Search Results (144)

Objectives. The present study aimed to quantify changes in spinal kinematics during Nordic walking compared to regular walking (RW) for 60 s on a training path among physically fit young males (n = 20, aged 19–22 years). Methods. Two walking speeds were analyzed: 3 km/h and 5 km/h. The experimental setup was designed to assess spinal angular rotations using five kinematic parameters: upper spine, lower spine, thoracic region, lumbar region, and pelvis. Results. The data were acquired from 9 compact inertial sensors and the following motion analysis is carried out using 3D MioMotion IMU sensor’s analysis system. The differences in the obtained cyclic biomechanical parameters were detected using functional data analysis (FDA) statistical tests. Conclusions. The key finding of the study is that Nordic walking significantly alters the angular kinematic pattern of spinal movement as it revealed significant differences in all five measured parameters when compared to normal walking. Notably, the most pronounced changes were observed in the upper spine and pelvis motion. Additionally, Nordic walking increased stance phase duration and velocity: (i) significantly increased the duration of the stance phase in all three planes of motion; (ii) significantly increased the velocity during the stance phase across all three planes. These reported findings highlight the biomechanical, preventive, therapeutic, and rehabilitative potential of Nordic walking. Full article

Background: Several studies have examined the prevalence of musculoskeletal pain (MSP) among university students internationally. We aimed to assess the prevalence, pattern, and potential risk factors for MSP among Majmaah University students in Saudi Arabia. Methods: A cross-sectional questionnaire was administered to students from different faculties at Majmaah University. We collected data via the validated Arabic versions of the Standardized Nordic Musculoskeletal Questionnaire, the International Physical Activity Questionnaire, and the Perceived Stress Scale. Bivariate and multivariate logistic regression analyses were performed to explore associations between MSP and demographic, ergonomic, lifestyle, and psychosocial variables. Results: A total of 257 students (n = 195, 75.9% female; n = 62, 24.1% male) were included in this study. The 12-month prevalence of MSP was 225 (87.5%), with the lower back (n = 119, 46.3%) and neck (n = 113, 44.0%) regions being the most affected. Compared with male students, female students reported a higher MSP prevalence (90.3% vs. 79.0%, p = 0.035). The multivariable model was significant (likelihood-ratio χ² = 26.042, df = 7, p < 0.001), accounted for Nagelkerke R² = 0.182 of variance, and showed good calibration (Hosmer–Lemeshow χ² = 8.505, df = 8, p = 0.386). Perceived stress was the only independent predictor of 12-month MSP (β = 0.084, adjusted OR = 1.087, 95% CI 1.034–1.143, Wald χ² = 10.732, p = 0.001), while sex, smoking, academic workload, and sleep duration were non-significant (all p > 0.127). Conclusions: MSP appears to be prevalent among Majmaah University students, with psychological stress emerging as a key independent risk factor. Preventive strategies should include stress management prioritization and ergonomic and physical activity education to support university student well-being. Full article

Water governance in Europe faces mounting challenges from climate change, demographic pressures, and aging infrastructure—especially in Southern regions increasingly affected by drought and institutional fragmentation. In contrast, Nordic countries such as Denmark and Sweden exhibit coherent, integrated governance systems with strong regulatory oversight. This study introduces the Water Governance Maturity Index (WGMI), a document-based assessment tool designed to evaluate national water governance across five dimensions: institutional capacity, operational effectiveness, environmental ambition, equity, and climate adaptation. Applying the WGMI to eight EU countries—four Nordic and four Southern—reveals a persistent North–South divide in governance maturity. Nordic countries consistently score in the “advanced” or “model” range, while Southern countries face systemic gaps in implementation, climate integration, and territorial inclusion. Based on these findings, the study offers actionable policy recommendations, including the establishment of independent regulators, strengthening of river basin coordination, mainstreaming of climate-water strategies, and expansion of affordability and participation mechanisms. By translating complex governance principles into measurable indicators, the WGMI provides a practical tool for benchmarking reform progress and supporting the EU’s broader agenda for just resilience and climate adaptation. Unlike broader frameworks like SDG 6.5.1, the WGMI’s document-based, dimension-specific approach provides granular, actionable insights for governance reform, enhancing its utility for EU and global policymakers. Full article

(1) Background: Work-related musculoskeletal disorders (WMSDs) are a major occupational health concern in the construction industry owing to the physically demanding tasks and poor ergonomic conditions present. Limited data exist on the prevalence of WMSDs and their ergonomic determinants among construction workers in India. This study investigated the prevalence of work-related musculoskeletal disorders (WMSDs) and the associated ergonomic risk factors among construction workers in India. (2) Methods: This cross-sectional study was conducted among 250 construction workers in India. Data on musculoskeletal disorders were collected using the Nordic Musculoskeletal Questionnaire (NMQ), and ergonomic risk was assessed using the Rapid Entire Body Assessment (REBA) tool. Logistic regression was used to identify factors associated with WMSDs, and Spearman’s correlation was used to assess the relationship between the REBA scores and the number of affected body regions. (3) Results: The prevalence of WMSDs was 60.4%. The most affected regions were the lower back (48%), knees (45%), shoulders (40%), and the neck (30%). The REBA scores indicated that 60% of the workers were at high or very high ergonomic risk and 30% at medium risk. Workers in the high/very high-risk category had significantly higher odds of developing WMSDs (OR = 4.5, 95% CI: 1.8–11.2, p = 0.001). Age above 40 years was also significantly associated with WMSDs (OR = 3.5, 95% CI: 1.2–10.2, p = 0.02). (4) Conclusions: This study demonstrated a high prevalence of WMSDs among Indian construction workers and established a clear association with poor ergonomic conditions. Targeted ergonomic interventions, including posture improvement, tool redesign, and safety training, are essential for reducing the risk of WMSDs in this population. Full article

The aim of the study was to verify the relationship between musculoskeletal pain of elite Polish goalball players and selected physique and posture characteristics. We examined 12 players. The mean age was 21.8 ± 6.0 years, and a mean training experience of 6.3 ± 3.4 years. Physique (body mass, body height, waist circumference, fat tissue, fat-free soft tissue) and posture (thoracic kyphosis and lumbar lordosis) and range of motion (in the thoracic and lumbar regions) were assessed. The incidences and locations of musculoskeletal pain were identified using the Nordic Musculoskeletal Questionnaire, covering the period from the last seven days (NMQ-7) and six months (NMQ-6). Due to the small group size, non-parametric tests (Spearman’s rank correlation) were used. The significance level was set at p < 0.05. Players were more likely to report musculoskeletal pain in the last six months than in the previous week. Pain reported in both NMQ6 and NMQ7 was most common in the wrists/hands and lower back, and, in NMQ6, also in the shoulders and ankles/feet. There were significant negative correlations of total NMQ7 with lumbar lordosis angle in the habitual standing position (R = −0.6; p = 0.04), trunk flexion (R = −0.8, p = 0.002), and trunk extension (R = −0.6; p = 0.03), and a positive correlation with thoracic kyphosis angle in trunk flexion (R = 0.8, p = 0.005). There was a statistically significant, inversely proportional relationship of thoracic kyphosis angle values in the habitual position (R = −0.58; p = 0.049) and thoracic kyphosis angle THA in trunk flexion (R = −0.6; p = 0.038) with time of disability. Relationships between some body posture parameters and musculoskeletal pain in the studied athletes were also noted. Full article

Background: Low back pain (LBP) and musculoskeletal disorders are highly prevalent among agricultural workers. However, there is limited epidemiological evidence from rural regions of Ecuador, where working and living conditions may differ substantially from those in other settings. This study aimed to identify predictors of LBP among farmers in rural Ecuador to inform locally relevant prevention strategies. Methods: Participants aged 30 to 60 years (n = 103) were recruited through a traveling health clinic. Participants were assessed with behavioral and sociodemographic self-report questionnaires and anthropometric measurements. Low back pain (LBP) was assessed using the Standardized Nordic Musculoskeletal Questionnaire, which asked about symptoms experienced in the past 12 months. Bivariate (Chi-square and Fisher exact tests) and multivariate (binary logistic regression) analyses were conducted to explore associations between risk factors and LBP in individuals aged 30 to 60 years. Results: LBP was highly prevalent, affecting 78.6% of participants. Behavioral patterns were mixed, with low rates of smoking and moderate alcohol and coffee consumption associated with LBP. A normal body mass index (BMI) was observed in 66% of the sample, and over half reported stable mood and good self-perceived health. In the binary logistic regression analysis, only education level significantly predicted LBP, with secondary education acting as a protective factor. Conclusions: While lower back pain was widespread in the population studied, most risk factors that were analyzed were not significantly associated with its presence. Full article

In this paper, we compare the determinants of CO₂ emissions: GDP per capita, energy production from renewable sources (EPREN), secondary school enrollment (SI) and urbanization (URB) for three groups of countries: SEE (South-Eastern European), Nordic, and Baltic countries during 1990–2022 by means of panel ARDL. The long-term analysis indicates that in SEE countries, URB significantly reduces CO₂ emissions (4.54%). In contrast, GDP (0.46%) and SI (0.54%) slightly increase CO₂ emissions. In the case of Baltic countries, GDP positively correlates with CO₂ (1.65%), while URB (29.27%), EPREN (0.03%), and SI (6.22%) negatively correlate with CO₂. In the case of Nordic countries, GDP (0.59%), EPREN (0.14%), and URB (18.02%) negatively impact CO₂ emissions. Regarding the Error Correction Term (ECT) dimension, the Nordic countries exhibit the fastest adjustment to shocks (−0.67), succeeded by the SEE countries (−0.44), while the Baltic countries display the slowest response (−0.27). This sequence indicates varying degrees of efficiency and speed at which each region can address fluctuations impacting CO₂ emissions. These differences may reflect variations in policy execution, infrastructure adaptability, and the general development of environmental governance across the three regions. Our research contributes by offering a comparative, region-specific econometric analysis of the long-run and short-run dynamics of CO₂ emissions in European subregions, revealing the nuanced roles of education, urbanization, and RES in shaping environmental outcomes and providing empirical evidence to inform targeted climate and development policies. Full article

Despite its ancient and foreign origin, the Bible has managed to integrate so seamlessly into the contemporary Nordic countries that it is seen to form the basis of specifically Danish, Norwegian, and Swedish identity and values. This paper will employ the work of translation scholar Lawrence Venuti on the politics and ethics of translation, and especially his concepts of foreignization and domestication, to explore this understanding of the Bible. Venuti’s thought informs critical reflection on how translation contributes to the cultural position of the Bible in the Nordic context, through examining translation principles, the function of retranslation, and the role of fluency. This contributes to our understanding of how the Bible has become a successful migrant to the Nordic region who is now used to keep others out. Full article

Objectives: A dentist may assume incorrect working positions throughout their professional career, which can lead to musculoskeletal disorders (MSDs). This study aimed to quantify the prevalence of self-reported MSDs in dentists and the body region most affected, as well as to evaluate the most frequent working position, the area of work and the age group most frequently associated with MSDs. Methods: This is a cross-sectional observational study adhering to the STROBE and CHERRIES guidelines, approved by the local Ethics Committee. An online questionnaire (including the Nordic Musculoskeletal Symptoms Questionnaire) was applied to a convenience sample of Portuguese and Italian dentists. Data analysis was conducted with non-parametric comparisons (IBM© SPSS^® Statistics vs. 28.0, p < 0.05). Results: A total of 341 dentists (170 Portuguese, 171 Italian) aged 18–75 years participated. The prevalence of self-reported MSDs in Portugal and Italy was 78.8% and 81.9%, respectively. The most affected self-reported MSD body regions were the neck (65.3% Portuguese and 61.4% Italian dentists), shoulder (49.4% Portuguese and 39.2% Italian) and lumbar region (52.4% and 39.2%, respectively). The neck region was the one reported to cause the highest work absenteeism. The higher age group (41–50 years and higher) has a higher risk for self-reported MSD. Multivariate analysis highlighted increased practice time as a significant risk factor for MSDs in the previous year in both countries. Age group, practice duration and work position relative to the patient were significantly linked to MSD occurrence and work avoidance. Conclusions: Dentists showed a high prevalence of self-reported MSD despite performing clinical activity mostly seated. It was concluded that dentists older than 40 years and those who have been working for more than 20 years have a higher risk of MSD, and that endodontics is the area where they report feeling more discomfort. Dentists should be encouraged to take more breaks between appointments and regular exercise to prevent the development/progression of MSDs. Full article

Population-based cancer registries are crucial for tracking cancer trends, supporting research, guiding policy decisions, and ensuring efficient healthcare resource allocation. However, their effectiveness relies heavily on data quality, specifically the completeness of the cancer registration process. Background/Objectives: This systematic review aims to identify the methods used by adult population-based cancer registries worldwide to assess the completeness of their data. It also considered the significant role of high-quality data in method selection and the significant challenges of data handling. Methods: A comprehensive electronic literature search was conducted across the Web of Science, Scopus, and PubMed for studies published from January 2004 to December 2024. The review was written according to PRISMA guidelines, and the risk of bias was assessed using the Joanna Briggs Institute tool. Results: The review identified 83 studies from 31 countries, the majority from Europe, especially Nordic and Central European countries. Most studies met high-quality standards, with only one study scoring below 75%. Common approaches include independent case ascertainment (the most used), a capture–recapture analysis, a death-certificate-only analysis, and comparisons with historical rates. While independent case ascertainment is valuable when high-quality auxiliary sources are available, its accuracy varies. Other methods, like capture-recapture or Mortality-to-Incidence ratios, may be more accurate or feasible in some cases. Conclusions: The findings suggest that methods for completeness evaluations vary widely across registries, influenced by data quality and regional practices. The results emphasize the importance of the continuous refinement of these assessment methods to improve the reliability and global comparability of cancer registry data. Full article

Water and N availability are key factors limiting crop yield, particularly in marginal soils. This study evaluated the effects of water and N stress on barley grown in marginal soils using field trials and the AgroC model. Experiments from 2020 to 2022 in Lithuania with spring barley cv. KWS Fantex under two N fertilization treatments on sandy soil provided data for model parameterization. The AgroC model simulated barley growth to assess yield potential and yield gaps due to water and N stress. Potential grain yields (assuming no water or N stress) ranged from 4.8 to 6.02 t DW ha⁻¹, with yield losses up to 54.4% assuming only N stress and 59.2% assuming only water stress, even with the N100 treatment (100 kg N ha⁻¹ yr⁻¹). A synthetic case study varying N fertilization from 0 to 200 kg N ha⁻¹ yr⁻¹ showed that increasing N still enhanced yield, but the optimal rate of 100–120 kg N ha⁻¹ yr⁻¹ depended on climatic conditions, leading to uncertainty in fertilization recommendations. This study underscores the importance of integrating advanced modeling techniques with sustainable agricultural practices to boost yield potential and resilience in marginal soils. Incorporating remote sensing data to capture soil and crop variability is recommended for improving simulation accuracy, contributing to sustainable agriculture strategies in the Baltic–Nordic region. Full article

Gender-based violence and sexual harassment in the Nordic labor market prevails, despite decades of preventive work. The #Metoo movement has clearly challenged past and current notions of the Nordic countries as gender equal welfare states, but it also pointed at the inability of policy to overcome its own prerequisites. In this study, we analyze past research on sexual harassment in Nordic working life, especially targeting theoretical, methodological, and practical results and challenges. By taking this systematic Nordic research review as a point of departure, we also develop a framework to analyze and transgress existing boundaries of policy and research in several ways. By reimagining research practices, as well as neoliberal management protocols for prevention, we elaborate on ways forward through several analytical steps. Finally, we envisage a need to overcome an immanent paradox when performing social research, pointing towards a vision of critical research moving beyond contemporary research politics and policy. Full article

Background: The European Commission has called for a harmonised front-of-package nutritional label (FOPNL) system in the European region. The Keyhole is a widely adopted positive FOPNL used in several Nordic countries. The Nutri-Score is a five-level graded FOPNL, more recently introduced in Western Europe. Both FOPNLs are supported by intrinsically different nutrient profiling systems (NPSs). A third NPS is the Choices NPS, which originally supported a positive FOPNL similar to the Keyhole and has been expanded into a five-level NPS. Objectives: The main objective of this study was to investigate the overall alignment between both the Choices and Nutri-Score multi-level NPSs and the Keyhole NPS. Furthermore, food group-based alignment was analysed to understand the main sources of misalignment. Methods: In this study, we extracted 1064 food/drink items from the food and beverage database of the Swedish Food Administration. All products were assessed according to all three NPSs, and alignment was assessed, using the Keyhole NPS as a recommendation-based reference. Two definitions of alignment were examined—healthier (more lenient, i.e., two highest grades) and healthiest (stricter, i.e., only the highest grade). Results: The overall alignment between the Choices and Keyhole NPSs was similar to that between the Nutri-Score and Keyhole NPSs (89% and 85% alignment under the healthiest definition, i.e., stricter). However, two food groups showed poor alignment between the Nutri-Score NPS and the Keyhole NPS (~60%). Under the healthier (more lenient) definition, the alignment for both the Choices and Nutri-Score systems with the Keyhole system was lower (86% and 79%). Conclusions: The alignments and misalignments between the Choices/Nutri-Score systems and the Keyhole system prompt important considerations for future developments of FOPNL systems for the Nordic countries. Extending the Keyhole NPS to include a multi-level criterion could potentially help consumers identify healthier choices, even for less nutritious foods. Full article

Background: The physical activity of different groups of individuals results in the rearrangement of microbiota composition toward a symbiotic microbiota profile. This applies to both healthy and diseased individuals. Multiple myeloma (MM), one of the more common hematological malignancies, predominantly affects older adults. Identifying an appropriate form of physical activity for this patient group remains a challenge. The aim of this study was to investigate the impact of a 6-week Nordic walking (NW) training program combined with a 10/14 time-restricted eating regimen on the gut microbiota composition of multiple myeloma patients. Methods: This study included healthy individuals as the control group (n = 16; mean age: 62.19 ± 5.4) and patients with multiple myeloma in remission (MM group; n = 16; mean age: 65.00 ± 5.13; mean disease duration: 57 months). The training intervention was applied to the patient group and consisted of three moderate-intensity sessions per week, individually tailored to the estimated physical capacity of each participant. The taxonomic composition was determined via 16S rRNA sequencing (V3–V9 regions). The microbiota composition was compared between the patient group and the control group. Results: The alpha and beta diversity metrics for species and genus levels differed significantly between the control and patient groups before the implementation of the NW program. In contrast, no differences were observed between the control and patient groups after the training cycle, indicating that the patients’ microbiota changed toward the pattern of the control group. This is confirmed by the lowest values of average dissimilarity between the MMB groups and the control at all taxonomic levels, as well as the highest one between the control group and the MMA patient group. The gut microbiota of the patients was predominantly represented by the phyla Firmicutes, Actinobacteria, Verrucomicrobia, Proteobacteria, and Bacteroidetes. Conclusions: The training, combined with time-restricted eating, stimulated an increase in the biodiversity and taxonomic rearrangement of the gut microbiota species. Full article

The science of gastronomy is a context-sensitive and qualitative application of human knowledge. While qualitative content analysis is a widely recognized research method, it is time-consuming, and its results heavily depend on the analyst’s expertise. This study addresses these challenges by employing automated content analysis (ACA), including tools like VOSViewer and AntConc, alongside qualitative methods from systemic functional linguistics (SFL). By analyzing 25 interviews with various professionals in gastronomy, the research aims to reduce subjectivity in interpreting data and uncover the essence of being a gastronomic chef. The findings highlight the complexity of a chef’s role, emphasizing creativity, collaboration, and innovation as key factors in delivering exceptional service and crafting the ultimate dining experience. Understanding a chef’s knowledge is crucial for enhancing service quality and comprehending consumer behavior, which is vital for service development. Full article