Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo最新文献

{"title":"Association of sports practice aspects with health risk behaviors in adolescents: a systematic review and meta-analysis.","authors":"Jhonatan Gritten Campos, Michael Silva, Rafael Vieira, Eliane Denise Araújo Bacil, Ana Beatriz Pacífico, Murilo Bastos, Wagner de Campos","doi":"10.1590/1984-0462/2025/43/2024094","DOIUrl":"10.1590/1984-0462/2025/43/2024094","url":null,"abstract":"<p><strong>Objective: </strong>To conduct a systematic review and meta-analysis to verify the association of aspects of sports practice with health risk behaviors in adolescents.</p><p><strong>Data source: </strong>A systematic search was conducted of electronic manuscripts from the United States National Library of Medicine (PubMed)/ Medical Literature Analysis and Retrieval System Online (MEDLINE), Web of Science, Science Direct, and Scientific Electronic Library Online (SciELO) published from January 2015 to December 2022. Studies examining the association between sport and health risk behaviors in adolescents aged 11 to 19 years were included. This study was registered in the International Prospective Register of Systematic Reviews (PROSPERO) under number CRD42023392053.</p><p><strong>Data synthesis: </strong>In total, 22 studies fulfilled the inclusion criteria. The association of sports practice with sedentary behavior showed odds ratio (OR) values ranging from 0,61 to 0,92, tobacco use from 0,35 to 0,73, illicit drugs from 0,40 to 0,91, and reduced inadequate sleep on weekdays of 0.57 (95% confidence interval - 95%CI 0.52-0.63) and weekends 0.79 (95%CI 0.69-0.89). In the meta-analysis, sports practice was significantly associated with alcohol consumption for boys (OR 1,36; CI95% 1,09-1,70), and was inversely associated with tobacco use for boys and girls (OR 0,59; CI95% 0,56-0,61).</p><p><strong>Conclusions: </strong>Adolescents who practice sports tend to have lower occurrences of sedentary behavior, tobacco and illicit drug use, and adequate amounts of sleep; and, in the meta-analysis, boys present higher values for alcohol consumption and boys and girls present lower values for tobacco use.</p>","PeriodicalId":74721,"journal":{"name":"Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo","volume":"43 ","pages":"e2024094"},"PeriodicalIF":0.0,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11654905/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Chronic urticaria treatment challenges in children.","authors":"Luis Felipe Ensina, Larissa Silva Brandão, Ana Caroline Dela Bianca Melo, Martti Antila, Moshe Ben-Shoshan, Dirceu Solé","doi":"10.1590/1984-0462/2025/43/2024107","DOIUrl":"https://doi.org/10.1590/1984-0462/2025/43/2024107","url":null,"abstract":"<p><strong>Objective: </strong>This paper aims to review the efficacy and safety of current chronic urticaria (CU) treatment in children and the existing patient-reported outcome measures (PROMs) used in this age group.</p><p><strong>Data source: </strong>Since there are few studies of CU in children, the authors performed a non-systematic review of published articles in English, Spanish, and Portuguese in the PubMed database in the last decade. Keywords used were (antihistamines OR omalizumab OR cyclosporine OR treatment) AND (chronic urticaria) AND (children OR adolescents).</p><p><strong>Data synthesis: </strong>According to the current guideline's algorithm, the treatment of CU involves using high doses of antihistamines when there is no response with the licensed dosage. The effectiveness of this increase in children has been demonstrated with control rates ranging from 35% to 92%, with few studies addressing safety profiles. Omalizumab is approved for children over 12 years of age as a second step in the algorithm. Although more studies with children are needed to assess its effectiveness and safety, some data show complete control of symptoms in more than 80% of pediatric cases with no adverse effects, including in children under 12 years. When monitored closely, cyclosporine showed a good response rate in pediatric CU with few adverse events. Also, PROMs validated for this age can be helpful in clinical decisions, such as Urticaria Activity Score summed over 7 days, Urticaria Control Test, and Chronic Urticaria Quality of Life Questionnaire.</p><p><strong>Conclusions: </strong>Collaborative studies are necessary to generate stronger evidence to support the guideline recommendations for children. The existing data indicate that these drugs are safe and effective for treatment when dose adjustments are made.</p>","PeriodicalId":74721,"journal":{"name":"Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo","volume":"43 ","pages":"e2024107"},"PeriodicalIF":0.0,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11654908/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and factors associated with intestinal parasitosis in children from an urban slum in Brazil: a cross-sectional study.","authors":"Paulo Henrique Faria Domingues, Amanda Teixeira de Araújo, Isabella Pontes Silva, Arthur Vieira Soares, Rita de Cássia Ferraresso Alves, Lorâne Allen Andrade de Assis Vidal, Paula Caetano Araújo","doi":"10.1590/1984-0462/2025/43/2024132","DOIUrl":"https://doi.org/10.1590/1984-0462/2025/43/2024132","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to estimate the prevalence and investigate the factors associated with intestinal parasitic diseases in children from an urban slum in Brazil.</p><p><strong>Methods: </strong>A cross-sectional study was conducted in children living in SEWA community, an urban slum located in Araguari, Minas Gerais, Brazil. The prevalence of intestinal parasitosis was determined via stool parasitological examination by spontaneous sedimentation. Socioeconomic, demographic, and behavioral data were collected to identify associated factors. The statistical analysis used the Poisson regression model, with robust variance for identification of associations.</p><p><strong>Results: </strong>Fifty-two children were interviewed, 41 of whom underwent parasitological examination. The prevalence of intestinal parasitosis was 43.9% (95% confidence interval - 95%CI 34.6-51.4), and 23% of children presented polyparasitism. Endolimax nana, Entamoeba coli, Giardia lamblia and Strongyloides stercoralis were identified in the stool samples. The adjusted analysis indicated negative associations of parasitosis with annual parasitological examination, possession of private health insurance, a mother who was married or in a stable relationship, and access to water treatment. Positive associations were observed with male sex, habit of playing with dirt, water ingestion from the hose, unemployed parents, low parental education, and the presence of a septic tank at home.</p><p><strong>Conclusions: </strong>The high prevalence of intestinal parasitosis in the SEWA community is a public health problem. The identification of modifiable and preventable factors highlights the need for interventions to improve living conditions not only for children but also for the entire community.</p>","PeriodicalId":74721,"journal":{"name":"Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo","volume":"43 ","pages":"e2024132"},"PeriodicalIF":0.0,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11654904/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring adolescent suicide attempts before and during the coronavirus disease 2019 pandemic: a cross-sectional study.","authors":"Lucca Garcia Moreira Ribeiro, Danton Matheus de Souza, Carlos Alberto Dos Santos Treichel, Vanessa Dias Fogaça, Lisabelle Mariano Rossato","doi":"10.1590/1984-0462/2025/43/2024093","DOIUrl":"10.1590/1984-0462/2025/43/2024093","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this study was to analyze suicide attempts in adolescents treated in the emergency department before and during the coronavirus disease 2019 pandemic.</p><p><strong>Methods: </strong>This cross-sectional, documentary, and retrospective study assessed the medical records of adolescents treated for suicide attempts in two emergency rooms linked to a teaching hospital in São Paulo, Brazil. Data were collected from the pre-pandemic period (between January 1, 2015, and March 10, 2020) and the pandemic period (between March 11, 2020, and May 5, 2023), characterizing the adolescents, risk factors for suicide attempts during the pandemic, and treatment. Data were subjected to descriptive and inferential analyses, including association tests and trend analysis, with a p-value of <0.05 considered statistically significant. The national ethical guidelines were followed.</p><p><strong>Results: </strong>Data on 140 suicide attempts were collected, of which 54 occurred during the pandemic. The trend in these cases remained stable (p>0.05). We observed an association between adolescents who had completed high school and cases during the pandemic, with a previous mental disorder diagnosis and pre-pandemic cases, and a higher number of suicide attempt notifications to the Brazilian epidemiological surveillance system during the pandemic period (p<0.05). Feelings of loneliness were the most prevalent risk factor during the pandemic.</p><p><strong>Conclusions: </strong>The COVID-19 pandemic did not show an influence on the number of suicide attempt cases in adolescents. However, it was observed that the cases during this period were not related to previous mental disorder diagnoses, as seen in the pre-pandemic period, which may suggest that other risk factors were associated with suicide attempt cases during the pandemic.</p>","PeriodicalId":74721,"journal":{"name":"Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo","volume":"43 ","pages":"e2024093"},"PeriodicalIF":0.0,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11606597/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pediatrician's role on patients with learning disabilities: a pilot study.","authors":"Vanessa Pacini Inaba Fernandes","doi":"10.1590/1984-0462/2025/43/2024106","DOIUrl":"10.1590/1984-0462/2025/43/2024106","url":null,"abstract":"<p><strong>Objective: </strong>Learning disability leads to school dropout and low self-esteem in childhood, low socioeconomic status, increased criminality, and incarceration in adulthood. Pediatricians are key professionals who can diagnose and prevent this. The objective of the study was the early detection and reference of children with learning disabilities as identified by their schoolteachers.</p><p><strong>Methods: </strong>The protocol included: specific anamnesis with parents; Snellen test; audiometry and central auditory processing test; referral to speech therapists, ophthalmologists, otorhinolaryngologists, psychiatrists, psychologists, and neurologists if necessary; validated screening tests to evaluate literacy and mathematics reasoning skills; and development of a report for parents and teachers on the suspected diagnosis, professional referral, and curricular adjustments.</p><p><strong>Results: </strong>A total of 15 patients were evaluated in 1 year, with a mean age of 10.3 years, median school fourth grade, and mostly males (80%). The time for final report delivery was 6.4 months. Visual impairment was identified in 35.7% and central auditory processing impairment in 100% of patients. For writing and reading skills, seven children had below average and two children had average scores; for mathematics skills, five had below average, one average, and one higher score. Six children were illiterate and were suspected of having autism spectrum disorder, attention-deficit hyperactivity disorder, oppositional defiant disorder, intelligence disability, or borderline intelligence coefficient.</p><p><strong>Conclusions: </strong>A specific protocol helped to identify sensory organ impairments and psychological and psychiatric conditions, quantify school hardship, and provide a report with a suspected diagnosis and referral for treatment of learning disabilities. Larger population studies and a control group are necessary to validate this protocol.</p>","PeriodicalId":74721,"journal":{"name":"Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo","volume":"43 ","pages":"e2024106"},"PeriodicalIF":0.0,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11606599/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142782036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How did previously obese children and adolescents behave during the SARS-CoV-2 pandemic in relation to weight gain?","authors":"Mirella Menaque da Paz, Fábio de Freitas, Mariana Renata Zago, Mariana Porto Zambon, Maria Ângela Reis de Góes Monteiro Antônio","doi":"10.1590/1984-0462/2025/43/2024058","DOIUrl":"10.1590/1984-0462/2025/43/2024058","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this study was to analyze the implications of social contingency measures and interruption of outpatient follow-up on weight gain in children and adolescents with a previous diagnosis of obesity.</p><p><strong>Methods: </strong>This is an observational study with data from electronic medical records of children and adolescents followed up at a specialized outpatient clinic from 2019 to 2023. Weight gain, height, BMI variation, BMI z-score, laboratory tests, and associated comorbidities were analyzed. The data were computed and analyzed using the Statistical Package for the Social Sciences (SPSS), and the results were considered statistically significant when p<0.05.</p><p><strong>Results: </strong>There was a weight gain of approximately 17.66% in the total set of participants, corresponding to a median increase of 14 kg. When analyzing between genders, we observed an approximate increase of 21.38% in body weight for men, while for women, it was 21.45%.</p><p><strong>Conclusions: </strong>The COVID-19 pandemic has led to significant weight gain among previously obese children and adolescents in follow-up at a specialized outpatient clinic.</p>","PeriodicalId":74721,"journal":{"name":"Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo","volume":"43 ","pages":"e2024058"},"PeriodicalIF":0.0,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11606596/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bilateral ulnar longitudinal deficiency with oligodactyly in newborn.","authors":"Sofia Cruzes Moysés Simão, Júlia Avelans Pires da Silva, Ariel Ortega Miranda, Rayza de Sousa Costa, Carolina Schlindwein Mariano Ferreira, Regina Yumi Saito","doi":"10.1590/1984-0462/2025/43/2024101","DOIUrl":"10.1590/1984-0462/2025/43/2024101","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this study was to report a case of bilateral ulnar longitudinal deficiency with oligodactyly in a male newborn.</p><p><strong>Case description: </strong>A full-term male newborn, born following an uncomplicated gestation with no abnormalities detected on prenatal ultrasounds, presented upper limb malformations described as shortening of the left forearm and absence of three digits bilaterally upon neonatal physical examination. Diagnostic investigations including X-rays, abdominal ultrasound, head ultrasound, echocardiogram, and karyotype analysis were conducted, facilitating detailed identification of the malformations and exclusion of other anomalies, thereby suggesting the diagnosis of congenital longitudinal deficiency of the ulna. Discharge planning encompassed supportive care and rehabilitation as per the patient's needs.</p><p><strong>Comments: </strong>Ulnar longitudinal deficiency is a rare congenital upper limb malformation, whose estimated incidence is 1:100,000 newborns. It is believed to be related to the Sonic Hedgehog gene, and the upper limb anomalies vary according to the ulnar involvement. The early diagnosis is not routine, being more common at the first physical examination with the aid of imaging tests.</p>","PeriodicalId":74721,"journal":{"name":"Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo","volume":"43 ","pages":"e2024101"},"PeriodicalIF":0.0,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11606600/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Challenges and strategies: treating spontaneous pneumothorax in massive pulmonary langerhans cell histiocytosis in children.","authors":"Letícia Helena Kaça do Carmo, Luiz Augusto Marin Jaca, Luiz Miguel Vicente Barreiros, Gabriela Marengone Altizani, Leticia Fontanini, Maristella Bergamo Francisco Dos Reis, Mauricio André Pereira da Silva, Marcel Koenigkam Santos, Monica Cypriano, Ygor Aluísio Moura, Henrique Lederman, Carlos Alberto Scrideli, Elvis Terci Valera","doi":"10.1590/1984-0462/2025/43/2024076","DOIUrl":"10.1590/1984-0462/2025/43/2024076","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this study was to report two cases of successive multiple spontaneous bilateral pneumothorax in children with massive lung involvement due to Langerhans cell histiocytosis (LCH), emphasizing the possibility of this differential diagnosis for the general pediatrician. Additionally, published cases describing pediatric patients with pulmonary manifestations of LCH were reviewed in the literature.</p><p><strong>Case description: </strong>Case #1: A 3-year-old male patient with a sudden episode of spontaneous right-sided pneumothorax, surgically drained. After 2 months, he experienced two new episodes of contralateral pneumothorax. A pulmonary lymph node biopsy revealed the diagnosis of LCH. He underwent bilateral video-assisted thoracic surgery and mini-thoracotomy with mechanical pleurodesis, in addition to chemotherapy, requiring prolonged hospitalization. Case #2: A 4-year-old boy with progressive dyspnea and wheezing for 5 months. A pulmonary biopsy revealed LCH. He developed significant respiratory distress and right pneumothorax, requiring drainage. Silver nitrate pleurodesis and different chemotherapy regimens were performed. Both patients responded well to multiple chemotherapy treatments, surgeries, and intensive care support.</p><p><strong>Comments: </strong>LCH is a challenging disease. Its clinical manifestation is variable, and pulmonary involvement occurs in about 10-15% of cases. We consider specialized surgical management and multidisciplinary support essential for the treatment of patients with massive pulmonary LCH. Although rare, massive pulmonary involvement by LCH should be considered in cases of recurrent pneumothorax in children.</p>","PeriodicalId":74721,"journal":{"name":"Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo","volume":"43 ","pages":"e2024076"},"PeriodicalIF":0.0,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11606601/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Non-coding rnas in Turner syndrome: a systematic review.","authors":"Júlio César Carvalho de Oliveira, Eldevan da Silva Barbosa, Nathaniel Batista Silva, Thaís da Conceição Silva, Ana Gabrielly de Melo Matos, Jaqueline Diniz Pinho","doi":"10.1590/1984-0462/2025/43/2024029","DOIUrl":"10.1590/1984-0462/2025/43/2024029","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to summarize the main findings of non-coding RNA (ncRNAs) in Turner syndrome (TS), correlating these biomolecules with the clinical manifestations in affected patients.</p><p><strong>Data source: </strong>Searches were conducted in the databases of the United States National Library of Medicine (PubMed), Scientific Electronic Library Online (SciELO), and ScienceDirect, covering original English articles published from 2014 to 2023. Descriptors used included \"lncRNAs and Turner Syndrome,\" \"miRNAs and Turner Syndrome,\" and \"circRNAs and Turner Syndrome.\" The studies that were included addressed the role of ncRNAs in the clinical characteristics of patients with TS. Exclusion criteria comprised texts in abstracts, reports, reviews, and monographs.</p><p><strong>Data synthesis: </strong>We identified 147 studies, of which seven were included. In the analysis of microRNAs, miR-486-5p and miR-320a stood out, being associated with ovarian development; miR-126-3p and miR-126-5p were related to greater aortic stiffness. Regarding long non-coding RNAs, the downregulation of XIST indicated dysfunctions in X chromosome inactivation. Concerning circular RNAs, circPPP2R3B, circCSF2RA, and circPCTN were related to immunological functions, while circ_0090421, circ_0090392, and circ_0089945 were linked to cardiac development.</p><p><strong>Conclusions: </strong>The data from these studies demonstrate that these biomolecules play crucial roles in processes related to specific characteristics observed in TS patients. Besides being suggested as potential biomarkers, they may be useful in clinical practice.</p>","PeriodicalId":74721,"journal":{"name":"Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo","volume":"43 ","pages":"e2024029"},"PeriodicalIF":0.0,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11606598/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142782035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Instruments for evaluating parental support for the practice of physical activity in children and adolescents: A scoping review.","authors":"Naildo Santos Silva, Paulo Henrique Guerra, Paulo Felipe Ribeiro Bandeira, Júlio Brugnara Mello, Adroaldo Gaya","doi":"10.1590/1984-0462/2025/43/2024025","DOIUrl":"10.1590/1984-0462/2025/43/2024025","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this study was to map the instruments used to assess parental support for physical activity and their constructs and psychometric properties.</p><p><strong>Data source: </strong>A scoping review was conducted, with searches in seven electronic databases and reference lists, covering articles available until April 2022. Original and cross-sectional studies were sought that used questionnaires, inventories or questions to assess parental support for the practice of physical activity and sports by children and adolescents aged 6 to 17 years and that assessed the barriers reported by parents or guardians for not offering support.</p><p><strong>Data synthesis: </strong>Of the initial 1739 articles, 21 made up the synthesis. From a general perspective, 11 studies from 5 continents used a questionnaire or inventory or question to assess parental support; the majority of the samples evaluated were made up of girls and mothers. The intraclass correlation coefficient was the most used measure to evaluate the reliability of the instruments (10 studies). To assess the reliability of the instruments, Cronbach's alpha was the most used measure (13 studies).</p><p><strong>Conclusions: </strong>Only one instrument was constructed respecting the psychometric properties. Authors are advised to consider the importance of following the instrument validity evidence process when developing or adapting instruments.</p>","PeriodicalId":74721,"journal":{"name":"Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo","volume":"43 ","pages":"e2024025"},"PeriodicalIF":0.0,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11606595/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142782033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}