Physical Activity and Diet Quality: Effects on Cardiovascular Morbidity in Women with Turner Syndrome—Results from an Online Patient Survey

Turner syndrome (TS) is a rare chromosomal disease with increased cardiovascular morbidity and mortality. The aim of this study was to investigate the influence of physical activity and diet quality on cardiovascular morbidity in German TS women. An anonymous online questionnaire was established. The questionnaire was based on the 2020 WHO recommendations on physical activity and sedentary behaviour and included the 14-Item Mediterranean Diet Assessment Tool. In addition, TS patients were asked about existing cardiovascular conditions. In total, 83 TS women were included in the final analysis. The achievement of <600 Metabolic Equivalent-minutes per week for recreational activities was significantly associated with the presence of arterial hypertension (p = 0.006). High adherence to the Mediterranean diet was achieved by only 20.5% of TS subjects and tended to be inversely associated with the presence of lipid metabolism disorders (p = 0.063). Only 37.3% of TS participants received nutritional counselling. Given the increased cardiovascular risk, specific counselling for lifestyle optimisation may play an important role in the management of TS. Further studies are required to evaluate the effects of regular aerobic physical training and different nutritional programs on cardiovascular morbidity in TS.

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GPs’ knowledge, use, and confidence in national physical activity and health guidelines and tools: a questionnaire-based survey of general practice in England

British Journal of General Practice ◽

10.3399/bjgp17x692513 ◽

2017 ◽

Vol 67 (663) ◽

pp. e668-e675 ◽

Cited By ~ 31

Author(s):

Robin Chatterjee ◽

Tim Chapman ◽

Mike GT Brannan ◽

Justin Varney

Keyword(s):

Physical Activity ◽

General Practice ◽

Medical Officer ◽

Final Analysis ◽

Assessment Tools ◽

Routine Practice ◽

Multiple Choice Questions ◽

Knowledge Use ◽

Online Questionnaire ◽

Brief Advice

BackgroundPhysical activity (PA) brief advice in health care is effective at getting individuals active. It has been suggested that one in four people would be more active if advised by a GP or nurse, but as many as 72% of GPs do not discuss the benefits of physical activity with patients.AimTo assess the knowledge, use, and confidence in national PA and Chief Medical Officer (CMO) health guidelines and tools among GPs in England.Design and settingOnline questionnaire-based survey of self-selecting GPs in England that took place over a 10-day period in March 2016.MethodThe questionnaire consisted of six multiple-choice questions and was available on the Doctors.net.uk (DNUK) homepage. Quotas were used to ensure good regional representation.ResultsThe final analysis included 1013 responses. Only 20% of responders were broadly or very familiar with the national PA guidelines. In all, 70% of GPs were aware of the General Practice Physical Activity Questionnaire (GPPAQ), but 26% were not familiar with any PA assessment tools, and 55% reported that they had not undertaken any training with respect to encouraging PA.ConclusionThe majority of GPs in England (80%) are unfamiliar with the national PA guidelines. Awareness of the recommended tool for assessment, GPPAQ, is higher than use by GPs. This may be because it is used by other clinical staff, for example, as part of the NHS Health Check programme. Although brief advice in isolation by GPs on PA will only be a part of the behaviour change journey, it is an important prompt, especially if repeated as part of routine practice. This study highlights the need for significant improvement in knowledge, skills, and confidence to maximise the potential for PA advice in GP consultations.

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Analysis of Motivational Climate, Emotional Intelligence, and Healthy Habits in Physical Education Teachers of the Future Using Structural Equations

Sustainability ◽

10.3390/su11133740 ◽

2019 ◽

Vol 11 (13) ◽

pp. 3740 ◽

Cited By ~ 4

Author(s):

Gabriel González-Valero ◽

Félix Zurita-Ortega ◽

Ramón Chacón-Cuberos ◽

Pilar Puertas-Molero

Keyword(s):

Physical Activity ◽

Emotional Intelligence ◽

Mediterranean Diet ◽

Fat Mass ◽

Diet Quality ◽

Structural Equation ◽

Health Indicators ◽

Motivational Climate ◽

Structural Equations ◽

Cross Sectional

This study developed a Structural Equation Model (SEM) in order to identify the associations between motivational climate, emotional intelligence, adherence to the Mediterranean Diet (MD), Physical Activity (PA), and some health indicators in a sample of future teachers. A non-experimental and cross-sectional study was carried in 775 university students (22.22 ± 3.76), using as main scales the Perceived Motivational Climate in Sport Questionnaire (PMCSQ-2), Emotional Intelligence Inventory adapted for the sport context, Physical Activity Questionnaire for Adolescents (PAQ-A), Mediterranean Diet Quality Index (KIDMED), 20 meter Shuttle Run Test (20mSRT), and percentage of lean and fat mass as calculated by the Tanita TBF300®® (Tanita-Corporation, Tokyo, Japan) electronic scale. The results showed a positive association between emotional intelligence and task climate, whereas the relationship with an ego climate was low. Ego-oriented climate was positively related to MD and high levels of PA. Emotional intelligence was directly related to higher levels of PA and the level of adherence to MD. PA was negatively associated with fat mass and positively with lean mass and VO2MAX. Task-oriented motivational climate showed a positive relation with the emotional intelligence of young people. Ego-oriented motivational climates were related to higher rates of physical-sport engagement and better diet quality.

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Lifestyle Habits of Adults During The COVID-19 Pandemic Lockdown in Cyprus: Evidence From a Cross-Sectional Study

10.21203/rs.3.rs-150140/v1 ◽

2021 ◽

Author(s):

Ourania Kolokotroni ◽

Maria Mosquera ◽

Annalisa Quattrocchi ◽

Alexandros Heraclides ◽

Christiana Demetriou ◽

...

Keyword(s):

Physical Activity ◽

Social Support ◽

Mediterranean Diet ◽

Cross Sectional Study ◽

Control Measures ◽

Rank Test ◽

Sectional Study ◽

Online Questionnaire ◽

Lifestyle Behaviour ◽

Cross Sectional

Abstract Background The COVID-19 pandemic and widespread control measures disrupted efforts to address lifestyle risk factors for non-communicable diseases (NCD). This study aimed to explore the effects of COVID-19 lockdown on all lifestyle medicine pillars.Methods This was a cross-sectional study on a convenient sample of adults residing in Cyprus during the Spring 2020 lockdown. Participants completed an anonymous online questionnaire incorporating six validated tools regarding the following lifestyle behaviours before and during lockdown: adherence to the Mediterranean diet, physical activity, stress and social support levels, sleep pattern and use of risky substances such as smoking and alcohol. Median total scores for each lifestyle pillar before and during lockdown were compared using Wilcoxon Signed-Rank test and stratified analyses for sociodemographic characteristics were performed.Results Of 745 participants, 74% were female and median age was 39 years. Overall participants reported significantly higher perceived stress score (22 v 25, p<0.01), lower social support score (71 v 68, p<0.001), and worse sleep quality score (4 v 5, p<0.01) during lockdown. Mediterranean diet (MD) adherence was moderate and increased significantly only in those practicing religious fasting (score of 6 v 7, p<0.01). Total minutes spent sitting increased (120 v 180, p<0.01) although overall physical activity score did not significantly change. Smoking intensity increased during lockdown whilst frequency of alcohol consumption decreased (ptrend=0.03 and <0.01, respectively). ConclusionLifestyle was adversely affected by the COVID-19 lockdown in Cyprus. Evidence from this study supports development of holistic lifestyle interventions during and following the pandemic to reduce short and long-term NCD risks by building on lifestyle behaviour strengths and addressing longstanding and emerging gaps and needs.

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Physical activity, alcohol and tobacco use and associated cardiovascular morbidity and mortality in the Second Australian National Blood Pressure study cohort

Age and Ageing ◽

10.1093/ageing/afp186 ◽

2009 ◽

Vol 39 (1) ◽

pp. 112-116 ◽

Cited By ~ 3

Author(s):

M. R. Nelson ◽

A. N. Alkhateeb ◽

P. Ryan ◽

K. Willson ◽

J. G. Gartlan ◽

...

Keyword(s):

Physical Activity ◽

Blood Pressure ◽

Tobacco Use ◽

Cardiovascular Morbidity ◽

Morbidity And Mortality ◽

Study Cohort ◽

Blood Pressure Study ◽

Cardiovascular Morbidity And Mortality

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Influence of Adiposity on Physical Activity in Schoolchildren: The Moderator Role of Adherence to the Mediterranean Diet

Sustainability ◽

10.3390/su12166474 ◽

2020 ◽

Vol 12 (16) ◽

pp. 6474

Author(s):

José Francisco López-Gil ◽

Antonio García-Hermoso ◽

Rafael Gomes Sentone ◽

Cristiano Israel Caetano ◽

Fernando Renato Cavichiolli ◽

...

Keyword(s):

Physical Activity ◽

Mediterranean Diet ◽

Diet Quality ◽

Food Habits ◽

Cross Sectional ◽

Excess Adiposity ◽

The Mediterranean ◽

Moderator Role ◽

Associative Analysis

Background: Studies were performed in order to determine the existing relationship between body composition and both physical activity (PA) levels and food habits. Nevertheless, no study has yet examined if the association between adiposity and PA in children is moderated by adherence to the Mediterranean diet (MD). Methods: the cross-sectional and associative analysis involved a total of 370 children (55.1% boys) aged 6–13, from six different schools from the Murcia region of Spain. Results: The different values of moderator [adherence to the MD expressed as a Mediterranean Diet Quality Index (KIDMED) score] are shown by the slope and the different areas of significance. The first area was shown below ≤3.8, indicating that the unfavorable influence of excess of adiposity on PA could be intensified for children in this area. The second area was a significant positive area was shown above ≥9.3, expressing that the unfavorable influence of adiposity could be reduced for those who were above this estimation point. Conclusion: Our findings reveal that the adverse effects of excess adiposity on PA can be moderated by adherence to the MD among schoolchildren.

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Mediterranean diet adherence among adolescents in North Lebanon: the role of skipping meals, meals with the family, physical activity, and physical wellbeing

British Journal Of Nutrition ◽

10.1017/s0007114521002269 ◽

2021 ◽

pp. 1-27

Author(s):

Rosy Mitri ◽

Christa Boulos ◽

Fouad Ziade

Keyword(s):

Physical Activity ◽

Mediterranean Diet ◽

Diet Quality ◽

Healthy Lifestyle ◽

Overweight And Obesity ◽

Nutrition Intervention ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Physical Wellbeing ◽

Kidmed Index

Abstract The Mediterranean diet (MD) is a model of a healthy diet and healthy lifestyle. Adherence to the MD has been correlated with a reduction in many metabolic disorders including cancers. The factors associated with adolescents’ adherence to the MD in North Lebanon using the KIDMED index have never been explored. Therefore, we thought to examine these factors among a sample of them. A cross-sectional survey was conducted in the city of Tripoli, North Lebanon. A total of 798 adolescents aged 11-18 years were randomly selected to participate in this study. All participants completed a questionnaire assessing adherence to the MD (KIDMED index), physical activity (physical activity questionnaires for older children [PAQ-C] and adolescents [PAQ-A]), health-related quality of life (KIDSCREEN-27 index) and sociodemographic characteristics (age, gender, grade level and parents’ educational status). Anthropometric measurements, including weight, height and waist circumference, were also collected. Adherence to the MD was good among only 13.3% of the adolescents. The prevalence rate of overweight and obesity was elevated, affecting 36.9% of the students. Lower adherence to the MD was significantly correlated with skipping meals (p=0.001). Meanwhile, adolescents who were engaged in a high level of physical activity, those who consumed more meals with their families and those who benefited from better physical wellbeing had a better diet quality (p<0.001). Nutrition intervention programmes, as well as public health policies, would be of interest in order to improve diet quality among Lebanese adolescents.

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Lifestyle habits of adults during the COVID-19 pandemic lockdown in Cyprus: evidence from a cross-sectional study

BMC Public Health ◽

10.1186/s12889-021-10863-0 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Ourania Kolokotroni ◽

Maria C. Mosquera ◽

Annalisa Quattrocchi ◽

Alexandros Heraclides ◽

Christiana Demetriou ◽

...

Keyword(s):

Physical Activity ◽

Social Support ◽

Mediterranean Diet ◽

Cross Sectional Study ◽

Control Measures ◽

Rank Test ◽

Sectional Study ◽

Online Questionnaire ◽

Cross Sectional ◽

Parametric Data

Abstract Background The COVID-19 pandemic and the widespread adoption of virus control measures have inevitably disrupted efforts to address lifestyle risk factors for non-communicable diseases (NCD). This study aimed to explore the effects of COVID-19 lockdown on all lifestyle medicine pillars, namely diet, physical activity, sleep, stress, social support and use of risky substances. Methods This was a cross-sectional study on a convenient sample of adults who resided in Cyprus during the Spring 2020 lockdown. Participants completed an anonymous online questionnaire comprised of six validated tools regarding the following lifestyle behaviours before and during lockdown: adherence to the Mediterranean diet, physical activity, stress and social support levels, sleep pattern and use of risky substances such as smoking and alcohol. Paired before and during lockdown comparisons for each lifestyle pillar were undertaken using Wilcoxon Signed-Rank test and Bowker symmetry Test where response was numerical (non-parametric data) and categorical respectively. Furthermore, stratified analyses for sociodemographic characteristics were performed. Results Out of 745 participants, 74% were female and median age was 39 years. Overall participants reported significantly higher perceived stress score (22 v 25, p < 0.01), lower social support score (71 v 68, p < 0.001), and worse sleep quality score (4 v 5, p < 0.01) during lockdown. Mediterranean diet (MD) adherence was moderate and increased significantly only in those practicing religious fasting (score of 6 v 7, p < 0.01). Total minutes spent sitting increased (120 v 180, p < 0.01) although overall physical activity score did not significantly change. Smoking intensity increased during lockdown whilst frequency of alcohol consumption decreased (ptrend = 0.03 and < 0.01, respectively). Conclusion Various lifestyle factors were adversely affected by the COVID-19 lockdown in Cyprus. Evidence from this study supports development of holistic lifestyle interventions during and following the pandemic to reduce short and long-term NCD risks by building on lifestyle behaviour strengths and addressing longstanding and emerging gaps and needs.

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Perceived diet and lifestyle changes during confinement for Covid-19 pandemic in Mexico: ESCAN-COVID19Mx Survey

10.21203/rs.3.rs-419414/v1 ◽

2021 ◽

Author(s):

Sophia Eugenia Martínez-Vázquez ◽

Marena Ceballos-Rasgado ◽

Rafael Posada-Velázquez ◽

Claudia Hunot-Alexander ◽

Edna J Nava-González ◽

...

Keyword(s):

Physical Activity ◽

Diet Quality ◽

Emotional Eating ◽

Well Being ◽

Normal Weight ◽

Lifestyle Changes ◽

High Educational Level ◽

Sociodemographic Characteristics ◽

Online Questionnaire

Abstract Background: Confinement measures that were put in place in Mexico to reduce the transmission of the SARS-CoV-2 virus can affect individual’s lifestyle and well-being; Therefore, the aim of the study was to assess perceived changes in diet quality, emotional eating, physical activity and lifestyle, in a group of Mexican adults before and during the COVID-19 confinement. Methods: 8289 adults answered an online questionnaire between April and May 2020. Data about diet quality, emotional eating, physical activity and sociodemographic characteristics, weight and height were collected. Before and after confinement differences by sociodemographic characteristics were assessed with Wilcoxon, Anova and linear regression analyses. Results: Most participants were women (80%) between 18 and 38 years old (70%), with a low degree of marginalization (82.8%) and a high educational level (84.2%); 53.1% had a normal weight and 31.4% were overweight. Half (46.8%) of the participants perceived a change in the quality of their diet. Lifestyle changes were present among some of the participants, 6.1% stopped smoking, 12.1% stopped consuming alcohol, 53.3% sleep later, 9% became more sedentary, and increased their screen (43%), sitting and lying down time (81.6%). Conclusion: Mexicans staying at home during the COVID-19 confinement, that completed the ESCAN-COVID19Mx Survey, perceived positive changes in the quality of their diet, and smoking and alcohol consumption, but negative changes in the level of physical activity and quality of sleep.

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Cooking at Home and Adherence to the Mediterranean Diet During the COVID-19 Confinement: The Experience From the Croatian COVIDiet Study

Frontiers in Nutrition ◽

10.3389/fnut.2021.617721 ◽

2021 ◽

Vol 8 ◽

Author(s):

Danijela Pfeifer ◽

Josip Rešetar ◽

Jasenka Gajdoš Kljusurić ◽

Ines Panjkota Krbavčić ◽

Darija Vranešić Bender ◽

...

Keyword(s):

Physical Activity ◽

Mediterranean Diet ◽

Eating Habits ◽

Adult Population ◽

Dietary Behavior ◽

Dietary Quality ◽

Online Questionnaire ◽

Cross Sectional ◽

The Mediterranean ◽

The Impact

Introduction: The primary aims of this study were to evaluate the changes in dietary behavior among the Croatian adult population during the COVID-19 outbreak and to explore the impact of confinement on cooking habits.Methods: The study was based on results from COVIDiet_Int cross-sectional study—a part of COVIDiet project (NCT04449731). A self-administered online questionnaire was used to assess the frequency of food consumption, eating habits, and sociodemographic information. A total number of 4,281 participants (80.5% females and 19.4% males) completed the questionnaire.Results: The Mediterranean Diet Adherence Screener (MEDAS) score before the confinement was 5.02 ± 1.97, while during the confinement, the MEDAS score increased to 5.85 ± 2.04. Participants who had higher adherence to the Mediterranean diet (MedDiet) during the confinement were mostly females (88.8%), aged between 20 and 50 years, with the highest level of education (66.3%) and normal BMI (70.6%). The majority of participants maintained their dietary behavior as it was before COVID-19 confinement, while 36.9% decreased their physical activity. Participants with higher MEDAS score were more eager to increase their physical activity. Additionally, higher median values of MEDAS score were noted for participants with body mass index values below 24.9 kg/m2 (6.0 vs. 5.0 for participants with BMI above 25 kg/m2). Participants in all residence places increased their cooking frequency during the confinement (53.8%), which was associated with an increase in vegetables, legumes, as well as fish and seafood consumption.Conclusions: According to our findings, Croatian adults exhibited medium adherence to the MedDiet during the COVID-19 confinement. The results suggest that cooking frequency could be positively associated with overall dietary quality, which is of utmost importance in these demanding times.

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