Search Results (530)

School discipline disproportionately affects Black students and is associated with diminished academic outcomes. However, the mechanisms through which exclusionary discipline constrains college/university degree attainment—and the role of mental health in this pathway—remain underexplored with longitudinal data from a large urban birth cohort. This study examines whether depressive symptoms mediate the relationship between high school discipline and college/university degree attainment, and whether this mediation pathway varies by race and sex. Using data from the Future of Families and Child Wellbeing Study (N = 1417), I employed generalized structural equation modeling (GSEM) to test a serial mediation model: school discipline (Year 15) → depressive symptoms (Year 15) → college-going behaviors (Year 15) → college/university degree attainment (Year 22). Bootstrap confidence intervals (1000 replications) tested indirect effects. Moderation analyses examined whether the mediation pathway differed by race, sex, and depressive symptoms’ severity. School discipline significantly predicted higher depressive symptoms (b = 0.46, p = 0.001), which in turn predicted fewer college-going behaviors (b = −0.02, p = 0.001) and lower odds of college/university degree attainment (OR = 0.89, p = 0.001). The total indirect effect through depressive symptoms was significant (b = −0.06, 95% BC CI [−0.134, −0.017]). Sex, but not race (F = 0.24, p = 0.868), moderated the discipline–depressive pathway: discipline increased depressive symptoms more strongly for females (b = 0.78, p = 0.001) than males (b = 0.21, p = 0.251). Depressive symptoms amplified discipline’s effect on college/university degree attainment (interaction OR = 0.39, p = 0.037). Depressive symptoms partially mediate school discipline’s negative effect on college attainment, with the strongest effects among females. Higher education institutions must prepare to support students whose K-12 experiences were marked by exclusionary discipline. Full article

Life satisfaction (LS) is an important indicator of subjective well-being among college students. However, relatively few studies have integrated variable-centered and person-centered approaches to examine the associations among physical activity (PA), social support (SS), and LS in female college students. This cross-sectional study surveyed 2097 female college students from 11 universities in Jiangxi Province, China. PA, SS, and LS were assessed using self-report questionnaires. A mediation model was used to examine whether SS statistically mediated the association between PA and LS after controlling for education level and place of origin. Latent profile analysis was then conducted using six LS items, and the BCH method was used to compare PA and SS across profiles. The results showed that PA was positively associated with SS and LS, and SS was positively associated with LS. The indirect association between PA and LS through SS was statistically significant, suggesting a partial statistical mediation pattern. Latent profile analysis identified three level-based LS profiles: low-, medium-, and high-LS profiles. PA and SS increased progressively across these profiles, with the highest levels in the high-LS profile and the lowest levels in the low-LS profile. These findings suggest that PA, SS, and LS are closely interrelated and that meaningful quantitative heterogeneity exists in LS among female college students. Given the cross-sectional design and convenience sampling, the findings should be interpreted as statistical associations rather than causal effects. Full article

Objectives: Explore and compare the effects of 8-week time-restricted eating (TRE), walking exercise, and their combination on fat and lean muscle distribution in female college students with hidden obesity. Methods: A total of 68 participants were randomly assigned to four groups: Control (CON), TRE, Exercise (EXE), and TRE + EXE. An 8-week intervention was begun according to a predetermined experimental plan, comparing changes in body fat and lean tissue indices before and after the intervention. Results: Before and after the intervention, the TRE group showed a significant decrease in body mass, body mass index (BMI), and total lean mass (p < 0.05). The EXE group saw a significant reduction in visceral fat area, visceral fat mass, and visceral fat volume (p < 0.01). The TRE + EXE group experienced a significant decrease in android lean mass (p < 0.05); Comparing before and after the intervention, there were no statistically significant differences in the body fat percentage, total fat mass, fat and lean in the android and gynoid areas, and %fat in trunk/%fat in legs among the CON, TRE, EXE, and TRE + EXE groups (p > 0.05). After the intervention, there were no significant differences in the body fat percentage, total fat mass, total lean mass, fat and lean in the android and gynoid areas, %fat in trunk/%fat in legs, visceral fat area, visceral fat mass, visceral fat volume, subcutaneous fat area, subcutaneous fat mass, and subcutaneous fat volume among the four groups (p > 0.05). Conclusions: An 8-week TRE intervention in young women with hidden obesity reduced body mass and BMI but also decreased total lean mass, potentially compromising metabolic health, with no statistically significant changes in total body fat or regional fat distribution. Walking exercise showed significant reductions in visceral adiposity indicators (VFA, VFM, VFV), whereas the combined TRE + EXE group did not achieve comparable reductions. These findings suggest that while isolated TRE facilitates body mass loss, it carries a distinct risk of muscle tissue loss and may not confer comparable benefits on visceral fat reduction as walking exercise. However, the generalizability of these preliminary observations is constrained by methodological limitations including retrospective registration, participant attrition, and restricted statistical power. Consequently, these exploratory outcomes must be interpreted with caution, warranting future robust, large-scale trials with enhanced compliance monitoring to optimize prescriptive guidelines for this specific cohort. Full article

Background: Human papillomavirus (HPV) causes nearly all cervical cancers and a growing share of HPV-related malignancies in both sexes, yet HPV vaccine knowledge and acceptance among medical students in Saudi Arabia, the next generation of clinicians shaping recommendations, remain poorly characterized across the full training continuum. Methods: We conducted a cross-sectional online survey of 300 medical students at the College of Medicine, Qassim University. A pre-validated questionnaire captured sociodemographic data, HPV knowledge (14 items), vaccine awareness, attitudes and behavioral intent (4 items), and barriers. Multivariable logistic regression assessed independent predictors of awareness, personal willingness, and intent to recommend the vaccine to family members and future patients. Results: A total of 91.7% of students had previously heard of HPV, and 79.3% had heard of the HPV vaccine. However, only 44.3% reached the predefined threshold for good knowledge, and 56.3% reported personal willingness to receive the vaccine. Willingness to recommend the vaccine to future patients was the most frequently endorsed intent (78.3%), followed by recommending it to a family member (73.3%), with male gender reported as the leading reason among decliners. After adjustment, each one-point increase in the knowledge score independently raised the adjusted odds of vaccine awareness (aOR 1.40, 95% CI 1.22 to 1.61), of recommending the vaccine to a future patient (aOR 1.28, 95% CI 1.13 to 1.45), of recommending it to a family member (aOR 1.19, 95% CI 1.06 to 1.33), and of personal willingness (aOR 1.16, 95% CI 1.04 to 1.29). Female gender was associated with higher odds of personal willingness (aOR 2.31, 95% CI 1.37 to 3.88), and senior training phase predicted vaccine awareness (aOR 2.71, 95% CI 1.33 to 5.52). Conclusions: Human papillomavirus vaccine knowledge independently predicted both awareness and behavioral intent among medical students at Qassim University. However, personal willingness to receive the vaccine lagged behind willingness to recommend it, particularly among male students. Embedding HPV prevention more explicitly into the medical curriculum, with particular emphasis on its relevance to male health, may help narrow this gap. Full article

Background and Objectives: Cervicogenic headaches (CGH) are increasingly common among college students and may negatively affect academic performance and sleep quality. This study aimed to identify the self-reported prevalence of cervicogenic-type head and neck pain in a convenience sample of Saudi college students and to examine its associations with electronic device use, physical activity, and sleep quality among college students in Saudi Arabia. Materials and Methods: A cross-sectional study was conducted among 313 college students from various Saudi university colleges using an online self-administered questionnaire. The questionnaire gathered information on sociodemographic characteristics, electronic device usage, neck pain awareness, physical activity levels, and sleep quality. Descriptive statistics were used to summarize the data, and chi-square tests were used to explore associations between potential predictors and the prevalence of self-reported cervicogenic-type head and neck pain consistent with possible CGH. Results: Most participants were female (84.3%) and aged 18–25 years (95.2%). Cervicogenic-type head and neck pain were reported by 65.2% (n = 204/313), while 56.5% experienced moderate to severe stress. A significant association was found with perceived stress (p = 0.002). Prolonged electronic device use (>4 h/day: 77.9%; p < 0.01), lower physical activity (p = 0.056), medication use (p < 0.01), headache exacerbation with inactivity (p = 0.006), and poor sleep quality (95.1% with PSQI > 10; p = 0.044) were significantly associated. Conclusions: These findings highlight associations between excessive electronic device use, low physical activity, and poor sleep quality with self-reported cervicogenic-type head and neck pain among Saudi college students. Future longitudinal studies and randomized controlled trials are needed to determine whether targeting these factors reduces the prevalence of CGH. Full article

Objectives: Food insecurity (FI) among college students is an emerging global public health concern. While the burden is international in scope, this systematic review evaluates the prevalence of FI in college populations in the United States (U.S.) and examines the suitability of commonly used FI assessment tools for this population. Methods: A systematic search of PubMed, Scopus, and Web of Science was conducted (up to April 2026) in accordance with the PRISMA 2020 Abstracts checklist. Eligible studies were peer-reviewed research articles published between 2005 and 2026, conducted in the U.S., written in English, and including college or university students with sample sizes ≥ 30. Studies were required to use validated FI assessment tools developed by the United States Department of Agriculture (USDA) or Health Watch. Study quality was assessed using the Joanna Briggs Institute Critical Appraisal tools and only studies rated as moderate or high quality were included. Results were synthesized by grouping studies according to the FI assessment tools used. Results: Thirty studies met the inclusion criteria (total n = 213,624 students surveyed). FI prevalence among U.S. college students ranged from 14% to 72.9%. Variability in estimates was influenced by the assessment tool used, demographic characteristics, institutional settings, and regional socioeconomic differences. Shorter screening instruments, including the USDA six-Item Household Food Security Survey Module (HFSSM) Short Form and Hunger Vital Sign, demonstrated greater variability in reported FI prevalence (47% and 41%, respectively) compared with longer assessment measures. Higher FI prevalence was also more frequently reported among students of color, those from lower socioeconomic backgrounds, and female students. Conclusions: Findings demonstrate FI is prevalent among college students. Limitations of the current study include restriction to three databases, exclusion of pre-2005 studies, and inclusion of only U.S.-based studies. Variability in assessment methods, as well as consideration of confounding variables (e.g., socioeconomics, demographics and institutional settings), underscores the need for context-specific tools tailored to this population to inform effective interventions and policies globally. Full article

College students often maintain poor dietary habits, notably low fruit and vegetable intake. Common barriers include limited time, cost, and lack of nutritional knowledge. This study examined dietary behaviors, barriers, and factors influencing Healthy Eating Scores (HES) among college students. Participants (N = 224; age = 20.3 ± 2.5 years, BMI = 23.9 ± 4.1 kg/m², 78.9% female, and 91.3% white) completed an online survey. Results indicate meat overconsumption with underconsumption of water, fruits, and vegetables. Limited time and healthy options were the primary perceived barriers. Tests of between-subject effects identified gender (F = 4.38, p = 0.04) and living situation (F = 4.42, p < 0.01) as independent HES predictors. Backward stepwise linear regression (adj. R² = 0.22, p < 0.001) further indicated that being male, an athlete, living off-campus, and cooking at home were significantly associated with higher HES. Conversely, non-athlete females living on campus emerged as the most vulnerable group for low HES. These findings suggest that future interventions should target specific demographic vulnerabilities to improve dietary outcomes and mitigate barriers in the college population. Full article

Objective: To investigate the relationship between physical exercise and emotional eating, as well as the chain mediating effects of dietary behavior and body satisfaction therein. Methods: A survey was conducted on 575 college students using the Physical Activity Level Scale, Dutch Eating Behavior Questionnaire, Body Self-State Scale, and Eating Behavior Scale. Results: (1) Physical exercise does not directly influence emotional eating. (2) Eating behavior mediated the relationship between physical exercise and emotional eating; body satisfaction did not mediate this relationship. (3) Both eating behavior and body satisfaction mediated the relationship between physical exercise and emotional eating. (4) Subgroup analysis revealed gender differences across all paths: mediating effects were significant among female participants but not among male participants. Conclusions: Findings reveal that physical exercise influences emotional eating through dietary behavior and the dietary behavior–body satisfaction pathway. This research provides insights for promoting college students’ physical and mental health and exploring the internal mechanisms of reducing emotional eating among this population. Full article

To examine the complex relationships among physical activity, emotion regulation, psychological stress, and mood states in college students, this study analyzed questionnaire data collected from 494 participants. Network analysis was employed to construct a global association network, compare gender differences, and characterize patterns of directed statistical dependencies via directed acyclic graph (DAG) analysis. The results showed that: (1) the network comprised 25 nodes and 94 non-zero edges, reflecting extensive conditional associations across the four domains; (2) bridge centrality analysis identified cognitive reappraisal, self-related emotions, and anger as key bridge nodes, with cognitive reappraisal exhibiting the highest bridge strength; (3) accuracy and stability analyses yielded a centrality stability coefficient (CS) of 0.749 for strength, indicating adequate network stability; (4) network comparison tests revealed no significant gender differences in overall network structure or global strength, although certain local edge weights differed; (5) DAG analysis suggested that stable directional dependencies were primarily concentrated within individual subsystems, with no marked structural differences observed between male and female groups. In conclusion, physical activity, emotion regulation, psychological stress, and mood states appear to constitute an interconnected psychological adaptation system. Cognitive reappraisal, self-related emotions, and anger likely serve as pivotal bridge nodes warranting priority in future longitudinal research and targeted interventions. Full article

Background/Objectives: Nursing students are often exposed to bullying in clinical settings. Bullying in a practice environment is an important issue that causes psychological, physical, and mental health problems in nursing students. However, in South Korea, few qualitative studies have examined bullying among nursing students in clinical practice environments. This study aimed to explore the lived experiences of bullying among South Korean nursing students during clinical practice. Methods: A qualitative descriptive study using a semi-structured interview guide was employed to collect data from nursing students in a focus group. Overall, three focus groups were used, with seven students in each group comprising males and females. The sample size was based on data saturation and saturated on three focus group discussions, giving a sample size of 21. Purposeful sampling was used to select students who had completed one or more semesters of clinical practice (six credits, 270 h) from two nursing colleges. Interviews were conducted in May 2025. Data were analyzed using Colaizzi’s method. Results: A total of 23 meaning units, 14 themes, and 7 thematic clusters were identified. Seven overarching thematic clusters emerged: (1) exposure to harsh speech; (2) experiencing physical harm; (3) being considered a sexual object; (4) disrespected as a nursing student; (5) assigned tasks beyond an individual’s capabilities; (6) restricted educational opportunities corresponding to clinical practice objectives; and (7) discriminatory treatment due to healthcare professionals’ prejudice. Conclusions: These findings highlight the need for raising the awareness of bullying and applying the strategies to prevent bullying and protect nursing students during clinical practice. Full article

Background: Accurate estimation of water and energy requirements is fundamental for establishing dietary reference values in young adults. However, evidence integrating objectively measured energy expenditure with detailed water turnover components remains limited in Chinese populations. Objectives: To quantify water intake, water loss, and energy expenditure in healthy young college students, and to examine how energy metabolism is associated with specific components of water turnover under free-living conditions. Methods: Twenty-one healthy adults aged 18–25 years participated in a 14-day observational study conducted in Beijing, China. Total energy expenditure (TEE) was measured over 14 days using the doubly labeled water (DLW) method. Physical activity was monitored over 7 consecutive days using a triaxial accelerometer. Water intake was assessed using multiple methods: water from beverages (including plain drinking water and other beverages) was recorded over 7 days using 24 h fluid intake records, while water from food was measured during days 5–7 using weighed food records combined with duplicate portion and direct drying methods. Urinary and fecal water loss were quantified using 24 h collections conducted during days 5–7. Metabolic water production and insensible water losses were estimated using established physiological equations. Multivariable linear regression analyses were conducted to examine associations between energy-related variables and components of water turnover. Results: Mean total daily water intake was 3023 mL, with water from beverages accounting for 54.1%, water from food for 36.7%, and metabolic water for 9.1%. Mean total daily water loss was 1931 mL, predominantly from urinary excretion (81.0%). DLW-measured TEE averaged 2018.6 kcal/day and was higher in males than in females. Most regression models examining total water intake and beverage-derived water were not statistically significant, and no consistent associations were observed between these variables and total energy intake, TEE, or PAEE. In contrast, TEE was positively associated with metabolic water production and respiratory water loss (both p < 0.001). Significant associations with total energy intake were observed for water from food and fecal water loss (both p < 0.01), whereas other water intake components showed no significant associations. Conclusions: In young adults, energy metabolism appears to be more closely associated with physiologically regulated components of water turnover than with voluntary water intake. These findings suggest a divergence between endogenous and behaviorally regulated pathways of water turnover and highlight the importance of considering component-specific water dynamics when examining hydration and energy balance, although confirmation in larger studies is warranted. Full article

Background: Chrononutrition is essential for metabolic health, but relevant evidence in Chinese sports-majoring college students is still insufficient. This study aimed to identify chrononutrition patterns and their associations with body composition and resting metabolic rate (RMR) in college students from a sports university. Methods: A cross-sectional study was conducted among 174 college students from Beijing Sport University (131 sports-majoring and 43 non-sports-majoring). Chrononutrition was measured by the validated Chinese version of the Chrononutrition Profile Questionnaire (CP-Q), body composition by dual-energy X-ray absorptiometry, and RMR by indirect calorimetry. Sample sizes varied across analyses according to data availability, and 133 participants provided valid data for both body composition and resting metabolic rate (RMR) assessments. Results: Frequent night eating was positively correlated with BMI (r = 0.27, p = 0.001), and regular breakfast consumption was related to higher muscle mass percentage (β = 0.23, p < 0.01, sr² = 0.05). Compared with non-sports-majoring students, sports-majoring students had longer weekday eating windows (11.2 ± 2.8 h vs. 8.5 ± 2.5 h, p < 0.001) and a higher dinner energy proportion (37.2 ± 6.9% vs. 30.5 ± 6.5%, p < 0.001). Males had later meal times and longer eating windows than females (breakfast: 7:58 vs. 7:46; dinner: 18:55 vs. 18:41; eating window: 11.5 h vs. 10.9 h; all p < 0.05). Conclusions: Chrononutrition was more closely associated with body composition than with absolute RMR in this predominantly sports-majoring sample of Chinese college students. Regular breakfast and reduced night eating are potential intervention targets for future chrononutrition guidance. However, the findings should be generalized to the broader college student population with caution. Full article

This study evaluates the effects of a 30-week mindfulness-enhanced resistance training (MRT) program on the physical and mental health of female college students and explores whether changes in self-esteem or mindfulness mediate the relationship between MRT and subjective well-being. Sixty-four healthy female college students were randomly assigned to either the MRT or resistance training (RT) group. Both groups participated in 90 min weekly sessions for 30 weeks. A 2 × 2 mixed-design ANOVA analyzed the intervention’s effects on physical health, mindfulness, self-esteem, and subjective well-being. PROCESS macro (Model 4) tested mediation effects. MRT and RT significantly improved physical health, with MRT showing superior improvements in waist-to-hip ratio, flexibility, and vital capacity. Only MRT improved mindfulness, self-esteem, and subjective well-being. Self-esteem changes fully mediated the relationship between MRT and subjective well-being. MRT as a comprehensive mind–body intervention significantly enhanced the physical health and subjective well-being of female college students, outperforming resistance training. Improvements in self-esteem mediated the relationship between MRT and increased subjective well-being. MRT can serve as an effective approach to promote the physical and mental health of female college students. Full article

To evaluate the effectiveness of an adaptive physical education (APE) program using VR technologies, we studied the physical development and vitality indicators of college female students in two groups: those with and without functional health limitations (N = 70 each). Students with disabilities were randomly divided into experimental and control groups of 35 people each. The experimental group participated in physical education classes using VR. The health assessment included heart rate, blood pressure, and subjective health assessments. Physical development was assessed by the biological age index (BAI) by Voitenko, static balance duration, and breath-holding time. Psychological activity was assessed using the Mindfulness Attention Awareness Scale (MAAS), the Rezapkina Vitality Test, and the Subjective Vitality Scale (SVS). The delayed effect was assessed using a questionnaire. Students with functional impairments initially demonstrated a significant decrease in overall vitality, physical activity duration, and more negative health self-perception. After the virtual reality sessions, they showed a restoration of physical development and vitality indicators to levels close to healthy, as well as a decrease in BAI. The delayed effect was confirmed after three months. The use of virtual reality technologies in the APE program effectively improves the physical development and activity (vitality) of students with functional health impairments. Full article