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  • 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, Jarosław
    Insufficient 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.
  • 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, Jarosław
    Objective 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
    Effect of Dog-Assisted Therapy on Psychomotor Development of Children with Intellectual Disability
    (2020) Wolan-Nieroda, Andżelina; Dudziak, Jadwiga; Pniak, Bogumiła; Druzbicki, Mariusz; Guzik, Agnieszka
    Background: Although dog-assisted therapy (DAT) has been used for years, there is still a scarcity of research findings confirming efficacy of the method. The current study was designed to assess ef-fects of DAT on psychomotor development of children with mild intellectual disabilities. Material and method: The study involved 60 children with mild intellectual disabilities, aged 10–13 years, divided into a group participating in a 10-month DAT program, and the control group. Four tests were applied, i.e., finger identification, postural imitation, kinaesthesia, and Bourdon-Wiersma Dot Cancellation Test. The examinations were carried out before the start and at the end of the DAT, and at a two-month follow-up. Results: The results obtained by the DAT group in all the four tests, at all the three timepoints, were not the same (p < 0.001). No statistically significant differences were found in the measurement at the end of the therapy between the DAT group and the controls. On the other hand, the DAT group achieved significantly better scores (p = 0.001 and p = 0.001), compared to the control, in the follow-up measurements two months after the end of the therapy in postural imitation and finger identification tests. Conclusions: Some of the scores achieved by the children in the DAT group improved in the measurements performed over time. Two months after the therapy ended, the children in the DAT group presented greater gains in motor planning (postural imitation test) and in the sense of touch, attention, and concentration (finger identification test), compared to the control group. Although the measurement performed immediately after the therapy did not show significant differences between the DAT group and the controls, the exam-ination carried out at the two-month follow-up identified long-term gains in the treatment group in the domain of motor planning (postural imitation test).
  • 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, Jarosław
    Detailed 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
    Objectively Assessed Physical Activity of Preschool‐ Aged Children from Urban Areas
    (International journal of environmental research and public health, 2020-02-20) Herbert, Jarosław; Matłosz, Piotr; Lenik, Justyna; Szybisty, Agnieszka; Baran, Joanna; Przednowek, Karolina; Wyszyńska, Justyna
    Little is known about physical activity (PA) of preschool‐age children in Poland through the course of the day. PA monitoring using an accelerometer increases the reliability of measuring daily PA levels and offers a reasonable compromise between accuracy and feasibility of measurement. The aim of the study was to determine the level of physical activity of preschool children (aged 5–6) on the basis of moderate to vigorous physical activity (MVPA) index and the number of steps. The physical activity of preschool children was assessed using accelerometery (ActiGraph) in 371 children for up to seven days. The normality of distribution was assessed using the Shapiro–Wilk test. The Mann‐Whitney U‐test and Kruskal‐Wallis test were used to assess the significance of differences. The study group children had an average age of 5.4 years (± 0.6). Boys and girls showed a different level of MVPA index. The results significantly improve the current knowledge of PA in Europe. Promoting active lifestyles in children should be one of the health priorities in developed countries