effects on the physical activity routine of families with children

Objective: To identify how Brazilian families with children aged under 13 years face the period of social isolation resulting from the COVID-19 pandemic, especially regarding the time spent on physical activity (PA), intellectual activity, games, outdoor activities and screen. Methods: An anonymous online survey was launched on March 24, 2020 in Brazil to assess how families with children aged up to 12 years are adjusting their daily routines to this situation. In the survey, each family reported the daily time each child spent in sedentary activity (sum of intellectual activities, play time on screen, playing without PA) and PA (sum of playing with PA and PA). Results: The main findings based on data from 816 children indicate that most parents consider there was a reduction in the time that children spend practicing PA; increase in screen play time and family activities, differences between sex were found regarding screen play time (boys>girls) and in playing without PA (girls>boys), and there was an age effect for all categories analyzed, with a tendency to increase the total time of sedentary lifestyle and complementary reducing the time of PA over age. Conclusions: The household routines of families during the period of social isolation resulting from the COVID-19 pandemic confirm the general reduction tendency in PA time during childhood.4811-99FE-2ECD | Luis Paulo RodriguesN/

Effects of the COVID-19 pandemic on preschool children and preschools in Portugal.

Problem Statement:The COVID-19 pandemic led to significant changes in the life routines of preschool children, both during lockdown and post-lockdown periods. Approach:An online survey completed by parents, in-loco assessment scales filled in by a researcherand semi-structured interviews with preschool teacherswere used to investigate the effects of the adjustments, which occurred in preschool children?s lives, in the lockdown and post lockdown periods.Purpose:To characterize the levels of physical activity that Portuguese children had during the lockdown period and to understand what changed in their school routines in the post-lockdown period, regarding the organization of school spaces and routines.Results:Parents reported that children aged 3 to 5spent most of their time during lockdownundertaking sedentary activities (72% of their daily activities). In the post-lockdown period,results indicate that in June there was an increase in the number of preschools with a poor quality of environment compared to the pre-pandemic period (October/November).Taking into account the measures implemented in preschools to prevent the COVID-19 transmission,teachers were of the opinion that limiting the number of children sharing material was the worst measure imposed, since it hampered children?s socialization. Conversely, increasing the use of the outdoor space was deemed positive because it improved children?s happiness and action possibilities outside.Conclusions: TheCOVID-19pandemic has had a clear impact on Portuguese children?s overall levels of physical activity during lockdown. In some schools, the implementation of health guidelines has also led to further negative effects on children?s play opportunities. However, many schools seem to be successful in finding strategies to ensure a healthy balance between promoting children?s physical activity and ensuring risk control.4811-99FE-2ECD | Luis Paulo Rodriguesinfo:eu-repo/semantics/publishedVersio

Influences of family and household characteristics on children's level of physical activity during social distancing due to Covid-19 in Brazil

Objective: To evaluate if the variables child?s sex, age, presence of siblings, parents working remotely, and external space affect the level of physical activity (PA) of Brazilian children during social distancing imposed by the COVID-19 pandemic. Methods: An online questionnaire was applied by the LimeSurvey software from March to April 2020. Children were divided into four age groups, and the questionnaire comprised questions on family and household characteristics, domestic and children?s routines in the period of Brazilian social distancing. Based on the answers concerning children?s activities, the following variable was created: percentage of physical activity (%PA) in one-day period. Analysis of variance and regression analysis were performed to investigate the effect of demographic and parental activities on %PA. Results: The %PA decreases with increasing age, but increases with the availability of external space at home. No significant or interaction effects were observed for other variables. Age and external space at home are predictors of %PA. Conclusions: Household and personal characteristics of Brazilian children influence the level of physical activity performed by them during social distancing. Preventive measures can be adopted in the face of another similar period.4811-99FE-2ECD | Luis Paulo RodriguesN/

LipoDDx: a mobile application for identification of rare lipodystrophy syndromes

BACKGROUND: Lipodystrophy syndromes are a group of disorders characterized by a loss of adipose tissue once other situations of nutritional deprivation or exacerbated catabolism have been ruled out. With the exception of the HIV-associated lipodystrophy, they have a very low prevalence, which together with their large phenotypic heterogeneity makes their identification difficult, even for endocrinologists and pediatricians. This leads to significant delays in diagnosis or even to misdiagnosis. Our group has developed an algorithm that identifies the more than 40 rare lipodystrophy subtypes described to date. This algorithm has been implemented in a free mobile application, LipoDDx(R). Our aim was to establish the effectiveness of LipoDDx(R). Forty clinical records of patients with a diagnosis of certainty of most lipodystrophy subtypes were analyzed, including subjects without lipodystrophy. The medical records, blinded for diagnosis, were evaluated by 13 physicians, 1 biochemist and 1 dentist. Each evaluator first gave his/her results based on his/her own criteria. Then, a second diagnosis was given using LipoDDx(R). The results were analysed based on a score table according to the complexity of each case and the prevalence of the disease. RESULTS: LipoDDx(R) provides a user-friendly environment, based on usually dichotomous questions or choice of clinical signs from drop-down menus. The final result provided by this app for a particular case can be a low/high probability of suffering a particular lipodystrophy subtype. Without using LipoDDx(R) the success rate was 17 +/- 20%, while with LipoDDx(R) the success rate was 79 +/- 20% (p < 0.01). CONCLUSIONS: LipoDDx(R) is a free app that enables the identification of subtypes of rare lipodystrophies, which in this small cohort has around 80% effectiveness, which will be of help to doctors who are not experts in this field. However, it will be necessary to analyze more cases in order to obtain a more accurate efficiency value