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- Reliability and validity of the Global Physical Activity Questionnaire for portuguese adultsPublication . Ribeiro, Mariana; Fernandes, Elisabete; Borges, Mariana; Pires, Madalena; Melo, Xavier; Pinto, Fausto J.; Abreu, Ana; Pinto, RitaThe Global Physical Activity Questionnaire (GPAQ) has been used often to assess physical activity (PA) patterns. However, the European Portuguese version of this instrument has not been validated. We aimed to validate the self-administered GPAQ, version 2, (GPAQv2) for Portuguese adults. We included 32 participants in a pilot study of a Portuguese adaptation of the test and 108 participants in an assessment of their PA patterns and sedentary behavior (SB) through the GPAQv2. For its validation, we compared the GPAQv2 to the International PA Questionnaire-Long Form (IPAQ-LF) (concurrent validity) and the ActiGraph wGT3X-BT accelerometer (criterion validity). We evaluated PA and SB at baseline and after seven consecutive days. Test-retest reliability with the Kappa test (k) and the Intraclass Correlation Coefficient (ICC) ranged from strong to almost perfect (k: 0.864-0.976) and from moderate to excellent (ICC: 0.56-0.994), respectively. Concurrent validity, assessed by Spearman's Correlation Coefficient, was moderate to substantial (rho: 0.471-0.680), and there was fair to substantial criterion validity (rho: 0.226-0.672). Bland-Altman plots showed that the GPAQv2 overestimated vigorous and moderate to vigorous PA and underestimated moderate PA. The largest difference values were related to SB, since the GPAQv2 underestimated sitting time. In sum, we found the GPAQv2 to have acceptable validity and reliability for assessing PA and SB patterns, and we recommend its use for Portuguese adults.
- COVID-19 era in long-term cardiac rehabilitation programs: how did physical activity and sedentary time change compared to previous years?Publication . Pires, Madalena; Borges, Margarida; Pinto, R.; Aguiar-Ricardo, Inês; Cunha, Nelson; Alves Da Silva, P.; Liñan Pinto, Mariana; Guerreiro, Catarina Sousa; Pinto, Fausto J.; Santa-Clara, Helena; Abreu, AnaCardiovascular rehabilitation (CR) was one of the many areas negatively affected by the COVID-19 pandemic. A high number of cardiovascular disease (CVD) patients had their centre-based program suspended. Physical activity (PA) recommendations for CVD patients are well established and its benefits largely documented. However, few studies have objectively measured the PA of these patients throughout the years and specifically during the COVID-19 pandemic.
- Home-based cardiac rehabilitation during COVID-19 pandemic: effectiveness of an educational interventionPublication . Silva, B. V.; Aguiar-Ricardo, Inês; Alves Da Silva, P.; Rodrigues, Tiago; Cunha, Nelson; Couto Pereira, Sara Cristina; Silverio Antonio, P.; Brito, J.; Pinto, R.; Pires, Madalena; Fiuza, S.; Correia, A. L.; Pinto, Fausto J.; Abreu, AnaPatient education is considered a core component of cardiac rehabilitation (CR) and nowadays, particularly during the COVID-19 pandemic, online education programs are critical. However, the best strategy for implementing these digital programs to increase patients’ adherence and learning is not fully established.
- Digital home-based multidisciplinary cardiac rehabilitation: how to counteract physical inactivity during the COVID-19 pandemicPublication . Pinto, Rita; Pires, Madalena; Borges, Mariana; Liñan Pinto, Mariana; Guerreiro, Catarina Sousa; Miguel, Sandra; Santos, Olga; Ricardo, Inês; Cunha, Nelson; Alves da Silva, Pedro; Correia, Ana Luísa; Fiúza, Sílvia; Caldeira, Edite; Salazar, Fátima; Rodrigues, Carla; Cordeiro Ferreira, Mariana; Afonso, Gisela; Araújo, Graça; Martins, Joana; Ramalhinho, Marta; Sousa, Paula; Pires, Susana; Jordão, Alda; Pinto, Fausto J.; Abreu, AnaIntroduction and objectives: Center-based cardiac rehabilitation (CR) programs have been forced to close due to COVID-19. Alternative delivery models to maintain access to CR programs and to avoid physical inactivity should be considered. The aim of this study was to assess physical activity (PA) levels after completing a home-based digital CR program. Methods: A total of 116 cardiovascular disease (CVD) patients (62.6±8.9 years, 95 male) who had been attending a face-to-face CR program were recruited and assessed (baseline and at three months) on the following parameters: PA, sedentary behavior, adherence, cardiovascular and non-cardiovascular symptoms, feelings toward the pandemic, dietary habits, risk factor control, safety and adverse events. The intervention consisted of a multidisciplinary digital CR program, including regular patient assessment, and exercise, educational and psychological group sessions. Results: Ninety-eight CVD patients successfully completed all the online assessments (15.5% drop-out rate). A favorable main effect of time was an increase in moderate to vigorous PA and a decrease in sedentary time at three months. Almost half of the participants completed at least one online exercise training session per week and attended at least one of the online educational sessions. No major adverse events were reported and only one minor event occurred. Conclusion: During the pandemic, levels of moderate to vigorous PA improved after three months of home-based CR in CVD patients with previous experience in a face-to-face CR model. Diversified CR programs with a greater variety of content tailored to individual preferences are needed to meet the motivational and clinical requirements of CVD patients.
- The effects of 12-months supervised periodized training on health-related physical fitness in coronary artery disease : a randomized controlled trialPublication . Pinto, Rita; Melo, Xavier; Angarten, Vitor; Pires, Madalena; Borges, Mariana; Santos, Vanessa; Abreu, Ana; Santa-Clara, HelenaWe compared the impact of a one-year periodized exercise training versus a non-periodized exercise training on health-related physical fitness (HRPF) including body composition, cardiorespiratory and muscular fitness in patients with coronary artery disease (CAD). Fifty CAD patients (60.4 ± 9.9 years) were randomized to either a periodized training group (PG) (n = 25) or a non-periodized training group (NPG) (n = 25). Both consisted of a combined training programme, performed 3 days/week for 12 months. Thirty-six CAD patients (PG: n = 18, NPG: n = 18) successfully completed the exercise regimes. In both groups, a favourable main effect for time was evident for peak VO2, peak workload, anaerobic threshold and respiratory compensation point workloads and VO2, whole body skeletal muscle mass and quality index at 12 months.In conclusion, a periodized model is as effective as a non-periodized model in promoting increases in HRPF outcomes following a one-year intervention. These findings indicate that health-professionals can add variation to cardiac rehabilitation workouts without compromising effectiveness.