Search Results (1,449)

Background: Children and adults with Trisomy 21 are more likely to develop nutrition-related conditions and diseases. The nutrition-related health of Canadians with Trisomy 21 is unknown. We aimed to determine the nutrient intake and physical activity of school-aged children with Trisomy 21 in Manitoba, Canada. Methods: Mothers of 14 school-aged children (n = 7 female, average age 9 years old) with Trisomy 21 completed a 24 h dietary recall and a survey that included questions about their children’s nutrition and physical activity. Nutrient intake analysis was conducted to compare food and beverage consumption with dietary guidelines and nutrient recommendations. Data were analyzed descriptively. Results: Most children with T21 included in this study consumed an adequate average intake of daily protein, carbohydrate, and iron; an inadequate average intake of daily dietary fibre and calcium; and an excessive average daily intake of added sugars and saturated fat. Notably, all children consumed inadequate vitamin D and excessive sodium. Most children consumed a dietary supplement (10/14), engaged in moderate-intensity physical activity (10/14), and were active for more than 60 min per day (12/14). Conclusions: Most children with Trisomy 21 included in this study met daily physical activity recommendations. However, despite a variety of foods reportedly consumed across all food groups, nutrient intake among school-aged children with Trisomy 21 included in this study was mixed, as both deficiencies and excessive amounts of some nutrients were observed. There is a need to improve the nutrient intake of children with Trisomy 21 to reduce their risk of developing nutrition-related conditions and diseases. Full article

The literature emphasizes the importance of perceived social media marketing activities (SMMAs) in shaping various brand-related outcomes. However, their importance in brand attachment formation remains underexplored. Grounded in the Stimulus–Organism–Response (S-O-R) framework and Attachment Theory, this study examines the relationship between SMMAs and brand attachment, and the impact of brand attachment on brand loyalty and consumer engagement with brand social media (CEBSM). A questionnaire survey was conducted with 502 consumers of outdoor and sports brands in Algeria. Data analysis was performed using Partial Least Squares Structural Equation Modeling (PLS-SEM). The findings unveil that SMMAs, including interactivity, informativeness, personalization, trendiness, and WOM, are positively associated with brand attachment. Furthermore, brand attachment is significantly associated with both brand loyalty and CEBSM. This study makes several theoretical contributions by being among the early studies to examine the individual effects of social media marketing dimensions, the role of SMMA in brand attachment formation, and brand-related outcomes alongside in-platform outcomes. This study offers recommendations to guide community managers and brand managers in clarifying the roles and capabilities of social media marketing in evoking and reinforcing brand attachment. Full article

Home has been recognized as a health infrastructure through hospital-at-home, home care, and direct-to-consumer wellness and fitness products. However, the patient home environment has been largely overlooked by healthcare as a means to improve therapy outcomes for difficult-to-treat chronic conditions, such as migraine; high-impact pain; and treatment-resistant depression, anxiety, or insomnia. Growing research evidence enables the formulation of a therapeutic home environment standard consisting of three pillars: biophilic design, indoor environmental quality, and intentional self-care spaces that serve as habit cues and foster sleep hygiene, stress management, relaxation, physical activity, and social interactions. Together, these environmental and behavioral interventions can transform real-world inputs into clinical benefits through autonomic, circadian, and emotional regulation. We also highlight the converging roles of self-management, self-efficacy, self-regulation, and self-compassion in sustaining patient engagement and healing at home. The applicability of the therapeutic home environment as an adjunct is illustrated in the case of chronic migraine, a debilitating neurological condition commonly associated with comorbidities. Current challenges in achieving migraine freedom with FDA-approved pharmacotherapies, neuromodulation devices, and digital health technologies are underscored by the high prevalence of refractory, chronic, episodic, and pediatric migraine. Perspectives on developing a personalized, multimodal cure for migraine are illustrated through a hypothetical drug + digital combination therapy comprising anti-CGRP drugs and an AI-powered digital health platform that promotes daily self-care practices within the therapeutic home environments. In conclusion, achieving sustained freedom from high-morbidity conditions requires end-to-end care ecosystems that integrate pharmacological, cognitive, behavioral, and environmental interventions into real-world settings. Full article

In recent years, virtual influencers (VIs) have been increasingly used in digital commerce. Despite the rise in VI research, past studies have yet to comprehensively examine the effectiveness of VIs, often focusing only on isolated partial models rather than an integrated framework and boundary conditions that drive consumer responses. This meta-analysis fills this gap by synthesizing 186 effect sizes from 76 studies (N = 64,545) to examine the mechanisms and moderators of purchase intention in VI marketing. The results indicate that human-likeness is a central antecedent that directly and indirectly affects purchase intention through source credibility, customer engagement, and attitude. More importantly, this study challenges prior social proof assumptions by showing that follower size has no significant impact on purchase intention in VI marketing. In addition, purchase intention is independent of a nation’s AI readiness, suggesting a borderless potential for commerce regardless of a country’s technological maturity. This study also examined the moderating effects of product type, consumer age, and uncertainty avoidance culture. Although these moderators showed initial significance, none remained significant after the Benjamini–Hochberg false discovery rate (FDR) correction. Therefore, these effects were viewed as exploratory rather than confirmatory, providing directions for future research. These findings offer new insights for e-commerce managers: success in the metaverse era depends on anthropomorphism and targeted alignment rather than metrics such as follower counts or a nation’s AI readiness. Full article

Modular living walls (MLWs) are increasingly adopted as biophilic façade interventions in high-end commercial environments, yet their behavioural effects at luxury retail entrances remain underexplored. Grounded in the stimulus–organism–response framework, this study investigates how MLWs integrated into luxury retail façades influence visitors’ perceptual, emotional, and behavioural responses at the Beauty Galleria of The Exchange TRX, Kuala Lumpur. Using a field-based survey and structural equation modelling with 400 visitors, the study examines the relationships among MLW presence, perceived naturalness, pleasure, arousal, perceived restorativeness, façade attractiveness, and behavioural intentions. The results show that MLWs significantly enhance perceived naturalness, pleasure, arousal, and perceived restorativeness. These organismic responses positively influence perceived façade attractiveness, which in turn strongly predicts both approach intention and photo-taking intention. Façade attractiveness emerged as a central mediating mechanism, while the indirect effect of MLWs on behavioural intentions was significant. The model explained a substantial proportion of variance in façade attractiveness and confirmed that consumer responses to biophilic façades are primarily shaped through sequential perceptual and affective processes rather than direct stimulus effects. This study extends the application of the S–O–R framework to façade-level biophilic design and provides practical evidence that MLWs can enhance first impressions and consumer engagement in luxury retail environments. Full article

This study examines the impact of explainable artificial intelligence (XAI) features on user satisfaction and purchase intention in Saudi mobile shopping applications, utilising the stimulus–organism–response (S–O–R) framework. With the increasing reliance on AI-driven decision support in e-commerce, enhancing transparency, fairness, trustworthiness, and interpretability has become crucial for shaping consumer perceptions and behavioural responses. The research employed a quantitative methodology using partial least squares structural equation modelling (PLS-SEM) to examine the relationships among stimulus factors, cognitive and affective states, consumer satisfaction, and purchase intention. In a survey of 597 respondents from Jeddah and Makkah, Saudi Arabia, the findings highlight that fairness and bias detection, trustworthiness, and transparency significantly influence consumers’ cognitive and affective states, which in turn enhance satisfaction and intention to purchase. Consumer satisfaction emerged as a critical mediator, reinforcing the role of positive emotional and cognitive experiences in driving purchase behaviours. However, interpretability showed limited impact, suggesting that consumers may prioritise fairness and trustworthiness over technical clarity of explanations. Theoretically, this study contributes to advancing knowledge on the role of XAI in consumer behaviour by integrating fairness, transparency, and affective responses into the S–O–R paradigm. From a managerial perspective, the results underscore the importance for mobile shopping platforms to design AI systems that foster trust, reduce perceived bias, and ensure transparency, thereby improving consumer engagement and purchase outcomes. By addressing gaps in interpretability and transparency, businesses can strengthen user trust and loyalty, ultimately enhancing competitive advantage in Saudi Arabia’s rapidly growing e-commerce sector. Full article

While previous studies have established the positive effects of minimalism on well-being, the issue of how minimalism shapes satisfaction within specific consumption contexts remains underexplored. This study investigates the relationships among minimalism, satisfaction with collaborative consumption (CC), and life satisfaction, examining the moderating role of corporate service sincerity. Drawing on goal satisfaction theory, we conceptualize minimalism as an intrinsic goal orientation that drives psychological fulfillment through value-congruent consumption. Survey data from 430 Japanese consumers with recent CC experience were analyzed using the SPSS PROCESS macro. Results indicate that minimalism positively predicts both satisfaction with CC and life satisfaction, and that these effects are amplified when the CC service is perceived as sincere. However, contrary to theoretical expectations, satisfaction with CC was negatively associated with life satisfaction, suggesting that domain-specific satisfaction in access-based consumption may not spill over to global well-being under certain conditions. We propose that this paradox reflects a boundary condition of goal satisfaction theory: when CC participation is constraint-driven rather than autonomously chosen, satisfaction may coexist with unfulfilled ownership aspirations. These findings advance the minimalist consumption literature by specifying mechanisms linking lifestyle values to consumption outcomes and offer practical guidance for sharing economy platforms seeking to engage value-driven consumers through authentic brand communication. Full article

As digital transformation accelerates, artificial intelligence (AI) has become a central driver of social media ecosystems. Drawing on Uses and Gratifications Theory (UGT) and Consumer–Brand Relationship Theory, this study employs a quantitative research design based on questionnaire data and Partial Least Squares Structural Equation Modeling (PLS-SEM) to examine how AI-empowered social media functionalities influence the sustainability of consumer–brand relationships among Generation Z. The analysis incorporates key constructs, including AI-empowered functionalities, user engagement behaviors (information seeking, social interaction, and content co-creation), flow experience, user satisfaction, brand loyalty, and brand value co-creation. The results indicate that AI-empowered social media applications significantly enhance user engagement behaviors. However, user engagement does not directly affect consumer–brand relationship outcomes; instead, its influence operates indirectly through flow experience and user satisfaction. Notably, flow experience emerges as a critical mediating mechanism linking AI-empowered user engagement to both brand loyalty and brand value co-creation. This research provides empirical evidence for the development of sustainable consumer–brand relationships in AI-empowered social media environments and offers practical insights for fashion brands to optimize their social media strategies when targeting Generation Z users. Full article

In the current context of ESG practices, sustainability reporting becomes very important in strengthening consumer perception about a company’s ESG performance. This study has employed the P-ESG scale to investigate how consumers relate to companies in the oil and gas industry in relation to their corporate social responsibility and sustainability activities. Specifically, this study investigates how consumers perceive the impact of ESG-related communication—particularly disclosures about community involvement—on organizational attributes such as corporate culture, internal communication, and employee engagement. Online quantitative marketing research was carried out on a sample of 400 respondents. The results show that ESG factors have a strong association with consumer perceptions on organizational transparency, effective communication and organizational culture. A negative direct relationship of ESG with the consumer perceptions regarding employee engagement is noticed, and a strong correlation between consumer perceived organizational culture and the consumer perception about employee engagement. This study contributes to defining the role of ESG reporting on the consumers perception about the company, and how ESG can be used to increase consumer trust. Full article

Electronic word of mouth (eWOM) and traditional word of mouth (WOM-T) are key information channels in consumer decisions, but there are still gaps in integrative models that analyze both channels simultaneously in emerging contexts. This exploratory, theory-informed study proposes a conceptual model that articulates five antecedents—satisfaction, trust, emotional bond, openness to novelty, and perceived social influence—two mediators—consumer engagement and recommendation intention—and two outcome behaviors—eWOM and traditional WOM—to examine how these variables are associated with the generation of recommendations among young/internet-connected consumers of SME services in the Lambayeque Region, Peru. Using PLS-SEM with 380 participants, 25 structural hypotheses were evaluated, including direct effects and simple and sequential mediations. In this non-probability sample, the hypothesized associations were statistically supported: antecedents were positively associated with engagement, which was positively associated with recommendation intention, which in turn predicted both online and offline WOM behaviors. Emotional bond and trust showed particularly strong effects. The model explained between 49% and 64% of the variance in endogenous variables. The findings contribute to understanding word-of-mouth dynamics in emerging markets for the studied segment of digitally connected consumers, with implications for relational marketing strategies and SDGs 8 and 12. Importantly, the contribution to SDG 12 is conditional: word-of-mouth can also amplify unsustainable consumption when recommendations are not linked to responsible practices; this caveat should be considered when interpreting the sustainability implications of these findings. Full article

Background and Objectives: Diabetes is one of the most common chronic non-communicable diseases and represents a major public health problem. At the global level, the epidemic character of diabetes mellitus can be attributed to an extended life expectancy but also to lifestyle. The aim of this study was to examine the sociodemographic, health, and lifestyle characteristics of adults with type 2 diabetes mellitus in Serbia. Materials and Methods: The research is part of the Serbian Population Health Survey conducted in the period from October to December 2019 by the Republic Statistical Office, in cooperation with the Institute of Public Health of Serbia “Dr Milan Jovanović Batut” and the Ministry of Health of the Republic of Serbia. The research instrument was standardized questionnaires constructed in accordance with the European Health Interview Survey (EHIS—European Health Interview Survey, wave 3) questionnaire, which were adapted to the specifics of our area. The research was conducted as a cross-sectional study on a representative sample of the adult population of Serbia. Results: Among 1138 adults with type 2 diabetes in Serbia (52.8% female; mean age 66.0 ± 11.9 years), overweight and obesity were highly prevalent (40.1% and 34.4%, respectively), with Obesity I predominating. Significant gender differences were observed: female more often reported obesity, multimorbidity, and depressive symptoms, whereas men were more physically active and more frequently overweight. Most participants were physically inactive, consumed breakfast and bread daily, and had low engagement in cycling and sports. Alcohol consumption was significantly higher in men, while dietary habits differed by gender for bread intake. These findings highlight substantial gender- and lifestyle-related disparities among adults with type 2 diabetes in Serbia. Conclusions: Targeted interventions promoting healthy lifestyle, physical activity, psychosocial support, and chronic disease management are urgently needed to address gender- and lifestyle-related disparities in adults with type 2 diabetes in Serbia. Full article

In an era of rapid digital transformation, brand activism has emerged as a prominent strategy through which organizations seek to signal social and environmental commitment while engaging increasingly sceptical and digitally empowered consumers. Within this context, perceived authenticity has become a critical evaluative mechanism shaping how digital brand activism is interpreted and whether it contributes to sustainable consumption and trust-based market outcomes. This study examines how perceived authenticity in digital brand activism is associated with consumer trust, attitudes toward socially engaged brands, and behavioral intentions that support sustainable consumption. Grounded in attribution theory and the authentic brand activism framework, the study adopts a quantitative, cross-sectional design based on an online survey of 240 consumers. The findings indicate that perceived authenticity is strongly associated with higher levels of consumer trust and more favorable attitudes toward digitally activist brands, reinforcing authenticity as a key trust-building mechanism in digital environments. Trust and attitudes are, in turn, positively associated with behavioral intentions such as purchasing, recommending, and willingness to pay a premium for sustainable products. However, behavioral intentions are weaker than trust and attitudinal evaluations, providing evidence of a persistent attitude–behavior gap that limits the translation of positive digital evaluations into concrete sustainable consumption outcomes. Exploratory results further suggest that the association between perceived authenticity of brand and behavioral intentions operates primarily through trust and attitudes rather than through a strong direct relationship. By clarifying these indirect pathways, the study advances attribution-based explanations of digital brand activism and contributes to research on smart innovation and digital sustainability by highlighting the role of authenticity in trust-based market outcomes. It also underscores the importance of authentic, data-informed digital strategies for fostering consumer trust, aligning brand activism with ESG principles, and supporting sustainable growth in digitally empowered markets. Full article

Cultured meat holds the potential to reduce environmental impacts and offer ethical advantages while replicating the nutritional, taste, and texture attributes of conventional meat. To date, most research on consumer acceptance of meat has focused on European and North American markets. In contrast, Muslim-majority countries remain underexplored, particularly regarding the compatibility of cultured meat with Islamic dietary laws. These societies are experiencing rising meat consumption, and countries such as Saudi Arabia and Malaysia rely heavily on meat imports. This narrative perspective article aims to systematically examine how specific stages of cultured meat production align with, or challenge, Islamic dietary (halal) principles. To this end, we adopt a stage-based analytical approach, mapping key technological steps in cultured meat production onto core requirements of Islamic jurisprudence. To this end, we critically and comprehensively examine the intersection between cultured meat production methods and the Islamic concept of halal, which extends beyond ingredient permissibility to encompass ethical, spiritual, and hygienic dimensions of food production. Key challenges to halal certification include the origin and status of starter cells, whether donor animals were slaughtered according to Islamic law, the permissibility of biopsied tissue, and the use of fetal bovine serum in growth media. The analysis indicates that while halal-compliant cultured meat is scientifically feasible, its adoption remains constrained by unresolved religious interpretations, regulatory fragmentation, and limited availability of halal-certified inputs. We emphasize the need for interdisciplinary collaboration among Islamic scholars, food scientists, certification bodies, and policymakers. From a policy perspective, harmonized halal standards, targeted investment in serum-free and animal-free culture media, and early regulatory engagement with Islamic authorities are essential to facilitate responsible market entry. Therefore, we suggest a multi-level governance and stage-gated halal decision framework for cultured meat. Proactive regulation and open dialogue with religious leaders are vital to ethically introduce cultured meat into Muslim markets, aligning innovation with Islamic values while supporting national sustainability and food security goals. Full article

Digital Product Passports came with the promise to bring about supply chain transparency. However, since their emergence, several adoption barriers have been identified primarily due to stakeholder disengagement and misaligned incentives. To this end, while regulatory mandates drive compliance, passive information repositories often fail to generate meaningful participation from suppliers and/or consumers. In consideration of this shortcoming, the present work proposes a Digital Product Passport framework enriched by gamification elements as a means of transforming transparency from burden to opportunity and individual motivations to collective transparency goals. In greater detail, the framework addresses supplier reluctance through competitive transparency scoring and value sharing mechanisms and further engages consumers through interactive product journey narratives and impact visualisation. The work contributes to the behavioural design research field by proposing an alternative framework that leverages intrinsic and extrinsic motivation in order to overcome traditional barriers to supply chain transparency. To contextualise these ideas, we provide illustrative scenarios demonstrating how gamification mechanisms could create self-reinforcing feedback loops between suppliers and consumers. Full article

Food fraud has emerged as a significant and under-recognised public health threat, with documented global incidents resulting in severe illness, hospitalisations, and fatalities. International estimates suggest that up to 9% of the global food trade is adulterated. In South Africa, evidence of mislabelling, substitution, counterfeit products, illicit trade, and the use of unauthorised additives continues to surface, yet the national burden and regulatory response remain insufficiently characterised. This review synthesised peer-reviewed literature and articles from reputable South African media sources published from 2015 to December 2025, focusing on food fraud within the South African context. Searches were conducted across Web of Science (WoS), Scopus, and PubMed, supplemented by Google Scholar and the EU Food Fraud Database, with emphasis on studies reporting fraud associated with South African food products. Standard PRISMA procedures guided the final selection of fifteen (14) eligible articles. These studies reveal widespread food fraud driven mainly by economic gain. Common practices include substituting high-value products, mislabelling meat and seafood, altering dates on expired goods, and producing counterfeits with unauthorised additives and packaging. Collectively, these factors compromise consumer health, undermine industry integrity, and impede effective surveillance. Strengthening South Africa’s food fraud prevention ecosystem will require coordinated multisectoral engagement, targeted investment in detection technologies, and robust regulatory reforms. Full article