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- Educação STEAM Outdoor: Perceções dos Docentes e Oportunidades de FormaçãoPublication . Correia, Marisa; Beirante, David; Arrais, Ana; Catela, David; Santos, Raquel; Martins, Maria Clara; Galinha, Sónia; Luís, Helena; Dias, Isabel Simões; Ramos, Liliana; Portelada, António; Simões, Vera; Pinto, Paula; Franco, Susana; Ferreira, Regina; Ribeirinha, TeresaA educação STEAM (Ciência, Tecnologia, Engenharia, Artes/Humanidades e Matemática), aliada ao ambiente outdoor, poderá promover o desenvolvimento integral e harmonioso das crianças e jovens, uma vez que se perspetivam aprendizagens significativas e o incentivo à adoção de estilos de vida saudáveis. O presente estudo tem como principais objetivos avaliar a perceção de educadores de infância e professores do 1.º e 2.º Ciclo do Ensino Básico, de um agrupamento de escolas de Portugal, acerca do uso pedagógico de espaços exteriores, e averiguar quais as competências e necessidades de formação que estes identificam como fundamentais para implementar a abordagem STEAM outdoor. Utilizando uma abordagem de métodos mistos, recolheram-se dados provenientes de uma entrevista (N = 8) e de um questionário (N = 49), desenvolvido e validado para o efeito. Os resultados sugerem que os docentes percecionam os espaços exteriores das suas escolas como locais com potencial pedagógico para implementação da abordagem STEAM, sendo as dimensões mais prevalentes a ludomotora, expressiva e de bem estar. Contudo, verificou-se uma frequência reduzida de realização de atividades de articulação curricular, envolvendo duas ou mais áreas STEAM nestes espaços, que poderá ser explicada pela extensão e rigidez curricular. Além disso, os docentes consideram essencial a formação para o uso pedagógico de espaços exteriores, a mudança de práticas e a promoção da interdisciplinaridade. Embora a maioria não tenha formação nesse contexto, há uma disposição para participar em cursos de capacitação. Nesse sentido, é crucial oferecer oportunidades de formação para explorar o potencial pedagógico dos espaços exteriores e da educação STEAM ao ar livre.
- Testing Assumptions of the Physical Activity Adoption and Maintenance Model: A Longitudinal Perspective of the Relationships Between Intentions and Habits on Exercise AdherencePublication . Rodrigues, Filipe; Teixeira, DiogoIn this study, we aimed to examine empirically the Physical Activity Adoption and Maintenance model (PAAM). We collected data on these variables at baseline (T0) and 6-months later (T1). We recruited 119 participants (42 male, 77 female) aged 18– 81 years old (Mage = 44.89, SD = 12.95). who reported, at baseline, that they exercised an average of 3.76 days per week (SD = 1.33) in training periods lasting 15–60 minutes (M = 38.69; SD = 23.28). We conducted hierarchical multiple regression analysis to test the association between each determinant (intentions, habits, and frequency) and future exercise adherence. We tested four models by entering blocks of predictors according to PAAM assumptions. The variance change (R2 ) between the first and fourth models (ΔR2 = .391) was statistically significant, showing that the fourth model accounted for 51.2% of variance for future exercise adherence, F (6, 112) = 21.631, p < .001, R2 = .73, adjusted R2 = .512. Exercise intention at T1 maintained its significantassociation (p = .021) with exercise frequency at T1 in all tested models. Exercise frequency at T0 was the most significant predictor (p < .01) of future exercise adherence, with past experience the second most significant predictor (p = .013). Interestingly, exercise habits at T1 and T0 did not predict exercise frequency at T1 in the fourth model. Among the variables we studied, having constantly high exercise intentions and high regular exercise frequency are significantly associated with maintaining or increasing regular future exercise behavior.
- A Deep Learning Neural Network to Classify Obesity Risk in Portuguese Adolescents Based on Physical Fitness Levels and Body Mass Index Percentiles: Insights for National Health PoliciesPublication . Forte, Pedro; Encarnação, Samuel; Monteiro, António; Teixeira, José; Hattabi, Soukaina; Sortwell, Andrew; Branquinho, Luís; Amaro, Bruna; Sampaio, Tatiana; Flores, Pedro; Silva-santos, Sandra; Ribeiro, Joana; Batista, Amanda; Ferraz, Ricardo; Rodrigues, FilipeThe increasing prevalence of overweight and obesity among adults is a risk factor for many chronic diseases and death. In addition, obesity among children and adolescents has reached unprecedented levels and studies show that obese children and adolescents are more likely to become obese adults. Therefore, both the prevention and treatment of obesity in adolescents are critical. This study aimed to develop an artificial intelligence (AI) neural network (NNET) model that identifies the risk of obesity in Portuguese adolescents based on their body mass index (BMI) percentiles and levels of physical fitness. Using datasets from the FITescola® project, 654 adolescents aged between 10–19 years old, male: 334 (51%), female: n = 320 (49%), age 13.8 ± 2 years old, were selected to participate in a cross-sectional observational study. Physical fitness variables, age, and sex were used to identify the risk of obesity. The NNET had good accuracy (75%) and performance validation through the Receiver Operating Characteristic using the Area Under the Curve (ROC AUC = 64%) in identifying the risk of obesity in Portuguese adolescents based on the BMI percentiles. Correlations of moderate effect size were perceived for aerobic fitness (AF), upper limbs strength (ULS), and sprint time (ST), showing that some physical fitness variables contributed to the obesity risk of the adolescents. Our NNET presented a good accuracy (75%) and was validated with the K-Folds Cross-Validation (K-Folds CV) with good accuracy (71%) and ROC AUC (66%). According to the NNET, there was an increased risk of obesity linked to low physical fitness in Portuguese teenagers.
- Physical Activity and Sedentary Behavior in Adults from Penafiel, Portugal: A Cross-Sectional StudyPublication . Batista, Amanda; Forte, Pedro; Ribeiro, Joana; Silva-Santos, Sandra; Neto, Elmiro; Rodrigues, Filipe; Teixeira, José; Ferraz, Ricardo; Branquinho, LuísThe aim of this study was to compare the physical activity (PA) and sedentary behavior (SB) levels of young and middle-aged adults living in and around the municipality of Penafiel and to determine whether they meet PA recommendations. The researchers used the “International Physical Activity Questionnaire” (IPAQ) to measure moderate to vigorous PA and time spent on sedentary behavior (high vs. low). A prospective observational cross-sectional sample of 1105 adults aged 18–63 years, living in the municipality of Penafiel and its surroundings (45% women, 55% men), was used. The results indicated that more than half of the population was inactive (53.8%) and sedentary (54.0%). Men were more likely to be sedentary (59.2%) and inactive (55.6%) than women (inactive: 51.7%, high SB: 47.7%). Regarding daily PA and SB levels, women had higher levels of walks (3.8 ± 2.3; p = 0.034) and vigorous PA (2.2 ± 1.8 min; p = 0.005) per days/week, as well as vigorous PA per minutes/week (75.4 ± 82.1 min; p = 0.034). The time spent on vigorous PA per day was also higher in women (26.2 ± 22.8 min; p = 0.030). However, men had higher values in walking minutes per day (26.3 ± 17.1 min; p = 0.030), SB for weekdays (429.2 ± 141.2 min; p = 0.001), SB for weekends (324.7 ± 163.7 min; p = 0.033) and time spent on SB per minutes/week (2795.6 ± 882.0 min; p = 0.001). The results also showed that the older the adults, the lower the frequency and total time of vigorous PA per week. Young adults (18–28 years) had higher levels of vigorous PA (p = 0.005) than the other age groups (29–39; 40–50 and 51–63 years). Finally, the study found no significant correlation between individual level factors, such as number of children, marital status and monthly income, and PA or SB. Conversely, a significant and negative correlation between SB and levels of PA was found, indicating that the higher the level of PA practice, the lower the SB level. The authors suggest that promoting new PA habits and healthy lifestyles is an important future challenge for sustainability and improving the quality of life in public health.
- The Impact of Multicomponent Exercise Protocols Order on the Maximum Voluntary Contraction of Older WomenPublication . Monteiro, António; Rodrigues, Sandra; Matos, Sérgio; Encarnação, Samuel; Teixeira, José; Barbosa, Tiago M.; Rodrigues, Filipe; Forte, PedroThe aim of this study was to evaluate the impact of exercise order in multicomponent training (MCT) on the maximum voluntary contraction (MVC) of older women. A total of 91 older women, ranging in age from 60 to 85 years, were randomly assigned to either Group A or Group B. Group A performed a warm up followed by aerobic training and resistance training, whereas Group B followed a warm up followed by resistance training and aerobic training. A control group (CG) did not engage in any exercise interventions. Statistical analysis was conducted using one-way ANOVA for between-group comparisons, and ANOVA was used for repeated measures. The results revealed that Group A demonstrated significant increases in MVC for knee extensors (KEs) between M1 and M3 (p < 0.001) and between M2 and M3 (p < 0.001). Similarly, Group A exhibited significant increases in MVC for knee flexors (KFs) between M1 and M3 (p = 0.001) and between M2 and M3 (p < 0.001). Both Group A and Group B demonstrated significant increases in MVC for elbow flexors (EFs) between M1 and M3 (p < 0.001). Furthermore, Group B showed a significant increase in hand grip strength (HGS) between M1 and M3 (p < 0.001). Overall, the findings suggest that initiating MCT with aerobic training followed by resistance training is the most effective approach for improving muscle strength in older women.
- Obesity Status and Physical Fitness Levels in Male and Female Portuguese Adolescents: A Two-Way Multivariate AnalysisPublication . Encarnação, Samuel; Rodrigues, Filipe; Monteiro, António; Gouili, Hatem; Hattabi, Soukaina; Sortwell, Andrew; Branquinho, Luís; Teixeira, José; Ferraz, Ricardo; Flores, Pedro; Silva-Santos, Sandra; Ribeiro, Joana; Batista, Amanda; Forte, PedroObesity and decreasing fitness levels among the youth are growing concerns in Portugal, similar to other developed countries, with implications for health and psychomotor development. Understanding the influence of health determinants such as sex and age are crucial for developing effective public health strategies. This study aimed to analyze the association between sex and chronological age with obesity status and physical fitness in Portuguese adolescents. A total of 170 adolescents (85 males and 85 females) were evaluated for body mass index, abdominal adiposity, aerobic fitness, abdominal resistance, upper limb resistance, lower limb power, and maximal running speed in a 40 m sprint using the FITescola® physical fitness battery, a Portuguese government initiative. The general model, analyzed using Pillai’s trace, showed a significant effect of age and sex on body mass index, abdominal circumference, aerobic fitness, abdominal resistance, upper limb resistance, lower limb power, and maximal running speed (V = 0.99, F (7) = 10,916.4, p < 0.001, partial η2, sex = 0.22; age = 0.43, sex and age interaction = 0.10). Boys had higher physical fitness levels than girls in most tests, but both sex groups had a significantly higher proportion of non-fit adolescents, with boys showing the highest number of participants classified as non-fit.
- The Effects of 6-Month Multi-Component Exercise Intervention on Body Composition in Aged Women: A Single-Arm Experimental with Follow-Up StudyPublication . Rodrigues, Filipe; Teixeira, José; Monteiro, António; Forte, PedroMulticomponent exercise programs, which combine multiple modalities such as aerobic exercises, strength training exercises, flexibility exercises, and balance exercises, can help to promote healthy aging and prevent chronic diseases in aged women. Thus, the goal of this study is to examine if a multicomponent exercise program could improve body composition in community-dwelling aged women. A 6-month single-arm quasi-experimental research was conducted using a multicomponent exercise program for older adults. The sample included 38 women with a mean age of 63.50 years (SD = 6.47 years). Body composition and anthropometric measurement was conducted from baseline (T1), after intervention (T2), and follow-Up (T3). In addition, after exercise intervention, a significant difference with moderate to large effects was reported for fat mass [η2p = 0.374, p < 0.001)], bone density [η2p = 0.374, p < 0.05)], percentage of water [η2p = 0.374, p < 0.001)], and a metabolic equivalent task [η2p = 0.374, p < 0.05]. Additionally, a significant large effect size between T1 and T2 was verified. However, body composition indicators seem to decrease below baseline levels after concluding exercise intervention (T3). Muscle mass decreased significantly after exercise intervention and mean scores were lower compared to baseline data (T1). Thus, a positive effect of the multicomponent exercise program on body composition was established in this group of community-dwelling aged women. However, the relative improvement in body fat and muscle mass were lost after the exercise program’s conclusion for values below the baselines. Avoiding detraining periods is, therefore, fundamental to maintaining the normal relative body composition.
- Assessing Functional Ankle Instability in Sport: A Critical Review and Bibliometric AnalysisPublication . Alexandre, Élio; Monteiro, Diogo; SottoMayor, Ricardo; Jacinto, Miguel; Silva, Fernanda M.; Cid, Luis; Duarte-Mendes, Pedrofirst_pageDownload PDFsettingsOrder Article Reprints Open AccessReview Assessing Functional Ankle Instability in Sport: A Critical Review and Bibliometric Analysis by Élio Alexandre 1,Diogo Monteiro 1,2ORCID,Ricardo SottoMayor 1ORCID,Miguel Jacinto 1,2ORCID,Fernanda M. Silva 3ORCID,Luis Cid 2,4ORCID andPedro Duarte-Mendes 5,6,*ORCID 1 ESECS—Polytechnic of Leiria, 2411-901 Leiria, Portugal 2 Research Center in Sport, Health, and Human Development (CIDESD), 5001-801 Vila Real, Portugal 3 Research Unit for Sport and Physical Activity (CIDAF), Faculty of Sport Sciences and Physical Education, University of Coimbra, 3040-248 Coimbra, Portugal 4 Sport Sciences School of Rio Maior, Polytechnic of Santarém (ESDRM-IPSantarém), 2001-904 Santarém, Portugal 5 Department of Sports and Well-Being, Polytechnic Institute of Castelo Branco, 6000-266 Castelo Branco, Portugal 6 Sport Physical Activity and Health Research & Innovation Center, SPRINT, 2040-413 Santarém, Portugal * Author to whom correspondence should be addressed. Healthcare 2024, 12(17), 1733; https://doi.org/10.3390/healthcare12171733 Submission received: 5 August 2024 / Revised: 23 August 2024 / Accepted: 28 August 2024 / Published: 30 August 2024 (This article belongs to the Special Issue The Role of Physical Exercise in the Prevention and Treatment of Diseases) Downloadkeyboard_arrow_down Browse Figures Review Reports Versions Notes Abstract Functional Ankle Instability (FAI) is the subject of extensive research in sports and other environments. Given the importance of accurately measuring this latent construct, it is imperative to carry out a careful assessment of the available tools. In this context, the aim of this review was to take an in-depth look at the six most cited measurement tools to assess FAI, with a specific focus on patient-reported outcome measures related to ankle and foot. Four electronic databases (Web of Science, Scopus, Pubmed, and SportDiscus) were searched (up to November 2022) to identify the six most cited questionnaires for assessing FAI. Our analysis showed that the most cited questionnaires are the following: the Lower Extremity Functional Scale (LEFS), the Foot Function Index (FFI), the Foot and Ankle Ability Measure (FAAM), the Foot and Ankle Outcome Score (FAOS), the Olerud and Molander Ankle Score (OMAS), and the Cumberland Ankle Instability Tool (CAIT). Each questionnaire was thoroughly assessed and discussed in three sections: Development, Reliability, and Summaries. In addition, bibliometric data were calculated to analyze the relevance of each questionnaire. Despite variations in terms of validity and reliability, conceptualization, structure, and usefulness, the six questionnaires proved to be robust from a psychometric point of view, being widely supported in the literature. The bibliometric analyses suggested that the FAOS ranks first and the FFI ranks sixth in the weighted average of the impact factors of their original publications.
- The Reliability of the Timed Up and Go Test among Portuguese ElderlyPublication . Rodrigues, Filipe; Teixeira, José; Forte, PedroAssessment of dynamic balance is typically completed through functional tests, such as the Timed Up and Go (TUG) test, which measures the time it takes for an individual to stand up from a chair, walk a set distance, turn around, and sit back down. This test has been validated in several countries. However, in the Portuguese population there is a gap on testing the reliability of this functional test in a sample of the elderly both living in the community or in nursing homes. Thus, this study aimed at examining the reliability of the TUG in a sample of Portuguese elderly. An Intraclass Correlation Coefficient (ICC) analysis was performed between the first time (T1) and the time score after 16 weeks (T2) in TUG test by 38 males and 79 females aged between 60 and 92 years. The results showed acceptable scores of ICC in community-dwelling and nursing home resident elderly in both moments. In addition, significant differences were found between these groups of older adults, showing that community-dwelling elderly show greater agility and balance capacity compared to those living in nursing homes. Thus, the TUG test can be applied in the Portuguese elderly in both community-dwelling and nursing home resident elderly.
- 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.