claves de la educación física y la salud
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V Jornadas de la RAEPS http://redescuelasaragon.blogspot.com.es/ Zaragoza (Spain) 10 de marzo de 2013 Marco de intervención: Luis Moreno AznarTRANSCRIPT
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Luis A. Moreno Aznar [email protected] Research Group Universidad de Zaragoza
Evidencia en promoción de la actividad física y salud
Claves de la educación física
y la salud
Luis A. Moreno
GENUD Research Group
Universidad de Zaragoza
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Luis A. Moreno Aznar [email protected] Research Group Universidad de Zaragoza
Pooled Relative Risk of CHD by Kcal/wk of LTPA in men and women
(Sattelmair J et al. Circulation 2011; 124: 789-795)
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Luis A. Moreno Aznar [email protected] Research Group Universidad de Zaragoza
Pooled Relative Risk of CHD by Kcal/wk of LTPA in men and women
(Sattelmair J et al. Circulation 2011; 124: 789-795)
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Procesos que influyen en la prevalencia de obesidad
(Kumanyika SK et al. Circulation 2008; 118: 428-464)
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Healthy Lifestyle in EUROPE by Nutrition in Adolescence - FP6 EU funded study
Actividad física
(Ruiz J et al. Am J Epidemiol 2011; 15: 173-184)
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Healthy Lifestyle in EUROPE by Nutrition in Adolescence - FP6 EU funded study
Actividad física moderada intensa
Boys Girls
(Ruiz J et al. Am J Epidemiol 2011; 15: 173-184)
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Healthy Lifestyle in EUROPE by Nutrition in Adolescence - FP6 EU funded study
Tiempo actividades sedentarias
Boys Girls
(Ruiz J et al. Am J Epidemiol 2011; 15: 173-184)
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Healthy Lifestyle in EUROPE by Nutrition in Adolescence - FP6 EU funded study
Regiones abdominales
(Moliner-Urdiales D et al. Int J Obes (London) 2009; 33: 1126-1135)
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Healthy Lifestyle in EUROPE by Nutrition in Adolescence - FP6 EU funded study
Actividad física y grasa total y abdominal
% grasa (DXA)
% grasa (BodPod)
Suma 4 pliegues
Grasa abdominal (R1 – R2)
Grasa abdominal (R3) Cintura
(Moliner-Urdiales D et al. Int J Obes (London) 2009; 33: 1126-1135)
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Healthy Lifestyle in EUROPE by Nutrition in Adolescence - FP6 EU funded study
(Ruíz JR et al. Arch Pediatr Adolesc Med 2010; 164: 328-333)
Interacción gen FTO y actividad física
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Healthy Lifestyle in EUROPE by Nutrition in Adolescence - FP6 EU funded study
(Ruíz JR et al. Arch Pediatr Adolesc Med 2010; 164: 328-333)
Interacción gen FTO y actividad física
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Luis A. Moreno Aznar [email protected] Research Group Universidad de Zaragoza
Diferencias en grasa total y abdominal según consumo de desayuno y actividad física en el tiempo de ocio en adolescentes
(Gomez-Martínez S et al. J Adolesc Health 2012; 50: 403-409)
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Healthy Lifestyle in EUROPE by Nutrition in Adolescence - FP6 EU funded study
HELENA-LSEI
(De Bourdeaudhuij I, et al. J Adolesc Health 2010; 46: 458-466)
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Healthy Lifestyle in EUROPE by Nutrition in Adolescence - FP6 EU funded study
HELENA-LSEI
MVPA (min/week) CSS sample (n=494)Total sample F=3.79**
400
450
500
550
600
650
baseline 1-month 3-months
control
Intervention
MVPA (min/week) CSS sampleinactive adolescents (n=233)
F=1.52(ns)
150
200
250
300
350
400
baseline 1-month 3-months
control
intervention
(De Bourdeaudhuij I, et al. J Adolesc Health 2010; 46: 458-466)
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(Martínez-Vizcaino V, et al. Int J Obes 2008; 32: 12-22)
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(Martínez-Vizcaino V, et al. Int J Obes 2008; 32: 12-22)
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Luis A. Moreno Aznar [email protected] Research Group Universidad de Zaragoza
Alimentación, nutrición y estilo de vida. Impacto de la actividad física sobre la salud
(Moreno LA, Gracia-Marco L. An Pediatr 2012; 77:136)
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Luis A. Moreno Aznar [email protected] Research Group Universidad de Zaragoza
Eficacia de programas (que incluyen actividad física) de prevención primaria de la obesidad infantil en Europa
(Moreno LA, Gracia-Marco L. An Pediatr 2012; 77: 136)
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(Strong WB, et al. J Pediatr 2005; 146: 732-737)
“School-age youth should participate daily in 60 minutes
or more of moderate to vigorous physical activity that is
developmentally appropriate, enjoyable, and involves a
variety of activities”
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Luis A. Moreno Aznar [email protected] Research Group Universidad de Zaragoza
Pirámide de actividad física en niños y adolescentes
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Morris et al. 1953
Health recommendations based on the accumulation of moderate to vigorous PA
Hamilton et al. 2004
Health recommendations should also include sedentary PA
Sedentarismo vs actividad física
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Sedentary behaviours ≠ absence of moderate to vigorous physical activity (Pate et al. 2008)
Sedentary behaviours vs meeting PA recommendations
Sedentarismo vs actividad física
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Healthy Lifestyle in EUROPE by Nutrition in Adolescence - FP6 EU funded study
Sedentarism
Proportion of adolescents having TV, computer and consoles at home and their bedrooms
(Rey-López JP et al. Prev Med 2010; 51: 50-55)
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Healthy Lifestyle in EUROPE by Nutrition in Adolescence - FP6 EU funded study
Sedentarism
Factors predicting TV use more than two hours per day in adolescents
(Rey-López JP et al. Prev Med 2010; 51: 50-55)
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Healthy Lifestyle in EUROPE by Nutrition in Adolescence - FP6 EU funded study
Sedentarism and obesity
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Healthy Lifestyle in EUROPE by Nutrition in Adolescence - FP6 EU funded study
Sedentarism
(Rey-López JP et al. Nutr Metab Cardiovas Dis 2008; 18: 242-251)
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Healthy Lifestyle in EUROPE by Nutrition in Adolescence - FP6 EU funded study
Sedentarism
(Rey-López JP et al. Nutr Metab Cardiovas Dis 2008; 18: 242-251)
Proportion of cross-sectional studies with a significant relationship between sedentary behaviour and overweight
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Healthy Lifestyle in EUROPE by Nutrition in Adolescence - FP6 EU funded study
Sedentarism
(Rey-López JP et al. Nutr Metab Cardiovas Dis 2008; 18: 242-251)
Proportion of longitudinal studies with a significant relationship between sedentary behaviour and overweight
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Luis A. Moreno Aznar [email protected] Research Group Universidad de Zaragoza
Product Categories of Promotional Spots Aimed at Children
(Connor SM. Pediatrics 2006; 118: 1478-1485)
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Healthy Lifestyle in EUROPE by Nutrition in Adolescence - FP6 EU funded study
(Santaliestra-Pasías A et al. Arch Pediatr Adolesc Med 2012; 166:1010-1020)
SSB and sedentary behaviors
< 2 hours 2 – 4 hours
> 4 hours P
TV week days 340.0 (12.61)
433.6 (20.98)
509.1 (45.68)
< 0.05
TV weekend 340.1 (16.15)
375.4 (16.76)
453.0 (26.58)
< 0.05
Computer week days 350.7 (11.60)
433.0 (27.94)
590.4 (51.75)
< 0.05
Computer weekend 344.6 (13.58)
353.6 (21.4)
514.4 (27.7)
< 0.05
Internet week days 358.3 (11.4)
419.7 (33.4)
593.5 (51.1)
< 0.05
Internet weekend 344.3 (12.30)
428.9 (24.85)
518.5 (37.52)
< 0.05
Sugar sweetened beverages intake (ml) according to sedentary behaviors in male adolescents
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Healthy Lifestyle in EUROPE by Nutrition in Adolescence - FP6 EU funded study
SSB and sedentary behaviors
< 2 hours 2 – 4 hours
> 4 hours P
TV week days 197.9 (7.53)
239.0 (12.31)
323.8 (26.65)
< 0.05
TV weekend 196.4 (9.42)
215.2 (9.60)
262.2 (16.40)
< 0.05
Computer week days 208.5 (6.56)
297.6 (2.48)
275.2 (46.75)
< 0.05
Computer weekend 205.5 (6.93)
257.3 (18.17)
270.4 (26.68)
< 0.05
Internet week days 204.7 (6.96)
259.2 (17.03)
278.7 (30.39)
< 0.05
Internet weekend 200.6 (7.63)
231.1 (13.95)
284.6 (15.53)
< 0.05
Sugar sweetened beverages intake (ml) according to sedentary behaviors in female adolescents
(Santaliestra-Pasías A et al. Arch Pediatr Adolesc Med 2012; 166:1010-1020)
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Luis A. Moreno Aznar [email protected] Research Group Universidad de Zaragoza
Clustering patterns of physical activity, sedentary and dietary behaviour in adolescents
(Ottevaere C et al. BMC Publ Health 2011; 11: 328)
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Luis A. Moreno Aznar [email protected] Research Group Universidad de Zaragoza
Clustering patterns of physical activity, sedentary and dietary behaviour in adolescents
(Ottevaere C et al. BMC Publ Health 2011; 11: 328)
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Luis A. Moreno Aznar [email protected] Research Group Universidad de Zaragoza
Clustering patterns of physical activity, sedentary and dietary behaviour in adolescents
(Ottevaere C et al. BMC Publ Health 2011; 11: 328)
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Luis A. Moreno Aznar [email protected] Research Group Universidad de Zaragoza
Associations of Sedentary Activities With Mean Retinal Arteriolar Diameter in 6-Year-Old Children
(Gopinath B et al. Arterioscler Thromb Vasc Biol 2011; 31: 1233-1239)
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Luis A. Moreno Aznar [email protected] Research Group Universidad de Zaragoza
Interventions to limit sedentary behaviours
(De Mattia L et al. Obes Rev 2007; 8: 69-81)
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Luis A. Moreno Aznar [email protected] Research Group Universidad de Zaragoza
Change in self-report hours/week reduced sedentary behaviour
(De Mattia L et al. Obes Rev 2007; 8: 69-81)
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Luis A. Moreno Aznar [email protected] Research Group Universidad de Zaragoza
Absolute change in BMI
(De Mattia L et al. Obes Rev 2007; 8: 69-81)
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Luis A. Moreno Aznar [email protected] Research Group Universidad de Zaragoza
Sedentary behaviour guidelines
(Tremblay MS et al. Appl Physiol Nutr Metab 2011; 36: 59-64)
Children (aged 5–11 years) and youth (aged 12–17 years) should
minimize the time being sedentary:
●Limiting recreational screen time to no more than 2 h per day
●Limiting sedentary (motorized) transport, extended sitting time, and
time spent indoors throughout the day
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Promotion of regular physical activity in children