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The aims of this study were to examine cross-sectional, and longitudinal association of different measures of obesity and physical fitness with cardiovascular disease (CVD) risk factors in adolescents with Down syndrome. Longitudinal analysis included 90 adolescents with Down syndrome. Obesity and physical fitness were measured following the ALPHA battery. Blood pressure and blood samplings (glucose, total cholesterol, high-density lipoprotein cholesterol, and serum lipid triglycerides levels (mg/dl) were determinated. In cross-sectional analyses, obesity was positively associated with single CVD risk factors and CVD risk factor index (all p <.05). In the prospective analyses, obesity was not associated with single CVD risk factors, but components of physical fitness at baseline impact in some single CVD risk factors (all p <.05). Obesity might be more strongly related to current cardiovascular-health, while components of physical fitness might be more related to future cardiovascular-health in adolescents with Down syndrome. [ABSTRACT FROM AUTHOR]

The aims of the present study were to assess the association of environmental perception with objective and self-reported physical activity (PA) and the relation between environmental perception and meeting PA recommendations on children and adolescents. A sample of 1520 youth (770 boys) aged 8-18 years (12.1 ±2.5 years) from the UP&DOWN study were included in the data analyses. Environmental perception was assessed with the short adapted version of the ALPHA environmental questionnaire. PA was objectively (accelerometers) and self-reported measured (PA Questionnaire for Children, Patient-centered Assessment and Counseling for Exercise Questionnaire and Finnish PA Index). Linear regression models were used to assess the association of environmental perception with PA. Bivariate logistic regression models were used to assess differences between environmental perception and meeting PA recommendations. Environmental perception was positively associated with both objective and self-reported PA. Some differences were found in the association of environmental perception and PA between sex- and age-specific groups. Youth who perceived a more favourable environment were more likely to meet PA recommendations (at least 60 min . day-1 of moderate to vigorous PA (MVPA)). Results suggest that environmental perceptions of children and adolescents may play an important role in achieving higher levels of PA. [ABSTRACT FROM AUTHOR]

The aim of this study was to identify potential correlates of sedentary time and television (TV) viewing time in youth with Down syndrome (DS). A total of 98 adolescents with DS (63 males) aged 11–20 years old participated in this study. Total sedentary time was measured using accelerometers, while total TV viewing time and potential correlates were measured using proxy-report questionnaire. Analyses of covariance and a stepwise multiple linear regression were performed to examine correlates of total sedentary time and total TV viewing time. Different potential correlates were associated with total sedentary time (mother age, mother TV viewing time, perceived benefits of physical activity, birth order and having nearby shops in the neighbourhood) and total TV viewing time (father TV viewing time, TV viewing time with parents, family dietary habits during watching TV and weekend days time indoor). The identification of correlates associated with sedentary behaviour, principally those considered modifiable such as social and environmental factors, may contribute to development strategies to decrease sedentary behaviour in adolescents with DS and consequently promote a healthier lifestyle. [ABSTRACT FROM PUBLISHER]