O isolamento social durante a pandemia de covid-19 prejudicou as concentrações de vitamina D, o desempenho motor e a aptidão física em adolescentes

Autores

DOI:

https://doi.org/10.47197/retos.v62.109217

Palavras-chave:

adolescentes, adiposidade, aptidão física, competência motora, pandemia (COVID-19), isolamento social

Resumo

Este estudo tem como objetivo avaliar o efeito do isolamento social derivado da pandemia de Coronavírus (COVID-19) síndrome respiratória aguda grave (SARS-CoV-2) nas concentrações de vitamina D (25(OH)D), no desempenho motor e cardiorrespiratório . Este método de investigação é um estudo de caso-controlo que incluiu 34 crianças, com idades compreendidas entre os 12 e os 16 anos. No período pré-pandemia foram avaliados 17 escolares em dezembro de 2019, classificados de acordo com o score Z do índice de massa corporal (IMC-z) como: eutróficos (n=8) e com excesso de peso (n=9). O grupo pós-pandemia foi constituído por 17 crianças, avaliadas em março de 2022, emparelhadas com as mesmas características de IMC-z. Foram avaliadas a altura, a massa corporal, a massa gorda (MG), a massa livre de gordura (FLM), a flexibilidade (FLEX), a 25(OH)D, a RAC absoluta (ACRabs) e a RAC relativa (ACRrel). O tempo de execução do teste Supino-Levante (STSTIME) foi utilizado para avaliar o desempenho e a competência motora através dos padrões motores utilizados na execução (STSMC), considerando p<0,05 como significativo. Os resultados mostraram que, no período pós-pandemia, foram observados comprometimentos na 25(OH)D, FLEX, STSTIME e ACR (p<0,05). Os indivíduos eutróficos e com excesso de peso reduziram as concentrações de 25(OH)D (p<0,001) e aumentaram o STSTIME (p=0,02), mas não modificaram o STSMC. Em relação ao ACR, os animais eutróficos apresentaram valores mais baixos de ACRabs e ACRrel (p≤ 0,005), no entanto não se verificaram alterações no grupo com excesso de peso. Concluímos que o isolamento social afetou as concentrações de 25(OH)D e o desempenho motor nos adolescentes. Contudo, destaca-se que os animais eutróficos foram os mais impactados pelo isolamento social, uma vez que também apresentaram efeito desfavorável na ACR.

Referências

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

Downloads

Publicado

01-01-2025

Edição

Secção

Artigos de caráter científico: trabalhos de pesquisas básicas e/ou aplicadas.

Como Citar

Bento de Moraes Junior, F., Cristina Tadiotto, M., Ribeiro Paes Corazza, P., Jose de Menezes-Junior, F., Brand, C. ., Mota, J., & Leite, N. (2025). O isolamento social durante a pandemia de covid-19 prejudicou as concentrações de vitamina D, o desempenho motor e a aptidão física em adolescentes. Retos, 62, 715-724. https://doi.org/10.47197/retos.v62.109217