Search Results (234)

Introduction: The wellbeing of humans and the planet is negatively impacted by unhealthy eating behaviors and excessive food waste. Mindfulness approaches have the potential to help people modify their behavior to achieve healthier outcomes. Pilot testing methods to sustainably support healthy eating and reduce food waste are essential for identifying effective ways to promote human and planetary health. Methods: A pilot study was conducted to test a virtual mindful eating program to improve eating behaviors and reduce food waste among a small sample of U.S. adults. Mixed-methods approaches were used to identify the efficacy of the piloted intervention on mindfulness, eating behaviors, and food waste while identifying participant perspectives of the mindful eating program. Results: Quantitative study outcomes indicated positive intervention effects on hunger/satiety cues and food appreciation. No significant intervention effects were detected on mindfulness or food waste. Qualitative findings highlighted participant reports of experiencing greater self-awareness, an improved relationship with food, and a sense of creativity with meal preparation. Conclusions: This pilot study tested a novel mindful eating program that improved eating behaviors related to hunger/satiety and increased food appreciation. The program was accepted by participants, but it did not increase mindfulness or reduce food waste. Future iterations of this mindful eating program will require modifications to test different approaches for increasing mindfulness and reducing food waste while expanding the positive effects on healthy eating. Full article

When people overextend their step length, it leads to an increase in vertical movement and braking force. The overextension elevates landing impacts, which may increase pain in the knees or lower back. The objective of this study was to examine the effects of soft-landing walking techniques in a 90 min, instructor-led group class for older adults. To evaluate a landing impact, an accelerometer measurement system (Descente LTD., Tokyo, Japan) was used to measure a participant 10 meter (m) of walking. Assessment outcomes included the average number of steps, step length, upward acceleration which reflects the landing impact, and survey questions. A total of 223 older adults (31 men, 192 women, mean age 74.4 ± 5.7 years) completed the walking lesson. Following the lesson, participants decreased their step lengths and reduced upward acceleration, along with an increased step count. The number of steps increased, and a positive correlation (r = 0.73, p < 0.01) was observed between the rate of change in step length and upward acceleration. Over 95% of participants gave high marks for practicality and understanding the accelerometer measurements. The information derived from this study will provide valuable insight into the effectiveness of soft-landing techniques as a promotion of a healthy walking program for older adults. Full article

Background/Objectives: Recruiting and retaining low-income participants in community-based diabetes interventions remains a persistent challenge, particularly in medically underserved areas. This study describes engagement strategies and lessons learned recruiting for a 12-month pilot of a community-based, medically tailored nutrition program for diabetes remission and weight loss. Methods: A descriptive, exploratory mixed-methods study was performed to assess the effectiveness of recruitment and engagement strategies in the HEAL Diabetes program and identify areas for improvement. Recruitment and enrollment data were tracked utilizing recruitment logs and field notes. Descriptive statistics were used to analyze recruitment activity and retention rates, while qualitative analysis of fieldnotes identified key barriers and facilitators. Results: Among 83 eligible participants, 63 (75.9%) completed the in-person screening and 35 (55.6% enrollment rate) enrolled. Retention was high, with 30 completing the study. Participants were largely African American (97.1%), female (70.6%), average age of 59.8 years, with a household income below USD 49,000 (74.3%). Recruitment cycles achieved 87.5% of the target before budget constraints halted enrollment. Recruitment was hindered by limited clinical integration, social barriers and life demands, while facilitators to recruiting included trust, flexibility, and tangible support for participation. Conclusions: Conventional recruitment methods, including registry-based approaches, were insufficient for engaging underserved populations. Participant-centric strategies, emphasizing trust, practical support, and structural and cultural relevance, can help enhance enrollment and retention. Effective engagement in community-based diabetes interventions requires multifaceted approaches that address clinical, social, and structural barriers to participation. Full article

Youth sport has been recognized as a unique learning context for positive youth development (PYD); yet, as society’s critical consciousness continues to progress, limitations of PYD have been acknowledged. Thus, youth sport scholars have begun to embrace critical perspectives to interrogate the systems and institutions of sport and society that influence the healthy development of all youth. This has included researchers and practitioners alike, adopting critical PYD (CPYD) as a means to empower young people to question and challenge their histo-contemporary experiences and support collective action towards social change. Our article explores the concept of CPYD and social justice life skills within ‘non-traditional’ sport spaces, including practice examples from the fields of youth disability sport and sport in youth justice. The first practice example provides an in-depth discussion of the theoretical principles of CPYD and their applicability within youth disability sport. The second practice example outlines the practical use of social justice life skills in sport programs within the youth justice system. Together, the practice examples from the field highlight both the theoretical and practical applications of CPYD and social justice life skills within real-world settings, and valuable implications are identified for research and practice moving forward. Full article

Background: During childhood and adolescence, personality development is continuous. Younger people—defined in this study as high-school students aged 14 to 18—are particularly receptive to change. The health behaviors formed during this period can significantly influence health in later life. Therefore, families and schools play a crucial role in promoting a healthy lifestyle. In our research, we examined the relationship between psychosocial resources (social support and school resources) and the regularity and intensity of physical activity. Methods: In this study, “appropriate physical activity” refers to the level and intensity of activity recommended by the World Health Organization—namely, at least 60 min per day of moderate- to vigorous-intensity aerobic activity for adolescents. We conducted our cross-sectional research in Hungary, Western Transdanubia, using convenience sampling among high-school students (n = 331). Data collected with a self-edited and standardized questionnaire (MSPSS, HBSC school resources and school social support) were analyzed using the SPSS Statistics 22 program with a t-test, ANOVA and χ² test (p < 0.05). Results: In the case of the time spent on physical activities per week, boys (p < 0.05) and younger people (p < 0.05) showed a much more favorable picture. Examining the intensity of regular physical activity among students who belonged to the appropriate range, the average values of family social support were significantly higher (p < 0.05), but this association was not observed for social support from friends or significant others (p > 0.05). The amount of movement was not differentiated by support from others (p > 0.05). The level of attitude towards their school was higher among students who performed physical activity of the appropriate quality and quantity (p < 0.05). Teachers’ assessment of school performance and the quality of the relationship with teachers showed a correlation with physical activity performed at the appropriate intensity (p < 0.05). Conclusions: We found a positive effect of family and school resources on the regularity and intensity of physical activity, which draws attention to strengthening the partnership between family and school, improving the school atmosphere and social support within the school, increasing students’ attachment to their institution. The combination of these resources can help children lead a more active and healthier life, which has a beneficial long-term impact on their physical and mental well-being. The cooperation between parents and schools is crucial in supporting young people in adopting a healthy lifestyle. Full article

The global aging trend increases chronic diseases and lowers quality of life. Exercise is vital for physiological, cognitive, and mental health, countering age-related decline. Outdoor multidomain interventions enhance adherence, motivation, and resilience, supporting independence and well-being. Objectives: This paper aimed to apply an outdoor exercise protocol for middle-aged and older people and to study its preliminary effects on cognitive state, body composition, cardiovascular health, physical fitness, physiological function, physical activity, frailty, incidence of sarcopenia, and satisfaction with life. Methods: This protocol describes an eighteen-week, two-pronged, parallel, single-blind randomized controlled trial. This paper complies with the Consort and SPIRIT guidelines. A cohort comprising a minimum of fifty-two older adults from the University for Seniors program will be equally allocated to a multidomain training group (TG) and a passive control group (CG). Intervention: The TG will follow a multidomain outdoor intervention twice a week for a complete duration of 18 weeks, with recommendations for additional autonomous cardiorespiratory training. The supervised sessions will be divided into a 10-min warm-up session focusing on activation and joint mobility, followed by 40 min of resistance training, cardiorespiratory training, and balance and coordination; and it concludes with a 10-min cool-down featuring flexibility, relaxation, and playful emotional intelligence tasks. Cognitive training will be integrated across different parts of the session. Conclusions: This preliminary study aims to explore the feasibility and potential effectiveness of outdoor multidomain training in improving the health of older adults. Importantly, by including late middle-aged adults from the age of 55, this study also aims to explore the potential of preventive strategies initiated before reaching old age. This reflects a broader conceptualization of healthy aging as a lifelong process, where early interventions may help mitigate decline and extend independence into later life. The partnership between health professionals and physical activity fosters independence for older adults, addressing the increasing burden on health services. Full article

Introduction: The World Health Organization has identified dementia as a growing global health concern with 10 million new cases diagnosed every year. The growing number of people living with dementia (PLWD) heightens the need for effective interventions that support PLWD and their caregivers. The most effective interventions supporting PLWD and caregivers combine education, care, and services to increase knowledge, decrease stigma, improve care, heighten empathy, and increase engagement of PLWD in their communities. Dementia Friendly America (DFA), administered by USAging, promotes a Dementia Friendly Community (DFC) initiative designed to engage multiple sectors (e.g., business, healthcare, community services) and engage PLWD in a comprehensive community change process. A center for healthy aging and wellness at a midwestern public university developed a network approach in its regional support of eight DFCs, as a part of its Geriatric Workforce Enhancement Program funded by the U.S. Health Resources and Services Administration. Objective: This article documents a mid-size university’s approach to establishing a regional DFC network of urban and rural communities surrounding the university, describing the support the university provided as well as how communities implemented the four-phase DFC process and emulated guiding principles. Results: A retrospective evaluation found engagement with the DFA guiding principles and varying levels of adherence to DFC phases. Discussion: The project team suggests that there are unique roles that universities can play in supporting the DFC movement and that developing a network of communities is a helpful strategy to use in providing this support. Additionally, the authors propose the integration of a community change model to guide future DFC work. Conclusions: This article helps to fill an existing research gap concerning DFC implementation and explores the unique role academic partners can play in cultivating regional hubs of DFC activity. Full article

Background: Adherence to nutritional recommendations in groups of adolescents practicing various sports, including esthetic disciplines, is insufficient. Hence, the authors of this study attempted to design, implement and evaluate a nutritional education program for girls aged 10–12 attending a ballet school and artistic gymnastics classes. Methods: The study was conducted with 60 female students at the state ballet school and artistic gymnastics classes (professionally practicing ballet and artistic gymnastics). The nutritional education program was implemented by all students for a period of 4 weeks. The program consisted of three parts: group sharing and discussing the educational brochure, group nutritional workshops, and providing and discussing individual nutritional recommendations. Information provided to students during the nutritional education program concerned the principles of proper nutrition contained in the Pyramid of Healthy Nutrition and Physical Activity for Children and Youth, the most important sources of nutrients in the diet and their role, and the principles of nutrition of people practicing sports/training. Before starting the nutritional education program and 3 months after its completion, the level of nutritional knowledge was assessed in the group of ballerinas and artistic gymnasts to evaluate the program. Results: The proposed nutritional education program had a significant impact on the level of nutritional knowledge of students aged 10–12 attending the ballet school and artistic gymnastics classes. Conclusions: The presented nutritional education program may be used as a source of information for specialists for the preparation of educational and repair programs in the group of ballet dancers or artistic gymnasts aged 10–12. Full article

Sarcopenia, characterized by progressive loss of muscle mass and strength, significantly increases health risks in healthy older adults. Resistance training (RT) is believed to counteract sarcopenia through a variety of physiological mechanisms, many of which remain underexplored by public health and physiotherapy professionals. This scoping review aims to consolidate studies that have explored RT programs in mitigating sarcopenia among healthy older adults. A systematic search in four knowledge databases (Web of Science, Scopus, Embase, Cumulative Index for Nursing and Allied Health Sciences Complete) was conducted on 30 April 2024 to consolidate the evidence of RT programs to mitigate sarcopenia risk among healthy older adults. Two reviewers independently screened, consolidated, and synthesized the results based on the Arksey and O’Malley framework. We included 36 studies supporting the RT program for reducing sarcopenia risk among healthy older people. Current evidence, predominantly derived from studies with high selection bias and non-randomized designs, indicates that RT programs may enhance muscle strength in healthy older adults. However, their impact on muscle morphology and mobility appears less pronounced. The dosage and intensity of RT are critical factors influencing these health outcomes. To substantiate the health benefits of RT in healthy older adults and facilitate the translation of research findings into policy-level recommendations, further high-quality, randomized controlled trials are warranted. Full article

(1) Background: Individuals with obesity tend to stop exercising after the completion of a structured training program. Thus, the aim of the present study was to assess adherence and body composition, cardiorespiratory fitness, physical activity levels, and physical and mental health after a 12-month exercise program and an 18-month follow-up period in a group of male adults with obesity. (2) Methods: Thirty-four adults with obesity were evaluated before (T0) and after (T3) a 3-month combined training (COMB). After that, they followed a maintenance program with low-intensity aerobic activity for three months. Then, they were recalled for a 6-month training program including thresholds (THR) training until the end of the study (T12). Finally, they participated in a 18-months follow-up period that included suggestions for healthy lifestyles, which ended with assessments (T30). Thus, the assessments were carried out at the beginning and end of the first training protocol (T0 and T3), at the beginning and end of the second training protocol (T6 and T12) and 18 months after the end of the training program (T30). At all time points, body composition (i.e., BMI, fat mass [FM] and fat-free mass [FFM]), physical capacities (i.e., V̇O₂max), and physical habits (i.e., International Physical Activity Questionnaire (IPAQ) and Short-Form 12 (SF-12, for physical, P, and mental, M, indices) were measured. (3) Results: Fifteen out of thirty-four participants (42.8%) (age 42.8 ± 8.1 y) completed this study. At T30, participants increased their V̇O₂max (3.07 ± 0.46 vs. 3.67 ± 0.60 L·min⁻¹, p < 0.001), IPAQ TOT score (396 (2888) vs. 1356 (9144), p = 0.006), and SF12_MI score (41.1 ± 8.9 pt vs. 48.6 ± 11.0 pt) compared to T0. Furthermore, multivariate analysis showed that decrease in BMI was largely associated with the increase in the SF 12_PI questionnaire (0.032). Similarly, the decrease in %FM and the increase in V̇O₂max were related with the increase in IPAQ tot (p < 0.001) and SF 12_MI (p < 0.001) scores. (4) Conclusions: 42.8% (15 out of 34) of the initial participants completed the follow-up test at T30 and maintained higher V̇O₂max values than at T0. Conversely, their physical characteristics returned to baseline. The improvement in V̇O₂max, compared to T0, correlated with maintaining high activity levels and with improved physical and mental well-being. In summary, it is recommended that people with obesity follow a structured physical activity program, as this leads to an improvement in physical capacities and physical and mental well-being. A personalized and monitored approach can lead to greater adherence to treatment and more effective long-term outcomes. Full article

Background: Physical activity (PA) plays a crucial role in improving the quality of life (QoL) in older people, particularly by enhancing their balance and movement coordination. Objective: This study aimed to assess the effects of sensorimotor training intervention in older adults. Methods: A total of 90 participants, divided into a Control Group (n = 44) and Experimental Group (n = 46) were involved in a 24-week sensorimotor training program. The physical capacities of the participants were assessed both before and after the intervention program. Strength and flexibility were measured using the “Rikli and Jones” protocol (1999), while agility and speed were assessed through “Timed-up-and-go” tests. Taking into account the participants’ gender, a descriptive analysis of the sample was conducted to describe the data using the mean and standard deviation. Student’s T test was performed to compare the differences between the groups according to the first and second data collection moments (before and after the intervention). Jamovi software (v. 2.5.2.0) was used to develop the statistical analysis, using a p-value of less than 0.05 to assess the statistical significance. Results: The Experimental Group showed significant improvements across all the analyzed variables following the intervention (p < 0.005), indicating substantial gains in physical capacities. In contrast, the Control Group in the “sitting and reaching” test did not show a significant difference between the groups highlighting the lack of improvement without intervention. According to the effect size of the sample, it was observed that the parameters “reach behind your back (right)” and “reach behind your back (left)” showed the highest effect size comparing the Control Group and Experimental Group (ES: 0.60, 0.71). Conclusions: The findings highlight the practical clinical impact of implementing tailored physical activity programs for older adults. Such interventions are critical for enhancing QoL, reducing the risk of falls, injuries, and chronic illnesses, and promoting overall health, independence, and well-being. Integrating sensorimotor training into the routine care for older people can support healthy aging and functional independence. Full article

Background and Purpose: Previous studies have shown that socioeconomic status influences cognitive health in adults. Therefore, it is important for the development of healthy aging policies to further investigate the effect of specific socioeconomic factors on cognitive function in older people and the possible mechanism. In this study, three specific socioeconomic factors (i.e., income, occupation, and education) were used as independent variables, and social support and social participation were used as the parallel or serial mediating variables to investigate the effect on cognitive function in community-dwelling older adults and the specific pathway of influence. Methods: A cross-sectional study was conducted in the Pudong New District of Shanghai, China. A total of 970 community-dwelling older adults aged over 60 years old who had lived in their current location for more than 5 years were enrolled. Socioeconomic factors in older adults, including income, education level, and occupation before retirement, were investigated, and their cognitive function and social support and social participation levels were measured using the MoCA, MSPSS, and the quantity of participation in social activities, respectively. Covariates, including lifestyle, health status, sleep quality, and nutritional status, were assessed using a self-designed questionnaire, the PSQI, and the MNA-SF scale. Omnibus mediation effect analysis was adopted to examine the mediation effect, and the mediation analysis was performed using the SPSS PROCESS program. Results: Community-dwelling older adults with higher income, more complex occupation, or higher education level had a better cognitive function, with β_{medium income} = 1.949 and β_{high income} = 3.799 compared to low-income level (all p < 0.001), β_{medium occupational complexity} = 1.262 and β_{high occupational complexity} = 1.574 compared to low occupational complexity level (all p < 0.01), and β_{medium education} = 1.814 and β_{high education} = 1.511 compared to low education level (all p < 0.001). Social participation significantly mediated the above relationship (all p < 0.001); the relative indirect effect of medium and high income through social participation was respectively β_{medium income} = 0.356 and β_{high income} = 0.777 compared to low income, accounting for 18.36% and 20.45% of the total effect; the relative indirect effect (β) of medium and high occupational complexity compared to low level of occupational complexity was 0.358 and 0.561, accounting for 28.36% and 35.64% of the total effect; while the relative indirect effect (β) of medium and high education compared to low education level was 0.311 and 0.562, with 17.14% and 39.19% of the total effect. Social support significantly mediated the relationship of income and education with cognitive function (all p < 0.001), with the indirect effect (β) of medium and high levels of income or education compared to their low levels being 0.132 and 0.160, or 0.096 and 0.156, respectively, accounting for 4.21% and 6.77%, or 5.29% and 10.32%, of their total effects. Serial mediation analysis showed that income and education significantly affected social participation through social support and subsequently cognitive function (all p < 0.01), with the relative serial indirect effects (β) of medium and high levels of income or education compared to their low levels being 0.065 and 0.078, or 0.043 and 0.070, respectively, accounting for 3.3% and 2.0%, or and 2.4–4.6% of their total effects. Conclusions: This study demonstrates that social support and social participation independently and cumulatively mediate the relationship between socioeconomic conditions and cognitive function in community-dwelling older adults. Therefore, improving the social support systems and encouraging older adults to actively participate in social activities may be beneficial in preventing or improving cognitive decline in community-dwelling older adults. The findings also provide new insights for the future improvement of cognitive function in community-dwelling older adults in the future. Full article

Background: Healthy cognitive functioning is a primary component of well-being, independence, and successful aging. Cognitive deficits can arise from various conditions, such as brain injury, mental illness, and neurological disorders. Rehabilitation is a highly specialized service limited to patients who have access to institutional settings. In response to this unmet need, telehealth solutions are ideal for triggering the migration of care from clinics to patients’ homes. Objectives: The aim of EARLY-COGN^3 will be threefold: (1) to test the efficacy of a digital health at-home intervention (tele@cognitive protocol) as compared to an unstructured cognitive at-home rehabilitation in a cohort of patients with Chronic Neurological Diseases (CNDs); (2) to investigate its effects on the biomolecular and neurophysiological marker hypothesizing that people with CNDs enrolled in this telerehabilitation program will develop changes in biological markers and cortical and subcortical patterns of connectivity; (3) to analyze potential cognitive, neurobiological, and neurophysiological predictors of response to the tele@cognitive treatment. Method: In this single-blind, randomized, and controlled pilot study, we will assess the short- and long-term efficacy of cognitive telerehabilitation protocol (tele@cognitive) as compared to an unstructured cognitive at-home rehabilitation (Active Control Group—ACG) in a cohort of 60 people with Mild Cognitive Impairment (MCI), Subjective Cognitive Complaints (SCCs), or Parkinson’s Disease (PD). All participants will undergo a clinical, functional, neurocognitive, and quality of life assessment at the baseline (T0), post-treatment (5 weeks, T1), and at the 3-month (T2) follow-up. Neurophysiological markers and biomolecular data will be collected at T0 and T1. Conclusions: EARLY-COGN^3 project could lead to a complete paradigm shift from the traditional therapeutic approach, forcing a reassessment on how CNDs could take advantage of a digital solution. (clinicaltrials.gov database, ID: NCT06657274) Full article

As online health and wellness programs become more ubiquitous post-pandemic, there is a need to better understand how people with physical disabilities respond to different types of program offerings. Online health promotion programs have become popular in the disability community, and programs offer a range of activities across various wellness domains (e.g., exercise, nutrition). This study examined factors predicting adherence to three different types of online health promotion programs tailored for people with physical disabilities. A survey was developed to examine factors associated with high, moderate, and low adherence to three different types of health promotion programs. Participants who completed an online wellness program were sent a survey that asked questions related to adherence to a range of wellness activities. The three programs included the MENTOR (Mindfulness, Exercise, and Nutrition to Optimize Resilience), GROWTH (Growing Resilience Out of Wellness and Thoughtful Habits), and SOSE (State of Slim Everybody) programs, all of which focus on different self-care strategies. MENTOR focused on educating participants about mindfulness, exercise, and nutrition; GROWTH aimed to deliver mental and emotional health techniques, while SOSE’s purpose was to teach participants how to implement healthy weight loss, weight management, and daily exercise practices. Results indicated that participant perceptions of program delivery, specifically programs being disability friendly, virtual environment enjoyment, having positive instructor relationships, adaptable content, the instructor’s knowledge about disability, the instructor’s use of appropriate language, and program satisfaction, affected the likelihood of high adherence among people with physical disabilities enrolled in the health and wellness programs. Full article

This Special Issue examines the links between sociopolitical action and healthy youth development. The 12 featured studies use diverse conceptual and methodological approaches to advance understanding of how the costs and benefits of youth sociopolitical action are dependent on identity, context, and structural factors. Key findings demonstrate that intersectional identities shape youth experiences of activism and that social contexts can exacerbate or buffer against personal risks, underscoring the importance of supportive environments that are attentive to each young person’s experiences of oppression. The contributing authors propose pragmatic strategies to encourage mutually reinforcing associations between personal well-being and sociopolitical action, such as integrating healing-centered approaches into youth programming and contextualizing resistance to systemic oppression as a component of healthy development. This Special Issue calls for future research to refine theoretical models and develop sustainable, health-promotive strategies to support young people in their vital work to advance justice and equity. Full article