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Search Results (237)

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48 pages, 596 KB  
Review
Integrating Plant-Based Diets into Schools for a Healthier and More Sustainable Future: A Contemporary Overview
by Alejandro Borrego-Ruiz and Juan J. Borrego
Future 2025, 3(4), 22; https://doi.org/10.3390/future3040022 - 23 Oct 2025
Abstract
Schools constitute strategic settings for shaping eating behaviors among youth. Given the profound environmental, health, and social challenges associated with current food systems, there is an urgent need to explore dietary patterns that simultaneously support human well-being, ecological sustainability, and ethical principles. This [...] Read more.
Schools constitute strategic settings for shaping eating behaviors among youth. Given the profound environmental, health, and social challenges associated with current food systems, there is an urgent need to explore dietary patterns that simultaneously support human well-being, ecological sustainability, and ethical principles. This comprehensive review provides a contemporary overview of the role of plant-based diets as an instrumental pathway to a healthier and more sustainable future by examining (i) environmental and social impacts of current food systems; (ii) the effects of plant-based diets on health; (iii) determinants of plant-based diet implementation in schools, including barriers and facilitators to their adoption; and (iv) the development of future-oriented dietary guidelines. Transitioning to plant-based diets, combined with sustainable agricultural practices, can reduce resource use and promote ecological sustainability. Promoting plant-based diets can also encourage the development of a more responsible and equitable social culture. Plant-based diets consistently provide metabolic, cardiovascular, and anti-inflammatory benefits across diverse populations, contributing to healthy weight and glycemic regulation. Well-planned plant-based diets may also improve cognitive function and promote psychological well-being. The integration of plant-based diets in schools is limited by barriers such as children’s food preferences, habitual eating patterns, peer influence, time and resource constraints, limited knowledge, cultural attachment to meat, and low family involvement. Conversely, facilitators including experiential learning, nutrition education, teacher and family engagement, social norms, ethical or environmental motivations, and institutional support promote acceptance and implementation. Ongoing research is required to refine dietary recommendations, assess long-term health outcomes, and ensure nutritional adequacy across pediatric populations. Continued evaluation of school-based interventions and policy frameworks will be essential to optimize the integration of plant-based diets and to monitor their health, ethical, and environmental impacts. Full article
32 pages, 781 KB  
Article
Navigating Emotional Barriers and Cognitive Drivers in Mobile Learning Adoption Among Greek University Students
by Stefanos Balaskas, Vassilios Tsiantos, Sevaste Chatzifotiou, Dionysia Filiopoulou, Kyriakos Komis and George Androulakis
Knowledge 2025, 5(4), 23; https://doi.org/10.3390/knowledge5040023 - 11 Oct 2025
Viewed by 244
Abstract
Mobile learning (m-learning) technologies are gaining popularity in universities but not uniformly across institutions because of cognitive, affective, and behavior obstacles. This research tested and applied an expansion of the Technology Acceptance Model (TAM) with technostress (TECH) and resistance to change (RTC) as [...] Read more.
Mobile learning (m-learning) technologies are gaining popularity in universities but not uniformly across institutions because of cognitive, affective, and behavior obstacles. This research tested and applied an expansion of the Technology Acceptance Model (TAM) with technostress (TECH) and resistance to change (RTC) as affective obstacles, as well as the core predictors of perceived usefulness (PU), perceived ease of use (PE), and perceived risk (PR). By employing a cross-sectional survey of Greek university students (N = 608) and partial least squares structural equation modeling (PLS-SEM), we tested direct and indirect impacts on behavioral intention (BI) to apply m-learning applications. The results affirm that PU and PE are direct predictors of BI, while PR has no direct impact on BI but acts indirectly through TECH and RTC. Mediation is partial in terms of PE and PU and indirect-only (complete) in terms of PR with respect to the impact of affective states on adoption. Multi-group comparisons found differences in terms of gender, age, confidence, and years of use but not frequency of use, implying that psychological and experiential characteristics have a greater impact on intention than habitual patterns. These results offer theory-driven and segment-specific guidelines for psychologically aware, user-focused m-learning adoption in higher education. Full article
(This article belongs to the Special Issue Knowledge Management in Learning and Education)
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16 pages, 4269 KB  
Article
Sweet Taste Adaptation to Sugars, Sucralose, and Their Blends: A Human and Rodent Perspective
by Stephanie I. Okoye, Minjae Kim, Sara Petty, Myunghwan Choi and Marta Yanina Pepino
Nutrients 2025, 17(19), 3075; https://doi.org/10.3390/nu17193075 - 27 Sep 2025
Viewed by 769
Abstract
Background: Sweet taste adaptation, the decline in perceived sweetness with repeated exposure, may influence dietary behavior and differs across sweeteners. Low-calorie sweeteners (LCSs) such as sucralose strongly activate the T1R2+T1R3 receptor and are generally associated with greater adaptation than sugars, although this effect [...] Read more.
Background: Sweet taste adaptation, the decline in perceived sweetness with repeated exposure, may influence dietary behavior and differs across sweeteners. Low-calorie sweeteners (LCSs) such as sucralose strongly activate the T1R2+T1R3 receptor and are generally associated with greater adaptation than sugars, although this effect can be reduced with sweetener blends. Aim: We investigated whether habitual LCS consumption affects sweet taste perception and whether blending sucralose with small amounts of sugars attenuates adaptation using sensory tests in humans and in vivo calcium imaging in a rodent model. Methods: In study 1, habitual (HC; n = 39) and non-habitual (NHC; n = 42) LCS consumers rate sweetness of sucralose (0.6 mM), glucose (800 mM), fructose (475 mM), and blends with low glucose (111 mM) or fructose (45 mM) across repeated trials (1–10) using a generalized labeled magnitude scale. In study 2, a microfluidic-based intravital tongue imaging system was used to assess in vivo responses to sweet adaptation in genetically modified C57BL/6 mice (n = 8) expressing a calcium indicator in type II/III cells of taste buds. Results: Habitual LCS use was not associated with differences in sweetness perception or adaptation (all p-values > 0.6). Sucralose alone produced stronger adaptation than when blended with sugars in both humans (p-values < 0.002) and mice (p < 0.001). Glucose and fructose alone showed adaptation (relative decrease reached on final trial compared to the first trial: −27% ± 4% for glucose, −38% ± 5% for fructose, both p-values < 0.002) but to a lower degree compared with sucralose (−66% ± 5%). Conclusions: Sweetener composition, rather than habitual LCS use, drives sweet taste adaptation. Blending sucralose with small amounts of sugars reduces adaptation at both perceptual and cellular levels, providing mechanistic insights relevant to the formulation of LCS products. Full article
(This article belongs to the Section Carbohydrates)
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16 pages, 2251 KB  
Article
Associations Between 24-Hour Movement Behaviors and Health-Related Quality of Life in East Asian Children
by Zhen Cui, Hongzhi Guo, Yue Wang, Jiameng Ma, Ho Jin Chung, Qiang Wang, Michael Yong Hwa Chia and Hyunshik Kim
Healthcare 2025, 13(19), 2411; https://doi.org/10.3390/healthcare13192411 - 24 Sep 2025
Viewed by 396
Abstract
Background: It is important to investigate the combination of 24 h movement behaviors (24 h MB)—such as physical activity, screen time, and sleep—as children’s daily habitual behaviors significantly influence their health-related quality of life (HRQoL). However, such studies remain extremely limited in [...] Read more.
Background: It is important to investigate the combination of 24 h movement behaviors (24 h MB)—such as physical activity, screen time, and sleep—as children’s daily habitual behaviors significantly influence their health-related quality of life (HRQoL). However, such studies remain extremely limited in East Asia. This study aimed to examine whether adherence to the 24 h MB is associated with HRQoL among children from three East Asian countries. Methods: In this cross-sectional study, data were collected from primary school children aged 7–12 years in Japan (n = 786), China (n = 1246), and South Korea (n = 1011). HRQoL was assessed using the KIDSCREEN-27 questionnaire, while physical activity, screen time, and sleep duration were measured through a self-reported questionnaire survey. Results: Logistic regression analyses, adjusted for relevant covariates, confirmed significant associations with HRQoL subfactors including physical well-being, psychological well-being, social support, and peer relationships. Conclusions: Our findings highlight the critical relationship between adherence to 24 h MB and HRQoL in East Asian children, contributing valuable evidence to support integrated health promotion strategies in this region. Full article
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13 pages, 1865 KB  
Article
Alternative Methodology for Cortisol Evaluation Before and After Sheep Shearing Using Raman Spectroscopy: A Feasibility Study
by Giuseppe Acri, Barbara Testagrossa, Alberto Scoglio, Alessandro Attanzio, Francesca Arfuso, Maria Rizzo, Giuseppe Piccione and Claudia Giannetto
Animals 2025, 15(19), 2776; https://doi.org/10.3390/ani15192776 - 23 Sep 2025
Viewed by 333
Abstract
This research proposed a feasibility study for a qualitative and semiquantitative analysis of sheep serum using Raman Spectroscopy analysis as an alternative to standard methodologies. Raman Spectroscopy was used to obtain information about molecular vibrations that can provide information about the behavior of [...] Read more.
This research proposed a feasibility study for a qualitative and semiquantitative analysis of sheep serum using Raman Spectroscopy analysis as an alternative to standard methodologies. Raman Spectroscopy was used to obtain information about molecular vibrations that can provide information about the behavior of specific variations in the protein network. This study was conducted during the traditional vernal shearing procedure in Sicilian sheep breeding. Twenty female sheep were randomly chosen from a one-hundred Comisana-bred flock habituated to the handling required for shearing and venipuncture. Animals had a mean body weight of 52.35 ± 4.55 kg, were aged between 2 and 3 years old, and were clinically healthy with no evidence of disease and free from internal and external parasites. All animals were shorn on the same day by hand using traditional shearing scissors in a 15 m × 10 m pen. The animals were released into an adjacent pen at the end of the shearing procedure. For each animal, blood samples were collected through jugular venipuncture into a vacutainer tube with a clot activator (Terumo Corporation, Japan) immediately before and 5 and 60 min after the end of the shearing procedure. On the obtained sera, ELISA and Raman spectroscopy analyses were performed to evaluate cortisol concentrations. The band area corresponding to the cortisol vibration mode was identified in the 1300–1366 cm−1 band. The Raman spectra obtained during the various protocol data points showed the same trend, with differences in the intensity of the band area 1300–1366 cm−1. A positive correlation was found between ELISA and Raman assessment in all experimental conditions. The obtained results demonstrate that Raman spectroscopy analysis could be a suitable tool for biomolecule identification. This study demonstrated that this technique provides useful information for understanding sheep responses to stress induced by management conditions. Full article
(This article belongs to the Section Animal Physiology)
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12 pages, 685 KB  
Article
Changes in Bilabial Contact Pressure as a Function of Vocal Loudness in Individuals with Parkinson’s Disease
by Jeff Searl
Appl. Sci. 2025, 15(18), 10165; https://doi.org/10.3390/app151810165 - 18 Sep 2025
Viewed by 369
Abstract
This study evaluated the impact of vocal loudness on bilabial contact pressure (BCP) during the production of bilabial English consonants in adults with Parkinson’s disease (PD). Twelve adults with PD produced sentences with the phonemes /b, p, m/ initiating a linguistically meaningful word [...] Read more.
This study evaluated the impact of vocal loudness on bilabial contact pressure (BCP) during the production of bilabial English consonants in adults with Parkinson’s disease (PD). Twelve adults with PD produced sentences with the phonemes /b, p, m/ initiating a linguistically meaningful word within the sentence, while BCP was sensed with a miniature pressure transducer positioned at the midline between the upper and lower lips. Stimuli were produced at two loudness levels: Habitual and twice as loud as habitual loudness (Loud). A linear mixed model (LMM) indicated a statistically significant main effect of Condition (F (1, 714) = 16.210, p < 0.001) with Loud having greater BCP than Habitual (mean difference of 0.593 kPa). The main effect of Phoneme was also significant (F (1, 714) = 31.905, p < 0.001), with post hoc tests revealing that BCP was significantly higher for /p/ compared to /m/ (p = 0.007), and for /b/ compared to /m/ (p = 0.002). An additional LMM of the magnitude of the percent change in BCP in the Loud condition relative to the Habitual condition had a significant main effect of Phoneme (F (2, 22.3) = 5.871, p = 0.006). The percent change in BCP was the greatest for /p/ (47.7%), followed by /b/ (35.7%) and /m/ (27.4%), with statistically significant differences for both /p/ and /b/ compared to /m/ in post hoc tests. The results indicated that changes in vocal loudness cause changes in BCP in individuals with PD. A louder voice was associated with higher BCP for all three phonemes, although the increase was the greatest on bilabial stops compared to nasal stops. These results provide initial insights regarding the mechanism by which therapeutic interventions focused on increasing loudness in people with PD alter oral articulatory behaviors. Future work that details potential aerodynamic (e.g., oral air pressure build-up) and articulatory acoustics (e.g., burst intensity) is needed to better explain the mechanistic actions of increased loudness that can explain why loud-focused speech treatments for people with PD may improve speech intelligibility. Full article
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16 pages, 250 KB  
Article
Terrorism Catastrophizing and Sociodemographic Correlates Among Croatian Nursing Students: A Cross-Sectional Study
by Boris Ilić, Vesna Švab, Irena Kovačević, Biserka Sedić, Adriano Friganović, Ana Marija Švigir, Martina Smrekar, Štefanija Ozimec Vulinec and Samuel Justin Sinclair
Healthcare 2025, 13(18), 2323; https://doi.org/10.3390/healthcare13182323 - 16 Sep 2025
Viewed by 351
Abstract
Background/Objectives: Fear of terrorism can impact psychological functioning and behavior even without direct exposure. Little is known about how anticipatory terrorism fears manifest among nursing students in European contexts. This study assessed terrorism catastrophizing among Croatian nursing students and examined sociodemographic predictors. [...] Read more.
Background/Objectives: Fear of terrorism can impact psychological functioning and behavior even without direct exposure. Little is known about how anticipatory terrorism fears manifest among nursing students in European contexts. This study assessed terrorism catastrophizing among Croatian nursing students and examined sociodemographic predictors. Methods: A cross-sectional correlational study was conducted between October and December 2024 among 348 nursing students, using the validated Terrorism Catastrophizing Scale (TCS). Behavioral and habitual changes related to the terrorism threat were also measured. Non-parametric tests and bootstrapped regression analyses (1000 resamples) explored associations with sociodemographic variables. Results: Mean TCS score was 38.4 ± 8.0, indicating moderate catastrophizing, with subscale means of 16.8 (Helplessness), 11.7 (Rumination), and 9.8 (Magnification). Female students scored higher across all TCS measures (p < 0.001). Employment was associated with greater catastrophizing and behavioral changes, while urban residence was linked to fewer habitual and overall behavioral modifications. Higher income was associated with lower magnification. TCS scores correlated moderately with behavioral changes (rs = 0.27, p < 0.001). Non-parametric tests (Mann–Whitney U, Kruskal–Wallis, Spearman correlation) were applied due to non-normal distributions. Conclusions: Terrorism catastrophizing in this population is moderate and influenced by gender, employment, and residential context. Findings suggest targeted mental health support and tailored risk communication strategies may benefit nursing students in similar low-risk settings. Full article
(This article belongs to the Section Nursing)
15 pages, 1439 KB  
Article
Sweet Relief? Short-Term Post-Traumatic High-Sucrose Intake Attenuates Acute but Not Long-Term Fear Responses in Mice
by Prabhat Kumar, Pedro Correia, Imola Plangár and Dóra Zelena
Biomedicines 2025, 13(9), 2233; https://doi.org/10.3390/biomedicines13092233 - 11 Sep 2025
Viewed by 625
Abstract
People often turn to sweet foods for comfort during times of stress, as energy imbalance is implicated in several neuropsychiatric disorders including post-traumatic stress disorder (PTSD). Although acute sucrose consumption may improve cognitive capabilities, its long-term effectiveness has been debated. Objectives: In [...] Read more.
People often turn to sweet foods for comfort during times of stress, as energy imbalance is implicated in several neuropsychiatric disorders including post-traumatic stress disorder (PTSD). Although acute sucrose consumption may improve cognitive capabilities, its long-term effectiveness has been debated. Objectives: In a widely used mouse model, we examined the effect of sucrose drinking on conditioned fear-induced freezing (as a model of PTSD), with emphasis on the concentrations and timing of the intervention as well as sex differences. We aimed to develop a low-cost, widely accessible therapeutic option. Methods: A short electric foot shock was used for trauma, and freezing was detected 24 h (mimicking acute stress disorder, ASD) or 14 days (PTSD-like symptoms) later in the trauma context and with trauma cues. Results: First, we confirmed that our trauma increased freezing, independent of previous habituation to sucrose drinking. Next, we confirmed that 16% and 32%, but not 2% sucrose drinking for 24 h (but not 3 h) immediately after trauma, diminished freezing behavior the next day. However, the same intervention did not influence behavior 14 days later. Moreover, we could not find any curative effect of 24 h of 16% sucrose consumption before testing remote fear memory 14 days after trauma. Conclusions: Consuming a high-calorie solution immediately following trauma for 24 h may influence ASD but does not necessarily alter the development of PTSD symptoms. Here, we offer a new perspective on energy regulation in neuropsychiatric disorders. Full article
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20 pages, 317 KB  
Article
Towards a New Understanding of Vocation—Historical Traumas as Catalysts for the Changing Self-Perception of the Lower Clergy in the 20th Century
by Gábor Bánkuti
Religions 2025, 16(9), 1129; https://doi.org/10.3390/rel16091129 - 30 Aug 2025
Viewed by 655
Abstract
This study investigates the transformations of the Hungarian Catholic clergy during the 20th century in its social relations, self-perception, and attitudes, with a particular focus on the Diocese of Pécs. It concentrates on events that caused collective shock, such as the advance of [...] Read more.
This study investigates the transformations of the Hungarian Catholic clergy during the 20th century in its social relations, self-perception, and attitudes, with a particular focus on the Diocese of Pécs. It concentrates on events that caused collective shock, such as the advance of the front and the Soviet occupation during World War II; the confiscation of church property; the enforced migration processes; and the impact of the Communist regime’s ecclesiastical and social policies. The analysis emphasizes the role- and context-dependent patterns discernible in the documents produced by the clergy concerning these events, particularly in the parish Historia Domus. The study models the impact of these violent reconfigurations on clergy dispositions within the framework of Bourdieu’s concept of habitus, specifically the notions of “cleft” and “plural habitus”, highlighting the significance of behavior patterns in praxis transmitted through generations of clergy. It interprets the discrepancy between the altered context of action and the long-established, “interiorized” habitus, considering the phenomenon of asynchronicity, and identifies general and context-specific characteristics through a method of historical comparison. Overall, the study offers a perspective that perceives the historically evolved specificities of the norm as intrinsically linked to the local context. Full article
15 pages, 1996 KB  
Review
Review of Disordered Eating Behaviors in Cystic Fibrosis
by Kate Elizabeth Powers, Allison Bustos, Jacob McCoy, Elizabeth Reid, Erin Scallorn, Jade Robichaud and Amanda S. Bruce
Life 2025, 15(9), 1355; https://doi.org/10.3390/life15091355 - 27 Aug 2025
Viewed by 1252
Abstract
Background: CF transmembrane conductance regulator (CFTR) modulators are available for 90% of people with cystic fibrosis (PWCF), which has contributed to substantial nutritional changes. PWCF identify differences in their relationship with food, as well as alterations in body size and image when taking [...] Read more.
Background: CF transmembrane conductance regulator (CFTR) modulators are available for 90% of people with cystic fibrosis (PWCF), which has contributed to substantial nutritional changes. PWCF identify differences in their relationship with food, as well as alterations in body size and image when taking CFTR modulators. This has led to increasing risks relating to issues with body image, disordered eating behaviors (DEBs), and eating disorders (EDs). DEBs can be an early indication of an ED. CF care has traditionally emphasized body mass index and weight gain, which may have heightened the critical focus of body habitus. Prior to CFTR modulators, the “legacy diet” was often promoted and after years of encouragement to eat high volumes of calorically dense foods, PWCF on modulators have shared that the subsequent body changes have been challenging. Given the body changes that PWCF may have experienced, CF care team nutritional guidelines are evolving. The prevalence and etiology of EDs is largely unknown. Therefore, interventions designed to reduce risk factors for EDs and enhance protective factors against the development of DEBs need to be prioritized. To date, there are no reliable and validated screening tools in the United States to identify DEBs for PWCF. The purpose of this paper is to (1) review eating behaviors and disordered eating in PWCF, and (2) discuss important future directions for the assessment and treatment of DEBs to improve quality of life for PWCF. Full article
(This article belongs to the Special Issue Cystic Fibrosis: A Disease with a New Face)
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25 pages, 935 KB  
Article
Sustainable Consumption Intentions Among Portuguese University Students: A Multidimensional Perspective
by António Cardoso, Amândio Silva, Manuel Sousa Pereira, Jorge Figueiredo and Isabel Oliveira
Sustainability 2025, 17(17), 7569; https://doi.org/10.3390/su17177569 - 22 Aug 2025
Viewed by 1685
Abstract
This study examines sustainable consumption intentions among university students in Portugal, a generation increasingly recognized for their ecological awareness but often constrained by structural and social barriers. Within this context, this study explores psychological and behavioral determinants of sustainable consumption and peer recommendation [...] Read more.
This study examines sustainable consumption intentions among university students in Portugal, a generation increasingly recognized for their ecological awareness but often constrained by structural and social barriers. Within this context, this study explores psychological and behavioral determinants of sustainable consumption and peer recommendation using an integrative framework based on the Theory of Planned Behavior (TPB), the Value–Belief–Norm theory (VBN), and the SHIFT model. Drawing on a survey of 324 students from diverse academic backgrounds, we analyzed how environmental beliefs, consumer habits, and activism influence sustainable consumption intention and recommendation. The analysis, conducted using Partial Least Squares Structural Equation Modeling (PLS-SEM), reveals that environmental beliefs significantly predict both consumer intention and habitual behavior, which in turn affect activism and sustainable consumption. Notably, intention emerges as a key mediator between individual motivations and peer recommendation, while activism and habits do not exert direct influence on recommendation behavior. These findings underscore the importance of moral values, routine behavior, and motivational pathways in shaping sustainable practices, while highlighting the persistent gap between awareness and consistent advocacy. This study offers theoretical and practical insights into how structural and psychological factors can reinforce youth engagement with sustainability. Full article
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15 pages, 744 KB  
Article
The Dynamic Interplay of Lifestyle, Dietary Factors, and Cardiometabolic Risk in Hypertension: A Cross-Sectional Investigation Among Saudi Adults
by Mohammad A. Jareebi
Diagnostics 2025, 15(16), 2097; https://doi.org/10.3390/diagnostics15162097 - 20 Aug 2025
Viewed by 809
Abstract
Background/Objectives: Hypertension is a growing public health concern in Saudi Arabia, driven by rapid socioeconomic changes. This study investigated the interplay between habitual, behavioral, and dietary risk factors associated with hypertension among Saudi adults. Methods: A cross-sectional survey was conducted among [...] Read more.
Background/Objectives: Hypertension is a growing public health concern in Saudi Arabia, driven by rapid socioeconomic changes. This study investigated the interplay between habitual, behavioral, and dietary risk factors associated with hypertension among Saudi adults. Methods: A cross-sectional survey was conducted among 3312 Saudi adults using multistage stratified random sampling. The data were collected via validated questionnaires assessing sociodemographic, anthropometric indicators, lifestyle behaviors, dietary patterns, and medical history. Hypertension status was determined through self-reported diagnosis. Bivariate analyses and multiple logistic regression identified independent predictors (p < 0.05). Results: Hypertension prevalence was 13% (mean age: 34 ± 15 years; 50% male). The strongest predictors were age (OR = 1.08/year; 95% CI: 1.07–1.10; p < 0.001), increased body mass index (OR = 1.03; 95% CI: 1.01–1.06; p = 0.011), smoking (OR = 1.55; 95% CI: 1.04–2.29; p = 0.030), and family history of hypertension (OR = 7.71; 95% CI: 5.61–10.75; p < 0.001). Participants with diabetes mellitus had 89% higher odds of hypertension (OR = 1.89; 95% CI: 1.42–2.51; p < 0.001), and those with dyslipidemia had more than double the odds (OR = 2.45; 95% CI: 1.38–4.22; p = 0.002). Protective factors included higher income (≥15,000 SAR; OR = 0.54; 95% CI: 0.36–0.81; p = 0.003) and regular whole grain consumption (OR = 0.60; 95% CI: 0.46–0.77; p < 0.001). Conclusions: Hypertension risk in Saudi adults is shaped by age, obesity, smoking, comorbid metabolic conditions (diabetes and dyslipidemia), and genetic pre-disposition. In contrast, higher income and whole grain intake may offer protection. These findings underscore the need for comprehensive prevention strategies that address both lifestyle and cardiometabolic comorbidities, in alignment with Saudi Vision 2030 health priorities. Full article
(This article belongs to the Special Issue Hypertension: Diagnosis and Management)
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23 pages, 818 KB  
Article
Exploring Body Composition and Eating Habits Among Nurses in Poland
by Anna Bartosiewicz, Katarzyna Dereń, Edyta Łuszczki, Magdalena Zielińska, Justyna Nowak, Anna Lewandowska and Piotr Sulikowski
Nutrients 2025, 17(16), 2686; https://doi.org/10.3390/nu17162686 - 20 Aug 2025
Viewed by 983
Abstract
Background/Objectives: Nurses play a vital role in healthcare, yet their demanding working conditions, including long hours, shift work, and stress, can negatively impact health behaviors. In Poland, empirical data on nurses’ eating habits and body composition remain limited. Therefore, this study aimed [...] Read more.
Background/Objectives: Nurses play a vital role in healthcare, yet their demanding working conditions, including long hours, shift work, and stress, can negatively impact health behaviors. In Poland, empirical data on nurses’ eating habits and body composition remain limited. Therefore, this study aimed to evaluate body composition and dietary habits among nurses, and to identify significant relationships and associations between these variables. Methods: A cross-sectional observational study was conducted among 460 Polish nurses. The mean age of the respondents was 45.07 years (SD ± 11.98). Body composition was assessed using the Tanita MC-780 PLUS MA analyzer, and eating behaviors were measured with the standardized My Eating Habits questionnaire (MEH). Advanced statistical analyses including k-means clustering, ANOVA, chi-square tests, Spearman’s correlation, ROC curves, decision tree modeling, and heatmap visualization were used to identify associations. Results: The MEH scores among nurses indicated average eating behavior. However, excess body fat, overweight/obesity, shift work, and holding multiple jobs were significantly associated with emotional overeating, habitual overeating, and restrictive eating. Decision tree analysis identified Body Mass Index (BMI), fat-free mass (FFM) and comorbidities as key predictors of problematic eating patterns. Interaction effects showed that shift work combined with higher BMI further increased the risk of maladaptive behaviors. Heatmaps confirmed the strongest MEH scores in participants with elevated BMI and FFM. Conclusions: The findings underscore the need for targeted workplace interventions promoting healthy eating and weight control among nurses. Recognizing risk factors such as excess weight or multiple job holding can aid in designing effective prevention and health promotion strategies tailored to healthcare professionals. Full article
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9 pages, 1128 KB  
Case Report
Methamphetamine-Associated Corneal Ulcer: Case Report
by Amy Conner and Brian K. Foutch
Reports 2025, 8(3), 147; https://doi.org/10.3390/reports8030147 - 17 Aug 2025
Viewed by 840
Abstract
Background and Clinical Significance: This case report highlights the rare but potentially sight-threatening presentation of corneal ulcers associated with methamphetamine abuse. Identifying the signs of illicit drug use is critical, as ocular complications may be overlooked without proper social history or lab confirmation. [...] Read more.
Background and Clinical Significance: This case report highlights the rare but potentially sight-threatening presentation of corneal ulcers associated with methamphetamine abuse. Identifying the signs of illicit drug use is critical, as ocular complications may be overlooked without proper social history or lab confirmation. Case Presentation: A 48-year-old Hispanic male presented with progressive bilateral vision loss over four weeks, describing his condition as “blind vision.” Two weeks earlier, he had visited the emergency room after a fall caused by impaired vision and was prescribed insulin, metronidazole, and fluoroquinolone drops. At ophthalmology follow-up, visual acuity was 20/400 OD and 20/800 OS. Examination revealed bilateral stromal corneal ulcers with infiltrates. Notable systemic signs—pockmarks, poor dentition, thin body habitus, and jittery behavior—raised suspicion for methamphetamine use. He was treated with bandage contact lenses, dehydrated amniotic membranes, and a steroid-antibiotic combination drop. Conclusions: This case underscores the importance of recognizing physical signs of methamphetamine abuse, even in the absence of disclosed history. Emergency room laboratory testing confirmed methamphetamine use. Awareness of drug-induced ocular effects allows for appropriate patient education, timely intervention, and referral to addiction services. Patients should be warned that continued drug use may result in irreversible vision loss. Full article
(This article belongs to the Section Ophthalmology)
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23 pages, 8311 KB  
Article
Active Inference with Dynamic Planning and Information Gain in Continuous Space by Inferring Low-Dimensional Latent States
by Takazumi Matsumoto, Kentaro Fujii, Shingo Murata and Jun Tani
Entropy 2025, 27(8), 846; https://doi.org/10.3390/e27080846 - 9 Aug 2025
Viewed by 1210
Abstract
Active inference offers a unified framework in which agents can exhibit both goal-directed and epistemic behaviors. However, implementing policy search in high-dimensional continuous action spaces presents challenges in terms of scalability and stability. Our previously proposed model, T-GLean, addressed this issue by enabling [...] Read more.
Active inference offers a unified framework in which agents can exhibit both goal-directed and epistemic behaviors. However, implementing policy search in high-dimensional continuous action spaces presents challenges in terms of scalability and stability. Our previously proposed model, T-GLean, addressed this issue by enabling efficient goal-directed planning through low-dimensional latent space search, further reduced by conditioning on prior habituated behavior. However, the lack of an epistemic term in minimizing expected free energy limited the agent’s ability to engage in information-seeking behavior that can be critical for attaining preferred outcomes. In this study, we present EFE-GLean, an extended version of T-GLean that overcomes this limitation by integrating epistemic value into the planning process. EFE-GLean generates goal-directed policies by inferring low-dimensional future posterior trajectories while maximizing expected information gain. Simulation experiments using an extended T-maze task—implemented in both discrete and continuous domains—demonstrate that the agent can successfully achieve its goals by exploiting hidden environmental information. Furthermore, we show that the agent is capable of adapting to abrupt environmental changes by dynamically revising plans through simultaneous minimization of past variational free energy and future expected free energy. Finally, analytical evaluations detail the underlying mechanisms and computational properties of the model. Full article
(This article belongs to the Special Issue Active Inference in Cognitive Neuroscience)
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