Search Results (183)

This literature review examined the relationship between energy drink consumption and cardiovascular health in young people. Following PRISMA 2020, we searched Scopus for articles published from 2020 to 2025 and included 33 original studies after screening 133 records. Evidence from observational, clinical, and experimental research was synthesized into six themes: youth consumption; direct cardiovascular outcomes; composition and toxicity; animal or cellular experiments; perceptions and habits; and occupational or sociodemographic factors. Across studies, habitual intake was linked to acute blood-pressure rises, arrhythmias, endothelial dysfunction, and metabolic disturbances, sometimes within 24 h of a single can. Risks were amplified by high caffeine and taurine doses and by co-use with alcohol or intense exercise. Adolescents and young adults were most vulnerable, due to heightened sympathetic responses, frequent use under academic or work stress, and limited risk perception. Authors highlighted five actions: longitudinal research; tighter ingredient monitoring and transparent labeling; consumer education; protection of vulnerable groups; and clinical guidance for responsible use. These results were observed across regions and study designs. Overall, the findings indicate that unregulated energy-drink consumption is a preventable cardiovascular risk in youth, justifying the use of coordinated public-health measures, including curriculum-based education, marketing restrictions, ingredient oversight, and clinical screening to mitigate harm. Full article

Background: Antipsychotic medication (APM) can cause weight gain, insulin resistance, dyslipidemias, and an increased risk of developing type-2 diabetes and cardiovascular disease among youth. The study sought to increase water consumption, reduce sugar-sweetened beverage (SSB) intake, and prevent unhealthy weight gain via a healthy lifestyle intervention among youth newly started on a second-generation APM for psychiatric treatment. Methods: This randomized controlled trial enrolled 148 Medicaid-insured youth (ages 8–17) recently starting APM. The treatment group received both a biweekly home-delivery of bottled water and parental phone support from a family navigator. In-home visits conducted at baseline, three months, and six months assessed the participants’ height/weight and dietary intake. All participants received basic healthy lifestyle education emphasizing increased water intake and decreased SSB consumption. Longitudinal linear mixed models were conducted to examine between-group and within-group changes in BMI z-scores, and water/SSB intake. Results: No significant between-group differences in BMI z-score were found at three (p = 0.908) and six months (p = 0.919). However, the within-group increase in BMI z-score in the control group was significant from baseline to three months (p = 0.029). A between-group comparison found the treatment group significantly increased their water intake at three (p = 0.006) and six months (p = 0.002). No between-group differences were identified at three and six months for the reduction in SSB, although the treatment group did demonstrate a decrease from baseline to three months (p = 0.004). Conclusions: Neither group experienced unhealthy increases (>0.5%) in BMI z-score over the six months. Providing a safe/free water supply showed a superior improvement in water consumption in the treatment group, and an initial decrease in SSB. Further studies are needed to identify feasible, effective, and sustainable lifestyle interventions tailored to this at-risk population. Full article

Background: Body image, physical self-concept and anxiety are closely intertwined aspects of psychological well-being among youth. The growing influence of social media and appearance-focused culture has intensified self-evaluation pressures, making it essential to understand whether physical activity fosters protective effects or, conversely, contributes to anxiety. Methods: The study examined the relationship between body appreciation, physical self-concept, self-esteem, and anxiety among 246 young adults aged 18–35 years (47.6% athletes, 52.4% non-athletes). Participants completed the Rosenberg Self-Esteem Scale (RSES), Body Appreciation Scale-2 (BAS-2), State-Trait Anxiety Inventory (STAI), and the short form of Physical Self-Description Questionnaire (PSDQ-S). Group differences were analyzed using the Mann–Whitney U and Kruskal–Wallis H tests, and associations were explored with Spearman’s correlations. Moderation analyses (PROCESS Model 1) tested whether physical activity buffered BMI-related effects, and structural equation modeling (SEM) evaluated direct and indirect pathways. Results: Athletes reported higher self-esteem and body appreciation and scored higher on all PSDQ-S subscales, alongside lower trait anxiety but higher state anxiety than non-athletes. Higher BMI predicted lower self-esteem, body appreciation, and less favorable self-perceptions. Physical activity moderated the BMI—self-esteem and BMI—body appreciation relationships, buffering negative effects among athletes. SEM showed that physical activity positively influenced physical self-concept and body appreciation, which in turn reduced trait anxiety. Gender differences were minimal. Conclusions: Regular sport participation supports psychological resilience by enhancing self-esteem and body appreciation while reducing anxiety. However, the findings also highlight the complexity of body–mind dynamics where individuals with strong body appreciation may still experience transient anxiety in evaluative contexts. Promoting body functionality, self-compassion, and positive physical self-concept in educational and sport settings may help prevent maladaptive behaviors and foster lasting mental well-being among youth. Full article

Comprehensive sex education (CSE) is recognized globally as a key strategy for promoting adolescent well-being and preventing gender-based violence (GBV). Yet, in the United States, the absence of a federal mandate and deep political division results in inconsistent and often inadequate CSE within and across the 50 states. Our review critically examined U.S. sex education policy and programming research literature in relation to GBV prevention. We also conducted a 50-state policy content analysis of sex education requirements, alongside related political trends and overlapping conservative policies. Discussed as, the “politics of sex education,” our findings reveal that states lacking medically accurate CSE also are more likely to support abstinence-only education, restrict discussions of race and gender in secondary educational settings, and adopt laws limiting reproductive and LGBTQ+ rights. We also found that CSE, when culturally responsive, trauma-informed, and medically accurate, can reduce GBV and equip youth with essential skills necessary to understand consent in intimate relationships. Overall, our literature review and policy clustering underscores how educational content is shaped by broader ideological agendas. Findings point to a dearth of research, particularly concerning educational practice in more conservative political contexts. We conclude with recommendations around the need for coordinated policy reform, educator training, and community collaboration to address GBV through evidenced-based CSE. Full article

Bullying and cyberbullying constitute urgent public health challenges, contributing to significant psychological, social, and developmental harms among youth worldwide. While schools have traditionally served as the primary context for prevention, these efforts are often limited in scope, duration, and systemic integration. Healthcare and public health professionals are uniquely positioned to contribute to early identification, prevention, and resilience-building, but their roles are not consistently integrated into bullying prevention frameworks. This systematic review, conducted in accordance with PRISMA 2020 guidelines, synthesized 12 empirical studies published between 2013 and 2023 that examined healthcare- and public health–led interventions addressing bullying and cyberbullying among children and adolescents. Using a narrative synthesis mapped onto the SHIELD framework (Strengths, Healing, Interventions, Empowerment, Learning, Development), six themes emerged: (1) screening and early identification protocols, (2) family and community involvement, (3) variable focus on mental health and well-being, (4) multi-component, school-based interventions, (5) cognitive-behavioral and solution-focused interventions, and (6) online and digital interventions. Findings highlight the potential of health professionals to deliver trauma-informed, empowerment-based, and culturally responsive approaches that extend beyond traditional educational settings. Recommendations emphasize cross-sector collaboration, integration of digital tools, and equity-centered practices to strengthen prevention, intervention, and resilience-building. This review underscores the critical role of healthcare and public health professionals in creating safer, more supportive environments for youth. Full article

Background: Beverage intake is a consequential yet underappreciated driver of health in Mediterranean settings. Comparative evidence for Spain and Italy based on harmonised measures is scarce. This study addresses that gap by profiling beverage portfolios and their sociodemographic correlates in parallel adult samples from both countries. Methods: We conducted a cross-sectional analysis of adults in Spain (n = 483) and Italy (n = 403) using aligned, validated instruments (NutSo-HH; NutSo-HH-Ita). Outcomes were water (Wtr), sugar-sweetened soft drinks (Sfd), juice (Juc), energy drinks (End), coffee (Cff), alcohol (Alc), and episodes of intoxication (Gtd). Associations were assessed via non-parametric tests, multivariable linear models, and an EBIC-selected Gaussian graphical model (GGM). Main results: Italians reported higher Alc and Gtd; Spaniards reported higher Sfd and Juc. Wtr was comparable across countries, and Cff differences were marginal. Age and sex emerged as the most consistent correlates (older age and male sex with higher Alc; younger age with higher Sfd), whereas education and income were not stable determinants. The GGM suggested behavioural clustering of Sfd–Juc–End, with weak partial correlations for other beverages after adjustment. Implications: Distinct country profiles imply differentiated priorities. In Spain, interventions could prioritise reducing sugar-sweetened beverage intake among younger adults through age-targeted primary care counselling, mandatory water (and unsweetened milk) availability in schools, tiered excise taxes on sugar-sweetened drinks, and restrictions on child- and youth-directed marketing of high-sugar beverages. In Italy, primary care and community health services could routinely screen adults for risky alcohol use and deliver brief, culturally attuned advice that promotes lower-risk patterns of wine consumption during meals. Given the cross-sectional design, self-report measures, and non-probabilistic sampling, findings should be interpreted as context-sensitive markers rather than causal determinants; nevertheless, they highlight concrete prevention approaches and regulatory levers for each country’s beverage-related health risks. Full article

Background/Objectives: This study aimed to conduct the cross-cultural adaptation and assess the reliability of a validated measurement instrument, the Back-Health Related Postural Habits in Daily Activities (BEHALVES). Methods: Following a standardized methodological framework for the cross-cultural adaptation of health-related instruments, the BEHALVES questionnaire was translated and tested in 104 primary education students (mean age 13.8 ± 0.74 years; 49.1% girls) at two different time points with a 1-week interval between each test. The analysis was expressed as test–retest reliability according to the differences observed between the readings (T1–T2, α = Cronbach’s alpha), the standard deviation of the differences (SD), the intraclass correlation coefficient (ICC), 95% confidence intervals for the intraclass correlation coefficient, standard error of measurement (SEM), coefficient of repeatability (CR), and minimal detectable change (MDC). Results: Internal consistency results for the joint analysis of items grouped into categories were good (α = 0.72). Lying down was the worst-performing category in this study. The ICC was excellent for the total score (0.96) and all categories (0.90–0.99). Regression analysis between the mean of the two measures and their difference indicated that there was a significant difference (F1,103 = 0.19, p < 0.001; beta coefficient = −0.15, p < 0.001; R2 = 0.16). Conclusions: The BEHALVES questionnaire is valid and reliable for the Polish youth population, providing similar results to the original Spanish version. The continued development of reliable measurement instruments will enhance research in education, public health, and clinical practice, ultimately leading to improved strategies for preventing postural issues in young populations. Full article

Studies indicate that early adolescents are exposed to several online risks. Furthermore, early adolescents with Special Educational Needs (SENs) often experience emotional, social, or family difficulties, which increase their vulnerability to online risks. We aimed to investigate whether parental mediation styles regarding children’s Internet use moderate the risk for early adolescents in general and early adolescents with SENs in particular. One hundred and nineteen Italian parents (90.8% female) of children aged 11–15, 34% with a diagnosis associated with SENs, completed self-report measures assessing their children’s exposure to online risks and their parental mediation styles. In addition, 70 early adolescents (43.7% female; 39.4% with an SEN diagnosis) completed measures of social adjustment. Using moderation regression analyses, we examined the associations of parental mediation style, social adjustment, and SEN status with exposure to online risks. The findings highlighted how high levels of active parental mediation were associated with a significant reduction in online risks for adolescents with higher social adjustment. Follow-up analyses indicate, even if marginally, that this effect influences regards, in particular, adolescents with SENs. These results highlight the relevance of both individual social adaptation skills and parental mediation in reducing online risks among early adolescents, particularly those with SENs. Therefore, preventive interventions should not only target the development of youth competencies but also provide guidance and support for parents. Full article

Background: Adolescent mental health is a growing public health concern, with increasing prevalence of anxiety, depression, and emotional dysregulation. While nutrition is a recognized factor in physical health, its role in mental well-being, especially through holistic models, remains underexplored. Objectives: This study examines a moderated mediation model in which perceived healthy eating (self-rated diet quality) was associated with positive mental health (PMH) in adolescents, mediated by stress management and moderated by peer social support. Methods: A cross-sectional study was conducted with a sample of 505 adolescents aged 13 to 15 years (mean age 13.62). Using PROCESS Model 14, we tested a moderated mediation model where perceived nutrition served as the predictor, stress management as the mediator, and PMH as the outcome. Peer support was included as a moderator of the mediation pathway. Gender, age, nationality and educational variables were controlled for in the analysis. Results: The model explained 36% of the variance in PMH. Perceived healthy eating was significantly associated with better stress management (B = 0.20, p < 0.001), which in turn was related to higher levels of PMH (B = 6.38, p < 0.001). Peer support played a moderating role between stress management and PMH. Conclusions: These findings underscore the importance of promoting nutritional awareness and adolescents’ self-perception of healthy eating to support both physical and emotional well-being. Interventions should adopt a holistic approach that integrates emotional regulation strategies and leverages peer influence to enhance mental health outcomes. Given the alarming rates of mental health issues in youth, nutrition-based programs that incorporate psychosocial components may offer a promising avenue for prevention and promotion. Full article

Over the past decade, researchers in partnership with school practitioners developed a comprehensive school mental health model. The model includes a universal screening system that incorporates teacher and student reports on areas of risk known to be linked to mental health issues in youth. The Early Identification System (EIS) was developed as a feasible and socially valid universal screener that allows schools to use data to identify universal prevention interventions, areas for professional development for staff, and students who would benefit from selective or indicated interventions. The EIS can also be used to monitor change over time. Originally developed as part of a Coalition of six school districts, the US Department of Education invested in this comprehensive school mental health model to be adapted for rural schools. This article describes the partnership between school practitioners, the use of the model over time, and research conducted over the past decade. Implications for practice and policy are discussed. Full article

Background/Aim: Nutrition plays a pivotal role in development, not only in the early stages of life but also during adolescence, a period marked by vulnerability to the onset of overweight, obesity and eating disorders, with repercussions for reproductive and bone health. This narrative review aims to explore how parenting style, parental feeding practices and social media exposure influence eating behaviors in children and adolescents. Methods: A narrative review of the literature was performed through the PubMed and Scopus databases, including studies on participants aged 0–18 years. Both observational and interventional studies focusing on parenting approaches and the impact of social media on dietary behaviors were included. Given the narrative design, studies were selected based on conceptual relevance rather than formal inclusion or exclusion criteria, and on their contribution to understanding the multifactorial determinants of eating behavior. Results: A substantial body of research has demonstrated the critical influence of the family in cultivating positive eating habits and fostering a healthy relationship with food in children, serving as a role model and through responsive and authoritative parenting. Conversely, controlling or restrictive styles may contribute to dysfunctional eating patterns. Social media can positively and negatively influence children’s eating behaviors and parental feeding practices, promoting nutritional awareness or exposure to unhealthy food marketing and unrealistic body ideals. Conclusions: Healthcare professionals should promote an educational, trust-based approach to nutrition, empowering parents and youth for responsible digital engagement. Integrating family, school and media education is essential for preventing obesity and eating disorders in the digital age. Full article

Background: The widespread use of social media among children and adolescents has raised increasing concern about its potential impact on mental health. Given the unique neurodevelopmental vulnerabilities during adolescence, understanding how digital platforms influence psychiatric outcomes is critical. Objectives: This narrative review aims to synthesize current evidence on the relationship between social media exposure and key psychiatric symptoms in youth, including depression, anxiety, body image disturbances, suicidality, and emotional dysregulation. Methods: We conducted a comprehensive narrative review of the literature, drawing from longitudinal, cross-sectional, and neuroimaging studies published in peer-reviewed journals. Specific attention was given to moderators (e.g., age, gender, and personality traits) and mediators (e.g., sleep, emotion regulation, and family context) influencing the relationship between social media use and mental health outcomes. Results: Evidence indicates that certain patterns of social media use, especially passive or compulsive engagement, are associated with increased risk of depression, anxiety, body dissatisfaction, and suicidal ideation. Adolescent girls, younger users, and those with low self-esteem or poor emotional regulation are particularly vulnerable. Neuroimaging studies show that social media activates reward-related brain regions, which may reinforce problematic use. Family support and digital literacy appear to mitigate negative effects. Conclusions: Social media use is not uniformly harmful; its psychological impact depends on how, why, and by whom it is used. Multilevel prevention strategies, including media education, parental involvement, and responsible platform design, are essential to support healthy adolescent development in the digital age. Full article

Background/Objectives: Back pain is increasingly prevalent during childhood and adolescence, often predicting adult spinal disorders. This study aimed to describe sex-specific anthropometric and “Postural Fitness” characteristics in school-aged children and adolescents and to introduce a standardized, field-based assessment protocol for early screening of postural and functional deficits. Methods: This cross-sectional study included a total of 494 students (8–17 years; 50% girls) from 14 schools in Murcia (Spain). Exclusion criteria included diagnosed spinal pathology or major physical injury, lack of signed informed consent, absence on the testing day, and incomplete Postural Fitness assessment. The “Postural Fitness” protocol included assessments of sagittal spinal alignment (inclinometer), hip range of motion (ROM) (inclinometer with an extendable telescopic arm), pelvic tilt (goniometer with a spirit level system), and trunk muscle endurance (chronometer). Tests were conducted in physical education sessions by trained sports scientists. Results: Significant sex-based differences were observed. Boys exhibited greater thoracic kyphosis (40.3 ± 9.6° vs. 36.7 ± 9.2°), reduced hip ROM (passive hip extension (PHE): 16.8 ± 8.1°, passive hip flexion with knee extension (PHFKE): 68.9 ± 8.6°), and more posterior pelvic tilt (104.9 ± 8.4° vs. 99.7 ± 8.1°), whereas girls demonstrated increased lumbar lordosis (35.7 ± 8.6° vs. 31.5 ± 8.5°), greater hip ROM (PHE: 18.5 ± 9°, PHFKE: 77.9 ± 13°), and superior trunk extensor endurance (123.2 ± 74.7 s vs. 106.2 ± 69.8 s). Lateral trunk muscle endurance was higher in boys (48.7 ± 31 s vs. 41.4 ± 24.9 s). Conclusions: The “Postural Fitness” protocol proved feasible in school settings and revealed key sex-based disparities in spinal and neuromuscular profiles. These findings highlight the need for individualized, sex-specific screening and preventive programs to enhance back health during growth. Implementing this protocol may support early identification of modifiable risk factors linked to spinal dysfunction and pain in youth. Full article

Background: Tobacco use remains a major public health concern among adolescents, particularly as electronic cigarette (e-cigarette) use has increased in recent years. While academic performance has been linked to health-risk behaviors, less is known about its specific relationship to tobacco use among predominantly Black youth in urban settings. Understanding this association is essential for informing targeted prevention strategies. Objective: To examine the association between academic performance (self-reported grades from A to F) and use of tobacco products—including conventional cigarettes, e-cigarettes, and other forms—among predominantly Black high school students in Baltimore, a city marked by socioeconomic and health disparities. Methods: A cross-sectional analysis was conducted using survey data from 604 public high school students in Baltimore. The main predictor was self-reported average school grades. Outcomes included ever use of (1) combustible tobacco products, (2) e-cigarettes, and (3) any tobacco product. Logistic regression models estimated associations between academic performance and each tobacco outcome, adjusting for age, sex, race, parental education and employment, and household structure. Results: Among participants (mean age = 16.1 years), 20.2% reported using e-cigarettes, 7.1% used cigarettes, and 25.2% had used any tobacco product. Academic performance was inversely associated with all forms of tobacco use. Students with A, B, or C grades had significantly lower odds of e-cigarette use compared to those with D or F grades. Students with A grades had lower odds of cigarette use and any tobacco use. Conclusions: Lower academic achievement was consistently associated with higher odds of tobacco use among predominantly Black adolescents. Academic performance may help identify youth at higher risk of tobacco use and guide school-based prevention and intervention strategies in similar urban settings. Full article

Background: Youth suicide is a global issue and a type of death that can be prevented through early access to evidence-based mental health interventions, which can contribute to improved quality of life as well as health, educational and employment outcomes. Young people are encouraged to seek help for mental health problems, yet help-seeking rates remain low. Objective: The aim of this research was to explore how young people with a mental health problem decide to search and ask for professional help, and the impact of help-seeking experiences. Methods: Young people aged 16–25 years with experiences of help-seeking to mental health services were recruited (N = 18). Data analysis was informed by Constructivist Grounded Theory methods, and the findings were presented across four sub-categories: 1. Deciding to Seek Help; 2. Searching for the Right Help; 3. Reflecting on Help-seeking Experiences; and 4. Living with the Impacts of Help-seeking. Findings: Young people often sought help while highly distressed and required the skills and resources of a family member or friend to access the right type of help. Help-seeking was multi-episodic and had lasting positive and negative impacts. Young people’s help-seeking patterns were found to be similar to the ways in which they problem-solve in learning contexts, and the concept of a formal help-seeking skillset was presented. Conclusions: To minimise harm and improve provision and outcomes for young people’s health, education, and employment, research needs to urgently address the theoretical gap by developing distinct youth mental health help-seeking models or frameworks that acknowledge and incorporate how young people decide, search, and ask for help, and the important social relationships that support this process. Full article