MARCUS VINICIUS NASCIMENTO FERREIRA

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LIM/39 - Laboratório de Processamento de Dados Biomédicos, Hospital das Clínicas, Faculdade de Medicina

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  • article 3 Citação(ões) na Scopus
    Impact of methodological approaches in the agreement between subjective and objective methods for assessing screen time and sedentary behavior in pediatric population: a systematic review
    (2019) NASCIMENTO-FERREIRA, Marcus Vinicius; MORAES, Augusto Cesar Ferreira de; RENDO-URTEAGA, Tara; OLIVEIRA, Paulo Vinicius Toazza; MORENO, Luis A.; CARVALHO, Heraclito Barbosa
    Introduction: sedentary behavior is an important target for health promotion. In this systematic review, we aimed to provide evidence to support decisions about measurement approach choices for subjectively assessing sedentary behavior in pediatric population, adopting objective methods as the reference. Methods: in this systematic review with meta-analysis, published studies were retrieved from electronic databases: Medline (PubMed), Web of Science, Embase, SPORTDiscus, BioMed Central and SCOPUS. We considered studies evaluating sedentary behavior agreement through questionnaire and/or diary in comparison with an objective measure. A total of six inclusion criteria v,rere used. We synthesized the data using correlation coefficients (r) as an indicator of agreement estimates. The review protocol is registered in the PROSPERO database (CRD42014015138). Results: a total of 14 studies met the inclusion criteria with ages ranging from 3 to 17.5 years and provided 17 agreement analyses. Thirteen of these agreement analyses (76.5%) reported correlation coefficients. We found two major groups of sedentary activities: screen time (47.1%) and sedentary behaviors (52.9%). The pooled agreement between questionnaires and accelerometers for assessing self-reported screen time was negative (r =-0.15; Cl 95%:-0.17 to-0.13). Conversely, when the sedentary behavior was assessed by questionnaires and accelerometers, the pooled agreement,,vas positive for parent-reporting (r = 0.09; Cl 95%; 0.04 to 0.13) and self-reporting (r = 0.43; CI 95%: 0.40 to 0.47) in children and adolescents, respectively. Conclusion: questionnaires have positive agreement with accelerometers for assessing sedentary behavior, whereas the agreement is negative for assessing screen time. Self-reported questionnaires are recommended methods to measure sedentary behavior in adolescents.
  • article 11 Citação(ões) na Scopus
    Reliability and Validity of a Questionnaire for Physical Activity Assessment in South American Children and Adolescents: The SAYCARE Study
    (2018) NASCIMENTO-FERREIRA, Marcus Vinicius; MORAES, Augusto Cesar Ferreira De; TOAZZA-OLIVEIRA, Paulo Vinicius; FORJAZ, Claudia L. M.; ARISTIZABAL, Juan Carlos; SANTALIESRA-PASIAS, Alba M.; LEPERA, Candela; NASCIMENTO-JUNIOR, Walter Viana; SKAPINO, Estela; DELGADO, Carlos Alberto; MORENO, Luis Alberto; CARVALHO, Heraclito Barbosa
    ObjectiveThe objective of this article is to test the reliability and validity of the new and innovative physical activity (PA) questionnaire. MethodsSubsamples from the South American Youth/Child Cardiovascular and Environment Study (SAYCARE) study were included to examine its reliability (children: n=161; adolescents: n=177) and validity (children: n=82; adolescents: n=60). The questionnaire consists of three dimensions of PA (leisure, active commuting, and school) performed during the last week. To assess its validity, the subjects wore accelerometers for at least 3 days and 8h/d (at least one weekend day). The reliability was analyzed by correlation coefficients. In addition, Bland-Altman analysis and a multilevel regression were applied to estimate the measurement bias, limits of agreement, and influence of contextual variables. ResultsIn children, the questionnaire showed consistent reliability (=0.56) and moderate validity (=0.46), and the contextual variable variance explained 43.0% with -22.9min/d bias. In adolescents, the reliability was higher (=0.76) and the validity was almost excellent (=0.88), with 66.7% of the variance explained by city level with 16.0min/d PA bias. ConclusionsThe SAYCARE PA questionnaire shows acceptable (in children) to strong (in adolescents) reliability and strong validity in the measurement of PA in the pediatric population from low- to middle-income countries.
  • article 51 Citação(ões) na Scopus
    The lipid accumulation product is a powerful tool to predict metabolic syndrome in undiagnosed Brazilian adults
    (2017) NASCIMENTO-FERREIRA, Marcus Vinicius; RENDO-URTEAGA, Tara; VILANOVA-CAMPELO, Regina Celia; CARVALHO, Heraclito Barbosa; OLIVEIRA, Germano da Paz; LANDIM, Mauricio Batista Paes; TORRES-LEAL, Francisco Leonardo
    Background & aims: Lipid accumulation product (LAP) is emergent predictor of central lipid accumulation linked to diabetes risk and cardiovascular disease. In this study, our aims were (i) to assess the accuracy of the LAP for predicting metabolic syndrome (MS) in subjects without diagnosis of cardiovascular disease (CVD) and type 2 diabetes mellitus compared with other classical anthropometric parameters and (ii) to estimate the optimal LAP cut-off point to predict MS in this population. Subjects/Methods: We conducted a cross-sectional study with representative undiagnosed subjects aged 20-79 years (n = 201; 37.8% men), selected by Simple random sampling. In this study, subjects without previous diagnosis of CVD and type 2 diabetes mellitus, and those who did not make use of continuous medication were included. The independent variables were body mass index (BMI), waist circumference (WC), waist-to-height ratio (WHtR) and waist-to-hip ratio (WHR) and LAP. MS was defined by American Heart Association and the National Heart, Lung, and Blood Institute (AHA/NHLBI); International Diabetes Federation (IDF); and a harmonized criteria between AHA/NHLBI and IDF. Results: The prevalence of MS was 78.9% and 69.6% for men and women, respectively. LAP showed better area under the curve (AUC) for MS in three different criteria than those indexes based on body mass index, waist circumference, waist-to-height ratio and waist-to-hip ratio, even after adjusting for age and sex. In the harmonized criteria, the cut-off point of 34.2 cm.mmol/L for LAP showed the highest accuracy for MS (sensitivity 0.90, specificity 0.61, positive likelihood ratio of 2.31 and negative likelihood ratio of 0.17). Conclusions: LAP is a simple and accurate predictor tool for MS in undiagnosed adults. Moreover, it has significantly higher predictability than other screening tools commonly used to find subjects at risk of CVD and type 2 diabetes mellitus development, with the best performance at the 34.2 cm.mmol/L cut-off point.
  • bookPart 1 Citação(ões) na Scopus
    Modulation and Consequences of Sleep Duration in Child Obesity
    (2020) NASCIMENTO-FERREIRA, M. V.; MORAES, A. C. Ferreira De; TORRES-LEAL, F. L.; CARVALHO, H. B.
    Childhood obesity is one of the most serious public health challenges of the 21st century.Obesity plays an important role on the pathophysiological process of high blood pressure and hypertension, clearly involving a chronic inflammatory state. Currently it is strongly believed that sleep plays an important role in hormonal homeostasis modulated by clock genes (e.g., REV-ERBα) of circadian rhythm in the pediatric population. In this line, short sleep duration is a significant risk for childhood obesity; whereas, long sleep duration is suggested to impair whole-body energy metabolism and consequently increase the risk of obesity. In this sense, obesity seems to have a U-shaped relationship with sleep duration. Encouraging sleep recommendations can be an effective effort to prevent and control child obesity. © 2020 Elsevier Inc. All rights reserved.
  • article 1 Citação(ões) na Scopus
    Which blood cutoff value should be used for vitamin A deficiency in children aged 3-10 years? A systematic review
    (2021) COLLESE, Tatiana S.; NORDE, Marina M.; V, Marcus Nascimento-Ferreira; KIM, Hanseul; MARCHIONI, Dirce M.; CARVALHO, Heraclito B.; GIOVANNUCCI, Edward
    Context: Blood cutoff values for vitamin A deficiency in children aged 3-10 years have not been addressed in the literature. Objective: To identify blood retinol concentrations for determining severe vitamin A deficiency in children aged 3-10 years. Data Sources: The MEDLINE, Web of Science, Embase, and Scopus databases were searched. Data Extraction: Two reviewers independently extracted article data and assessed quality. Data Analysis: The hierarchical summary receiver operating characteristic models were applied for the diagnostic accuracy meta-analysis. This review is registered at PROSPERO (identifier: CRD42020149367). Results: A total of 15 articles met the eligibility criteria, and 9 were included in the diagnostic accuracy meta-analysis. The summary estimates (95%CI) were: Sensitivity, 0.39 (0.20-0.62); specificity, 0.79 (0.65-0.88); positive likelihood ratio, 1.85 (1.33-2.57); and negative likelihood ratio, 0.77 (0.60-0.99). The area under the curve of the overall analysis was 0.68 (95%CI 0.63-0.72). Conclusions: Blood retinol concentrations have low diagnostic accuracy for severe vitamin A deficiency in children aged 3-10 years. Therefore, there is unclear evidence about the preferable cutoff point for determining severe vitamin A deficiency in children in this age group.
  • article 10 Citação(ões) na Scopus
    Associations between REV-ERB alpha, sleep duration and body mass index in European adolescents
    (2018) FERREIRA, Marcus Vinicius Nascimento; GOUMIDI, Louisa; CARVALHO, Heraclito Barbosa; MORAES, Augusto Cesar F. De; SANTALIESTRA-PASIAS, Alba M.; KAFATOS, Anthony; MOLNAR, Denes; LAMBRINOU, Christina-Paulina; HENAUW, Stefaan De; GUTIERREZ, Angel; CENSI, Laura; MARCOS, Ascension; WIDHALM, Kurt; GOTTRAND, Frederic; GONZALEZ-GROSS, Marcela; MEIRHAEGHE, Aline; MORENO, Luis A.
    Background/Objective: Although the REV-ERB alpha is considered an important regulator of both clock function and metabolism, its relationship with sleep duration and obesity is less clear. The objective of this study was to examine the association between the REV-ERB alpha clock gene and two outcomes - sleep duration and body mass index (BMI) - in European adolescents. Methods: A sample of 831 adolescents (392 boys) aged 11.5-18.8 years from 10 European centers was used. The independent variables were REV-ERB alpha rs2071427 and rs2071570 SNPs, and their respective haplotypes. The outcomes were sleep duration and BMI. Results: In girls, no significant association were found between rs2071427 or rs2071570 and the studied outcomes (p >= 0.43). In boys, however, significant associations were found between rs2071570 and sleep duration (beta: -0.32 h/day for T minor allele carriers; p = 0.0017), and rs2071427 and BMI (beta: +0.72 kg/m(2) for A minor allele carriers; p = 0.016). In the haplotype analysis, the TA haplotype (carrying the two minor alleles) was associated with both lower sleep duration (Delta = -0.38 h/day; p = 0.05) and higher BMI (Delta = +1.41 kg/m(2); p = 0.018) in boys, when compared with the common CC haplotype. Conclusions: The REV-ERB alpha rs2071427 and rs2071570 were associated with both sleep duration and BMI in boys. These findings confirmed the relevance of the REV-ERB alpha gene in human obesity, primarily in males, and also suggested that it has a potential role in affecting sleep duration.
  • article 19 Citação(ões) na Scopus
    Relative validity of FFQ to assess food items, energy, macronutrient and micronutrient intake in children and adolescents: a systematic review with meta-analysis
    (2021) SARAVIA, Luisa; MIGUEL-BERGES, Maria L.; IGLESIA, Iris; NASCIMENTO-FERREIRA, Marcus V.; PERDOMO, Guillermo; BOVE, Isabel; SLATER, Betzabeth; MORENO, Luis A.
    FFQ are one of the most widely used tools of research into nutritional epidemiology, and many studies have been conducted in several countries using this dietary assessment method. The present study aimed to evaluate the relative validity of FFQ, in comparison with other methods, in assessing dietary intake of children and adolescents, through a systematic review. Four electronic databases (Embase, PubMed, Scopus and Web of Science) found sixty-seven articles, which met the inclusion criteria (healthy children and adolescents from 3 to 18 years of age; journal articles written in English, Spanish and Portuguese between 1988 and March 2019; results showing the comparison between the FFQ with other methods of assessment of dietary intake). The articles were analysed by two independent reviewers. A meta-analysis was conducted using correlation coefficients as estimate effects between the FFQ and the reference standard method. Subgroup analysis and meta-regression were performed to identify the probable source of heterogeneity. In fifty-five of the sixty-seven studies, a single dietary assessment method was used to evaluate the FFQ; nine combined the two methods and three used three reference methods. The most widely used reference method was the 24-h recall, followed by the food record. The overall relative validity of the FFQ to estimate energy, macronutrient, certain micronutrient and certain food item intakes in children and adolescents may be considered weak. The study protocol was registered in PROSPERO under number CRD42016038706.
  • article 5 Citação(ões) na Scopus
    What is the Validity of Questionnaires Assessing Fruit and Vegetable Consumption in Children when Compared with Blood Biomarkers? A Meta-Analysis
    (2018) COLLESE, Tatiana S.; VATAVUK-SERRATI, Gabriela; NASCIMENTO-FERREIRA, Marcus Vinicius; MORAES, Augusto Cesar Ferreira De; CARVALHO, Heraclito Barbosa
    Fruit and vegetable consumption has been associated with improved health outcomes in children. As an extensive number of questionnaires are currently used to assess fruit and vegetable consumption, we performed a systematic review of the criterion validity of questionnaires used to estimate fruit and vegetable consumption in children, considering blood biomarkers as the reference method. Five electronic databases (MEDLINE, CINAHL, Scopus, PsycINFO, Web of Science) were searched from database inception to 23 July 2018. The search strategy used the following sets of descriptors: children; fruits and vegetables; dietary questionnaires; blood biomarkers; and validation coefficient. The search terms were adapted for use with other databases in combination with database-specific filters. Potentially eligible articles were selected independently by two reviewers, separately, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Two articles meeting the inclusion criteria were included. The main reason for study exclusion was the sample age range, which included adolescents. The pooled correlation coefficient was 0.32 (95% confidence interval: 0.24-0.40). This review provided insights into assessment methods of fruit and vegetable consumption in children. Although further studies are required, questionnaires for assessing fruit and vegetable consumption have fair criterion validity in children.
  • article 1 Citação(ões) na Scopus
    Longitudinal Associations of Physical Activity Patterns and the Environment: An 18-Year Follow-Up to the MESA Study
    (2022) PARRA, Maira Tristao; MORAES, Augusto Cesar Ferreira De; NASCIMENTO-FERREIRA, Marcus Vinicius; MILLS, Paul J.; ALLISON, Matthew
    Introduction: Cross-sectional association between the neighborhood-built environment and physical activity (PA) has been demonstrated previously, indicating the importance of neighborhood perception characteristics such as walkability, safety, and the connectivity of streets on PA levels. Our study aimed to assess the longitudinal data from participants of the Multi-Ethnic Study of Atherosclerosis (MESA) to evaluate the potential relationship between perceived environment and PA patterns. Methods: We analyzed data from a subset of participants (n = 3097) with available PA data who participated in a prospective cohort conducted from 2000 to 2018. The exposure variables were the perceived aspects of the neighborhood environment and the perception of safety, and the outcome was patterns of PA. Patterns were defined as categories reflecting meeting versus not meeting PA guidelines over time. We created the following categories: adopters (individuals who did not meet guidelines at baseline but met guidelines at Exam 6), relapsers (individuals who met guidelines at baseline but did not meet guidelines at Exam 6), maintainers (individuals who met guidelines both at baseline and Exam 6), and insufficiently active (individuals who did not meet guidelines at either baseline or Exam 6). The maintainers' group was considered the reference category. We estimated the relative risk to assess the magnitude effect of the association between environmental perceptions and the outcome. Results: Individuals who reported that lack of parks and playgrounds was ""not a problem"" in their neighborhood had a 2.3-times higher risk of decreasing their physical activity (i.e., the ""relapser"" category) compared to maintainers. After full adjustment, perceiving poor sidewalks as ""somewhat a serious problem"" was associated with a 64% lower risk of becoming an adopter than a maintainer. When compared to those who perceive the neighborhood as ""very safe"", perception of the neighborhood as ""safe"" to ""not at all safe"" (ratings 3, 4, and 5, respectively, on the perceived safety scale) was significantly associated with being classified in the adopter category. Conclusions: As the first longitudinal study of the association of perceived environment and physical activity within the MESA cohort, we conclude that a few aspects are longitudinally associated with being physically active among adults.
  • article 0 Citação(ões) na Scopus
    Association Between Sleep Time and Pro- and Anti-Inflammatory Biomarkers Is Mediated by Abdominal Obesity Among Adolescents
    (2023) MORAES, Augusto Cesar Ferreira De; MEDEIROS-OLIVEIRA, Vanessa Cassia; BURFORD, Katie; SCHAAN, Beatriz D.; BLOCH, Katia; CARVALHO, Kenia Mara Baiocchi de; CUREAU, Felipe Vogt; NASCIMENTO-FERREIRA, Marcus Vinicius
    Objectives: Movement behaviors and abdominal obesity are associated with higher inflammatory biomarkers. However, the role of waist circumference as a mediating factor is still unknown. Thus, our aims were to (1) test the associations between 24-hour movement behavior variables (physical activity, sedentary behavior, and sleep), abdominal obesity, and pro- and antiinflammatory biomarkers; and (2) investigate whether abdominal obesity had a mediating effect between the investigated associations. Methods: This multicenter cross-sectional study included 3591 adolescents (aged 12-17 y) from 4 Brazilian cities. Waist circumference (in centimeters; at half the distance between the iliac crest and at the lower costal margin), 24-hour movement behaviors (validated questionnaire), high-sensitive C-reactive protein, and adiponectin (serum plasma) were evaluated. We used multiple mediation regression models (95% confidence interval) to determine if waist circumference mediated the association between 24-hour movement behaviors and pro- and anti-inflammatory biomarkers. Results: The results revealed that screen time and moderate to vigorous physical activity were not associated with pro- or anti-inflammatory biomarkers. However, sleep duration (in hours per day) was negatively associated with pro- (C-reactive protein, beta = -0.08; 95% confidence interval, -0.38 to -0.02) and anti- (adiponectin, beta = -0.31; 95% confidence interval, -2.13 to -0.12) inflammatory biomarkers. Our results also showed that waist circumference mediated the association between sleep duration and high-sensitive C-reactive protein (2.7%), and adiponectin (2.8%). Conclusion: Sleep duration was inversely associated with pro- and antiinflammatory biomarkers, and these relations were mediated by abdominal obesity. Therefore, adolescents having healthy sleep can have implications for reducing waist circumference and inflammatory indicators.