Claves de la educación física y la salud.

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


Pooled Relative Risk of CHD by Kcal/wk of LTPA in men and women

(Sattelmair J et al. Circulation 2011; 124: 789-795)


Pooled Relative Risk of CHD by Kcal/wk of LTPA in men and women

(Sattelmair J et al. Circulation 2011; 124: 789-795)

Procesos que influyen en la prevalencia de obesidad

(Kumanyika SK et al. Circulation 2008; 118: 428-464)

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)


Actividad física moderada intensa

Boys Girls



Tiempo actividades sedentarias

Boys Girls



Regiones abdominales

(Moliner-Urdiales D et al. Int J Obes (London) 2009; 33: 1126-1135)


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)


(Ruíz JR et al. Arch Pediatr Adolesc Med 2010; 164: 328-333)

Interacción gen FTO y actividad física


(Ruíz JR et al. Arch Pediatr Adolesc Med 2010; 164: 328-333)

Interacción gen FTO y actividad física


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)


HELENA-LSEI

(De Bourdeaudhuij I, et al. J Adolesc Health 2010; 46: 458-466)


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)

(Martínez-Vizcaino V, et al. Int J Obes 2008; 32: 12-22)

(Martínez-Vizcaino V, et al. Int J Obes 2008; 32: 12-22)


Alimentación, nutrición y estilo de vida. Impacto de la actividad física sobre la salud

(Moreno LA, Gracia-Marco L. An Pediatr 2012; 77:136)


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)

(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”


Pirámide de actividad física en niños y adolescentes

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

Sedentary behaviours ≠ absence of moderate to vigorous physical activity (Pate et al. 2008)

Sedentary behaviours vs meeting PA recommendations

Sedentarismo vs actividad física


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)


Sedentarism

Factors predicting TV use more than two hours per day in adolescents

(Rey-López JP et al. Prev Med 2010; 51: 50-55)


Sedentarism and obesity


Sedentarism

(Rey-López JP et al. Nutr Metab Cardiovas Dis 2008; 18: 242-251)


Sedentarism


Proportion of cross-sectional studies with a significant relationship between sedentary behaviour and overweight


Sedentarism


Proportion of longitudinal studies with a significant relationship between sedentary behaviour and overweight


Product Categories of Promotional Spots Aimed at Children

(Connor SM. Pediatrics 2006; 118: 1478-1485)


(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


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)


Clustering patterns of physical activity, sedentary and dietary behaviour in adolescents

(Ottevaere C et al. BMC Publ Health 2011; 11: 328)








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)


Interventions to limit sedentary behaviours

(De Mattia L et al. Obes Rev 2007; 8: 69-81)


Change in self-report hours/week reduced sedentary behaviour



Absolute change in BMI



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

Promotion of regular physical activity in children

Date post:	07-Jul-2015
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Claves de la educación física y la salud.

Education