Browsing by Author "Figueiredo, Nuno"
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- Active Commuting: An Opportunity to Fight Both Climate Change and Physical InactivityPublication . Figueiredo, Nuno; Rodrigues, Filipe; Morouço, Pedro; Monteiro, DiogoGlobal health, climate, and ecological conditions cannot be dissociated, and over the last decade, the impacts of climate change on health have been profoundly felt. In 2010, the transport sector has been responsible for the direct emission of 6.7 Gt of carbon dioxide (CO2), and these numbers are expected to double by 2050. Additionally, physical inactivity rates have been growing over the last years, with most individuals in developed countries still relying on their cars for daily transportation, despite the unexplored potential of daily commuting in the promotion of physical activity. Given the well-known link between chronic diseases and sedentary lifestyles, addressing both the upward tendency of public health costs and energy consumption obtained from fossil fuels can be, possibly, one of the greatest public health opportunities over the last century. In this paper, we explore the potential of active commuting as a contemporary approach to address both global issues, considering its benefits on several indicators of health, quality of life, and well-being, as well as environmental-friendly behaviors
- Analysis of the Effect of Different Physical Exercise Protocols on Depression in Adults: Systematic Review and Meta-analysis of Randomized Controlled TrialsPublication . Correia, Érica M.; Monteiro, Diogo; Bento, T.; Rodrigues, Filipe; Cid, Luis; Vitorino, Anabela; Figueiredo, Nuno; Teixeira, Diogo; Couto, NunoContext:Physical exercise (PE) is an effective treatment for depression, alone or as an adjunct. Objective:There is a lack of indicators regarding the frequency, intensity, duration, and type of physical exercise (PE). This study aims to synthesize and analyze the dose-effect of different PE protocols in adult subjects in the treatment of depression, based on the analysis of randomized controlled trials (RCTs). Data Sources:The search was conducted using Web of Science, PubMed, and Cochrane Library electronic databases. Study Selection:Studies with an exercise-based intervention published by December 31, 2021 were identified. RCTs and meta-analyses involving adults with depression were also included; 10 studies were selected, including a total of 956 subjects. Study Design:Systematic review and meta-analysis. Level of Evidence:Level 1. Results:Effect sizes were summarized using standardized mean differences (95% confidence interval) by effected randomized models. The results reinforce that exercise appears to be beneficial in improving depression among adults aged 18 to 65 years. Interventions lasting above 150 minutes per week of moderate intensity and group interventions seem to have a more significant effect on reducing depression. Studies have revealed that aerobic exercise, compared with resistance or flexibility, has a more positive effect on depression. Conclusion:PE can be a way to reduce depression and can be used as a possible adjunctive tool for pharmacological and/or alternative treatments. Considering the findings of this study, it is important that health professionals (eg, exercise physiologists, physicians, nurses, psychologists) promote the practice of PE as a complementary alternative and act early to prevent the worsening of depression.
- Anastomotic Leak in Colorectal Cancer Surgery: From Diagnosis to Management or Failure - A Retrospective Cohort StudyPublication . Rama, Nuno; Parente, Diana; Silva, Cândida G.; Neves, Miguel; Figueiredo, Nuno; Alves, Paulo; Amado, Sandra; Lourenço, Óscar; Guarino, Maria Pedro; Rocha, Anabela; Castro-Poças, Fernando; Pimentel, JoãoAnastomotic leakage (AL) after colorectal resections is a common surgical experience and the most frequent major adverse outcome. Early recognition of AL is critical to reduce mortality. We aim to evaluate the incidence, diagnostic criteria, morbidity, and mortality related with AL.
- A Comprehensive Review and Bifactor Modeling Analysis of the Brief COPEPublication . Rodrigues, Filipe; Figueiredo, Nuno; Rodrigues, José; Ferreira, Regina; Hernández-Mendo, Antonio; Monteiro, DiogoThe Brief COPE is a measure of coping strategies that contains 14 factors. The purpose of this research was twofold: (a) examine the psychometric proprieties of the Brief Cope in previous studies; and (b) perform Confirmatory Factor Analyses (CFA) with second-order model and bifactor model specifications that could be used to assess the best model that represents the 14 coping strategies inherent to the instrument. In order to meet the first objective, a bibliographic review of published peer-reviewed studies between 1997 and 2021 was conducted. Results from the review identified 50 studies, of which 21 used exploratory factor analysis, 28 CFA and one study test-retest analysis. Seventeen studies used the entire correlated 14-factor structure. However, only 11 studies conducted a CFA. For the second objective, a sample of 472 working class individuals (female = 278) with a mean work experience of 19.06 years (SD = 11,92) were recruited. We tested several model specifications, convergent and discriminant validity analysis. We found the correlated 14-factor structure of the Brief COPE to have good psychometric properties. The second-order and bifactor model specifications displayed poor fit or did not converge, respectively. The measure showed good convergent and discriminant validity, and the subscales showed adequate internal consistency. We provide further validity and reliability of the correlated 14-factor structure, evidencing that this measure can assess coping mechanisms. Secondorder model specifications need further testing and empirical evidence to support such hierarchical categorization.
- Effects of a 24-Week Low-Cost Multicomponent Exercise Program on Health-Related Functional Fitness in the Community-Dwelling Aged and Older AdultsPublication . Rodrigues, Filipe; Jacinto, Miguel; Figueiredo, Nuno; Monteiro, António; Forte, PedroBackground and Objectives: This study aimed to examine the effects of a low-cost multicomponent exercise program on health-related functional fitness in the community-dwelling aged and older adults. As a second objective, this study compared the exercise program between aged adults (<65 years) and those considered elderly (≥65 years). Materials and Methods: Forty-eight participants were included in the exercise program, and their mean age was 64.73 years (±5.93 years). The Senior Fitness Tests were performed by each participant. A dynamometer was used to assess hand grip strength, and body composition was assessed considering the body mass index. Paired-sample t test was used to compare data at baseline and after the exercise program, considering the total sample. Afterwards, a 2 × 2 analysis of variance was used to examine differences within and between groups. Results: Statistically significant improvements in the chair stand (t = −14.06; p < 0.001; d = 0.42), arm curl (t = −12.10; p < 0.001; d = 0.58), 2 min step test (t = −9.41; p < 0.001; d = 0.24), timed up and go test (t = 5.60; p < 0.001; d = 0.19), and hand grip strength (t = −3.33; p < 0.001; d = 0.15) were observed. There were also significant differences in the back scratch (t = −6.68; p < 0.001; d = 0.18) and chair sit and reach test (t = 5.04; p < 0.001; d = 0.05), as well as body mass index (p < 0.05). No significant differences were found between groups (p > 0.05). Conclusion: This study provides evidence that a 24-week low-cost community-based exercise program can improve functional fitness in aged and in older adults. The exercise program supplied the necessary data to construct further randomized controlled trials that can be performed in the community in an environmentally sustainable fashion and applied, not only to the elderly, but also to those transitioning to this age group.
- Examining the neighborhood environment walkability scale in a sample of college students: Psychometric testing and predictive analysisPublication . Figueiredo, Nuno; Monteiro, Diogo; Rodrigues, FilipeBackground: Despite the known benefits of physical activity (PA), physical inactivity levels have grown over the last years. Since most individuals in developed countries rely on their private cars for transportation, the promotion of active modes of transport, such as walking or cycling, is a possible and viable strategy to encourage active living among workers and students. Evidence supports the important role of the built environment in the modulation of PA and active commuting patterns. However, the role of the built environment in quality of life is less clear. Methods: The main purpose of the present study is to adapt and validate the NEWS-A, one of the most popular measures of perceived neighborhood environment, in a sample of Portuguese college students (NEWS-A-PT). A CFA was conducted, in order to examine the factorial structure of the mentioned instrument. This study also aims to explore how perceived neighborhood environment characteristics relate to PA and quality of life. Results: In general, the NEWS-A-PT displayed acceptable levels of temporal reliability, and the revised 32-item model provided acceptable fit to the data. Additionally, significant correlations were found between NEWS-A-PT factors and indicators of PA and quality of life. Conclusions: The present study provides empirical support for the validity and reliability of the six-factor and 32-item version of the NEWS-A-PT for Portuguese college students. It also supports the assumption that perceived neighborhood environment characteristics are associated with both PA and quality of life.
- Social-Cognitive Theories to Explain Physical ActivityPublication . Rodrigues, Filipe; Figueiredo, Nuno; Jacinto, Miguel; Monteiro, Diogo; Morouço, PedroDespite the widely recognized health benefits of physical activity, participation in regular physical activity falls far short of the Global Action Plan on Physical Activity 2018–2030. More than half of the population does not reach current recommendations, and around one-fourth is not sufficiently active at all. Understanding social-cognitive theories may aid in the creation of interventions to improve long-term physical activity maintenance. The current work covers theory and research on physical activity patterns. It specifically provides an overview of contemporary conceptualizations of motivational and cognitive theories, as well as reviews recent perspectives on how physical activity can be adopted and maintained. Key questions, such as whether physical activity can be executed purely based on cognitive functions, are also addressed. Furthermore, this review identifies possible and effective intervention strategies to promote physical activity.
- The relationship between past exercise behavior and future exercise adherence: A sequential mediation analysisPublication . Rodrigues, Filipe; Figueiredo, Nuno; Teixeira, Diogo Santos; Cid, Luis; Monteiro, DiogoThe present study explored the mediation role of past exercise adherence, self-reported frequency and intentions in the association between past experience and future exercise adherence. In total, 431 exercisers (female = 216; male = 215) aged 18 and 64 years, engaged in fitness activities such as group fitness classes and resistance training, were included in the analysis. Serial mediation procedures were employed to examine the direct, indirect, and total indirect effects among variables. The predictor variable and all mediators displayed a positive and significant association with future six-month adherence. Past six-month exercise adherence displayed the most significant association with future six-month adherence. The sequential indirect path from exercise experience → past six-months adherence → self-reported frequency → intentions future six-months adherence displayed a positive and significant effect (β = .19 [CI95% = .09, .31]), presenting a partial mediation effect. Past behaviour is the most significant predictor of future adherence, and thus interventions should be based on promoting consistent exercise frequency. Professionals working in the fitness centre context can identify possible dropouts based on their past behaviour and intentions to be physically active in the future.
- Using Psychometric Testing Procedures for Scale Validity, Reliability, and Invariance Analysis: The PRETIE-Q Portuguese VersionPublication . Rodrigues, Filipe; Morouço, Pedro; Antunes, Raul; Monteiro, Diogo; Jacinto, Miguel; Figueiredo, Nuno; Santos, Filipe; Bastos, Vasco; Teixeira, DiogoThis study investigated the psychometric nature of preference for and tolerance of exercise intensity in physical activity. It initially re-examined the Preference for and Tolerance of the Intensity of Exercise Questionnaire (PRETIE-Q) among Portuguese exercisers, looking at its applicability to different exercise activities and exercise experiences. Then, to investigate the applicability of the measure in different groups, its invariance was examined. The sample consisted of 1117 participants (528 male, 589 female) aged 18–81 years old (Mage = 36.81, SD = 11.89). All participants reported at baseline that they were exercising, on average, 3.93 days (SD = 1.36) per week. The exploratory structural equation modeling (ESEM) displayed the best fit. The ESEM did show invariance when tested for multigroup analysis. The conclusion of this research is that the ESEM demonstrated the best fit, displaying invariance in multigroup analysis. Furthermore, when assessing preference and tolerance in various exercise modalities, the PRETIE-Q should be primarily used as a multidimensional instrument due to the differential recognition of preference and tolerance in seemingly similar physical activity circumstances, highlighting the importance of employing context-verified measures to evaluate exercise-intensity preference and tolerance based on sample characteristics or real-time context.