Relationship between Physical Activity and the Metabolic, Inflammatory Axis in Pregnant Participants

Physical activity (PA) during pregnancy is beneficial for mother and child. Little is known regarding the effects of PA on specific adipokines/myokines and their impact during pregnancy. This study investigates the correlation between PA during late pregnancy, body composition, and maternal levels of leptin, IL-6, and TNF-α at delivery. In a cross-sectional study of 91 pregnant participants (mean age 33.9 ± 4.6 years) without gestational diabetes mellitus or preeclampsia, anthropometric data and blood samples were taken at delivery. PA during the third trimester was measured via the Pregnancy Physical Activity Questionnaire. Activities were ranked by intensity: sedentary (<1.5 metabolic equivalent (METs)), light (1.5–3.0 METs), moderate (3.0–6.0 METs), and vigorous activity (>6.0 METs). Leptin at delivery correlated positively with body composition and negatively with light PA intensity. Sedentary behaviour showed a positive correlation with IL-6 levels at delivery. Moderate activity during the last trimester, sedentary activity levels, and body composition had the greatest influence on maternal IL-6 at delivery. Completed weeks of pregnancy, moderate and light PA, and sedentary activity had the greatest influence on maternal TNF-α at delivery. PA during late pregnancy potentially affects circulating (adipo-)/myokines. Further studies are needed to examine causal relationships and the impact on maternal and new-born health.

Analysis of the Influence of Lifestyle on Liver Dysfunction Based on NAHANES Database

ObjectiveTo find out the influence of various factors in life style on liver dysfunction, put forward reasonable suggestions on prevention of liver dysfunction.MethodsDatasets from 2017 to March 2020 NHANES (National Health and Nutrition Examination Surveys) required for the analysis were downloaded from the NHANES web site and R 4.1.1. Software was used for data analysis. Survey Design Logisitic regression was used to analyze the influence of various factors on liver dysfunction and screen the risk factors.Resultshypertension, depression, and sedentary activity are risk factors for liver dysfunction, while reducing salt in diet and vigorous recreational activities were protective factors for liver dysfunction. The inflection points of blood pressure, BMI and sedentary activity were 98.33mmHg, 30.6kg/m2, 420min, respectively.ConclusionsBlood pressure, BMI, mood and sedentary behavior are risk factors for liver dysfunction. We suggest that keeping MAP level at 70-98.33mmHg, controlling BMI < 30kg/m2, maintaining a positive attitude, and sedentary time less than 420 min per day are more conducive to reducing the risk of liver dysfunction.

The lockdown effects on a pediatric obese population in the COVID-19 era

Background The social consequences of COVID-19 pandemic are universally known. In particular, the pediatric population is dealing with a radical lifestyle change. For some risk categories, such as overweight or obese children, the impact of home confinement has been greater than for others. The increased sedentary life, the wrong diet and social distancing have stopped the chance of losing weight. The aims of this study were to analyse the impact of COVID-19 lockdown on the behavior changes in a obese pediatric population and to explore the correlation between the new lifestyle and the level of parental instruction. Methods Data show features of 40 obese and overweight pediatric patients of our Clinic in Messina (Italy). We evaluated weight, height, BMI and other biochemical parameters: total cholesterol, HDL, LDL, triglyceride, transaminases, glycemia and insulinemia. After the lockdown, we contacted all patients in order to get some information about diet, physical activity and sedentary lifestyle changes in correlation to the level of their parents’ instruction. Additionally, we also evaluated 20 children twice from a clinical and laboratory perspective. Results The study showed an increase of daily meals during COVID-19 lockdown (3.2 ± 0.4 vs 5 ± 1, P < 0.001). In particular, children whose parents have primary school diploma ate a greater significant number of meals during the lockdown, compared to those who have parents with secondary school diploma (P = 0.0019). In addition, the 95% of patients did low physical activity during the lockdown and the 97.5% spent more time in sedentary activity. Even if BMI’s values don’t show significant differences, they have increased after the lockdown. We didn’t find any correlation between biochemical parameters before and after the lockdown. Conclusion The lockdown has had bad consequences on good style of life’s maintenance in overweight and obese children. The absence of a significant correlation between the worsening of biochemical parameters and the lockdown doesn’t allow to exclude any long-term consequences. It’s safe to assume that, if the hours spent in sedentary activity and the number of meals don’t diminish, there will probably repercussion on the biochemical parameters.

Physical activity in patients with axial spondyloarthritis in a multi-ethnic south-east Asian country

Background Patients with axial spondyloarthritis (axSpA) may experience spinal stiffness and pain, leading to reduced physical function and quality of life. Despite the benefits of physical activity (PA) and exercise, previous studies have demonstrated lower levels of PA among patients with axSpA. This study aims to examine the patterns of PA among patients with axSpA compared to the general population in a multi-ethnic Asian country. Methods This was a cross-sectional study conducted between May 2016 and Jan 2017. Consecutive patients with axSpA were recruited at an outpatient rheumatology clinic at Singapore General Hospital, the largest tertiary hospital in Singapore. Controls were based on a previous cross-sectional study. PA was assessed using the Global Physical Activity Questionnaire (GPAQ). Results Seventy-four patients with axSpA were recruited and compared with 2679 controls. Lower proportion of patients with axSpA met the WHO recommendations for PA (axSpA = 77.0%, controls = 89.7%, p < 0.001). More patients with axSpA had high level of sedentary activity compared to controls (axSpA = 56.8%, controls = 36.1%, p < 0.001). Levels of PA did not differ between patients with inactive versus active axSpA disease (p = 0.91). Conclusions Proportion of patients with axSpA meeting the WHO recommendations for PA differed significantly from the general population, and level of PA did not differ between patients with active and inactive axSpA disease. Higher levels of sedentary activity were seen in patient with axSpA compared to the general population, highlighting the need for interventions to promote PA among patients with axSpA.

Hubungan antara Kebiasaan Melewatkan Sarapan, Konsumsi Sayur Buah dan Fast Food, Aktivitas Fisik, Aktivitas Sedentary dengan Kejadian Gizi Lebih

Abstrak Latar belakang: Peningkatan kejadian gizi lebih remaja karena penurunan aktivitas fisik dan peningkatan konsumsi makanan yang mengandung lemak dan karbohidrat tinggi di mana makanan tersebut memiliki nilai gizi rendah. Indonesia termasuk 10 negara dengan prevalensi kelebihan gizi terbesar di dunia. Salah satu provinsi yang mengalami gizi lebih melebihi prevalensi gizi lebih adalah Jawa Barat. Penelitian ini bertujuan mengetahui faktor- faktor yang berhubungan dengan kejadian gizi lebih remaja di Sekolah Tinggi Ilmu Kesehatan (STIKes) Mitra Keluarga Bekasi. Metode: Penelitian ini menggunakan desain cross-sectional, dengan variabel independen kebiasaan melewatkan sarapan, konsumsi sayur dan buah, konsumsi fast food, aktivitas fisik, dan aktivitas sedentary. Sedangkan variabel dependennya status gizi lebih dengan indikator IMT ≥ 23 kg/m2 . Populasi studi meliputi 450 mahasiswa STIKes Mitra Keluarga Bekasi berusia 17-20 tahun. Data dikumpulkan pada Juni-Juli 2020 dengan sampel sebanyak 215 responden yang dipilih secara consecutive sampling. Uji statistik yang digunakan regresi logistik sederhana. Hasil: Sebagian besar responden berjenis kelamin perempuan (95,3%), berusia 19 tahun (46,0%) dan program studi SI-Keperawatan (32,6%). Hasil uji regresi logistik mendapatkan p-value pada tiap variabel yaitu kebiasaan melewatkan sarapan (0,353), konsumsi sayur (0,721), konsumsi buah (0,853), konsumsi fast food (0,867), aktivitas fisik (0,828), aktivitas sedentary sedang (0,734), aktivitas sedentary berat (0,090). Kesimpulan: Kebiasaan melewatkan sarapan, konsumsi sayur buah, konsumsi fast food, aktivitas fisik serta aktivitas sedentary tidak berhubungan dengan kejadian gizi lebih pada mahasiswa STIKes Mitra Keluarga. Relationship Between the Habits of Skipped Breakfast, Consumption of Vegetables Fruits and Fast Food, Physical Activities, Sedentary Activities with Overnutrition Abstract Background: The increase in the incidence of overnutrition in adolescence due to decreased physical activity and increased consumption of foods with high in fat and high in carbohydrates, which these foods have low nutritional value. Indonesia is one of the 10 countries with the highest prevalence of overweight in the world. One of the provinces experiencing overnutrition above the prevalence of overnutrition in Indonesia is West Java. This study aims to determine the factors associated with the incidence of overnutrition in STIKes Mitra Keluarga Bekasi. Methods: This study used a cross-sectional design. The independent variable was habit of skipping breakfast, consumption of vegetables, fruits, consumption of fast food, physical activity, sedentary activity, while the dependent variable was over nutritional status with BMI indicators ≥ 23 kg / m2 . The study population was 450 STIKes Mitra Keluarga Bekasi students aged 17-20 years. Data collection was carried out in June-July 2020 with a sample of 215 respondents who were selected by consecutive sampling. To determine the relationship between the two variables studied, the data were analyzed using a Simple Logistic Regression test. Result: Most of the respondents were female (95.3%), 19 years old (46.0%), SI-Nursing study program (32.6%). Simple Logistic Regression test results obtain p-value for each variable is the habit of skipping breakfast (0.353), vegetables consumption (0.721), fruits consumption (0.853), fast food consumption (0.867), physical activity (0.828), moderate sedentary activity (0.734), and heavy sedentary activity (0.090). Conclusion: There is no relationship between the habit of skipping breakfast, consumption of vegetables, fruits, and fast food, physical activity and sedentary activity with overnutrition in STIKes Mitra Keluarga students.

Abstract P151: Acculturation Predicts Activity-specific Parenting Practices In Hispanic/Latino Youth

Background: Hispanic youth are less physically active and more sedentary than non-Hispanic youth, contributing to relatively high rates of obesity among the nation’s largest ethnic minority group. Though parents can influence children’s behavior, it is unclear whether parenting practices related to the child’s physical activity are associated with activity in Hispanic/Latino youth, and whether cultural and environmental contexts predict the use of these parenting practices. Objective: We assessed 1) whether activity-specific parenting practices (ASPPs) are associated with moderate-to-vigorous physical activity (MVPA) and sedentary activity among Hispanic/Latino youth, and 2) if higher parental acculturation and greater perceived neighborhood-level socioeconomic challenges are associated with the use of less effective ASPP patterns. Methods: Youth from the Hispanic Community Children’s Health Study/Study of Latino Youth (SOL Youth; n=976) were examined. Activity was assessed using 7-day accelerometer data. ASPPs were identified from the Parenting strategies for Eating and Activity Scale (PEAS) using exploratory and confirmatory factor analysis of the ten items on activity. We used survey-weighted linear regression models to assess whether derived ASPPs predicted mean daily MVPA and sedentary time. K-means cluster analysis was used to group individuals based on ASPP use. Finally, we used survey-weighted multinomial logistic regression models to examine the association of parent acculturation-related measures and perceived neighborhood socioeconomic status and barriers to activity with ASPP cluster membership. Results: Factor analysis of the activity-specific PEAS items identified three ASPPs: Limit Setting, Discipline, and Monitoring/Reinforcement. Discipline predicted higher MVPA in females only (β 1.89 [95% CI 0.11-3.67]), and Monitoring/Reinforcement predicted higher MVPA in males only (β 4.71 [95% CI 0.68-8.74]). There was no association between Limit Setting and MVPA or any ASPPs and sedentary activity. K-cluster analysis revealed three ASPP patterns: Restrictive (high scores for Limit Setting and Discipline), Supportive (high scores for Limit Setting and Monitoring/Reinforcement) and Permissive (low score across ASPPs). Higher Anglo-orientation on the Brief ARSMA-II acculturation measure predicted membership in the Supportive compared to Permissive cluster (p= 0.03), while perceived neighborhood characteristics did not predict ASPP cluster membership. Conclusions: ASPPs are associated with MVPA in sex-specific ways but have no association with sedentary activity in Hispanic/Latino youth. Among acculturation and neighborhood characteristics, only Anglo-orientation predicted ASPPs patterns. More research is needed to understand how acculturation is influencing ASPPs and if ASPPs can be leveraged to change children’s activity.

Exercises with A Target Heart Rate both Safety and Effectiveness for Reducing Sedentary Effects During Pandemic of Covid-19

Introduction: Limited activities will increase the risk of sedentary activity, so that it will become a new problem. Exercise is an effort to reduce sedentary activity and reduce boredom, maintain health, and increase the immune system. The right kind of exercise will have a good and bad impact. Therefore, this study aims to look at exercise with a target heart rate, safety and effectiveness, and reduce sedentary effects during the Covid-19 pandemic. Methods: The data used has been through literature studies obtained from research articles including PubMed, ScienceDirect, and Google Scholar. With keywords, including COVID-19 pandemic, sedentary effects, exercise, target heart rate. The data analysis technique used is argumentative, descriptive analysis. Results: Based on the literature view, the writer found ten related articles. This study provides evidence of the effect of exercise with target heart rate both safety and effectiveness for reducing sedentary effect. This article explained that it knows the exercise heart rate that the heart wants to reach and can be accepted by the heart, reduces lipid, increases the immune response, improves fitness and heart health. Conclusion: Exercises can use the target heart rate to provide an overview of the range of training zones you want to achieve and provide safety and effectiveness in exercising, especially the cardiovascular system.

Nutrition Education on Sedentary Activity for Adolescent

Adolescents are prone to nutrition problem, such as the lack of nutrition, overweight, and obesity caused by sedentary behaviours. Adolescents’ activities are influenced by their surrounding environment, such as family, friends, and duration of gadget use. Nutrition Education is a method to help increasing the adolescent’s knowledge about the importance of increasing physical activity and the consequence of sedentary behaviours for adolescents. Knowing the most effective method was the purpose of the study. This study used a quasi-experimental method with control group pre-test post-test design. The study was carried on three groups of adolescents, namely the lecture group, website group, and control group, for two months on school days. The instrument used was ASAQ (Adolescents Sedentary Activity Questionnaire) analysed by one-way ANOVA. The subjects of this study were adolescents aged 15-16 years old. This study used purposive sampling to select the subjects. The results showed that Nutrition Education using the interpersonal lecture method could increase 23.7 points of adolescent knowledge compared to Nutrition Education using the website method (6.2 points). Nutrition Education could increase the adolescent’s knowledge but it did not have a significant effect on adolescent’s physical activity on school days. Some activities of the adolescents were quite high, especially the learning activities of the lecture group (471.7 ± 53.5) and the website group (471.7 ± 53.5). The sleep activity also increased significantly in the lecture group (p = 0.040), website group (p = 0.003), and control group (p = 0.015). Meanwhile, the screen time activity decreased significantly (p = 0.011) in the lecture group due to various factors. Further research related to the factors affecting the duration of adolescent’s screen time on school days needs to be conducted.