Level of physical activity and fitness and its association with pulmonary function decline in adults in the city of Santos, Brazil

• Grant number: 11/07282-6
• Support Opportunities: Research Grants - Young Investigators Grants
• Start date: February 01, 2013
• End date: January 31, 2017
• Field of knowledge: Health Sciences - Physiotherapy and Occupational Therapy
• Principal Investigator: Victor Zuniga Dourado
• Grantee: Victor Zuniga Dourado
• Host Institution: Instituto de Saúde e Sociedade (ISS). Universidade Federal de São Paulo (UNIFESP). Campus Baixada Santista. Santos , SP, Brazil
• City of the host institution: Santos
• Associated scholarship(s): 15/20830-3 - Influence of obesity in the presence of sedentary behaviors in adults, BP.IC; 14/18606-5 - Influence of sex, age and level of physical activity in daily life in heart rate variability in adults between 20 and 80 years, BP.IC; 13/04160-2 - Heart rate variability as a marker for stress and cardiovascular risk in asymptomatic adults, BP.MS

Abstract

Few studies have evaluated extensively the level of physical activity in daily life (PADL) in adults using a combination of motion sensors, questionnaires and physical fitness tests. Moreover, the causal association between physical inactivity/sedentary lifestyle and the development of chronic obstructive pulmonary disease (COPD) requires further elucidation. The objectives of this study will be to evaluate in adults: (1) the prevalence of physical inactivity and its associated factors, and (2) the association between level of physical activity and fitness and clinically significant pulmonary function decline and/or development of COPD over time. At least 624 participants aged 20 to 80 years of the 31 districts of the city of Santos/SP will be evaluated and followed for four years with annual reassessments. Demographic data, clinical examination, biochemical tests, anthropometry, body composition, spirometry, electrocardiogram, physical fitness and PADL (measured by triaxial accelerometry and questionnaire) will be evaluated. Those who do not perform at least 150 minutes/week, 5x/week of moderate physical activity and do not carry at least 10,000 steps/day (insufficiently active) and those who do not perform at least 10 minutes/week of physical activity according to the results of the International Physical Activity Questionnaire (IPAQ) (sedentary) will be considered physically inactive. In cross-sectional study we will assess prevalence of physical inactivity and associated factors using logistic regression. In the four years follow up cohort study, the decline in forced expiratory volume in one second (FEV1) and forced vital capacity (FVC) will be calculated by: final valuemL - initial valuemL/timeyears. The variables of physical activity and fitness that can predict annual decline in pulmonary function will be assessed in multiple linear regression models. The clinically significant decline in pulmonary function, set at reduction in FEV1 > 50 mL/year, and diagnosed cases of COPD over time will be registered. The influence of physical inactivity in the risk of decline in FEV1 > 50 mL/year and/or COPD in this period will be evaluated in the Cox regression model adjusted for main covariates. By identifying the factors associated with physical inactivity and confirm their causal association with the decline in pulmonary function and/or diagnosis of COPD, this study will serve to outline strategies, including exercise, for prevention of COPD whose spending on health resources are extremely high in Brazil. (AU)

Scientific publications

(29)

(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)

DOURADO, V. Z.; NISHIAKA, R. K.; SIMOES, M. S. M. P.; LAURIA, V. T.; TANNI, S. E.; GODOY, I; GAGLIARDI, A. R. T.; ROMITI, M.; ARANTES, R. L.. Classification of cardiorespiratory fitness using the six-minute walk test in adults: Comparison with cardiopulmonary exercise testing. PULMONOLOGY, v. 27, n. 6, p. 500-508, NOV-DEC 2021. (11/07282-6, 18/11817-1, 18/21536-0)

BIANCHIM, M. S.; SPERANDIO, E. F.; MARTINHAO, G. S.; MATHEUS, A. C.; LAURIA, V. T.; DA SILVA, R. P.; SPADARI, R. C.; GAGLIARDI, A. R. T.; ARANTES, R. L.; ROMITI, M.; et al. Correlation between heart rate variability and pulmonary function adjusted by confounding factors in healthy adults. Brazilian Journal of Medical and Biological Research, v. 49, n. 3, MAR 2016. (11/07282-6)

BÁRBARA DE BARROS GONZE; THATIANE LOPES VALENTIM DI PASCHOALE OSTOLIN; EVANDRO FORNIAS SPERANDIO; RODOLFO LEITE ARANTES; ANTÔNIO RICARDO DE TOLEDO GAGLIARDI; MARCELLO ROMITI; MARCELLO DOURADO. Associação entre a obesidade e o comportamento sedentário em adultos. Rev. bras. cineantropom. desempenho hum., v. 23, 2021-04-05. (15/20830-3, 11/07282-6)

ALMEIDA, F. R.; OSTOLIN, T. L. V. D. P.; ALMEIDA, V. R.; GONZE, B. B.; SPERANDIO, E. F.; SIMOES, M. S. M. P.; GODOY, I; TANNI, S. E.; ROMITI, M.; ARANTES, R. L.; et al. Cardiorespiratory fitness as a mediator in the relationship between lung function and blood pressure in adults. Brazilian Journal of Medical and Biological Research, v. 55, n. 1, p. 10-pg., 2022-01-01. (11/07282-6)

OSTOLIN, THATIANE LOPES VALENTIM DI PASCHOALE; GONZE, BARBARA DE BARROS; DE OLIVEIRA VIEIRA, WESLEY; DE OLIVEIRA, ANDRE LUIZ SILVA; NASCIMENTO, MATHEUS BIBIAN; ARANTES, RODOLFO LEITE; ROMITI, MARCELLO; SPERANDIO, EVANDRO FORNIAS; DOURADO, VICTOR ZUNIGA. Association between the handgrip strength and the isokinetic muscle function of the elbow and the knee in asymptomatic adults. SAGE OPEN MEDICINE, v. 9, FEB 2021. (11/07282-6)

MATHEUS, A. C.; GAGLIARDI, A. R. T.; SPERANDIO, E. F.; ROMITI, M.; ARANTES, R. L.; DOURADO, V. Z.. Allometric correction of peak VO2 in obese adults undergoing cardiopulmonary exercise testing. COMPARATIVE EXERCISE PHYSIOLOGY, v. 15, n. 2, p. 77-83, 2019. (11/07282-6)

GONZE, BARBARA DE BARROS; OSTOLIN, THATIANELOPES VALENTIM DI PASCHOALE; SPERANDIO, EVANDRO FORNIAS; ARANTES, RODOLFO LEITE; ROMITI, MARCELLO; DOURADO, VICTOR ZUNIGA. Effects of Substituting Sedentary Behavior with Light-Intensity or Moderate-to-Vigorous Physical Activity on Obesity Indices in Adults: A Prospective Short-Term Follow-Up Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, v. 18, n. 24, DEC 2021. (11/07282-6)

DO SOCORRO MORAIS PEREIRA SIMOES, MARIA; WEHRMEISTER, FERNANDO CESAR; ROMITI, MARCELLO; DE TOLEDO GAGLIARDI, ANTONIO RICARDO; ARANTES, RODOLFO LEITE; DOURADO, VICTOR ZUNIGA. Effect Modification of Cardiorespiratory Fitness, Obesity, and Physical Activity in Adults. INTERNATIONAL JOURNAL OF SPORTS MEDICINE, v. 43, n. 06, p. 6-pg., 2022-01-14. (11/07282-6, 18/21536-0, 18/11817-1)

V.Z. DOURADO; M.B. NASCIMENTO; R.C. NAVARRO; R.P. DA SILVA; B.B. GONZE; K.M. GUEDES; V.T. LAURIA; W.O. VIEIRA; T.L.V.D.P. OSTOLIN. Isokinetic assessment of muscle function according to physical activity level and cardiovascular risk in asymptomatic adults aged 20 to 80 years. Brazilian Journal of Medical and Biological Research, v. 58, 2025-03-03. (11/07282-6)

LAURIA, V. T.; SPERANDIO, E. F.; DE SOUSA, T. L. W.; VIEIRAA, W. DE OLIVEIRA; ROMITI, M.; GAGLIARDI, A. R. DE TOLEDO; ARANTES, R. L.; DOURADO, V. Z.. Evaluation of dose-response relationship between smoking load and cardiopulmonary fitness in adult smokers: A cross-sectional study. Revista Portuguesa de Pneumologia, v. 23, n. 2, p. 79-84, MAR-APR 2017. (11/07282-6)

JAMAR, GIOVANA; DE ALMEIDA, FLAVIO ROSSI; GAGLIARDI, ANTONIO; SOBRAL, MARIANNA RIBEIRO; PING, CHAO TSAI; SPERANDIO, EVANDRO; ROMIT, MARCELO; ARANTES, RODOLFO; DOURADO, VICTOR ZUNIGA. Evaluation of waist-to-height ratio as a predictor of insulin resistance in non-diabetic obese individuals. A cross-sectional study. São Paulo Medical Journal, v. 135, n. 5, p. 462-468, SEP-OCT 2017. (11/07282-6)

T.P. CHAO; E.F. SPERANDIO; T.L.V.P. OSTOLIN; V.R. ALMEIDA; M. ROMITI; A.R.T. GAGLIARDI; R.L. ARANTES; V.Z. DOURADO. Use of cardiopulmonary exercise testing to assess early ventilatory changes related to occupational particulate matter. Brazilian Journal of Medical and Biological Research, v. 51, n. 5, 2018-03-26. (11/07282-6)

WANDERLEY DE SOUSA, THIAGO LUIS; VALENTIM DI PASCHOALE OSTOLI, THATIANE LOPES; SPERANDIO, EVANDRO FORNIAS; ARANTES, RODOLFO LEITE; DE TOLEDO GAGLIARDI, ANTONIO RICARDO; ROMITI, MARCELLO; DA SILVA, RODRIGO PEREIRA; DOURADO, VICTOR ZUNIGA. Dose-response relationship between very vigorous physical activity and cardiovascular health assessed by heart rate variability in adults: Cross-sectional results from the EPIMOV study. PLoS One, v. 14, n. 1, JAN 31 2019. (11/07282-6)

MIRIANE LILIAN BARBOZA; ALAN CARLOS BRISOLA BARBOSA; GIOVANNA DOMINGUES SPINA; EVANDRO FORNIAS SPERANDIO; RODOLFO LEITE ARANTES; ANTONIO RICARDO DE TOLEDO GAGLIARDI; MARCELLO ROMITI; VICTOR ZUNIGA DOURADO. Associação entre o nível de atividade física na vida diária e a função pulmonar em tabagistas adultos. Jornal Brasileiro de Pneumologia, v. 42, n. 2, p. 130-135, 2016-04-00. (11/07282-6)

EVANDRO FORNIAS SPERANDIO; RODOLFO LEITE ARANTES; AGATHA CAVEDA MATHEUS; RODRIGO PEREIRA DA SILVA; VINÍCIUS TONON LAURIA; MARCELLO ROMITI; ANTÔNIO RICARDO DE TOLEDO GAGLIARDI; VICTOR ZUNIGA DOURADO. Distúrbio ventilatório restritivo sugerido por espirometria: associação com risco cardiovascular e nível de atividade física em adultos assintomáticos. Jornal Brasileiro de Pneumologia, v. 42, n. 1, p. 22-28, 2016-02-00. (11/07282-6)

F.R. ALMEIDA; T.L.V.D.P. OSTOLIN; V.R. ALMEIDA; B.B. GONZE; E.F. SPERANDIO; M.S.M.P. SIMÕES; I. GODOY; S.E. TANNI; M. ROMITI; R.L. ARANTES; et al. Cardiorespiratory fitness as a mediator in the relationship between lung function and blood pressure in adults. Brazilian Journal of Medical and Biological Research, v. 55, 2022-07-25. (11/07282-6)

VINICIUS TONON LAURIA; EVANDRO FORNIAS SPERANDIO; AGATHA CAVEDA MATHEUS; RODRIGO PEREIRA DA SILVA; MARCELLO ROMITI; ANTÔNIO RICARDO DE TOLEDO GAGLIARDI; RODOLFO LEITE ARANTES; VICTOR ZUNIGA DOURADO. Comportamento sedentário alto e comprometimento da aptidão física em tabagistas adultos apesar do nível adequado de atividade física na vida diária. Rev. bras. cineantropom. desempenho hum., v. 19, n. 1, p. 62-73, 2017-02-00. (11/07282-6)

BRISOLA BARBOSA, ALAN CARLOS; SPERANDIO, EVANDRO FORNIAS; GONZE, BARBARA DE BARROS; SPINA, GIOVANNA DOMINGUES; ARANTES, RODOLFO LEITE; DE TOLEDO GAGLIARDI, ANTONIO RICARDO; ROMITI, MARCELLO; DOURADO, VICTOR ZUNIGA. A new equationto predict peak VO2 in obese patients during cardiopulmonary exercise testing. CLINICAL PHYSIOLOGY AND FUNCTIONAL IMAGING, v. 38, n. 3, p. 462-467, MAY 2018. (11/07282-6)

SPERANDIO, EVANDRO FORNIAS; ARANTES, RODOLFO LEITE; CHAO, TSAI PING; ROMITI, MARCELLO; DE TOLEDO GAGLIARDI, ANTONIO RICARDO; DOURADO, VICTOR ZUNIGA. Living near the port area is associated with physical inactivity and sedentary behavior. São Paulo Medical Journal, v. 135, n. 1, p. 34-41, JAN-FEB 2017. (11/07282-6)

SPERANDIO, EVANDRO FORNIAS; ARANTES, RODOLFO LEITE; DA SILVA, RODRIGO PEREIRA; MATHEUS, AGATHA CAVEDA; LAURIA, VINICIUS TONON; BIANCHIM, MAYARA SILVEIRA; ROMITI, MARCELLO; DE TOLEDO GAGLIARDI, ANTONIO RICARDO; DOURADO, VICTOR ZUNIGA. Triagem para inatividade física em adultos: o valor da distância percorrida no teste de caminhada de seis minutos. Um estudo transversal diagnóstico. São Paulo Medical Journal, v. 134, n. 1, p. 56-62, JAN-FEB 2016. (11/07282-6)

JESUS, MATHEUS OLIVEIRA DE; OSTOLIN, THATIANE LOPES VALENTIM DI PASCHOALE; PROENCA, NELI LEITE; SILVA, RODRIGO PEREIRA DA; DOURADO, VICTOR ZUNIGA. elf-Administered Six-Minute Walk Test Using a Free Smartphone App in Asymptomatic Adults: Reliability and Reproducibilit. NTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALT, v. 19, n. 3, FEB 2022. (11/07282-6, 16/50249-3)

VALENTIM DI PASCHOALE OSTOLIN, THATIANE LOPES; GONZE, BARBARA DE BARROS; SPERANDIO, EVANDRO FORNIAS; ARANTES, RODOLFO LEITE; ROMITI, MARCELLO; DOURADO, VICTOR ZUNIGA. Mediator Effect of Cardiorespiratory Fitness on the Association between Physical Activity and Lung Function in Adults: Cross-Sectional Results from the Epimov Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, v. 19, n. 15, p. 14-pg., 2022-08-01. (11/07282-6)

GONZE, BARBARA DE BARROS; OSTOLIN, THATIANE LOPES VALENTIM DI PASCHOALE; BARBOSA, ALAN CARLOS BRISOLA; MATHEUS, AGATHA CAVEDA; SPERANDIO, EVANDRO FORNIAS; GAGLIARDI, ANTONIO RICARDO DE TOLEDO; ARANTES, RODOLFO LEITE; ROMITI, MARCELLO; DOURADO, VICTOR ZUNIGA. Dynamic physiological responses in obese and non-obese adults submitted to cardiopulmonary exercise test. PLoS One, v. 16, n. 8, AUG 9 2021. (11/07282-6)

MARIAM MIAN BOUCHNAK; THATIANE LOPES VALENTIM DI PASCHOALE OSTOLIN; EVANDRO FORNIAS SPERANDIO; WESLEY DE OLIVEIRA VIEIRA; VICTOR ZUNIGA DOURADO. Associação entre fadiga muscular localizada eletromiográfica do reto femoral e equilíbrio postural estático em homens adultos fisicamente ativos. Rev. bras. cineantropom. desempenho hum., v. 22, 2020-10-23. (11/07282-6)

ALMEIDA, VITOR ROSSI DE; OSTOLIN, THATIANE LOPES VALENTIM DI PASCHOALE; GONZE, BARBARA DE BARROS; ALMEIDA, FLAVIO ROSSI DE; ROMITI, MARCELLO; ARANTES, RODOLFO LEITE; DOURADO, VICTOR ZUNIGA. Early flattening of the oxygen pulse during the cardiopulmonary exercise test in asymptomatic adults and its association with cardiovascular risk factors. INTERNATIONAL JOURNAL OF CARDIOLOGY, v. 367, p. 9-pg., 2022-11-15. (11/07282-6)

CHIUDO, MARCELA MARTINS; BET, PATRICIA; COSTA, GIOVANA FONDATO; SIMO, MARIA DO SOCORRO MORAIS PEREIRA; PONTI, MOACIR ANTONELLI; DOURADO, VICTOR ZUNIGA; CASTRO, PAULA COSTA. Mapping features and patterns of accelerometry data on human movement in different age groups and associated health problems: A cross-sectional study. Experimental Gerontology, v. 168, p. 9-pg., 2022-09-22. (11/07282-6)

V.Z. DOURADO; A.C. BARBOSA; M.S.M.P. SIMÕES; V.T. LAURIA; A.C. MATHEUS; K.P. SADARANGANI; R.L. ARANTES; M. ROMITI; J.E. PETERMAN; R. ARENA; et al. Prediction of maximum oxygen uptake over time in adults: analysis from the FRIEND registry. Brazilian Journal of Medical and Biological Research, v. 58, 2025-03-03. (11/07282-6)

DOURADO, VICTOR. Predicting maximum oxygen uptake using the six-minute walk distance in adults: What is the best curve fit estimation?. PULMONOLOGY, v. 31, n. 1, p. 4-pg., 2025-12-01. (11/07282-6)

DOURADO, V. Z.; SPERANDIO, E. F.; ROMITI, M.; GAGLIARDI, A. R. D. T.; ARANTES, R. L.; LAB EPIDEMIOLOGY HUMAN MOVEMENT. Interrupting Sedentary Behavior And Clinically Important Fev1 Decline In Adults: The Epimov Study. American Journal of Respiratory and Critical Care Medicine, v. 195, p. 1-pg., 2017-01-01. (11/07282-6)