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To translate and adapt the Morningness-Eveningness Scale for Children into Brazilian Portuguese, translation, back-translation, technical review, expert evaluation, focus group, test-retest, and factorial structure of the instrument were performed. The total sample consisted of 676 students from the 6th to 9th grade of elementary school and from the 1st to 3rd year of high school, aged between 10 and 19 years, 343 girls (51%) and 333 boys (49%), with a mean age of 13.98 (2.00) years. Of these, 40 students from the 6th grade, aged between 10 and 13 years, participated in the test-retest, 24 girls (60%) and 16 boys (40%), with a mean age of 11.17 (0.50) years. Descriptive and inferential analyses were performed, including exploratory and confirmatory factor analyses. High levels of internal consistency (α = 0.742) and test-retest (0.974) were obtained, in addition to high values for clarity of language (0.88), practical relevance (1.00) and theoretical relevance (1.00). In the confirmatory factor analysis, the model presented satisfactory validity indices: χ2 = 40.811 (df = 34), p  = 0.196, RMSEA = 0.025 (90% CI: <0.001-0.049), CFI = 0.990 and TLI = 0.987, with no need for adjustments between the covariances between the items. Therefore, the MESC-BR was considered an adequate instrument to assess circadian preferences in Brazilian adolescents, given its test-retest psychometric properties and construct validity.

Background: This study aimed to compare the prevalence of excess weight in adolescents living in Florianópolis, Santa Catarina, Brazil, from 2007 to 2017/2018 and assess associations with physical activity level, screen time, muscle strength, and cardiorespiratory fitness., Methods: Two cross-sectional surveys were conducted with adolescents (14 to 19 years old). The body mass index was calculated from measurements of body weight (kg) and height (m2). Information on sociodemographic variables (sex, age, and economic level), screen time, and physical activity was collected using questionnaires. Motor tests were used to measure cardiorespiratory fitness and muscle strength., Results: A positive secular trend in excess weight was observed in adolescents between 2017/2018 and 2007. Boys who spent more than 4h a day on screen-based activities and those with inadequate cardiorespiratory fitness were 1.96 and 3.03 times more likely, respectively, to have excess weight in 2017/2018 than in 2007. Boys (OR = 1.77) and girls (OR = 1.74) with inadequate muscle strength were more likely to have excess weight in 2017/2018 than their peers in 2007. Furthermore, boys and girls with adequate cardiorespiratory fitness had 64% and 90% lower chances, respectively, of having excess weight in 2017/2018 than in 2007., Conclusions: A decade of observation revealed a positive secular trend in excess weight in adolescents, with significant associations with muscle strength, cardiorespiratory fitness, and screen time., Competing Interests: The authors have declared that no competing interests exist., (Copyright: © 2024 de Souza et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)

Objective: To assess secular trends in body image dissatisfaction and associated factors among adolescents over a 10-year period (2007-2017/2018)., Methods: The sample included 1,479 (2007, n = 531; 2017/2018, n = 948) high school adolescents of both sexes, aged 14 to 18 years, of schools in a city in southern Brazil, in 2007 and 2017/2018. Data were collected on sex, age, physical activity (IPAQ, short form), anthropometric measurements (body weight, height, and triceps and subscapular skinfolds), and body image dissatisfaction (figure rating scale). The variables were compared with Independent samples t-test and Mann-Whitney U-test. The associations between sex and other variables were examined with chi-square test, and the factors associated with body image were identified with multinomial logistic regression., Results: Most adolescents were dissatisfied with their body image in 2007 (65,2%) and 2017/2018 (71,1%). The prevalence of body dissatisfaction increased by 9.2% over the 10-year period, particularly dissatisfaction with thinness (21.3%). After stratification by sex, in 2017/2018 sample, dissatisfaction with overweight was 46.1% greater in boys, and dissatisfaction with thinness was 66.9% greater in girls. Factors found to be significantly associated with body image dissatisfaction were physical activity level, and body adiposity., Conclusions: There was a secular trend toward increased body image dissatisfaction in both sexes. Future efforts should go beyond scientific production, in public and private environments aimed at increasing awareness of health issues related to body care in the physical, psychological, and environmental domains., Competing Interests: The authors have declared that no competing interests exist., (Copyright: © 2023 Gonzaga et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)

Only a small proportion of Brazilian adolescents practice sufficient physical activity (PA). However, it is not clear whether this proportion has been decreasing over time. This study aimed to examine the 10-year trends of sufficient PA in adolescents and to investigate differences by sex and age. Using a standard protocol, we compared two cross-sectional cohorts of adolescents aged 15 to 18 years, recruited in 2007 (n = 1040) and in 2017/18 (n = 978). Using the International Physical Activity Questionnaire-Short Form (IPAQ-SF), the adolescents reported moderate-to-vigorous PA (MVPA) performed in the last seven days. Sufficient PA was defined as engaging in at least 60 min/day of MVPA. In the subgroups, investigated by sex or age, there was an increase in the prevalence of sufficient PA. Overall, sufficient PA declined by 28.1% from 2007 to 2017/18. Boys in 2007 were more active than their 2017/18 peers, and this was equally observed in girls in 2007 compared to those in 2017/18. The findings show decreasing secular trends in sufficient PA in the investigated adolescents. Not only are public health authorities in Brazil witnessing an escalation of insufficient PA, but they are also losing ground with the most active adolescents.

Background: Young people tend to spend most of their time in activities involving inappropriate positions, which can promote musculoskeletal alterations and disorders., Objective: To investigate the prevalence of low back pain (LBP) in young people and analyse its associations with daily postural habits., Methods: Cross-sectional and retrospective study evaluating 679 Brazilian young people (15 to 18 years old), using questionnaires about LBP and awareness of postural habits. The prevalence values were calculated for the present moment, the last three months and throughout life. The Mann-Whitney U test and the Chi-square test were applied., Results: The prevalence of LBP at the present moment was 27.2%, 57.7% over the last three months and 73.9% throughout life. Boys and girls presented significantly different values, a larger number of girls manifesting pain for the three moments. The associated postural habits were: turning the body, reduction of lumbar lordosis when seated, not placing the feet on the floor, crossing the legs when sitting in the classroom and at home, sitting or lying in an inappropriate position, and distributing the body asymmetrically on the legs when standing., Conclusions: Young people from 15 to 18 years of age show a high prevalence of low back pain. Inadequate postural habits adopted during everyday activities are associated with this complaint. These findings could contribute to the implementation of prevention and rehabilitation strategies.

Background: children with Developmental Coordination Disorder (DCD) tend to avoid physical activity, which can affect their health and well-being., Aim: Conduct a systematic review to identify, synthesize and compile data from the literature on the evaluation of the cardiopulmonary system in children with DCD., Method: According to PRISMA guidelines, we searched for articles indexed in PubMed, LILACS, Scopus, Web of Science, and Cochrane Library. The strategy was directed at the Population (children), Exposure (DCD), Outcomes (descriptors related to cardiopulmonary evaluation)., Results: A total of 59 articles were identified through the databases. In the end, after analyzing the titles, abstracts, and full articles, including articles through manual search in the lists of bibliographic references, 13 articles relevant to the topic were included. All selected studies evaluated cardiorespiratory fitness / aerobic capacity parameters, and only three studies included the assessment of lung function., Conclusion: Although very heterogeneous, the evidence found in this review suggests that children with DCD have less cardiorespiratory fitness and lower lung function when compared to children with typical development. However, new studies are suggested to investigate and strengthen the evidence found in the present study., (Copyright © 2021 Elsevier B.V. All rights reserved.)

Social support is an important predictor for the maintenance of physical activity in adolescence. Thus, the social-ecological approach values the impact of individuals or groups interaction with available resources in the social environment for adopting an active lifestyle. This study analyzes social support from family and friends for adolescents to practice physical activity. Guided by the Social-Ecological Theory, an observational cross-sectional structural equations modeling was applied to 2,710 Brazilians adolescents aged from 14 to 18 years. We identified that the greater the social support from friends (β = 0.30; RMSEA = 0.065; CFI = 0.953; TLI = 0.922; SRMR = 0.048) and family, the greater the adolescents physical activity (β = 0.27; RMSEA = 0.015; CFI = 0.997; TLI = 0.995; SRMR = 0.013). However, support from both sources indicated no adequate adjustment values in the same study model. Our findings suggest that adolescents who perceive social support from family members or friends practice more physical activity, confirming that social support is important for physical activity promotion.

The aim of the present systematic review was to compare sleep disorders in children, from 7 to 12 years old, with and without an attention-deficithyperactivity disorder (ADHD) diagnosis. Electronic literature search of PubMed, LILACS, Scopus, Web of Science and Cochrane Library databases was conducted in September 2017. We included cross-sectional observational studies comparing the sleep of children between 7 and 12 years old, with and without an ADHD diagnosis, reported according to the Diagnostic and Statistical Manual of Mental Disorders criteria. The studies with other research designs, those that included adolescents and/or adults in the sample and those who evaluated the sleep of children with ADHD and other associated comorbidities were excluded. A total of 1911 articles were identified. After analyzing, 8 articles were compatible with the theme and included in the review. For sleep evaluation, most of the studies used an objective measure together with another subjective measure. Three out of six studies that used objective measures did not observe any differences between children with and without ADHD diagnosis. Children with ADHD presented more sleep disturbances when compared to children without the diagnosis. These disorders were diverse, yet inconsistent among the surveys. More studies are needed to clarify and for robust results.

Objective: To analyze the contribution of subjective sleep need for daytime sleepiness in adolescents, and to compare questions about sleep, age and body mass index between adolescents who considered to sleep enough and those who reported the need for more sleep., Methods: This is a descriptive, epidemiological and cross-sectional study. Data collection was performed in August 2016, with 773 adolescents aged 14-19 years old, from Paranaguá, Paraná, Southern Brazil. The analysis included the following variables: time in bed, half-sleep phase, sleep need, social jetlag, daytime sleepiness, body mass index and physical activity., Results: The prevalence of adolescents with subjective need for sleep was 73.0%, with an average need of 1.7 extra hours of sleep. These adolescents woke up earlier (p<0.001) and slept less on school days (p<0.001). The need for more sleep was associated with higher daytime sleepiness scores (rho=0.480; p<0.001) and with later half-sleep phase (rho=0.200; p<0.001). No correlation was identified between the sleep need and time in bed (rho=-0.044; p=0.225). The subjective sleep need was the variable with the greatest explanatory power for daytime sleepiness (24.8%; p<0.001). In addition, the less adolescents practiced physical activity, the higher their daytime sleepiness scores (rho=-0.117; p<0.001)., Conclusions: The subjective sleep need has an important role in explaining daytime sleepiness among adolescents. Adolescents who needed to sleep more reported waking up early and experienced sleep deprivation during class days; they also woke up later on the weekends and experienced more daytime sleepiness, compared to those who believed they had enough sleep.

This study investigated the associations between the level of physical activity with sociodemographic, environmental and academic factors of adolescents. Two thousand five hundred and forty-five adolescents aged between 14 and 18 from Florianópolis and neighboring cities participated in this study. The short version of the International Physical Activity Questionnaire (IPAQ) was used. The prevalence of inactive adolescents was 48.6%, being higher among females (53.9%). For girls, physical inactivity was associated with the lack of appropriate and free places for physical activity (OR = 1.30 95% CI 1.05 to 1.82), with no influence of other variables. For boys who had no professional activity (OR = 1.54 95% CI 1.14 to 2.08), less educated mothers (OR = 0.41 95% CI 0.27 to 0.75), or graduate mothers (OR = 0.35 95% CI 0,17- 0,73), living in major cities (OR = 1.64 95% CI 1.17 to 2.31) and low socioeconomic classification when compared to the average (OR = 0.69 95% CI 0.49 to 0.97) were more prone to physical inactivity. It was observed that the socio-demographic variables were associated with the inactive behavior of boys and environmental variables were associated with the physical inactivity of girls. Among the academic factors, only having to repeat a year was associated with inactivity, and only for girls.

Objective: To analyze the literature on the effectiveness of exergames in physical education classes and in the acquisition and development of motor skills and abilities., Data Source: The analyses were carried out by two independent evaluators, limited to English and Portuguese, in four databases: Web of Science, Science Direct, Scopus and PubMed, without restrictions related with year. The keywords used were: "Exergames and motor learning and motor skill" and "Exergames and motor skill and physical education". The inclusion criteria were: articles that evaluated the effectiveness of exergames in physical education classes regarding the acquisition and development of motor skills. The following were excluded: books, theses and dissertations; repetitions; articles published in proceedings and conference summaries; and studies with sick children and/or use of the tool for rehabilitation purposes., Data Synthesis: 96 publications were found, and 8 studies were selected for a final review. The quality of the articles was evaluated using the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) scale and the Physiotherapy Evidence Database (PEDro) scale. Evidence was found on the recurring positive effects of exergames in both motor skills acquisition and motor skills development., Conclusions: Exergames, when used in a conscious manner - so as to not completely replace sports and other recreational activities -, incorporate good strategies for parents and physical education teachers in motivating children and adolescents to practice physical exercise.

The objective of the present study was to verify the agreement between objective and subjective measures of sleep in people with and without visual impairment. Thirty-seven subjects with visual impairment participated in the study (19 blind without light perception and 18 low-vision), as well as 34 subjects with normal vision, with paired age and gender characteristics. For the subjective sleep evaluation, we used the Sleep Quality Index-PSQI and for the objective evaluation we used the ActiGraph GT3X+. Among the three analyzed groups, the blind was the only ones who presented differences between subjective and objective sleep duration (p = 0.021). Furthermore, the concordance between subjective and objective sleep duration (ICC = 0.388; p = 0.108) was not observed in blind subjects, and a greater variability of differences in sleep duration between the two methods was observed by the Bland Altman scatter plot. We concluded that the sleep duration obtained by PSQI did not show agreement for the objective sleep duration in blind subjects without light perception.

Objective: To analyze the sleep characteristics in adolescents from different socioeconomic levels., Data Source: Original studies found in the Medline/PubMed and SciELO databases without language and period restrictions that analyzed associations between sleep variables and socioeconomic indicators. The initial search resulted in 99 articles. After reading the titles and abstracts and following inclusion and exclusion criteria, 12 articles with outcomes that included associations between sleep variables (disorders, duration, quality) and socioeconomic status (ethnicity, family income, and social status) were analyzed., Data Synthesis: The studies associating sleep with socioeconomic variables are recent, published mainly after the year 2000. Half of the selected studies were performed with young Americans, and only one with Brazilian adolescents. Regarding ethnic differences, the studies do not have uniform conclusions. The main associations found were between sleep variables and family income or parental educational level, showing a trend among poor, low social status adolescents to manifest low duration, poor quality of sleeping patterns., Conclusions: The study found an association between socioeconomic indicators and quality of sleep in adolescents. Low socioeconomic status reflects a worse subjective perception of sleep quality, shorter duration, and greater daytime sleepiness. Considering the influence of sleep on physical and cognitive development and on the learning capacity of young individuals, the literature on the subject is scarce. There is a need for further research on sleep in different realities of the Brazilian population., (Copyright © 2015 Sociedade de Pediatria de São Paulo. Publicado por Elsevier Editora Ltda. All rights reserved.)