Associations between physical fitness and adherence to the Mediterranean diet with health-related quality of life in adolescents: results from the LabMed Physical Activity Study

Evaristo, Olga Sofia Ferreira; Moreira, Carla; Lopes, Luís; Abreu, Sandra; Agostinis‐Sobrinho, César; Oliveira-Santos, José; Póvoas, Susana; Oliveira, André; Santos, Rute; Mota, Jorge

doi:10.1093/eurpub/cky043

Cited by 58 publications

(55 citation statements)

References 37 publications

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“…This research aimed, among other objectives, to determine the self-perceived health of adolescents in relation to their level of PA practice, and taking into account the adherence to the MD, weight status and alcohol and tobacco consumption. Some research papers followed some characteristics and patterns very similar to this one [62][63][64].…”

Section: Discussionmentioning

confidence: 87%

The Influence of Physical Activity, Diet, Weight Status and Substance Abuse on Students’ Self-Perceived Health

García

Agraso-López²,

Ramos-Morcillo

et al. 2020

IJERPH

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The objective of this study was to determine the level and relationship between the self-perceived health of adolescents in relation to the level of practice of physical activity, adherence to the Mediterranean diet, weight status and consumption of substance abuse, such as alcohol and tobacco. A total of 516 adolescent students between the ages of 12 and 16 completed a series of questionnaires to assess their health, physical activity, compliance with the Mediterranean diet and alcohol and tobacco consumption. Adolescents who practice more physical activity have better health and greater adherence to the Mediterranean diet. The level of health is higher among adolescents with greater adherence to the Mediterranean diet, evidencing better health among those who consume less tobacco. These results show the need to involve the educational community, families and the media to promote healthy lifestyle habits that can help physical activity and sports professionals in the development of theoretical–practical proposals aimed at improving the health of students.

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Section: Discussionmentioning

confidence: 87%

The Influence of Physical Activity, Diet, Weight Status and Substance Abuse on Students’ Self-Perceived Health

García

Agraso-López²,

Ramos-Morcillo

et al. 2020

IJERPH

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“…More importantly, in association with adherence to a MD, PA is a crucial indicator of healthy lifestyles, since it is considered to be a cornerstone in the prevention and treatment of chronic diseases and age-related muscle wasting [48,49]. The benefits of PA or better exercise or sport are related to an adequate body composition that, in turn, can assure a good physical fitness and/or high rate of adherence to a MD along with high levels of a health-related quality of life [50,51]. Interestingly, when categorizing our population sample of adolescents according to physical inactivity or different intensity levels of PA, we found in Group C a better compliance in nuts intake and a lower tendency to skip breakfast.…”

Section: Discussionmentioning

confidence: 99%

Impact of Vigorous-Intensity Physical Activity on Body Composition Parameters, Lipid Profile Markers, and Irisin Levels in Adolescents: A Cross-Sectional Study

et al. 2020

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In adolescence, health status is influenced by several factors, including dietary pattern and physical activity (PA) which are crucial elements of lifestyle in terms of prevention and treatment of metabolic and chronic diseases. The current study aimed to explore the impact of the different intensity levels of PA along with the adherence to a Mediterranean diet (MD), on body composition indices and metabolic parameters in a cohort of adolescents, thereby investigating potential predictors of health behavior in youth. This cross-sectional study was carried out among 92 participants (44 girls and 48 boys, aged 14 to 17 years), which were divided into the following three groups according to intensity levels of PA: Group A (physical inactivity), Group B (moderate PA), and Group C (vigorous-intensity PA). The Questionnaire of Adherence to the Mediterranean Diet (KIDMED test) was used to assess both diet composition and adherence to a MD. All subjects underwent anthropometric measurements, bio-impedentiometric analysis for body composition parameters, and biochemical and hormonal measurements. The majority of adolescents (60.87%) had a medium adherence to the MD, and even a better distribution of food rates was found in adolescents performing vigorous-intensity PA. A comparison of anthropometric measurements and body composition parameters among groups showed that body mass index and fat mass (FM) were significantly lower while body cell mass (BCM), free fat mass (FFM), phase angle (PhA), and total body water (TBW) were higher in Group C adolescents as compared with those of Group A. In Group C, insulin resistance (HOMA-IR) was reduced and insulin levels were inversely associated with FFM (r = −0.454 and p = 0.004) and directly correlated with FM (r = 0.331 and p = 0.003). In the same Group C, we observed elevated serum irisin levels and lower lipid profile markers as compared with Group A. Interestingly, irisin negatively correlated with both total cholesterol (r = −0.428 and p = 0.04) and LDL (r = −0.468 and p = 0.02) in Group C. Finally, a receiver operator characteristic curve (ROC) analysis revealed irisin, LDL, HDL, and body composition variables (FFM, BMC, PhA, and TBW) as the most predictive measures for vigorous-intensity PA. Our results highlight the importance of developing healthy lifestyle programs that include improving the intensity of PA among a young population as a superior strategy for ensuring a better quality of life.

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“…For this reason, the relationship between adherence to the MD and different parameters of PF has been analysed in several studies [18][19][20][21][22], as well as with PA level [18,19,22]. Thus, some studies point out that a combination of high levels of muscle strength and an optimal adherence to MD are associated with healthier metabolic profile [20,21], as well as to a better health-related quality of life [23]. In addition to this, a positive association has been found between adherence to the MD and CRF [18,19,23,24], as well as speed-agility [25], but only in males.…”

Section: Introductionmentioning

confidence: 99%

Adherence to Mediterranean Diet Related with Physical Fitness and Physical Activity in Schoolchildren Aged 6–13

et al. 2020

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The relationship between adherence to the Mediterranean Diet (MD) and both physical fitness (PF) and physical activity (PA) level has been analysed in several studies. The aim of this research was to describe, compare and analyse the level of PF and PA in schoolchildren aged 6–13 in the Region of Murcia, according to adherence to the MD. A descriptive and cross-sectional study was performed. A total of 370 schoolchildren (44.9% girls) aged 6–13 (8.7 ± 1.8) from six primary schools in the Region of Murcia (Spain). Mediterranean Diet Quality Index for children and teenagers (KIDMED) was used to determinate the adherence to the MD. The ALPHA-FIT Test Battery was applied for assess body composition and PF. PA level was determined using Physical Activity Questionnaire for Older Children (PAQ-C). Only 25.9% of the schoolchildren had optimal adherence to the MD. Regarding the scores of the different PF tests in MD groups, only statistically significant differences were found for cardiorespiratory fitness (CRF) (p = 0.048) in boys. PA level showed statistically significant differences in both boys (p = 0.040) and girls (p = 0.016). A positive relationship was found between the KIDMED and PA level (p = 0.235). A higher probability of having a greater CRF (OR = 1.17; CI = 1.02–1.34) and PA level (OR = 7.84; CI = 2.84–21.60) was found in high MD group. These results suggest that an optimal adherence to the MD is associated with higher CRF and PA level in the selected schoolchildren.

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Associations between physical fitness and adherence to the Mediterranean diet with health-related quality of life in adolescents: results from the LabMed Physical Activity Study

Abstract: The combination of high PF levels and optimal adherence to Mediterranean diet is positively associated with HRQoL.

Cited by 58 publications

References 37 publications

The Influence of Physical Activity, Diet, Weight Status and Substance Abuse on Students’ Self-Perceived Health

The Influence of Physical Activity, Diet, Weight Status and Substance Abuse on Students’ Self-Perceived Health

Impact of Vigorous-Intensity Physical Activity on Body Composition Parameters, Lipid Profile Markers, and Irisin Levels in Adolescents: A Cross-Sectional Study

Adherence to Mediterranean Diet Related with Physical Fitness and Physical Activity in Schoolchildren Aged 6–13

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