Possui doutorado em Saúde da Criança e do Adolescente pela Universidade Federal do Rio Grande do Sul (2019), mestrado em Promoção da Saúde pela Universidade de Santa Cruz do Sul (2015) e graduação em Fisioterapia pela Universidade de Santa Cruz do Sul (2011). Docente da Universidade de Santa Cruz do Sul, do Departamento de Ciências da Saúde, docente do Programa de Pós-graduação em Promoção da Saúde - PPGPS (Mestrado e Doutorado) da Universidade de Santa Cruz do Sul (UNISC). Docente dos Programas de Residência Multiprofissional Integrada em Saúde e Residência Médica do Hospital Santa Cruz (HSC). Membro do Laboratório de Pesquisa em Saúde da Universidade de Santa Cruz do Sul, vinculada à Saúde do Escolar. Integrante do grupo de Pesquisa Promoção da Saúde e Bem-estar, inscrito no CNPq. Atua na linha de pesquisa do PPGPS: Saúde e estilo de vida da família, do escolar e do trabalhador, com pesquisas e publicações voltadas na avaliação da aptidão física, atividade física, aspectos do estilo
RESEARCH, TEACHING, or OTHER INTERESTS
Physical Therapy, Sports Therapy and Rehabilitation, Multidisciplinary
16
Scopus Publications
Scopus Publications
The synergic relationship between muscular fitness and adiposity with cardiometabolic risk: a longitudinal mediation analysis João Francisco de Castro Silveira, Lars Bo Andersen, Karin Allor Pfeiffer, Ryan Donald Burns, Rodrigo Antunes Lima, Jane Dagmar Pollo Renner, Éboni Marília Reuter, Ana Paula Sehn, Anelise Reis Gaya, Cézane Priscila Reuter Sport Sciences for Health, 2026 Purpose The study aimed to examine whether muscular fitness and adiposity at baseline (age range: 7–16) are associated with clustered cardiometabolic risk at a 3-year follow-up, independent of cardiorespiratory fitness; and to investigate the distinct mediating roles of muscular fitness and adiposity in their potential associations with clustered cardiometabolic risk in a sample of children and adolescents from Southern Brazil. Methods An observational 3-year longitudinal study was conducted including 411 children and adolescents (10.51 ± 2.03 years of age at baseline; 56.4% females). Waist circumference was measured in addition to field-based tests of cardiorespiratory fitness, lower limb power, and abdominal muscular endurance. A clustered cardiometabolic risk score was calculated from fasting glucose, systolic blood pressure, total cholesterol/HDL-C ratio, and triglycerides z-scores, which were subsequently summed up and divided by four. Structural equation modeling with bootstrap was applied. Results Both waist circumference and muscular fitness at baseline were significantly associated with the clustered cardiometabolic risk score at follow-up, independently of cardiorespiratory fitness. Specifically, waist circumference showed both direct ( β = 0.095; 95% CI 0.025–0.169) and indirect associations through muscular fitness ( β = − 0.042; 95% CI − 0.085 to − 0.013) with cardiometabolic risk. The association between muscular fitness and cardiometabolic risk was explained by waist circumference ( β = − 0.179; 95% CI − 0.511 to − 0.059). Conclusion This study identified a complex longitudinal and synergistic relationship between muscular fitness, adiposity, and cardiometabolic risk. These findings highlight the importance of considering this interplay when designing strategies to improve cardiometabolic health in children and adolescents.
Changes in youth’s physical activity: influence on screen time and cardiometabolic risk after 2-year follow-up Ana Paula Sehn, Caroline Brand, João Francisco de Castro Silveira, Éboni Marília Reuter, Jane Dagmar Pollo Renner, Fernando Rodríguez-Rodríguez, Cristian Alvarez, Cézane Priscila Reuter International Journal of Environmental Health Research, 2026 This study aimed to verify the moderation role of changes in leisure physical activity (PA) practice in the association between screen time (ST) at baseline and cardiometabolic risk score (cMetS) at 2-year follow-up in children and adolescents. Observational longitudinal study included 333 children and adolescents (6-17 years), both sexes (girls n = 141), from public and private schools. Participants were evaluated in 2014 and 2016. The evaluation of leisure PA practice and ST behavior at baseline was applied through a self-reported questionnaire adapted from the validated questionnaire. Delta changes in leisure PA (ΔPA) were considered. The cMetS was obtained by z-score. Association between ST at baseline and cMetS at follow-up was significantly different across different values of ΔPA. From ΔPA ≥ 36.92 min/week, ST at baseline and cMetS at 2-year follow-up exhibited a negative relationship, indicating that even though participants presented higher amounts of ST at baseline, the cardiometabolic profile at follow-up tends to be healthy when there is a change in leisure PA from baseline to follow-up higher than this amount. The increases in leisure PA practice after a 2-year follow-up significantly moderate the negative association of ST with cardiometabolic risk factors by improving metabolic health in children and adolescents.
Relationship Between Parental Obesity, Body Mass Index and High-Sensitivity C-Reactive Protein Levels in Offspring Luciana Tornquist, Nathália Quaiatto Félix, Helen Freitas D’avila, Éboni Marília Reuter, Pâmela Ferreira Todendi, Karin Allor Pfeiffer, David P. Ferguson, Andréia Rosane de Moura Valim, Jane Dagmar Pollo Renner, Cézane Priscila Reuter Behavioral Medicine, 2025 Childhood obesity has been associated with high levels of systemic inflammation, increasing the risk of metabolic and cardiovascular diseases throughout life. Genetic and environmental factors, such as parental body mass index (BMI), can influence this relationship, impacting the inflammatory health of offspring from childhood. This study investigates the influence of parental BMI on the relationship between BMI and high-sensitivity C-reactive protein (hs-CRP) levels in offspring. A cross-sectional study was conducted with 423 children and adolescents from a municipality in southern Brazil. Offspring BMI was calculated using measured weight and height, while parental BMI was determined from self-reported measurements and classified based on World Health Organization cutoff points. hs-CRP levels were assessed using a high-sensitivity assay. The moderating effect of parental BMI on the relationship between offspring BMI and hs-CRP levels was analyzed through multiple linear regression models using the PROCESS macro extension for SPSS. Results indicated a direct association between offspring BMI and hs-CRP levels across all models, showing that hs-CRP levels increased linearly with BMI in offspring. A direct relationship between paternal obesity and offspring hs-CRP levels was observed, along with a significant inverse interaction between paternal BMI and offspring BMI with hs-CRP levels. Among schoolchildren with lower BMI, those with parents with obesity exhibited higher hs-CRP levels compared to peers with parents classified as eutrophic or overweight. These findings suggest that children of parents with obesity tend to have elevated levels of inflammation, regardless of their own BMI.
The genetic predisposition increases the chances of schoolchildren maintaining higher adiposity levels after three years Éboni Marília Reuter, Cézane Priscila Reuter, João Francisco de Castro Silveira, Ana Paula Sehn, Pâmela Ferreira Todendi, Andréia Rosane de Moura Valim, Javier Brazo-Sayavera, Elza Daniel de Mello BMC Pediatrics, 2023 Background The behavior of anthropometrics and the relationship with genetic factors through a long-term perspective should be better explored. This study aims to verify the odds of maintaining the nutritional status classification after three years, according to the rs9939609 polymorphism (FTO gene). Methods It was a retrospective longitudinal study with 355 schoolchildren (7–17 years). Body mass index, body-fat percentage (BF%), and waist circumference (WC) were measured at baseline and follow-up. The FTO gene was evaluated from blood collection and genotyping performed by real-time polymerase chain reaction. Odds ratios and 95% confidence intervals were calculated. Results For those homozygous with the A allele, the odds of being at less favorable classification at follow-up were 2.29 (1.24; 4.22) and 4.05 (2.08; 7.86) times higher than expected for BF% and WC, respectively, whereas the odds of being in the more favorable classification at follow-up were 0.34 (0.12; 0.93) and 0.11 (0.01; 0.78) for BF% and WC, respectively. The odds of being at less favorable classification were higher for AA carriers with less favorable classification at baseline for BF% and WC compared to AT and TT carriers. Conclusions Schoolchildren with a genetic predisposition to obesity and unfavorable anthropometric profile at baseline had more chances of maintaining their nutritional status after three years of follow-up.
Moderating Role of Physical Fitness in the Association Between TV Time and Adiposity Parameters in Adolescents Náthalie da Costa, João F. de C. Silveira, Letícia de B. Schneiders, Ana P. Sehn, Éboni M. Reuter, James P. Hobkirk, Sean Carroll, Cézane P. Reuter American Journal of Health Promotion, 2022 Purpose To identify whether physical fitness (PF) components play a moderating role in the relationship between TV time and adiposity levels. Design Cross-sectional study. Setting Few studies have examined if different PF levels modify the association between TV time and adiposity in adolescents. Studies often focus on the isolated relationships between obesity and TV time, or obesity and PF levels. Subjects 1071 adolescents (617 girls), aged 12 to 17 years. Measures Cardiorespiratory fitness (CRF), abdominal muscular endurance, and lower limb strength were evaluated using the protocols of the Projeto Esporte Brasil fitness testing battery. TV time was obtained using a self-reported questionnaire. Body mass index (BMI) and waist circumference (WC) were also assessed. Moderation analyses were conducted through multiple linear regression models with the following associations tested in different models: PF components, TV time, and interaction (PF component x TV time) with adiposity parameters (BMI and WC); Results A significant interaction term was found for CRF and TV time in the association with both WC (β: −.005; 95% CI: −.009; −.001; P = .012) and BMI (β: −.002; 95% CI: −.004; −.001; P = .009). Conclusion CRF moderates the relationship between TV time and adiposity measures in this cross-sectional analysis. These data support strategies looking at increasing physical activity levels to improve CRF and avoid the development of excess abdominal obesity and excess weight.
Social distancing as protection factor against COVID-19 in a non-metropolitan area in the State of Rio Grande do Sul, Brazil Ana Paula Helfer Schneider, Mari Ângela Gaedke, Janine Koepp, Éboni Marília Reuter, Camilo Darsie, Lia Gonçalves Possuelo, Andréia Rosane de Moura Valim, Marcelo Carneiro, Grupo COVID-VRP Revista Panamericana De Salud Publica Pan American Journal of Public Health, 2021 Objetivo. Investigar a soroprevalência de SARS-CoV-2 na região do Vale do Rio Pardo, Rio Grande do Sul, Brasil, e analisar a associação entre soroprevalência e adesão por parte da população às medidas de distanciamento social. Método. Este estudo transversal de base populacional compreendeu quatro etapas de coleta domiciliar de dados entre agosto e outubro de 2020. A soroprevalência foi avaliada utilizando teste rápido de anticorpos IgM e IgG. Foram coletados, ainda, dados demográficos, socioeconômicos, clínicos e comportamentais, com aplicação de um questionário de três perguntas sobre adesão a medidas de distanciamento social, com foco no nível de distanciamento social que o entrevistado conseguia praticar, rotina de atividades do entrevistado e circulação de pessoas na casa. A associação entre os dados sociodemográficos e a prática de distanciamento social foi avaliada pelo teste do qui-quadrado para tendência linear e heterogeneidade de proporções, e a associação entre o distanciamento social e a soroprevalência foi avaliada pela regressão de Poisson (intervalo de confiança de 95% [IC95%]; P<0,05). Resultados. Dos 4 252 indivíduos testados e entrevistados, 11,8% (IC95%: 10,8; 12,8) não aderiram ao distanciamento social. A prevalência de teste rápido reagente foi de 4,7% entre aqueles que não realizaram distanciamento social e de 1,9% entre aqueles que realizaram distanciamento social (P< 0,05). As variáveis sexo masculino, faixa etária de 20 a 59 anos, ensino médio, renda familiar mensal de R$ 3 136,00 a R$ 6 270,00 e morar na zona urbana apresentaram associação com a não adesão ao distanciamento social (P< 0,05). A adesão a todas as medidas de distanciamento social foi fator de proteção contra a infecção de SARS-CoV-2 (razão de prevalência: 0,37; IC95%: 0,19; 0,73). Conclusões. Os resultados indicam uma redução da soroprevalência pelas medidas de distanciamento social.
Relationship between dyslipidemia, cultural factors, and cardiorespiratory fitness in schoolchildren Cézane Priscila Reuter, Caroline Brand, Priscila Tatiana da Silva, Éboni Marília Reuter, Jane Dagmar Pollo Renner, Silvia Isabel Rech Franke, Elza Daniel de Mello, Leandro Tibiriçá Burgos, Letícia de Borba Schneiders, Miria Suzana Burgos Arquivos Brasileiros De Cardiologia, 2019 BACKGROUND: The presence of dyslipidemia and behavioral aspects are determinants of cardiovascular risk, especially in childhood and adolescence. OBJECTIVE: To verify possible relationships between dyslipidemia, cultural factors, and cardiorespiratory fitness (CRF) in schoolchildren. METHODS: This cross-sectional study evaluated a sample of 1,254 children and adolescents between the ages of 7 and 17 from the South of Brazil, 686 of whom were female. Dyslipidemia was defined as increased levels of at least one of the following lipid profile parameters: triglycerides (TG), total cholesterol (TC) and fractions of high (HDL-c) and low-density lipoprotein (LDL-c). Cultural aspects were evaluated by a self-reported questionnaire. Data were analyzed by logistic regression, considering the odds ratios (OR) and confidence intervals (CI) at 95%. RESULTS: The results revealed a high prevalence of dyslipidemia (41.9%), which was associated with female sex (OR: 1.56; IC: 1.24-1.96) and overweight/obese status (OR: 1.55; IC: 1.20-2.00). When lipid profile parameters were evaluated separately, high levels of LDL-c were observed to be associated with sedentary school transport (OR: 1.59; IC: 1.20-2.09). Schoolchildren who were overweight/obese had higher chances of elevated levels of TC (OR: 1.40; IC: 1.07-1.84) and TG (OR: 3.21; IC: 1.96-5.26). HDL-c was shown to be related to high television time (OR: 1.59; IC: 1.00-2.54). CONCLUSION: Alterations in lipid parameters are associated with cultural factors, especially those related to sedentary lifestyle and low levels of CRF.
Cutoff points for continuous metabolic risk score in adolescents from southern Brazil Cézane Priscila Reuter, Lars Bo Andersen, Andréia Rosane de Moura Valim, Éboni Marília Reuter, Leticia Borfe, Jane Dagmar Pollo Renner, Elza Daniel de Mello American Journal of Human Biology, 2019 ObjectiveThere is no consensus on the best diagnostic criteria for metabolic syndrome (MetS) in the child and adolescent population. Thus, the present study aimed to establish cutoff points for a continuous metabolic risk score (cMetS) in adolescents from southern Brazil.MethodsThis was a cross‐sectional study conducted between 2014 and 2015. The sample consisted of 1739 schoolchildren (985 girls), aged 10‐17 years. cMetS was calculated by sum of the Z‐score of the following parameters: waist circumference, systolic blood pressure, glucose, high‐density lipoprotein cholesterol, triglycerides, and cardiorespiratory fitness. Three diagnostic criteria of MetS were used to create cut points for cMetS.ResultsThe best cutoff point for cMetS was set at 3.40 for boys (sensitivity: 100.0%, specificity: 92.9%, AUC: 0.978) and 3.61 for girls (sensitivity: 100, 0%, specificity: 93.1%, AUC: 0.991). For these cutoff points, metabolic risk was found in 8.9% of adolescents (9.4% for boys and 8.5% for girls). A linear relationship was found between the mean values of cMetS and the number of components of MetS (mean cMetS −1.09 for no component present and 6.66 for 3 or more components).ConclusionsThe use of cMetS is valid for adolescents and can detect a greater proportion of students with metabolic risk, compared to the current criteria for diagnosis of MetS.
Factors associated with postural deviation in the sagittal plane of public-school adolescents Adolescencia E Saude, 2019