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      Scientific Researches in Health Sciences 

      Investigation of the Relationship between Physical Activity Level and Postural Changes in Adolescents

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          Abstract:

          This study aims to evaluate postural disorders and physical activity levels of adolescents between 14 and 17 years of age. This study included 100 voluntary students (mean age 16.0±0.7 years) attending St. George Austrian High School. Students’ physical activity levels were assessed with International Physical Activity Questionnaire-Short Form (IPAQ-SF); postures were evaluated with New York Posture Rating Test (NYPRT) and symmetrigraph; pain levels were assessed with Cornell Musculoskeletal Discomfort Questionnaire. According to our results, regular physical exercise habit was present in 67.3 % of males and 78.4 % of females. Based on IPAQ criteria, 10 % of the participants were inactive, 54 % were minimally active, and 36 % were highly active. Students’ postures were evaluated according to NYPRT criteria, and the most frequent postural disorders among females were anterior tilt of the head (44.9 %), increased lumbar lordosis (40.8 %), uneven shoulder levels (32.7 %), and shoulder protraction (32.7 %); whereas anterior tilt of the head (67.4 %), shoulder protraction (51.0 %) and thoracic kyphosis (48.9 %) were most frequently observed among males. One of the most common postural disorders among females and males was pes planus. The most frequent areas causing pain were back (32.9 %), lower back (22.4 %) and neck (14.3 %) among females, and back (31.4 %), lower back (14.7 %) and right shoulder (11.8 %) among males. We found that the majority of students had high physical activity levels, which we believe may be related to having conducted the study in a private school. In adolescents, it is important to acquire a habit of doing regular physical exercise in order to maintain the favorable effects of physical activity on posture. Prolonged sitting adversely affects the posture.

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          International physical activity questionnaire: 12-country reliability and validity.

          Physical inactivity is a global concern, but diverse physical activity measures in use prevent international comparisons. The International Physical Activity Questionnaire (IPAQ) was developed as an instrument for cross-national monitoring of physical activity and inactivity. Between 1997 and 1998, an International Consensus Group developed four long and four short forms of the IPAQ instruments (administered by telephone interview or self-administration, with two alternate reference periods, either the "last 7 d" or a "usual week" of recalled physical activity). During 2000, 14 centers from 12 countries collected reliability and/or validity data on at least two of the eight IPAQ instruments. Test-retest repeatability was assessed within the same week. Concurrent (inter-method) validity was assessed at the same administration, and criterion IPAQ validity was assessed against the CSA (now MTI) accelerometer. Spearman's correlation coefficients are reported, based on the total reported physical activity. Overall, the IPAQ questionnaires produced repeatable data (Spearman's rho clustered around 0.8), with comparable data from short and long forms. Criterion validity had a median rho of about 0.30, which was comparable to most other self-report validation studies. The "usual week" and "last 7 d" reference periods performed similarly, and the reliability of telephone administration was similar to the self-administered mode. The IPAQ instruments have acceptable measurement properties, at least as good as other established self-reports. Considering the diverse samples in this study, IPAQ has reasonable measurement properties for monitoring population levels of physical activity among 18- to 65-yr-old adults in diverse settings. The short IPAQ form "last 7 d recall" is recommended for national monitoring and the long form for research requiring more detailed assessment.
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            Canadian sedentary behaviour guidelines for children and youth.

            The Canadian Society for Exercise Physiology (CSEP), in partnership with the Healthy Active Living and Obesity Research Group (HALO) at the Children's Hospital of Eastern Ontario Research Institute, and in collaboration with ParticipACTION, and others, has developed the Canadian Sedentary Behaviour Guidelines for Children (aged 5-11 years) and Youth (aged 12-17 years). The guidelines include a preamble to provide context, followed by the specific recommendations for sedentary behaviour. The entire development process was guided by the Appraisal of Guidelines for Research Evaluation (AGREE) II instrument, which is the international standard for clinical practice guideline development. Thus, the guidelines have gone through a rigorous and transparent developmental process and the recommendations are based on evidence from a systematic review and interpretation of the research evidence. The final guidelines benefitted from an extensive online consultation process with 230 domestic and international stakeholders and key informants. The final guideline recommendations state that for health benefits, children (aged 5-11 years) and youth (aged 12-17 years) should minimize the time that they spend being sedentary each day. This may be achieved by (i) limiting recreational screen time to no more than 2 h per day - lower levels are associated with additional health benefits; and (ii) limiting sedentary (motorized) transport, extended sitting time, and time spent indoors throughout the day. These are the first evidence-based Canadian Sedentary Behaviour Guidelines for Children and Youth and provide important and timely recommendations for the advancement of public health based on a systematic synthesis, interpretation, and application of the current scientific evidence.
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              The Effect of The Forward Head Posture on Postural Balance in Long Time Computer Based Worker

              Objective To estimate the effects of a relatively protruded head and neck posture on postural balance, in computer based worker. Method Thirty participants, who work with computers for over 6 hrs per day (Group I), and thirty participants, who rarely work with computers (Group II), were enrolled. The head and neck posture was measured by estimating angles A and B. A being the angle between the tragus of the ear, the lateral canthus of the eye, and horizontal line and B the angle between the C7 spinous process, the tragus of the ear, and the horizontal line. The severity of head protrusion with neck extension was assessed by the subtraction of angle A from angle B. We also measured the center of gravity (COG) and postural balance by using computerized dynamic posturography to determine the effect of computer-based work on postural balance. Results Results indicated that group I had a relatively more protruded head with extensive neck posture (angle B-A of group I and group II, 28.2±8.3, 32.9±6.0; p<.05). The COG of group I tended more toward the anterior than that of group II. Postural imbalance and impaired ability to regulate movement in forward and backward direction were also found. Conclusion The results of this study suggest that forward head postures during computer-based work may contribute to some disturbance in the balance of healthy adults. These results could be applied to education programs regarding correct postures when working at a computer for extended periods of time.
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                : 23
                10.3726/9783631802649.003.0002
                df4271da-8de2-455d-b130-63a653bcd14b
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