Alcántara Alcántara, Juan Manuel
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Alcántara Alcántara
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Juan Manuel
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Ciencias de la Salud
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Publication Open Access Calibration and cross-validation of accelerometer cut-points to classify sedentary time and physical activity from hip and non-dominant and dominant wrists in older adults(MDPI, 2021) Migueles, Jairo H.; Cadenas-Sánchez, Cristina; Alcántara Alcántara, Juan Manuel; Leal-Martín, Javier; Mañas, Asier; Ara, Ignacio; Glynn, Nancy W.; Shiroma, Eric J.; Institute on Innovation and Sustainable Development in Food Chain - ISFOODAccelerometers' accuracy for sedentary time (ST) and moderate-to-vigorous physical activity (MVPA) classification depends on accelerometer placement, data processing, activities, and sample characteristics. As intensities differ by age, this study sought to determine intensity cut-points at various wear locations people more than 70 years old. Data from 59 older adults were used for calibration and from 21 independent participants for cross-validation purposes. Participants wore accelerometers on their hip and wrists while performing activities and having their energy expenditure measured with portable calorimetry. ST and MVPA were defined as <= 1.5 metabolic equivalents (METs) and >= 3 METs (1 MET = 2.8 mL/kg/min), respectively. Receiver operator characteristic (ROC) analyses showed fair-to-good accuracy (area under the curve [AUC] = 0.62-0.89). ST cut-points were 7 mg (cross-validation: sensitivity = 0.88, specificity = 0.80) and 1 count/5 s (cross-validation: sensitivity = 0.91, specificity = 0.96) for the hip; 18 mg (cross-validation: sensitivity = 0.86, specificity = 0.86) and 102 counts/5 s (cross-validation: sensitivity = 0.91, specificity = 0.92) for the non-dominant wrist; and 22 mg and 175 counts/5 s (not cross-validated) for the dominant wrist. MVPA cut-points were 14 mg (cross-validation: sensitivity = 0.70, specificity = 0.99) and 54 count/5 s (cross-validation: sensitivity = 1.00, specificity = 0.96) for the hip; 60 mg (cross-validation: sensitivity = 0.83, specificity = 0.99) and 182 counts/5 s (cross-validation: sensitivity = 1.00, specificity = 0.89) for the non-dominant wrist; and 64 mg and 268 counts/5 s (not cross-validated) for the dominant wrist. These cut-points can classify ST and MVPA in older adults from hip- and wrist-worn accelerometers.Publication Open Access No evidence of brown adipose tissue activation after 24 weeks of supervised exercise training in young sedentary adults in the ACTIBATE randomized controlled trial(Nature Research, 2022) Martínez Téllez, Borja; Sánchez Delgado, Guillermo; Acosta, Francisco M.; Alcántara Alcántara, Juan Manuel; Amaro Gahete, Francisco J.; Martínez Ávila, Wendy D.; Merchán Ramírez, Elisa; Muñoz-Hernández, Victoria; Osuna Prieto, Francisco J.; Jurado Fasoli, Lucas; Xu, Huiwen; Ortiz Álvarez, Lourdes; Arias Téllez, María J.; Méndez Gutiérrez, Andrea; Labayen Goñi, Idoia; Ortega, Francisco B.; Schönke, Milena; Rensen, Patrick C. N; Aguilera, Concepción María; Llamas Elvira, José M.; Gil, Ángel; Ruiz, Jonatan R.; Institute on Innovation and Sustainable Development in Food Chain - ISFOODExercise modulates both brown adipose tissue (BAT) metabolism and white adipose tissue (WAT) browning in murine models. Whether this is true in humans, however, has remained unknown. An unblinded randomized controlled trial (ClinicalTrials.gov ID: NCT02365129) was therefore conducted to study the effects of a 24-week supervised exercise intervention, combining endurance and resistance training, on BAT volume and activity (primary outcome). The study was carried out in the Sport and Health University Research Institute and the Virgen de las Nieves University Hospital of the University of Granada (Spain). One hundred and forty-five young sedentary adults were assigned to either (i) a control group (no exercise, n = 54), (ii) a moderate intensity exercise group (MOD-EX, n = 48), or (iii) a vigorous intensity exercise group (VIG-EX n = 43) by unrestricted randomization. No relevant adverse events were recorded. 97 participants (34 men, 63 women) were included in the final analysis (Control; n = 35, MOD-EX; n = 31, and VIG-EX; n = 31). We observed no changes in BAT volume (Δ Control: −22.2 ± 52.6 ml; Δ MOD-EX: −15.5 ± 62.1 ml, Δ VIG-EX: −6.8 ± 66.4 ml; P = 0.771) or 18F-fluorodeoxyglucose uptake (SUVpeak Δ Control: −2.6 ± 3.1 ml; Δ MOD-EX: −1.2 ± 4.8, Δ VIG-EX: −2.2 ± 5.1; p = 0.476) in either the control or the exercise groups. Thus, we did not find any evidence of an exercise-induced change on BAT volume or activity in young sedentary adults.