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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- 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 BarbosaIntroduction: 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.
- 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.
- 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.
- Validity and reliability of sleep time questionnaires in children and adolescents: A systematic review and meta-analysis(2016) NASCIMENTO-FERREIRA, Marcus V.; COLLESE, Tatiana S.; MORAES, Augusto Cesar F. de; RENDO-URTEAGA, Tara; MORENO, Luis A.; CARVALHO, Heraclito B.Sleep duration has been associated with several health outcomes in children and adolescents. As an extensive number of questionnaires are currently used to investigate sleep schedule or sleep time, we performed a systematic review of criterion validation of sleep time questionnaires for children and adolescents, considering accelerometers as the reference method. We found a strong correlation between questionnaires and accelerometers for weeknights and a moderate correlation for weekend nights. When considering only studies performing a reliability assessment of the used questionnaires, a significant increase in the correlations for both weeknights and weekend nights was observed. In conclusion, moderate to strong criterion validity of sleep time questionnaires was observed; however, the reliability assessment of the questionnaires showed strong validation performance.
conferenceObject PA ASSESSMENT IN CHILDREN AND ADOLESCENTS FROM SOUTH AMERICA: METHODOLOGICAL ASPECTS(2017) MORENO, Luis A.; MORAES, Augusto Cesar Ferreira De; FERREIRA, Marcus Vinicius Nascimento; TOAZZA-OLIVEIRA, Paulo Vinicius; FORJAZ, Claudia L. M.; ARISTIZABAL, Juan; SANTALIESTRA-PASIAS, Alba M.; LEPERA, Candela; NASCIMENTO JUNIOR, Walter Viana; SKAPINO, Estela; DELGADO, Carlos; CARVALHO, Barbosa Heraclito- Prevalence of cardiovascular risk factors, the association with socioeconomic variables in adolescents from low-income region(2015) NASCIMENTO-FERREIRA, Marcus Vinicius; MORAES, Augusto Cesar F. de; CARVALHO, Heraclito B.; MORENO, Luis A.; CARNEIRO, Andre Luiz Gomes; REIS, Victor Manuel M. dos; TORRES-LEAL, Francisco LeonardoObjectives: To estimate the prevalence of obesity, overweight, abdominal obesity and high blood pressure in a sample of adolescents from a low-income city in Brazil and to estimate the relationship with the socioeconomic status of the family, the education level of the family provider and the type of school. Methods: This cross-sectional study randomly sampled 1,014 adolescents (54.8% girls), between 14-19 years of age, attending high school from Imperatriz (MA). The outcomes of this study were: obesity and overweight, abdominal obesity and high blood pressure (systolic and/or diastolic). The independent variables were: socioeconomic status (SES) of the family, education level of the family provider (ELFP) and type of school. The confounding variables were: gender, age and physical activity level. Prevalence was estimated, and the association between the endpoints and the independent variables was analyzed using a prevalence ratio (PR), with a 95% confidence interval, estimated by Poisson regression. Results: The overall prevalence of obesity was 3.8%, overweight, 13.1%, abdominal obesity, 22.7% and high blood pressure, 21.3%. The adjusted analysis indicated that girls with high SES showed an increased likelihood to be overweight (PR=1.71 [95% IC: 1.13-2.87]), while private school boys had an increased likelihood of obesity (PR=1.79 [95% CI: 1.04-3.08]) and abdominal obesity (PR =1.64 [95% CI: 1.06-2.54]). Conclusion: The prevalence of CVDR is high in adolescents from this low-income region. Boys from private schools are more likely to have obesity and abdominal obesity, and girls with high SES are more likely to be overweight.
- Psychometric properties of 4-item questionnaire for sleep habits and time in a South American paediatric population(2021) NASCIMENTO-FERREIRA, Marcus Vinicius; MORAES, Augusto Cesar Ferreira de; MONSALVE-ALVAREZ, Julia Maria; TELLO, Florencia; ARAUJO-MOURA, Keisyanne; DELGADO, Carlos A.; BOVE, Maria Isabel; MORENO, Luis A.; CARVALHOL, HeraclitoObjectives: To assess the psychometric properties of 4-item questionnaire about sleep habits and time in South American children (3-10 years) and adolescents (11-18 years). Material and Methods: We evaluated 459 participants from seven South American cities. Two items from week and weekend days wake up time and bedtime were asked twice, with a 2-week interval. We calculated time spent in bed (subtracting wake up time from bedtime). Participants also answered the Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) sleep time questionnaire. Results: The questionnaire showed acceptable temporal stability in children and adolescents on total days (rho >= 0.30; p<0.05). For total days, the questionnaire presented acceptable convergent validity only in children (rho from 0.48 to 0.62; p <= 0.01) compared with the HELENA questionnaire. Conclusion: The 4-item questionnaire is a reliable and valid tool for children; however, its validity is not consistent in adolescents for sleep habits and time.
- Cross-sectional, school-based study of 14-19 year olds showed that raised blood pressure was associated with obesity and abdominal obesity(2017) NASCIMENTO-FERREIRA, Marcus Vinicius; MORAES, Augusto Cesar Ferreira De; RENDO-URTEAGA, Tara; FORKERT, Elsie Costa de Oliveira; COLLESE, Tatiana Sadalla; CUCATO, Gabriel Grizzo; REIS, Victor M. M.; TORRES-LEAL, Francisco Leonardo; MORENO, Luis A.; CARVALHO, Heraclito BarbosaAim: Gaining weight has been directly associated with an increased probability of developing high blood pressure (HBP) and metabolic abnormalities. We examined the independent and combined effects of overweight, obesity and abdominal obesity on blood pressure in adolescents. Methods: This cross-sectional school-based study evaluated 869 adolescents (53.4% girls) from 14 to 19 years of age, and the data were collected in 2013 in the city of Imperatriz, Maranhao, Brazil. The outcome was HBP. The independent variables were overweight and obesity classified by body mass index, abdominal obesity classified by the waist-to-height ratio and the combination of obesity and overweight and abdominal obesity. The potential confounding variables were age, the socio-economic status of the family, parental education, type of school and physical activity levels. Results: The prevalence ratios of HBP were higher when male and female adolescents were overweight (1.61-3.11), generally obese (3.20-4.70), had abdominal obesity (2.18-3.02) and were both generally obese and had abdominal obesity (3.28-5.16) compared with normal weight adolescents. Conclusion: Obesity or abdominal obesity increased the risk of HBP in adolescents aged 14-19. However, adolescents who were both generally obese and had abdominal obesity showed an even higher risk of having HBP.
- Role of fruits and vegetables in adolescent cardiovascular health: a systematic review(2017) COLLESE, Tatiana Sadalla; NASCIMENTO-FERREIRA, Marcus Vinicius; MORAES, Augusto Cesar Ferreira de; RENDO-URTEAGA, Tara; BEL-SERRAT, Silvia; MORENO, Luis A.; CARVALHO, Heraclito BarbosaContext: Levels of fruit and vegetable consumption are low among adolescents, and the possible effect of this on cardiovascular health in this age group is undefined. Objective: The aim of this systematic review was to investigate the potential role of fruit and vegetable consumption in adolescent cardiovascular health. Data Sources: Six electronic databases (BioMed Central, MEDLINE, Web of Science, CINAHL, Scopus, PsycINFO) were searched from database inception to December 2015. Study Selection: The search strategy used the following sets of descriptors: adolescents; fruits and vegetables; cardiovascular risk indicators; cross-sectional and cohort studies. Data Extraction: Potentially eligible articles were selected independently by 2 reviewers. Results: Eleven articles meeting the inclusion criteria were included (10 cross-sectional, 1 cohort). The main reasons for study exclusion (n = 71) were misclassification of individuals as adolescents, an unspecified outcome that was incongruent with the definitions provided, and assessment of fruits and vegetables as part of a food pattern. Articles evaluated fruit and vegetable intake (separately, together, only vegetables, or with fruit juice) in diverse units, using food frequency questionnaires, 24-hour dietary recalls, and food records. One-third of the studies showed significant inverse associations of fruit and vegetable intake with systolic blood pressure, abdominal obesity, triglycerides, high-density lipoprotein cholesterol, and metabolic syndrome. Conclusions: The associations between fruit and vegetable consumption and indicators of cardiovascular risk in adolescents are inconsistent, likely because of heterogeneity in the methods used to assess and classify consumption and to define cardiovascular risk in adolescents.
- Agreement Between Standard Body Composition Methods to Estimate Percentage of Body Fat in Young Male Athletes(2018) FERRI-MORALES, Asuncion; NASCIMENTO-FERREIRA, Marcus Vinicius; VLACHOPOULOS, Dimitris; UBAGO-GUISADO, Esther; TORRES-COSTOSO, Ana; MORAES, Augusto Cesar F. De; BARKER, Alan R.; MORENO, Luis A.; MARTINEZ-VIZCAINO, Vicente; GRACIA-MARCO, LuisPurpose: To examine the intermethods agreement of dual-energy X-ray absorptiometry (DXA) and foot-to-foot bioelectrical impedance analysis (BIA) to assess the percentage of body fat (%BF) in young male athletes using air-displacement plethysmography (ADP) as the reference method. Methods: Standard measurement protocols were carried out in 104 athletes (40 swimmers, 37 footballers, and 27 cyclists, aged 12-14 y). Results: Age-adjusted %BF ADP and %BF BIA were significantly higher in swimmers than footballers. ADP correlates better with DXA than with BIA (r = .84 vs r = .60, P < .001). %BF was lower when measured by DXA and BIA than ADP (P < .001), and the bias was higher when comparing ADP versus BIA than ADP versus DXA. The intraclass correlation coefficients between DXA and ADP showed a good to excellent agreement (r = .67-.79), though it was poor when BIA was compared with ADP (r = .26-.49). The ranges of agreement were wider when comparing BIA with ADP than DXA with ADP. Conclusion: DXA and BIA seem to underestimate %BF in young male athletes compared with ADP. Furthermore, the bias significantly increases with %BF in the BIA measurements. At the individual level, BIA and DXA do not seem to predict % BF precisely compared with ADP in young athletic populations.