação positiva com o tempo de tabagismo, mas não com o número de cigarros fumados por dia.

Sign in / Sign up

Export Citation Format

Share Document