Social isolation during the covid-19 pandemic impaired vitamin d concentrations, motor performance and physical fitness in adolescents
DOI:
https://doi.org/10.47197/retos.v62.109217Keywords:
adolescents, adiposity, physical fitness, motor competence, pandemic (COVID-19), social isolation.Abstract
This study aims to verify the effect of social isolation arising from the Coronavirus pandemic (COVID-19) severe acute respiratory syndrome (SARS-CoV-2) on vitamin D (25(OH)D) concentrations, motor performance, and cardiorespiratory fitness (CRF) in adolescents. This research method is Case-control study, which included 34 boys, aged 12-16 years. In the pre-pandemic period, 17 schoolchildren were evaluated in December 2019, classified according to body mass index Z-score (BMI-z) as: eutrophic (n=8) and overweight (n=9). The post-pandemic group was composed of 17 boys, evaluated in March 2022, matched with the same BMI-z characteristics. Stature, body mass, fat mass (FM), fat free mass (FFM), flexibility (FLEX), 25(OH)D, absolute CRF (CRFabs) and relative (CRFrel) were assessed. The Supine-to-Stand test (STSTIME) execution time was used to assess motor performance and motor competence by the motor patterns used in execution (STSMC). considering p<0.05 significant. The results showed that, post-pandemic, there were impairment on 25(OH)D, FLEX, STSTIME e CRF (p<0.05). Both eutrophic and overweight groups reduced 25(OH)D concentrations (p<0.001) and increased STSTIME (p=0.02) but did not modify STSMC. Regarding CRF, eutrophic individuals showed lower CRFabs and CRFrel values (p≤ 0.005), however no changes in the overweight group. We conclude that social isolation impaired the 25(OH)D concentrations and motor performance of adolescents. However, it stands out that the eutrophic were the most impacted with social isolation, as they showed unfavorable effect also on CRF.
References
Adair, T. (2023). Premature cardiovascular disease mortality with overweight and obesity as a risk factor: Estimating excess mortality in the United States during the COVID-19 pandemic. International Journal of Obesity, 47(4), 273–279. doi: 10.1038/s41366-023-01263-y
Adelantado-Renau, M., Esteban-Cornejo, I., Mora-Gonzalez, J., Plaza-Florido, A., Rodriguez-Ayllon, M., Maldonado, J., … Ortega, F. B. (2023). Neurotrophic factors and brain health in children with overweight and obesity: The role of cardiorespiratory fitness. European Journal of Sport Science, 23(4), 637–648. doi: 10.1080/17461391.2022.2044912
Antonucci, R., Vacca, N., Biasia, B., Locci, C., Dore, M. P., Pes, G. M., & Bitti, A. (2023). Impact of COVID-19 Pan-demic and Associated Restrictions on Vitamin D Status in a Large Cohort of Italian Children and Adolescents. Medici-na (Kaunas, Lithuania), 60(1), 65. doi: 10.3390/medicina60010065
Bayramoğlu, E., Akkoç, G., Ağbaş, A., Akgün, Ö., Yurdakul, K., Selçuk Duru, H. N., & Elevli, M. (2021). The asso-ciation between vitamin D levels and the clinical severity and inflammation markers in pediatric COVID-19 patients: Single-center experience from a pandemic hospital. European Journal of Pediatrics, 180(8), 2699–2705. doi: 10.1007/s00431-021-04030-1
Beyazgül, G., Bağ, Ö., Yurtseven, İ., Coşkunol, F., Başer, S., Çiçek, D., … Özkan, B. (2022). How Vitamin D Levels of Children Changed During COVID-19 Pandemic: A Comparison of Pre-pandemic and Pandemic Periods. Journal of Clinical Research in Pediatric Endocrinology, 14(2), 188–195. doi: 10.4274/jcrpe.galenos.2022.2021-10-6
Brito, L. B. B., de Araújo, D. S. M. S., & de Araújo, C. G. S. (2013). Does flexibility influence the ability to sit and rise from the floor? American Journal of Physical Medicine & Rehabilitation, 92(3), 241–247. doi: 10.1097/PHM.0b013e3182744203
Brito, L. M. S., Boguszewski, M. C. D. S., Souza, M. T. R. D., Martins, F., Mota, J., & Leite, N. (2020). Indoor physi-cal activities, eating and sleeping habits among school adolescents during COVID-19 pandemic. Revista Brasileira de Atividade Física & Saúde, 25, 1–6. doi: 10.12820/rbafs.25e0117
Brito, L. M. S., Lima, V. A. de, Mascarenhas, L. P., Mota, J., & Leite, N. (2021). Physical activity, eating habits and sleep during social isolation: From young adult to elderly. Revista Brasileira de Medicina Do Esporte, 27, 21–25. doi: 10.1590/1517-8692202127012020_0061
Castro-Piñero, J., Perez-Bey, A., Segura-Jiménez, V., Aparicio, V. A., Gómez-Martínez, S., Izquierdo-Gomez, R., … UP&DOWN Study Group. (2017). Cardiorespiratory Fitness Cutoff Points for Early Detection of Present and Fu-ture Cardiovascular Risk in Children: A 2-Year Follow-up Study. Mayo Clinic Proceedings, 92(12), 1753–1762. doi: 10.1016/j.mayocp.2017.09.003
Chen, P., Mao, L., Nassis, G. P., Harmer, P., Ainsworth, B. E., & Li, F. (2020). Coronavirus disease (COVID-19): The need to maintain regular physical activity while taking precautions. Journal of Sport and Health Science, 9(2), 103–104. doi: 10.1016/j.jshs.2020.02.001
Corazza, P. R. P., Tadiotto, M. C., Michel, D. A., Mota, J., & Leite, N. (2019). Association between physical activity, cardiometabolic risk factors and vitamin D in children and adolescents: A systematic review. Revista Brasileira de Ativi-dade Física & Saúde, 24, 1–12. doi: 10.12820/rbafs.24e0070
Corazza, P. R. P., Tadiotto, M., Menezes Junior, F., Czoczuk, M., Biscouto, T., Jesus, Í., … Leite, N. (2019). Cardi-orespiratory fitness and metabolic profile in adolescents with high sedentary behavior and low level of physical activi-ty. Journal of Exercise Physiology Online, 22, 84. https://go.gale.com/ps/i.do?id=GALE%7CA623251989&sid=googleScholar&v=2.1&it=r&linkaccess=abs&issn=10979751&p=HRCA&sw=w&userGroupName=anon%7E70ff68a0&aty=open-web-entry
DeLuca, H. F. (2004). Overview of general physiologic features and functions of vitamin D. The American Journal of Clini-cal Nutrition, 80(6 Suppl), 1689S-96S. doi: 10.1093/ajcn/80.6.1689S
di Filippo, L., Frara, S., Nannipieri, F., Cotellessa, A., Locatelli, M., Rovere Querini, P., & Giustina, A. (2023). Low Vitamin D Levels Are Associated With Long COVID Syndrome in COVID-19 Survivors. The Journal of Clinical Endo-crinology and Metabolism, 108(10), e1106–e1116. doi: 10.1210/clinem/dgad207
Dong, Y., Pollock, N., Stallmann-Jorgensen, I. S., Gutin, B., Lan, L., Chen, T. C., … Zhu, H. (2010). Low 25-hydroxyvitamin D levels in adolescents: Race, season, adiposity, physical activity, and fitness. Pediatrics, 125(6), 1104–1111. doi: 10.1542/peds.2009-2055
Duncan, M. J., Foweather, L., Bardid, F., Barnett, A. L., Rudd, J., O’Brien, W., … Clark, C. C. T. (2022). Motor Competence Among Children in the United Kingdom and Ireland: An Expert Statement on Behalf of the Internation-al Motor Development Research Consortium. Journal of Motor Learning and Development, 10(1), 7–26. doi: 10.1123/jmld.2021-0047
Duncan, M. J., Lawson, C., Walker, L. J., Stodden, D., & Eyre, E. L. J. (2017). The Utility of the Supine-to-Stand Test as a Measure of Functional Motor Competence in Children Aged 5−9 Years. Sports (Basel, Switzerland), 5(3), E67. doi: 10.3390/sports5030067
Ferreira, M. J., Irigoyen, M. C., Consolim-Colombo, F., Saraiva, J. F. K., & Angelis, K. D. (2020). Vida Fisicamente Ativa como Medida de Enfrentamento ao COVID-19. Arquivos Brasileiros de Cardiologia, 114, 601–602. doi: 10.36660/abc.20200235
Field, A. (2018). Discovering statistics using IBM® SPSS® statistics (North American edition, 5th edition; J. Seaman, Ed.). Los Angeles London New Delhi [und 3 weitere]: SAGE.
Galán-Arroyo, C., Herreruela-Jara, D., Castillo-Paredes, A., & Rojo-Ramos, J. (2024). Autoeficacia motriz, autocon-cepto e IMC en adolescentes del área de Educación Física para una salud física y mental óptima (Motor self-efficacy, self-concept and BMI in Physical Education adolescents for optimal physical and mental health). Retos, 59, 568–576. doi: 10.47197/retos.v59.106979
Gibbons, J. B., Norton, E. C., McCullough, J. S., Meltzer, D. O., Lavigne, J., Fiedler, V. C., & Gibbons, R. D. (2022). Association between vitamin D supplementation and COVID-19 infection and mortality. Scientific Reports, 12(1), 19397. doi: 10.1038/s41598-022-24053-4
Goodway, J. D., Ozmun, J. C., & Gallahue, D. L. (2019). Understanding Motor Development: Infants, Children, Adolescents, Adults. Jones & Bartlett Learning.
Houtkooper, L. B., Going, S. B., Lohman, T. G., Roche, A. F., & Van Loan, M. (1992). Bioelectrical impedance estima-tion of fat-free body mass in children and youth: A cross-validation study. Journal of Applied Physiology (Bethesda, Md.: 1985), 72(1), 366–373. doi: 10.1152/jappl.1992.72.1.366
Jastrzębska, J., Skalska, M., Radzimiński, Ł., López Sánchez, G. F., Hill, L., Weiss, K., & Knechtle, B. (2023). Can the supplementation of vitamin D, sun exposure, and isolation during the COVID-19 pandemic affect the seasonal con-centration of 25(OH)D and selected blood parameters among young soccer players in a one-year training season? Journal of the International Society of Sports Nutrition, 20(1), 2206802. doi: 10.1080/15502783.2023.2206802
Kidokoro, T., Tomkinson, G. R., Lang, J. J., & Suzuki, K. (2023). Physical fitness before and during the COVID-19 pandemic: Results of annual national physical fitness surveillance among 16,647,699 Japanese children and adoles-cents between 2013 and 2021. Journal of Sport and Health Science, 12(2), 246–254. doi: 10.1016/j.jshs.2022.11.002
Léger, L. A., Mercier, D., Gadoury, C., & Lambert, J. (1988). The multistage 20 metre shuttle run test for aerobic fitness. Journal of Sports Sciences, 6(2), 93–101. doi: 10.1080/02640418808729800
Leite, N., Pizzi, J., Menezes Junior, F. J. de, Tadiotto, M. C., Jesus, Í. C. de, Corazza, P. R. P., … Radominski, R. B. (2022). Effect of mict and hiit on cardiometabolic risk and body composition in obese boys. Revista Brasileira de Medi-cina Do Esporte, 28, 274–280. doi: 10.1590/1517-8692202228042020_0129
Li, L., Taeihagh, A., & Tan, S. Y. (2023). A scoping review of the impacts of COVID-19 physical distancing measures on vulnerable population groups. Nature Communications, 14(1), 599. doi: 10.1038/s41467-023-36267-9
Lockhart, S. M., & O’Rahilly, S. (2020). When Two Pandemics Meet: Why Is Obesity Associated with Increased COVID-19 Mortality? Med (New York, N.y.), 1(1), 33–42. doi: 10.1016/j.medj.2020.06.005
Lohman, T. G., Roche, A. F., & Martorell, R. (1988). Anthropometric standardization reference manual. Champaign, IL: Human Kinetics Books.
López-Bueno, R., López-Sánchez, G. F., Casajús, J. A., Calatayud, J., Gil-Salmerón, A., Grabovac, I., … Smith, L. (2020). Health-Related Behaviors Among School-Aged Children and Adolescents During the Spanish Covid-19 Con-finement. Frontiers in Pediatrics, 8, 573. doi: 10.3389/fped.2020.00573
Marco, J. C. P. D., Alves, A. D., Gonzaga, I., Bim, M. A., Carminatti, L. J., Pinto, A. de A., … Pelegrini, A. (2023). Associação entre aptidão física relacionada à saúde, atividades físicas extracurriculares e adiposidade corporal em uma amostra representativa de adolescentes de Florianópolis, Brasil. Retos, 49, 1–8. doi: 10.47197/retos.v49.97245
Menezes Júnior, F. J. de, Jesus, Í. C. de, & Leite, N. (2019). Predictive equations of maximum oxygen consumption by shuttle run test in children and adolescents: A systematic review. Revista Paulista De Pediatria: Orgao Oficial Da Socieda-de De Pediatria De Sao Paulo, 37(2), 241–251. doi: 10.1590/1984-0462/;2019;37;2;00016
Menezes-Junior, F. J. de, Jesus, Í. C. de, Mota, J., Lopes, M. de F. A., Corazza, P. R. P., Tadiotto, M. C., … Leite, N. (2020). Validation of equations to estimate the peak oxygen uptake in adolescents from 20 metres shuttle run test. Journal of Sports Sciences, 38(22), 2588–2596. doi: 10.1080/02640414.2020.1794255
Menezes-Junior, F. J., Jesus, Í. C., Brand, C., Mota, J., & Leite, N. (2022). Physical Exercise and Brain-Derived Neu-rotrophic Factor Concentration in Children and Adolescents: A Systematic Review With Meta-Analysis. Pediatric Ex-ercise Science, 34(1), 44–53. doi: 10.1123/pes.2020-0207
Mirwald, R. L., Baxter-Jones, A. D. G., Bailey, D. A., & Beunen, G. P. (2002). An assessment of maturity from anthro-pometric measurements. Medicine and Science in Sports and Exercise, 34(4), 689–694. doi: 10.1097/00005768-200204000-00020
Musa, S., Dergaa, I., Bachiller, V., & Saad, H. B. (2023). Global Implications of COVID-19 Pandemic on Adults’ Life-style Behavior: The Invisible Pandemic of Noncommunicable Disease. International Journal of Preventive Medicine, 14, 15. doi: 10.4103/ijpvm.ijpvm_157_21
Nesbitt, D., Molina, S. L., Cattuzzo, M. T., Robinson, L. E., Phillips, D., & Stodden, D. (2017). Assessment of a Su-pine-to-Stand (STS) Task in Early Childhood: A Measure of Functional Motor Competence. Journal of Motor Learning and Development, 5(2), 252–266. doi: 10.1123/jmld.2016-0049
Nevill, A. M., DE Menezes-Junior, F. J., DE Jesus, Í. C., DE Fatima Aguiar Lopes, M., Corazza, P. R. P., Tadiotto, M. C., … Leite, N. (2021). Predicting Cardiorespiratory Fitness Using the 20-m Shuttle Run Test: New Insights Using Nonlinear Allometry. Medicine and Science in Sports and Exercise, 53(8), 1624–1629. doi: 10.1249/MSS.0000000000002637
Ng, J., Conaway, M. R., Rigby, A. S., Priestman, A., & Baxter, P. S. (2013). Methods of standing from supine and per-centiles for time to stand and to run 10 meters in young children. The Journal of Pediatrics, 162(3), 552–556. doi: 10.1016/j.jpeds.2012.08.030
Onis, M., Onyango, A. W., Borghi, E., Siyam, A., Nishida, C., & Siekmann, J. (2007). Development of a WHO growth reference for school-aged children and adolescents. Bulletin of the World Health Organization, 85(9), 660–667. doi: 10.2471/blt.07.043497
Panfili, F. M., Roversi, M., D’Argenio, P., Rossi, P., Cappa, M., & Fintini, D. (2021). Possible role of vitamin D in Covid-19 infection in pediatric population. Journal of Endocrinological Investigation, 44(1), 27–35. doi: 10.1007/s40618-020-01327-0
Peters, B., & Martini, L. (2014). Funções Plenamente Reconhecidas de Nutrientes Vitamina D. In Série: Funções Plenamen-te Reconhecidas de Nutrientes (Vol. 2, pp. 1–64). International Life Sciences Institute do Brasil. (https://ilsi.org/brasil/wp-content/uploads/sites/9/2016/05/artigo_vitamina_d.pdf).
Plowman, S., & Meredith, M. (2013). Fitnessgram® /Activitygram® Referencia Guia (4th ed.). Dallas, TX: The Cooper Institute. (https://fitnessgram.net/wp-content/uploads/2023/01/FITNESSGRAMACTIVITYGRAMReferenceGuide4thEd043015.pdf).
Raine, L. B., Erickson, K. I., Grove, G., Watrous, J. N. H., McDonald, K., Kang, C., … Hillman, C. H. (2023). Car-diorespiratory fitness levels and body mass index of pre-adolescent children and older adults during the COVID-19 pandemic. Frontiers in Public Health, 10. doi: https://doi.org/10.3389/fpubh.2022.1052389
Rundle, A. G., Park, Y., Herbstman, J. B., Kinsey, E. W., & Wang, Y. C. (2020). COVID-19 Related School Closings and Risk of Weight Gain Among Children. Obesity (Silver Spring, Md.), 28(6), 1008–1009. doi: 10.1002/oby.22813
Sallis, J. F., & Pratt, M. (2020). Multiple benefits of physical activity during the Coronavirus pandemic. Revista Brasileira de Atividade Física & Saúde, 25, 1–5. doi: 10.12820/rbafs.25e0112
Saulle, R., Minozzi, S., Amato, L., & Davoli, M. (2021). Impact of social distancing for covid-19 on youths’ physical health: A systematic review of the literature. Recenti Prog Med, 347–359. doi: https://doi.org/10.1701/3608.35872
Silva, F. R., Junior, A. H. L., Brant, V. M., Lôbo, I. L. B., Lancha, L. O. P., Silva, A., & de Mello, M. T. (2020). The effects of COVID-19 quarantine on eating and sleeping behaviors. Nutrire, 45(2), 25. doi: 10.1186/s41110-020-00128-y
Tadiotto, M. C., Duncan, M., Mota, J., Moraes-Junior, F. B., Corazza, P. R. P., Czoczuk, M., … Leite, N. (2021). Excess adiposity and low physical fitness hamper Supine-to-Stand test performance among sedentary adolescents. Jor-nal De Pediatria, 97(6), 658–664. doi: 10.1016/j.jped.2021.01.007
Tadiotto, M. C., Furtado-Alle, L., Corazza, P. R. P., Jesus, I. C., Junior, F. J. M., Brito, L. M. S., … Leite, N. (2018). Waist-Height Ratio Increase is Associated with Sedentary Behavior in Adolescents Independent of the Level of Physi-cal Activity. Journal of Exercise Physiology Online, 21(4), 54–66. https://go.gale.com/ps/i.do?p=AONE&sw=w&issn=10979751&v=2.1&it=r&id=GALE%7CA626122238&sid=googleScholar&linkaccess=abs
Tuñón, I., Laíño, F., & Weisstaub, G. (2024). The impact of the COVID-19 lockdown on child and adolescent active play in Argentina. Retos, 53, 208–215. doi: 10.47197/retos.v53.102272
VanSant, A. F. (1988a). Age differences in movement patterns used by children to rise from a supine position to erect stance. Physical Therapy, 68(9), 1330–1339. doi: 10.1093/ptj/68.9.1330
VanSant, A. F. (1988b). Rising from a supine position to erect stance. Description of adult movement and a developmen-tal hypothesis. Physical Therapy, 68(2), 185–192. doi: 10.1093/ptj/68.2.185
VanSant, A. F. (1990). Life-span development in functional tasks. Physical Therapy, 70(12), 788–798. doi: 10.1093/ptj/70.12.788
WHO, (WHO). (2021). Clinical management of COVID-19: Living guidance. World Health Organization. (WHO/2019-nCoV/clinical/2021.2). Retrieved from https://app.magicapp.org/#/guideline/j1WBYn
Yılmaz, K., & Şen, V. (2020). Is vitamin D deficiency a risk factor for COVID‐19 in children? Pediatric Pulmonology, 55(12), 3595–3601. doi: 10.1002/ppul.25106
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