00399nas a2200109 4500008004100000022001400041245008000055210006900135260002300204300001000227856005200237 2025 eng d a1471-546500aReflections on the role of [meta]data in strategic environmental assessment0 aReflections on the role of metadata in strategic environmental a bInforma UK Limited a1–5 uhttp://dx.doi.org/10.1080/14615517.2025.253082600364nas a2200097 4500008004100000020004400041245006000085210005900145300001200204856005000216 2025 eng d a978-3-031-97347-5
978-3-031-97348-200aThe New Syndemic of Obesity and COVID-19 in Urban Areas0 aThe New Syndemic of Obesity and COVID19 in Urban Areas a161-178 uhttps://www.cipes.pt/node/4436?language=pt-pt00374nas a2200097 4500008004100000020002800041245008000069210006900149300000800218856005000226 2025 eng d a1461-5517
1471-546500aReflections on the role of [meta]data in strategic environmental assessment0 aReflections on the role of metadata in strategic environmental a a1-5 uhttps://www.cipes.pt/node/4444?language=pt-pt00396nas a2200097 4500008004100000020002800041245010300069210006900172490000700241856005000248 2024 eng d a1101-1262
1464-360X00aHealth promotion at local level in Portugal: is childhood obesity a concern in municipal programs?0 aHealth promotion at local level in Portugal is childhood obesity0 v34 uhttps://www.cipes.pt/node/4432?language=pt-pt00428nas a2200085 4500008004100000020002800041245015400069210006900223856005000292 2024 eng d a2198-1833
1613-223800aDo sociodemographic factors play a role in the relation between COVID-19 infection and obesity? Findings from a cross-sectional study in eastern Oslo0 aDo sociodemographic factors play a role in the relation between  uhttps://www.cipes.pt/node/4433?language=pt-pt02295nas a2200145 4500008004100000020007300041245011400114210006900228250001300297260000800310300002200318490000700340520175200347856005002099 2022 eng d a2279-9028 (Print)
2279-9036 (Electronic)
2279-9028 (Linking)00aIdentifying obesity and COVID-19 overlapping risk-factors: Protocol for a systematic review and meta-analysis0 aIdentifying obesity and COVID19 overlapping riskfactors Protocol a20220823 cJul a227990362211065840 v113 aThis systematic review main goal is to identify the common risk factors of obesity and COVID-19 overall, and highlight the ones related to urban settings specifically, using a syndemic framework. COVID-19 highlighted the interaction between infectious diseases and non-communicable diseases. We hypothesise that obesity and COVID-19 share determinants, thus our main goal is to identify the overlapping risk factors and their magnitude of association with both health outcomes. Literature search was conducted in Medline and Embase, Cochrane Library and Epistemonikos, Web of Science and Scopus, ASSIA and SocINDEX and, Google Scholar, in June 2021. Covidence will be used to conduct the title and abstract, and full-text screening, considering the following inclusion criteria: (a) study addresses both health outcomes, (b) full-length articles, (c) study focuses on humans and (d) studies in English. The exclusion criteria will be: (a) study addresses one of the outcomes in combination with other pathologies, (b) not full-length article, (c) study focuses on animals, (d) study not written in English, (e) study focuses on treatment (pharmacological or other), testing (prognostic) or specific patients with other pathologies and (f) study focussed in clinical and/or physiological mechanisms associated with obesity and/or COVID-19. The included studies will be assessed for quality using the Effective Public Health Practice Project for quantitative studies and the tool described by Hawker for qualitative studies. Qualitative results will be assessed using thematic analysis methods to synthesise findings and presented in summary tables. Quantitative results - meta-analysis - will be analysed and presented using Q test and Funnel Plot. uhttps://www.cipes.pt/node/4434?language=pt-pt03267nas a2200121 4500008004100000020005100041245010000092210006900192260001100261490000700272520281600279856005003095 2022 eng d a1460-2245 (Electronic)
0957-4824 (Linking)00aMunicipal health promotion programs: is childhood obesity a concern at local level in Portugal?0 aMunicipal health promotion programs is childhood obesity a conce cFeb 170 v373 aHealth promotion programs, targeted at distinct health outcomes such as childhood obesity, at local level are increasingly used worldwide. Therefore, there is a need to better understand the role of local governments (municipalities) as key public health promoters namely in the prevention of obesity in children. We aimed to provide some input regarding this issue in Portugal. First, we identified health-enhancing programs promoted by Portuguese municipalities in which children could participate. Then, we conducted a document analysis to provide clues about how municipalities conceptualized child health by retrieving information on which topics the programs were focused in, or acted upon, and identifying which socio-ecological model levels were addressed (or not) by each program. The 77 identified programs were promoted by 30 of the 308 Portuguese municipalities and only 11 programs addressed childhood obesity. Most programs focused in the individual health determinants and provided limited information which disabled its deeper analysis. Portuguese municipalities seem to disregard their potential as public health promoters. Childhood obesity is a major public health concern at national (and global) level but the same does not emerge locally. Municipalities are the closest government entities to the population, and it is their responsibility to ensure the population's quality of life, by addressing the social determinants and the physical environments. Therefore, municipalities should acknowledge health in their actions and delineate health improvement programs considering current evidence, specifically in the case of childhood obesity prevention that besides being a health problem in itself, is a risk factor for non-communicable diseases.
Health promotion programs at local level are increasingly used worldwide, specifically targeted at tackling childhood obesity. Thus, local governments (municipalities) become key public health promoters and play an important role in the prevention of obesity in children. We identified health-enhancing programs promoted by Portuguese municipalities in which children could participate. The 77 identified programs were promoted by 30 of the 308 Portuguese municipalities and only 11 programs addressed childhood obesity. It appears that a large number of Portuguese municipalities disregard their potential as public health promoters. Despite the clear governmental concern about childhood obesity at national level, the same does not emerge locally. Municipalities' are responsible for ensuring the population's quality of life, namely through multisectoral actions, which is particularly relevant in the prevention of childhood obesity. Therefore, all municipalities should include childhood obesity prevention in their concerns.
eng uhttps://www.cipes.pt/node/4443?language=pt-pt02034nas a2200133 4500008004100000020007300041245009600114210006900210250001300279260001100292490000600303520154100309856005001850 2021 eng d a2227-9032 (Print)
2227-9032 (Electronic)
2227-9032 (Linking)00aPortuguese Medical Students' Interest for Science and Research Declines after Freshman Year0 aPortuguese Medical Students Interest for Science and Research De a20211012 cOct 120 v93 aThe integration of scientific research into medical curricula remains insufficient despite its advantages for medical students' professional development and the advancement of medicine. This study aimed to evaluate the impact of first-year medical course attendance on medical students' attitudes and perceptions towards scientific research and clinical practice, while also assessing the contribution of sociodemographic and academic factors. Two hundred and thirteen medical students self-administrated a questionnaire at the beginning and at the end of the first school year. Their responses were compared and two regression models were calculated to assess factors influencing students' attitudes and perceptions. After freshman year, students displayed significantly lower positive attitudes towards science and research. Their motivation to perform research and to integrate it into the curriculum also decreased, while the importance attributed to research skills for clinical practice increased. Motivation to perform research and negative attitudes were positively and negatively associated with grade point average (GPA), respectively. Female students and those who attended public secondary schools attributed greater importance to communication skills. This study reinforces the need to early develop research skills and positive attitudes in medical students, motivating them to become physician-scientists. Additional follow-up studies may offer further contributions to the integration of research into medical curricula. uhttps://www.cipes.pt/node/4435?language=pt-pt02189nas a2200145 4500008004100000020005100041245010400092210006900196250001300265260000800278300001000286490000800296520168900304856005001993 2021 eng d a1476-5616 (Electronic)
0033-3506 (Linking)00aThe economic crisis impact on the body mass index of children living in distinct urban environments0 aThe economic crisis impact on the body mass index of children li a20210616 cJul a29-340 v1963 aOBJECTIVES: Little is known about the impact of the 2008 global economic recession on childhood obesity in Portugal. Thus, this study's goals were to compare weight status of children during and after the economic crisis according to their neighbourhood environment features and to assess changes in specific dietary habits during the economic crisis. STUDY DESIGN: Cross-sectional study. METHODS: Data including weight, height, residence address to allow its geocoding and dietary habits changes during the crisis from children living in Lisbon municipality were collected in 2009 (N = 929) and in 2016 (N = 1751). A multidimensional environment index, with data of both built and socioeconomic nature collected at the statistical section level (areas comprised 300 dwellers) in the 2011 census, was used to characterize neighbourhoods. RESULTS: Overall, the proportion of children who are overweight or obese living in the socioeconomically vulnerable areas decreased in 2016. Families living in the latter areas stopped buying some food items, started to buy cheaper food items, cooked more meals at home and ate less in restaurants. In 2016, the risk for overweight and obesity increased in children who lived in the least advantageous areas. Living in areas with high socioeconomic status or most advantageous areas no longer represented a decreased risk of being overweight or obese in children in 2016 as it did in 2009. CONCLUSIONS: This study suggests that the economic crisis enhanced the social inequalities regarding childhood obesity. These results aid the development of evidence-based strategies to lessen the social inequities in health outcomes created by the crisis. uhttps://www.cipes.pt/node/4438?language=pt-pt01858nas a2200145 4500008004100000020005100041245008400092210006900176250001300245260000800258300001100266490000700277520137800284856005001662 2019 eng d a1520-6300 (Electronic)
1042-0533 (Linking)00aThe role of urban design in childhood obesity: A case study in Lisbon, Portugal0 aThe role of urban design in childhood obesity A case study in Li a20190314 cMay ae232200 v313 aOBJECTIVE: We hypothesize that physical features of the urban environment might enhance or prevent childhood obesity. Thus, this study's main goal was to verify if there is an association between the neighborhood urban design and childhood obesity-independent of well-known childhood obesity determinants, such as, father's level of schooling (as a proxy for socioeconomic status), and parent's weight status. METHODS: This study classifies neighborhoods according to land use and building features using hierarchical clusters analysis and examines their association with childhood obesity through logistic regression models. RESULTS: Four clusters resulted from the analysis: Cluster 1 represents areas with older buildings and mixed land use, cluster 2 is an area with small rented buildings and urban areas, cluster 3 comprises newer buildings with parking and urban green space, and cluster 4 is a forest area. Living in cluster 3 protects from childhood obesity, even when adjusting for father's level of schooling or parent's weight status. CONCLUSIONS: There are distinct urban configurations in Lisbon's municipality and children who live in Cluster 3 (more recent and greener neighborhoods) seem to be protected from obesity. Therefore, public policy should focus on healthy urban planning at the neighborhood level, to promote positive impacts on peoples' health. uhttps://www.cipes.pt/node/4441?language=pt-pt02554nas a2200145 4500008004100000020005100041245016500092210006900257250001300326260000800339300001400347490000700361520199000368856005002358 2019 eng d a1476-5497 (Electronic)
0307-0565 (Linking)00aDescribing studies on childhood obesity determinants by Socio-Ecological Model level: a scoping review to identify gaps and provide guidance for future research0 aDescribing studies on childhood obesity determinants by SocioEco a20190708 cOct a1883-18900 v433 aChildhood obesity is increasing worldwide and is a major public health concern once children with obesity are at higher risk for several diseases and are often stigmatized. Children with obesity are more likely to become adults with obesity with greater needs of healthcare. Determinants of childhood obesity might be grouped in five levels according to the Socio-Ecological Model (SEM): individual, interpersonal, institutional, community and policies. This scoping review emerged from the need to identify which determinants of childhood obesity have been more frequently studied (and how) and which require more investigation. The main objectives were to quantify studies on the determinants of childhood obesity by SEM level addressed, to identify gaps in the literature regarding the studied SEM level(s), to describe the studies' characteristics and to provide guidance for SEM levels that need further investigation. This scoping review follows the five-stage protocol methodology proposed by Arksey and O'Malley in 2005. PubMed database was systematically searched, and hand-searches also took place. The search yielded 975 results from which 552 were excluded after title and abstract reading. The remaining 423 results were fully read and information about methodologic aspects, namely study design, sample size, sample constitution (children, dyads or/and parents) and children's age as well as the SEM level determinants addressed was retrieved. Despite the consensus about the appropriateness of SEM as a framework to comprehensively examine childhood obesity determinants, studies addressing all SEM levels determinants jointly or the policies level determinants alone were not found. Other gaps shown were: the small number of studies that included the policies level determinants alongside determinants from other levels (N = 10) and studies using cohorts study design (ranging from 2 to 28 per SEM level). These gaps should be considered when planning future research. uhttps://www.cipes.pt/node/4442?language=pt-pt00483nas a2200109 4500008004100000020001400041245017800055210007400233300001000307490000600317856005000323 2018 eng d a2237-141900aA RELAÇÃO ENTRE A URBANIZAÇÃO E A EPIDEMIA DA OBESIDADE A NÍVEL MUNDIAL E EM PORTUGAL / The relation between urbanization and obesity epidemic worldwide and in Portugal0 aA RELAÇÃO ENTRE A URBANIZAÇÃO E A EPIDEMIA DA OBESIDADE A NÍVEL  a06-230 v9 uhttps://www.cipes.pt/node/4439?language=pt-pt00442nas a2200109 4500008004100000020001300041245014000054210006900194300001200263490000700275856005000282 2018 eng d a0143622800aAssociation between childhood obesity and environmental characteristics: Testing a multidimensional environment index using census data0 aAssociation between childhood obesity and environmental characte a104-1110 v92 uhttps://www.cipes.pt/node/4440?language=pt-pt01818nas a2200145 4500008004100000020005100041245005400092210005300146250001300199260000800212300001000220490000700230520138500237856005001622 2015 eng d a1472-6491 (Electronic)
1472-6483 (Linking)00aPatients' views on the embryo storage time limits0 aPatients views on the embryo storage time limits a20150508 cAug a232-80 v313 aThe establishment of the length of embryo storage has been based on socio-political criteria. There are different regulations, guidelines and health care policies worldwide. This mixed-methods study aimed to assess the opinion of patients about the embryo storage time limit, and the perception of the criteria underlying the establishment of the storage period offered to them. Between August 2011 and December 2012, 534 IVF patients from Portugal participated in a quantitative questionnaire and 34 couples were interviewed. Overall, 38% of participants preferred the duration of 4-5 years, 38% extended it beyond 5 years and 23% indicated 3 years. Having experienced at least one previous cycle was directly associated with agreeing with a duration of storage longer than 5 years, for both women and men. Having children was inversely associated with longer duration of storage, among women. One-third of the 34 interviewed couples stated that their knowledge concerning embryo storage was insufficient. Nevertheless, all the interviewees reported at least one possible reason for the legal establishment of the storage period offered to them, highlighting financial costs and decreased embryo quality. There are misconceptions and gaps in awareness of cryopreservation, which may shape patients' opinions. Accurate information regarding policy on storage of embryos is needed. uhttps://www.cipes.pt/node/4445?language=pt-pt00407nas a2200097 4500008004100000245012600041210007100167300001200238490000900250856005000259 2011 eng d00aDeterminantes Ambientais e Sociais nos Níveis de Actividade Física dos Adolescentes: a utilização de metodologias SIG0 aDeterminantes Ambientais e Sociais nos Níveis de Actividade Físi a107-1180 vXLVI uhttps://www.cipes.pt/node/4437?language=pt-pt