Artykuły (KNM) / Articles (CoMS)
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Pozycja Adaptation and validation of the Physical Activity Questionnaire for Adolescents (PAQ-A) among Polish adolescents: cross-sectional study(BMJ Open, 2019-11-01) Wyszyńska, Justyna; Matłosz, Piotr; Podgórska-Bednarz, Justyna; Herbert, Jarosław; Przednowek, Krzysztof; Baran, Joanna; Dereń, Katarzyna; Mazur, ArturObjective The lack of a widely accepted questionnaire used to assess the physical activity (PA) of adolescents in the Polish language creates a need to introduce such a valid, reliable, inexpensive and quick tool for assessment. This study was designed to culturally adapt and validate the Physical Activity Questionnaires for Adolescents (PAQ-A) in the Polish language. Design Cross-sectional study. Participants and outcome measures Cultural adaptation of the Polish version of the PAQ-A was performed following the standardised questionnaires cultural adaptation process. In a sample of 78 adolescents aged 14–19 years, the PAQ-A test–retest was administered within a 1-week interval. Reliability was analysed by the intraclass correlation coefficient (ICC) and internal consistency with Cronbach’s α. Participants completed the PAQ-A, and wore an accelerometer for 7 consecutive days. The PAQ-A was compared with PA parameters obtained using the accelerometer. Results Test–retest reliability showed ICC=0.97 for the total score of PAQ-A. Internal consistency was excellent (α=0.93). The PAQ-A was very strongly correlated with steps per day (r=0.94) and with moderate-to- vigorous PA (r=0.81) assessed by the accelerometer. Conclusions The Polish version of the PAQ-A is a valuable tool to estimate general levels of PA among adolescents from 14 to 19 years old.Pozycja Association between objectively measured body composition, sleep parameters and physical activity in preschool children: a crosssectional study(BMJ Open, 2021-01-10) Wyszyńska, Justyna; Matłosz, Piotr; Asif, Muhamed; Szybisty, Agnieszka; Lenik, Paweł; Dereń, Katarzyna; Mazur, Artur; Herbert, JarosławObjective Associations between self-reported sleep duration and obesity indices in children are well recognised; however, there are no studies on associations between objectively measured other sleep parameters and physical activity with body composition in preschoolers. Therefore, the aim of this study was to determine the associations between sleep parameters and moderate-to- vigorous physical activity (MVPA) with body composition indices in preschoolers using objective measures. Design A cross-sectional study. Participants The study group consisted of 676 children aged 5–6 years, who were enrolled in kindergartens in the 2017/2018 school year. Outcome measures Sleep parameters and MVPA were measured using accelerometers for 7 days. Bioelectrical impedance analysis was used to estimate body composition. Results Sleep duration and sleep efficiency were inversely associated with body fat percentage (BFP) (β=−0.013 and β from –0.311 to −0.359, respectively) and body mass index (BMI) (β from −0.005 to −0.006 and from −0.105 to –0.121, respectively), and directly associated with fat-free mass (FFM) (β from 0.010 to 0.011 and from 0.245 to 0.271, respectively) and muscle mass (β from 0.012 to 0.012 and from 0.277 to 0.307, respectively) in unadjusted and adjusted models. BFP was inversely associated with MVPA and positively associated with number of awakenings and sleep periods. Number of sleep periods was inversely associated with FFM, and positively with BMI and muscle mass. Correlation matrix indicated significant correlation between BFP, FFM and muscle mass with sleep duration, sleep efficiency, number of sleep periods and MVPA. Conclusions Periodic assessment of sleep parameters and MVPA in relation to body composition in preschool children may be considered, especially in those who are at risk for obesity.Pozycja Obesity and Body Composition in Preschool Children with Different Levels of Actigraphy-Derived Physical Activity—A Cross-Sectional Study(Journal of Clinical Medicine, 2020-04-23) Wyszyńska, Justyna; Matłosz, Piotr; Szybisty, Agnieszka; Lenik, Paweł; Dereń, Katarzyna; Mazur, Artur; Herbert, JarosławDetailed associations between physical activity (PA) and body composition in preschoolers remain unclear. The aim of this study was to assess body composition among preschool children differentiated according to their levels of PA and to assess whether meeting the current PA recommendations is associated with a lower risk of obesity, determined by body mass index (BMI) and body fat percentage (BFP). Free-living PA was measured using accelerometers for 7 days in children aged 5 to 6 years. Bioelectrical impedance analysis was used to estimate body composition. Significant differences in content of BFP, fat-free mass (FFM), and total body water (TBW) were found between boys meeting and not meeting moderate-to-vigorous PA (MVPA) recommendations. Meeting the MVPA recommendation was associated with a twofold lower risk of obesity determined by BFP in boys but not in girls. In contrast, the total number of recommended steps per day was not related to adiposity in boys or girls. No statistically significant differences were observed in body composition indices and quintiles of MVPA. Boys in the 3rd–5th quintiles of steps per day presented significantly lower BFP and higher muscle mass and TBW than their peers in quintile 1. However, different associations were observed between body composition indices and quintiles of PA.Pozycja The association of actigraphic sleep measures and physical activity with excess weight and adiposity in kindergarteners(Scientific Reports, 2021-01-27) Wyszyńska, Justyna; Matłosz, Piotr; Szybisty, Agnieszka; Dereń, Katarzyna; Mazur, Artur; Herbert, JarosławInsufficient sleep duration and physical activity (PA) are known risk factors for overweight and obesity in children; however, there are no studies on comprehensive associations of objectively-measured sleep parameters and PA with excess weight and excess adiposity in kindergarteners. Therefore, the aim of this study was to determine the associations between objectively measured sleep parameters and PA with excess weight and excess adiposity, defined as BMI ≥ 85th percentile and body fat percentage (BFP) ≥ 85th percentile, respectively. Sleep parameters and PA were measured in 676 subjects aged 5–6 years using accelerometers for 7 days, worn at the participant’s hip. Bioelectrical impedance analysis was used to estimate BFP. In the total sample, lower sleep duration, sleep efficiency, vigorous PA and the number of steps per day were associated with excess weight. However, excess adiposity was associated with lower sleep duration, total PA, vigorous PA, moderate-to-vigorous physical activity (MVPA) and the number of steps per day. Logistic regression by the stepwise progressive method showed that the strongest predictor of excess adiposity in boys and girls was vigorous PA, while the strongest predictor of excess weight in boys was sleep efficiency. A holistic approach to health targeting all of these factors synergistically is needed to optimize the effectiveness of obesity prevention and treatment interventions.