Search Results (30,745)

Background: The purpose of this study was to compare the effects of two months of exergaming, conventional resistance exercise training, and no exercise on body composition and cardiometabolic risk factors in physically inactive older adults. Methods: For the preliminary study, twenty-four physically inactive adults aged 60–74 yrs. were allocated to an active video game training group (AVG n = 8), a conventional exercise group (CEG n = 7), or a non-exercising control group (CON n = 9). The AVG and CEG completed 24 supervised exercise training sessions over two months (three sessions per week) at self-selected, predominantly moderate-to-vigorous intensity, while the CON maintained usual daily activities. Body weight, skeletal muscle mass, body fat percentage, phase angle, and fasting blood biomarkers (glucose, total cholesterol, LDL, HDL, VLDL, and triglycerides) were assessed before and after the intervention. Results: No significant interactions were observed for body composition variables. Body weight decreased significantly following exercise training in both the AVG and CEG (p < 0.05). Significant interactions were found for total cholesterol (p = 0.001) and LDL cholesterol (p = 0.009). The AVG demonstrated significant reductions in fasting glucose, total cholesterol, and LDL cholesterol (p < 0.05), whereas the CEG showed a significant reduction only in total cholesterol. In contrast, the CON exhibited a significant increase in total cholesterol over the same period (p < 0.05). Conclusions: Two months of exergaming-based exercise training may lead to greater improvements in lipid-related cardiometabolic risk factors compared with conventional resistance exercise training in physically inactive older adults. These findings suggest that exergaming could be a promising exercise modality for supporting cardiometabolic health in aging populations. Full article

Plant-based diets are generally associated with a reduced risk of chronic diseases; however, the relationship between a vegan diet and genome integrity remains insufficiently characterized. In this cross-sectional study, we assessed primary DNA damage in peripheral blood cells of vegans and omnivores. A total of 62 apparently healthy adults were included: 31 vegans (median vegan diet duration 4.5 years) and 31 omnivores matched for sex and smoking status. DNA damage was assessed using the alkaline comet assay under standardized conditions and expressed as tail intensity (% tail DNA), tail length, tail moment, and total comet area. Tail intensity was significantly higher in vegans than in omnivores (B = 1.98; 95% CI 0.19 to 3.76; p = 0.031) after adjustment for age, physical activity, body mass index (BMI), and alcohol consumption. Within the vegan group, longer duration of adherence to a vegan diet was positively associated with tail intensity, independent of age (B = 0.23; 95% CI 0.03 to 0.43; p = 0.026). These findings suggest that adherence to a vegan diet and its duration may be associated with higher levels of primary DNA damage; however, these results should be interpreted with caution given the observational design and modest sample size. Full article

This systematic review synthesized the existing evidence on neurofeedback interventions applied to football players, aiming to clarify their effects on cognitive, technical–tactical, physical and psychological performance. Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, four databases (PubMed, Web of Science, SCOPUS and SportsDiscus) were searched up to November 2025. Seven studies met the inclusion criteria, involving 133 players across youth, amateur, national and elite levels. Neurofeedback protocols primarily targeted alpha or sensorimotor rhythm (SMR) activity, and some were combined with heart rate variability (HRV) biofeedback. Across studies, neurofeedback may be associated with improvements in several cognitive outcomes, including improvements in working memory, visuospatial memory, task switching, mental rotation and decision-making. Limited evidence suggests potential improvements in technical skills (particularly shooting accuracy) and tactical decision-making. Some studies reported changes in physiological markers and stress-recovery capacity, although their interpretation remains uncertain. However, the evidence base remains constrained by small samples, heterogeneous protocols and limited use of randomized controlled designs. Overall, neurofeedback appears to be a potentially promising but still experimental tool to support cognitive and psychophysiological readiness in football, warranting more rigorous and standardized research to establish efficacy and optimal training parameters. Full article

This cross-sectional study explored whether the relationship between adolescents’ physical activity and related factors (such as personal and social factors, and parental safety concern) differed according to adolescents’ levels of access to play spaces. Data from Wave 3 of the Growing Up in Ireland (GUI) national longitudinal study, a nationally representative sample of 5212 adolescents aged 17–18 years, was analyzed. Key study variables included adolescents’ physical activity, personal factors (gender, health status, parents’ education and physical activity levels, and active commuting), social factors (number of friends, family support), and parental safety concerns (perceived safety of walking/playing and neighborhood safety). Two structural equation models (SEMs) were employed to compare relationships among physical activity and related factors for adolescents with high and low access to play spaces. Results showed that adolescents living in areas with high access to play spaces reported significantly higher levels of physical activity. Parents’ levels of education and the number of friends available for play had significant impacts on adolescents’ physical activity, regardless of access to play spaces. However, parental perception of the safety of walking and playing was only significant for adolescents with low access to parks. The associations between related factors and adolescents’ levels of physical activity differed for those with high and low access to play spaces, suggesting that interventions promoting adolescents’ physical activity may not yield equal results across these groups. A key limitation of this study is its cross-sectional design and reliance on self-reported measures, which preclude causal inference. Full article

This work examines the influence of the Ce/Fe ratio in Pt/CeO₂-Fe₂O₃ catalysts on the peculiarities of metal–support interaction and catalytic properties in the total oxidation of toluene. The physical-chemical properties of the Pt/CeO₂-Fe₂O₃ catalysts are studied using low-temperature N₂ adsorption–desorption, XRD, TPR-H₂, Raman, and TEM. The citrate method to synthesize the mixed CeO₂-Fe₂O₃ supports makes it possible to obtain dispersed defective oxide particles that actively interact with the supported Pt species. An increase in the oxygen mobility of CeO₂-Fe₂O₃ after the Pt deposition and the cooperation of active oxidative species with the active site of Pt is a key to the catalytic activity in the total oxidation of toluene. This effect is the highest for the Pt/3Ce2Fe catalyst, and the temperature of 50% toluene conversion over this catalyst is 167 °C. Full article

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

Extreme hydrological events fundamentally alter sediment transport dynamics across grain, reach, and watershed scales, rendering classical equilibrium-based transport formulations inadequate. This review synthesizes recent advances in multiscale sediment transport modeling under highly unsteady and high-magnitude forcing conditions. At the grain scale, particle-resolved simulations demonstrate that sediment entrainment is governed by turbulence intermittency and transient force exceedance rather than mean bed shear stress thresholds, particularly when the hydrograph rise timescale (T_h) becomes comparable to particle response times (T_p). At the reach scale, non-equilibrium transport emerges when the unsteadiness ratio T_h/T_a∼O(1), where T_a is the sediment adaptation timescale representing the time required for sediment flux to adjust toward transport capacity. Under these conditions, pronounced hysteresis between discharge and sediment flux is observed, requiring relaxation-based transport formulations instead of instantaneous equilibrium laws. At the watershed scale, the sediment delivery ratio (SDR), defined as the ratio of sediment yield at the basin outlet to total hillslope erosion, becomes highly time-dependent. Extreme precipitation events can activate hillslope-channel connectivity, increasing SDR by orders of magnitude relative to baseline conditions. A unified dimensionless scaling framework is presented based on mobility intensity (θ/θ_c, where θ is the Shields parameter and θ_c is its critical value for incipient motion), unsteadiness ratio (T_h/T_a), and morphodynamic coupling (T_f/T_m, where T_f is the hydraulic advection timescale and T_m is the morphodynamic adjustment timescale). This framework enables classification of sediment transport regimes ranging from quasi-equilibrium to cascade-dominated states. The synthesis demonstrates that predictive uncertainty increases nonlinearly across scales due to timescale compression, threshold activation, and feedback between flow hydraulics and evolving morphology. Recent developments in hybrid physics-AI approaches show promise in improving predictive capability by enabling dynamic transport closures, surrogate modeling of computationally expensive microscale processes, and data assimilation for real-time forecasting. However, these approaches remain limited by extrapolation uncertainty and the need to enforce physical constraints. Overall, this review concludes that regime-aware multiscale coupling, combined with uncertainty quantification and adaptive modeling strategies, is essential for robust sediment hazard prediction and climate-resilient infrastructure design under intensifying hydrological extremes. Full article

Two types of coatings, NiCrAlY and NiCrAlY/YSZ, were fabricated on the surface of M247 alloy by the atmospheric plasma spraying (APS) technique. Under pure Na₂SO₄ and 25 wt.% NaCl-containing mixed salt deposits at 900 °C in air, the M247 alloy underwent rapid catastrophic corrosion. The non-protective corrosion products formed on the surface included NiO and (Ni,Co)Cr₂O₄ spinel. The hot corrosion of M247 under the pure Na₂SO₄ salt deposit followed a basic fluxing mechanism, whereas under the NaCl-containing mixed salt deposit, it was dominated by an active oxidation mechanism. During hot corrosion, the NiCrAlY coating developed a continuous, dense, and highly protective α-Al₂O₃ oxide scale on its surface, endowing it with superior hot corrosion resistance. The thermal barrier coating of NiCrAlY/YSZ exhibited the best hot corrosion resistance, attributed to the physical barrier and thermal barrier effects of the outer YSZ ceramic layer. Full article

Propolis has long been recognized for its biological properties, but its availability is increasingly threatened by apiary losses in agricultural areas. One response to this problem is the development of urban apiaries, located in urbanized environments and often established for educational and promotional purposes. In this study, edible pullulan films were prepared with the addition of 10, 20, and 30% propolis extract obtained from an urban apiary located in Toruń, Poland. The effect of these coatings applied to cherries on fruit spoilage, the growth inhibition of Aspergillus niger and Penicillium chrysogenum, and changes in pH, titratable acidity, soluble solids content, and fruit color were evaluated. The films showed both antimicrobial and antioxidant properties. The biological evaluation demonstrated dose-dependent antimicrobial activity, with inhibition zones ranging from 7.27 to 17.23 mm for fungi and from 7.09 to 16.22 mm for bacteria, with the strongest effects observed against L. monocytogenes, C. krusei, and P. chrysogenum. Antioxidant activity, determined using the DPPH radical scavenging assay, increased with propolis concentration and reached 29.44% for films containing 30% urban propolis extract. Moreover, pullulan coatings enriched with propolis reduced mold counts on cherries after 96 h of storage to 2.82 log CFU/g for P. chrysogenum and 2.72 log CFU/g for A. niger, compared with 7.02 and 7.17 log CFU/g, respectively, in uncoated fruit. The influence of urban propolis extract on the thickness and color of the obtained films was also demonstrated. It was found that pullulan coatings with urban propolis extract applied on cherries showed fungistatic properties against P. chrysogenum and A. niger. The developed films and coatings show potential for use in food technology to support the preservation of perishable raw materials; however, further studies are needed to confirm their effectiveness under broader storage conditions. Full article

(1) Background: Parkinson’s disease (PD) is a neurodegenerative disorder characterized by gait and postural impairments. Recently, physical activity has emerged as a key strategy in PD management. This study aimed to evaluate the effectiveness of an innovative technology-assisted rehabilitation program in improving gait and reducing fall risk in older adults with PD. (2) Methods: Fifty-eight patients were randomly assigned to three groups: conventional rehabilitation (CG), or conventional therapy combined with technology-assisted rehabilitation using Tymo (TG) or Walker View (WG). The intervention consisted of 10 sessions over 5 weeks. Assessments were conducted at baseline (T0), post-intervention (T1), and at 6-month follow-up (FW). Outcomes included gait and balance performance, fear of falling, quality of life, activities of daily living, and physical function. (3) Results: The CG showed no significant improvements, with a decline in Barthel Index from T1 to FW. The WG demonstrated significant improvement in POMA Gait scores, while the TG improved both POMA Total and Balance scores at T1. Post-treatment, TG and WG outperformed CG in POMA outcomes; however, these differences were lost at follow-up. (4) Conclusions: Technology-assisted rehabilitation can improve gait and balance in older adults with PD, although sustained or repeated interventions may be necessary to maintain long-term benefits. Full article

Background/Objectives: Sarcopenia frequently coexists with other geriatric syndromes, and its severity may influence their clinical manifestation. This study examines the prevalence of geriatric syndromes in older adults with non-severe and severe sarcopenia and explores the associations between sarcopenia severity and individual geriatric syndromes in Vietnam. Methods: A cross-sectional study was conducted among 726 older outpatients with sarcopenia. Non-severe and severe sarcopenia were diagnosed according to the Asian Working Group for Sarcopenia algorithm. Fifteen geriatric conditions spanning physical and psychological health, functional status, and social circumstances were assessed using components of the Comprehensive Geriatric Assessment. Logistic regression models were used to examine associations between sarcopenia severity and geriatric syndromes. Results: A total of 726 older patients with sarcopenia (mean age 74.4 years, 77.4% females) were included, of whom 53.4% had severe sarcopenia. A significantly higher prevalence of geriatric syndromes was observed in patients with severe compared with non-severe sarcopenia, including sleep disturbances (79.4% vs. 67.5%), frailty (71.4% vs. 54.7%), malnourishment/risk of malnutrition (61.9% vs. 50.0%), depression (54.9% vs. 34.9%), polypharmacy (49.5% vs. 42.0%), impairment in activities of daily living (52.8% vs. 32.5%), and impairment in instrumental activities of daily living (58.2% vs. 39.3%). After adjustment for potential confounders, severe sarcopenia remained associated with sleep disturbance (adjusted OR 1.49, 95%CI 1.02–2.18, p = 0.046), depression (adjusted OR 1.90, 95%CI 1.36–2.66, p < 0.001), and mobility impairment (adjusted OR 3.01, 95%CI 2.12–4.27, p < 0.001). Conclusions: Older Vietnamese adults with sarcopenia had a high burden of geriatric syndromes, particularly among those with severe disease. Severe sarcopenia was independently associated with sleep disturbance, depression, and impaired mobility—clinically relevant and potentially modifiable conditions. These findings highlight the importance of evaluating sarcopenia within a broader geriatric framework and may inform early identification and prioritization of coexisting geriatric syndromes, especially in resource-limited settings. Full article

The built environment constitutes a significant factor influencing the physical and mental health of the elderly and has garnered sustained interdisciplinary attention in recent years. Based on 425 publications from the Web of Science database spanning 2001 to 2025, this study employed Citespace to conduct a quantitative analysis and synthesis of the relevant literature, aiming to explore the evolutionary trends, hotspot distributions, and pathways of influence regarding the impact of the built environment on elderly health. The results indicate a close positive correlation between the population ageing trend and annual publication growth. The total publication volume exhibited a shift from gradual to rapid growth, demonstrating a distinct phased evolutionary pattern. The research hotspots displayed a gradient structure of descending research intensity: “physical activity—quality of life—mental health.” The impact of the built environment (e.g., green space, street quality) on elderly health can be primarily categorised into three pathways: direct effects, physical activity, and mental health. Macro-level allocation of elderly care facilities and micro-level construction of age-friendly living circles represent the principal optimisation strategies currently employed to address elderly health needs. Finally, potential future research directions are discussed, encompassing aspects such as spatial scales, health representations, and mechanism expansion, with the aim of providing reference and insights for advancing the initiative of “healthy ageing.” Full article

Introduction: Motor reserve (MR) has been hypothesized as a protective factor against age-related and pathological motor decline, potentially enhancing quality of life. This study aimed to investigate the influence of MR on motor performance, assessed via mobile health technology (MHT), in drug-naïve Parkinson’s disease (PD) patients. Methods: Consecutive drug-naïve PD patients and age-matched healthy controls (HC) underwent cognitive and motor assessments. Turning MHT parameters were extracted from the Timed Up and Go test (TUG) performed at self-selected and fast speeds. Participants were categorized into high- or low-MR groups based on the Motor Reserve Index questionnaire (MRIq). Results: Forty-five PD patients and forty healthy controls (HC) were enrolled. PD patients showed longer TUG durations and altered performance compared to HC. No differences were found between high and low motor reserve (MR) groups in demographics or clinical severity. However, high-MR patients exhibited shorter turn duration and higher angular velocities at both self-selected (p < 0.005) and fast speeds (p < 0.05). MR subdomains related to physical and care activities correlated with MHT turning metrics, unlike housework and leisure domains. Conclusions: the findings highlighted the relevance of MR on motor performances assessed by MHT in drug naïve PD, independently from motor severity. Full article

Background: Frailty is a common finding in elderly subjects with severe aortic stenosis (AoS) and a strong predictor of mortality and disability after aortic valve surgery. The atherogenic index of plasma (AIP) is related to different cardiovascular (CV) risk factors, which in turn are correlated to the progression of frailty as well as of AoS. Aim: to analyze the association of AIP with different CV risk factors and frailty scores and its value as a determinant of mortality in older adults with severe AoS. Methods: The association of AIP with a multidimensional assessment of frailty by using Fried criteria and the following indices; timed up-and-go test (TUG) for gait function; Charlson Index (CI), basic activities of daily living (BADL) and instrumental activities of daily living (IADL) for disability; mini–mental state examination for cognitive function evaluation (MMSE); Geriatric Depression Score for mood disorder (GDS); Mini Nutritional Assessment (MNA) for nutritional status was assessed in 102 elderly AoS patients (33 males; mean age 83 ± 6 yrs). Moreover, the relationship between AIP and demographic, lifestyle, traditional CV risk factors and CV mortality was also evaluated. Results: Significant relationships between AIP and glycemia and inflammatory parameters (CRP, ESR and fibrinogen) as well as with troponin I were found. Moreover, AIP significantly correlates with CI, BADL, IADL and MNA. However, the Kaplan–Meier analysis did not show any significant difference for survival rates according to AIP intervals of risk, whereas ejection fraction remained the only significant determinant after multivariate adjustment for mortality at the Cox proportional hazard models analysis in this patient population. Conclusions: Higher AIP is significantly associated with cardiometabolic risk and increased physical dysfunction risk and frailty in AoS pts, evidencing its potential use as a simple biomarker in this clinical setting, although it did not represent a significant determinant for mortality in this population. Full article

Rheumatoid arthritis (RA) is a chronic inflammatory disease of autoimmune background and unknown etiology. The importance of genetic factors in RA development is well-established. Environmental factors have also been extensively researched in relation to risk of RA and managing its symptoms. Smoking, physical activity, diet, and gut microbiota are considered to be the most essential modifiable factors in RA. Among dietary interventions, the most researched is Mediterranean diet, monounsaturated fatty acids, fish consumption, and fish oil (EPA, eicosapentaenoic acid and DHA, that is, docosahexaenoic acid). Others concerned gluten-free and vegan or vegetarian diet, salt intake, supplementation with vitamin D, antioxidants, prebiotics, and probiotics. Diet modifications can alter the gut environment, and the association between RA development or severity and the composition of gut bacteria has already been shown. This review focuses on effectiveness and usefulness of various dietary approaches and supplements in RA prevention and management, including the influence on disease activity and inflammatory status. The composition of gut microbiota and its changes in response to dietary factors are also considered. There is a great need for further research into mutual dependencies of diet, microbiome, and RA activity. The current state of knowledge provides promising evidence for future nutrition and microbial therapies. Full article