Search Results (1,182)

Background: Most research on asthma and physical exercise is complex, costly, and often inconclusive, leading to minimal mention of exercise in international asthma management guidelines. Patients with mild asthma are frequently excluded from clinical trials, which focus on more severe cases, resulting in a lack of scientific evidence for this population. Objective: This study aimed to evaluate the effectiveness of a 3-month health intervention program promoting unstructured physical activity to improve asthma control, defined as a decrease of 0.5 points in the Asthma Control Questionnaire (ACQ-5). Methods: the study was designed as an open-label, two-arm randomized clinical trial involving sedentary asthmatic patients with intermittent to moderate persistent asthma. Participants were divided into an intervention group that attended three workshops based on World Health Organization recommendations for physical activity and a control group that continued their usual activities. All participants underwent three medical visits to assess variables such as asthma control, quality of life, rescue medication use, exacerbations, average steps taken, and respiratory function. Results: A total of 52 patients were recruited and randomized (26 patients per group), (73.1% women), with 48 completing the study (24 patients per group). The intervention group showed significant improvements in ACQ-5 scores (p = 0.035), mini-AQLQ score (p = 0.017), and average daily steps (p < 0.001). Significant differences were also observed between groups regarding respiratory function (p = 0.04) and average daily steps (p = 0.01). Conclusions: in sedentary asthmatic patients, including those with milder profiles, implementing low-resource physical exercise interventions significantly improved the average steps taken and respiratory function, while asthma control and rescue medication use showed a positive trend. Full article

Objectives: Elastic band training is a popular alternative to traditional resistance methods, but its effects on sport-specific performance in team athletes remain inconsistent. This systematic review and meta-analysis aim to evaluate the efficacy of elastic band training on muscular strength, linear sprint, change of direction (COD), and jump height in team sport athletes. Methods: Following PRISMA guidelines, a comprehensive search was conducted in PubMed, Web of Science, and Scopus for randomized controlled trials and quasi-experimental studies. The quantitative synthesis included studies comparing elastic band training interventions with control groups receiving routine training, habitual physical activity, or no additional resistance training intervention. Data were extracted using a standardized form, and a meta-analysis was performed using a random-effects model. Standardized mean differences (SMDs) and 95% confidence intervals (CIs) were calculated to determine the pooled effect of the intervention on key performance indicators. A total of 729 athletes were included. Results: The meta-analysis showed a statistically significant positive effect of elastic band training on lower limb explosive power (SMD = 1.43, p = 0.01), change of direction performance (SMD = −2.54, p = 0.01), and sprint performance (SMD = −1.64, p = 0.01). Conclusions: Elastic band training is a highly effective and practical method for significantly improving key physical performance indicators, including explosive power, COD, and sprint ability, in team sport athletes. Its portability and adaptability make it a valuable alternative or complement to conventional resistance training. Full article

Background/Objectives: This study aims to examine the relationships between 24-h movement guideline (24HMG) adherence and macronutrient intake, as well as assess dose–response relationships between 24-h movement behaviors and macronutrient intake among students aged 6–17 years. Methods: The study included 3624 participants aged 6 to 17 years from four rounds (2004–2011) of the Chinese Health and Nutrition Survey (CHNS). Participants’ 24-h movement behaviors and dietary intakes were evaluated. Results: Adherents to physical activity (PA) guideline had higher carbohydrate, fat, and protein intake (all p < 0.05). Those following the screen time (ST) guideline had a higher percentage of dietary energy intake (E%) from carbohydrates but a lower percentage from fat (all p < 0.05). Sleep (SLP) guideline adherents demonstrated lower protein intake and E% (all p < 0.05). PA guideline adherents were less likely to exceed carbohydrate Dietary Reference Intakes (DRIs) (OR = 0.83, 95% CI: 0.69–0.99), but more likely to surpass fat DRIs (OR = 1.20, 95% CI: 1.02–1.40). ST guideline adherents were more likely to exceed carbohydrate DRIs (OR = 1.32, 95% CI: 1.11–1.56) and less likely to surpass fat DRIs (OR = 0.78, 95% CI: 0.68–0.91). Dose–response analyses showed that moderate-to-vigorous physical activity (MVPA) and ST had positive linear associations with carbohydrate intake below DRIs. ST also showed positive linear associations with fat intake above DRIs. MVPA showed a nonlinear relationship with fat intake above DRIs. Conclusions: Among Chinese children and adolescents aged 6–17 years, those who meet the PA guideline should be cautious about the risk of excessive fat intake, while those adhering to the ST guideline should be aware of the risk of excessive carbohydrate intake in their daily diet. For promoting health and maintaining balanced macronutrient intake, MVPA should range from 60 to 90 min per day. This study underscores the importance of adjusting macronutrient intake according to levels of 24-h movement behaviors, especially MVPA and ST. Full article

Background and objectives: Pain is a prevalent and often underestimated issue in children with cerebral palsy (CP). When left untreated, pain can result in secondary complications such as reduced mobility and mental health challenges, which negatively impact social activity, participation, and overall quality of life. This review explores the complex mechanisms underlying pain in CP, highlights contributing factors, and places particular emphasis on diagnostic challenges and multimodal pain management strategies. Methods: Three scientific databases and, additionally, guideline repositories (2015–2025) were searched, yielding 1335 records. Following a two-step deduplication process, 850 unique items remained. Eighty-five full texts were assessed, of which 49 studies were included. These comprised one randomised controlled trial, 16 non-randomised studies, 12 systematic reviews, 8 non-systematic reviews, and 12 guidelines or consensus statements. Methodological quality was appraised with AMSTAR-2 where applicable, and Oxford levels of evidence were assigned to all studies. Results: Study quality was variable: 25% were systematic reviews, with only one randomised controlled trial. This literature identifies overlapping nociceptive, neuropathic, and nociplastic mechanisms of pain development. Classification remains inconsistent, though the International Classification of Diseases provides a useful framework. Only five assessment tools have been validated for this population. Interventions were reported in 45% of studies, predominantly pharmacological (27%) and physiotherapeutic (23%). Evidence gaps remain substantial. Conclusions: This review highlights the complexity of pain in children and adolescents with cerebral palsy and the need for a biopsychosocial approach to assessment and management. Evidence supports individualised, multimodal strategies integrating physical therapies, contextual supports, and, where appropriate, medical or surgical interventions. Clinical implementation remains inconsistent due to limited high-quality evidence, inadequate assessment tools, and poor interdisciplinary integration. Full article

Active transport (AT) offers an effective and sustainable strategy to address physical inactivity, reduce traffic congestion, and mitigate environmental challenges. However, participation in AT among young adults (YA) aged 18–25 remains low, leading to public health issues. This review synthesises evidence on how traffic stress (TS), built environment (BE) features, and socioecological factors interact to shape AT behaviour among YA, a relationship that remains insufficiently understood. We systematically reviewed 173 peer-reviewed studies (2015–2025) from Web of Science (WoS), PubMed, and Scopus, following the PRISMA 2020 guidelines. Thematic analysis, bibliometric mapping, and meta-synthesis informed the impact of TS, the Level of Traffic Stress (LTS), the 5Ds of BE, and the Socioecological Model (SEM) on AT among YA. The findings show that high TS, characterised by unsafe road conditions, high-speed motor traffic, and inadequate walking or cycling facilities, consistently reduces AT participation. In contrast, supportive BE features, including street connectivity, land-use diversity, and destination accessibility, increase AT by reducing TS while enhancing safety and comfort. Socioecological factors, including self-efficacy, social norms, and peer support, further mediate these effects. This review introduces two novel metrics: Daily Traffic Stress (DTS), a time-sensitive measure of cumulative daily TS exposure, and the Stress-to-Step Ratio (SSR), a step-based index that standardises how stress exposures translate into AT behaviour. By integrating environmental and psychosocial domains, it offers a theoretical contribution as well as a practical foundation for targeted, multilevel policies to increase AT among YA and foster healthier, more equitable urban mobility. Full article

Objectives: The growing proportion of older adults underscores the importance of healthy aging. Maintaining good nutrition and physical activity are crucial for sustaining health. However, research on aging inequalities suggests that individuals with lower socioeconomic status (SES) may be at higher risk for inadequate nutrition. The study examined associations between SES and nutrition in older community-dwelling adults in Iceland and whether the Sustainable Development Goals (SDGs) are being met in Iceland. Methods: Data from the AGES-Reykjavik study were used, and SES was grouped into four categories (low, medium-low, medium-high, and high), derived from education and occupation. Descriptive statistics were used to examine differences between groups, and logistic regression was used to explore associations with food and drink consumption. Results: Older adults with low SES were less likely to frequently consume vegetables, fruit, cod or saithe liver oil/pills, oatmeal or muesli, and cultured milk products, and they were less likely to meet nutritional guidelines. Higher SES was associated with greater alcohol intake. Conclusions: Older adults with low socioeconomic status are less likely to consume healthy food products than those with higher SES. As these individuals live independently, the findings highlight the need for targeted nutritional prevention and support to reduce health disparities, including potential risks such as insufficient vitamin D intake. Furthermore, the results suggest that the SDGs related to nutrition are not being met in Iceland, warranting monitoring and policy action. Full article

Introduction: Multiple sclerosis (MS) is a chronic neurodegenerative disease that entails high costs, progressive disability, and reduced quality of life (QoL). Telerehabilitation (TR), supported by new technologies, is emerging as an alternative or complement to in-person rehabilitation, potentially lowering socioeconomic impact and improving QoL. Aim: The objective of this study was to evaluate the effect of TR on the QoL of people with MS compared with in-person rehabilitation or no intervention. Materials and methods: A systematic review of randomized clinical trials was conducted (March–May 2025) following PRISMA guidelines. Searches were run in the PubMed-Medline, EMBASE, PEDro, Web of Science, and Dialnet databases. Methodological quality was assessed with the CASP scale, risk of bias with the Risk of Bias 2 tool, and evidence level and grade of recommendation with the Oxford Classification. The protocol was registered in PROSPERO (CRD420251110353). Results: Of the 151 articles initially found, 12 RCTs (598 total patients) met the inclusion criteria. Interventions included (a) four studies employing video-controlled exercise (one involving Pilates to improve fitness, another involving exercise to improve fatigue and general health, and two using exercises focused on the pelvic floor muscles); (b) three studies using a monitoring app to improve manual dexterity, symptom control, and increased physical activity; (c) two studies implementing an augmented reality system to treat cognitive deficits and sexual disorders, respectively; (d) one platform with a virtual reality headset for motor and cognitive training; (e) one study focusing on video-controlled motor imagery, along with the use of a pain management app; (f) a final study addressing cognitive training and pain reduction. Studies used eight different scales to assess QoL, finding similar improvements between groups in eight of the trials and statistically significant improvements in favor of TR in four. The included trials were of good methodological quality, with a moderate-to-low risk of bias and good levels of evidence and grades of recommendation. Conclusions: TR was more effective in improving the QoL of people with MS than no intervention, was as effective as in-person treatment in patients with EDSS ≤ 6, and appeared to be more effective than in-person intervention in patients with EDSS between 5.5 and 7.5 in terms of QoL. It may also eliminate some common barriers to accessing such treatments. Full article

Background: Physical activity is essential for good health and human well-being, yet one-third of adults worldwide fail to achieve the recommended weekly physical activity. Buddhist Walking Meditation (BWM), Walking Meditation (WM), or Mindful Walking (MW) is a mindfulness practice characterized by mind–body interaction, seeking to promote people’s well-being. Therefore, this systematic review aimed to examine the effect of Buddhist Walking Meditation, Walking Meditation, or Mindful Walking on health in adults and older adults. Methods: This systematic review (PROSPERO: CRD42024581286) followed PRISMA guidelines. A literature search was conducted in PubMed, SciELO, Web of Science, and Scopus to identify studies that used BWM, WM, or MW as interventions in adults and older adults. The methodological quality was assessed using the PEDro scale, and the risk of bias was evaluated using the Cochrane RoB 2 tool. Results: Ten studies met the inclusion criteria, with intervention durations ranging from 4 to 24 weeks. Most were rated as “good” quality. Positive effects were reported in ankle proprioception, balance, functional fitness, psychological outcomes (e.g., reductions in stress, anxiety, or depression), and selected cardiometabolic markers (HbA1c, blood pressure, and arterial stiffness) in specific subgroups. However, several studies showed a moderate-to-high risk of bias. Conclusions: BWM, WM, and MW are safe and potentially effective PA strategies to enhance physical and mental health in adults and older adults. Their simplicity, low impact, and high adherence rates make them suitable for sedentary or clinically vulnerable populations. Full article

Physical activity integration in elementary education seeks to promote academic performance and the physical, emotional and social health of students. This study aims to examine the effect of active methodologies involving physical activity in primary school students through a detailed review of the scientific literature. A systematic review was conducted regarding PRISMA guidelines. Searches were performed in Web of Science, Scopus and SPORTDiscus. Studies published between 2018 and April 2024 were selected. The studies focused on the application of active methodologies in primary school populations. The quality of the studies was assessed using the Standard Quality Assessment Criteria for Evaluating Primary Research Articles from Various Fields. After screening and review, 22 articles were included. Most of the studies had longitudinal quasi-experimental or repeated measures designs with a randomized cluster-controlled pilot trial. Cross-sectional studies with descriptive data and mixed methods were also included. Cooperative learning and active breaks were found to improve engagement, classroom behavior, and academic outcomes. In addition, gamification and challenge-based learning also showed positive effects on motivation and engagement, although these were more context-dependent. Shorter or small-scale interventions produced promising but less robust results. Active methodologies improve primary education outcomes, but inconsistent designs limit generalization. Full article

Background/Objectives: Cardiorespiratory fitness (CRF) represents a strong and consistent predictor of mortality among adults. It is ideally expressed as the maximum or peak rate of oxygen consumption per kilogram of body mass (VO_2max) determined by the cardiopulmonary exercise test (CPX). Variance in CRF is mainly attributable to genetics and physical training; nevertheless, strong behavioral and socioeconomic confounders need to be considered. Among those, psychosocial stress may play an important role. Some papers show an association between low CRF and chronic stress conditions; nevertheless, CRF is generally estimated by indirect assessment and not directly measured by CPX. Methods: CRF was directly assessed by performing a CPX in 145 consecutive subjects (56 male, 89 female) (age 19–65 years) who attended our Exercise Medicine unit for health check-ups. Weekly total volume of physical activity (PA) was evaluated using a validated questionnaire (IPAQ); perceptions of stress, fatigue, and somatic symptoms were assessed using a self-administered questionnaire. Results: VO_2max was negatively correlated with perception of stress (p = 0.03), fatigue (p < 0.001), and somatic symptoms (p < 0.001); as expected, it was positively correlated with the weekly volume of PA (p < 0.001). This link was further evidenced by the observation that subjects who did not meet the PA goals as indicated by WHO guidelines presented a higher perception of stress, fatigue, and symptoms, as compared to physically active subjects. Conclusions: This direct link might, on the one hand, corroborate the role of exercise as a tool to manage stress and, on the other hand, focus on the role of stress as a possible determinant of CRF. Full article

Background: Bone metastases are a common complication in patients with advanced cancer. These patients often experience a decline in physical function and autonomy, particularly in the ability to perform Activities of Daily Living, and structured movement-based interventions may represent an important supportive strategy. The aim of this study is to describe the available evidence regarding the impact of physical activity and exercise interventions on functional status and ADL performance in patients with bone metastases. Methods: A systematic literature review was conducted in PubMed, Scopus, Embase, Web of Science, and CINAHL database up to March 2025 and reported according to PRISMA guidelines. Eligible studies included adults (≥18 years) with confirmed bone metastases who underwent physical activity interventions designed to enhance functional status and ADLs. Studies’ methodological quality was assessed using the Joanna Briggs Institute critical appraisal tools, selected according to study design. Results: Eleven studies were included: four randomized controlled trials, four quasi-experimental studies, one randomized feasibility trial, one cross-sectional observational study, and one case report. Despite heterogeneity in intervention type, duration, and outcome measures, most studies reported improvements in physical function, including mobility, muscle strength, walking capacity, and endurance, as well as enhanced performance in ADLs and reductions in fatigue. No serious adverse events were reported. Conclusions: Structured physical activity appears safe and may improve function and independence in patients with bone metastases. These findings support the integration of individualized exercise programs into multidisciplinary supportive care. Full article

Population aging presents pressing public health challenges, calling for accessible and effective interventions to preserve functional capacity and prevent frailty. Walking football, an adapted sport for older adults, has emerged as a promising approach by combining aerobic activity, neuromuscular stimulation, and social engagement. This scoping review aimed to synthesize experimental evidence on its effect on physical and functional outcomes in older adults. Following PRISMC-ScR and Joanna Briggs Institute guidelines, a systematic search across seven databases identified 10 studies with 332 participants (mean age 68.7 years, 85.2% male). Interventions lasted 6–16 weeks, with two to three weekly sessions. The outcomes assessed included strength, agility, cardiorespiratory fitness, body composition, and clinical parameters. Six studies reported improvements in at least one component of physical fitness, particularly handgrip strength, abdominal fat reduction, and aerobic capacity. Among the included studies, three were randomized controlled trials, four quasi-experimental designs, and three intervention studies without control groups, highlighting the methodological heterogeneity of the field. Some studies also reported benefits in blood pressure, glucose, cholesterol, and quality of life. Despite promising results, the literature lacks large-scale randomized trials, female representation, and long-term assessments. Walking football appears to be a safe, multicomponent, and low-cost strategy to support healthy aging and warrants integrations into public health policies. Full article

Background/objectives: Alcohol use during pregnancy can result in adverse outcomes for the offspring, including Fetal Alcohol Spectrum Disorders (FASD). Psychosocial and contextual factors may influence gestational alcohol intake and women’s risk perception. This systematic review aimed to assess pregnant women’s and women of childbearing age’s perceived risk of alcohol use during pregnancy and to evaluate their knowledge of its potential effects on children. Methods: Following the PRISMA guidelines, a systematic search was conducted in Web of Science, PubMed and PsycArticles databases for studies published up to May 2025. Eligible studies examined gestational alcohol use, risk perception, or knowledge of fetal consequences among pregnant women or women of reproductive age. Methodological quality was assessed with the Critical Appraisal of Qualitative Studies tool from the Centre for Evidence-Based Medicine (CEBM). Results: Twenty-nine studies were included. Reported prevalence of alcohol consumption during pregnancy varied considerably across settings. A substantial proportion of women perceived alcohol use during pregnancy as acceptable, often depending on quantity, frequency, type of beverage, or stage of gestation. Knowledge of FASDs was generally limited and frequently restricted to physical malformations. Misconceptions were more common among women with prior alcohol use. The findings highlight persistent gaps in risk perception and knowledge about FASDs. Conclusions: Prevention strategies should not be limited to pregnant women but should also target women of childbearing age, especially those with active drinking patterns, as well as their immediate sociocultural environment. Strengthening professional training, community-based interventions, and consistent public health messaging are essential to reduce gestational alcohol exposure. Full article

Background/Objectives: Systemic lupus erythematosus (SLE) is associated with impaired functional capacity, persistent fatigue, and poor health-related quality of life despite advances in pharmacological therapy. Exercise training has been proposed as a non-pharmacological intervention, but its efficacy and safety remain incompletely defined. This systematic review aimed to evaluate the effects of exercise training on functional aerobic capacity and quality of life in adults with SLE. Methods: A comprehensive search of PubMed, EMBASE, Cochrane Library, and PEDro was conducted to identify randomized controlled trials published up to October 2022, in accordance with the PRISMA guidelines. Results: Twelve randomized controlled trials involving 619 participants were included. Exercise interventions were heterogeneous and comprised aerobics, resistance, combined programs, vibration training, home-based protocols, and counseling strategies, with durations ranging from 6 weeks to 12 months. Supervised aerobic and combined interventions consistently improved functional aerobic capacity, while quality of life benefits were reported across several domains, particularly physical health, vitality, and fatigue. Additional positive effects were observed on fatigue, depression, pain, sleep, insulin sensitivity, and self-care ability, without evidence of increased disease activity. Conclusions: Structured exercise is safe and can meaningfully enhance functional capacity and quality of life in patients with SLE, supporting its incorporation into multidisciplinary clinical management. Full article

Optimal recovery supports health and enhances performance in soccer players, yet the empirical evidence on various recovery strategies in soccer is complex to interpret. This review aimed to summarize the literature on post-exercise recovery modalities in male and female soccer players of all ages and competition levels. Following PRISMA guidelines, PubMed, SPORTDiscuss, and Web of Science were systematically searched until 17 October 2023. Randomized controlled trials or within-subjects crossover design studies that examined the effects of post-exercise recovery interventions on physical, psychological, or performance outcomes in soccer players were included. A single reviewer extracted data and assessed study quality using the Physiotherapy Evidence Database (PEDro) scale. Overall, 41 studies were included in the final review. The recovery strategies represented in these studies were organized into the following categories: active recovery, blood flow restriction, cold water immersion, contrast water therapy, compression garments, active cool-down, cryotherapy, cold garments, sleep and daytime nap, pneumatic cooling, foam rolling, mindfulness interventions, nutritional intervention, and static stretching. The findings demonstrated that cold-water immersion consistently improved jump performance and perceptions of fatigue, soreness, and overall well-being. Other recovery strategies, such as active recovery, compression therapy, sleep interventions, and nutrition supplementation, also positively impacted recovery, albeit with varying levels of effectiveness and evidence. However, the studies exhibited heterogeneity in methods, outcome measures, and recovery intervention protocols, posing challenges for generalizability. This review summarizes recovery strategies for soccer players, emphasizing the need for practitioners, coaches, and athletes to individualize interventions based on athletes’ needs, preferences, and competition level. Full article