Search Results (430)

Background/Objectives: Wheelchair users with multiple sclerosis (MS) often face barriers that restrict participation in physical activity and exercise training. This manuscript reports on participant feedback to guide evaluating and refining a novel exercise training program, Seated Physical activity INtervention (SPIN). SPIN was adapted from the Guidelines for Exercise in MS (GEMS) approach using a three-step community-engaged research framework based on meeting the needs of wheelchair users with MS. Methods: Semi-structured interviews were conducted with 9 participants who completed the 16-week SPIN intervention. The key SPIN intervention components were the exercise prescription, exercise equipment, and behavioral coaching grounded in Social Cognitive Theory. Formative interview domains included overall experience, enjoyable and missing components, delivery modifications, barriers, lessons learned, and additional research topics of interest. Data were analyzed and reported using a rapid qualitative analysis approach. Results: Interviews averaged 16 ± 10 min. Participants reported enjoying SPIN, noting program strengths as being flexible and appropriate for individuals with MS, receiving coaching calls by knowledgeable staff that offered support and accountability, and receiving exercise equipment and video demonstrations. Participants also identified strategies for enhancing the program such as including peer support, offering real-time feedback during exercise, and adding other wellness behavior topics (e.g., diet). Conclusions: The results offer helpful ideas to consider when developing exercise training programs for wheelchair users with MS and other disabilities that may improve health and well-being. Full article

Adults with type 1 diabetes mellitus (T1DM) face elevated cardiovascular risk, and regular exercise is a key non-pharmacological mitigation strategy. However, safe prescription requires cardiovascular and glycemic monitoring, often unfeasible in real-world gyms. Low-cost psychophysiological tools (ratings of perceived exertion—RPE and enjoyment) may offer practical alternatives. This exploratory randomized crossover trial examined whether post-session RPE and enjoyment are associated with acute heart rate (HR) and capillary blood glucose (BG) responses to gym-based aerobic and resistance training. Twelve adults with T1DM (29.8 ± 7.8 years; HbA1c 7.7 ± 1.6%; LDL-c 119.5 ± 24.4 mg/dL) completed three ~30 min sessions: aerobic interval training (AE) and two resistance protocols (STA, STB). HR and BG were measured pre-, immediately post-, and 20 min post-exercise; RPE and enjoyment, post-session. Multiple linear regression, controlling for exercise session type, examined associations of RPE and enjoyment with resting HR, BG, and percentage of heart rate reserve (%HR). RPE was higher after STA and STB than AE (p < 0.001; η²p = 0.529), while enjoyment and %HR were similar across sessions. Neither variable was associated with resting HR or BG (all adjusted R² < 0; all p > 0.05). Controlling for exercise session type, RPE was a significant positive predictor of %HR (β = 0.44, p = 0.044), whereas enjoyment was not (β = −0.06, p = 0.719); however, the overall %HR model did not reach statistical significance (adjusted R² =0.119; F(4,31) = 2.183; p = 0.094). These exploratory findings suggest that RPE, but not enjoyment, may serve as a low-cost adjunct intensity marker to inform exercise prescription in adults with T1DM at elevated cardiovascular risk; however, replication in larger samples is needed before clinical recommendations can be drawn. Direct BG monitoring remains essential for safety. Full article

Background/Objectives: Telewellness programs can expand access to exercise and social opportunities for older adults, especially those with mobility disabilities. The TechSAge Tele Tai Chi clinical trial assessed whether the Tai Chi for Arthritis and Fall Prevention program was feasible and acceptable when delivered in a virtual format for adults aging with mobility disabilities, and examined pre-to-post changes in two primary outcomes: physical activity and social connectedness. Methods: The TechSAge Tele Tai Chi study was a single-arm clinical trial. Sixty community-dwelling adults (60–77 years of age; M = 69.2, SD = 4.8) with self-identified long-term mobility disability (≥10 years) joined the virtual classes from home twice a week for 8 weeks. Participants exercised along with pre-recorded video lessons and engaged in guided social discussion. Assessments at baseline, post-intervention, and 1-month follow-up were analyzed with linear mixed models. Results: Leisure physical activity (PASIPD) increased significantly, with back-transformed marginal means rising from 14.2 MET h/wk at baseline to 28.7 MET h/wk post-intervention (p < 0.001). The Social Participation subscale of social connectedness also increased from baseline to post-intervention (p = 0.014); the overall social-connectedness composite did not change significantly. The virtual translation was feasible with high intervention fidelity and adherence, and participants reported high acceptability, satisfaction, enjoyment, and intention to continue. Conclusions: Adults aging with mobility disabilities can safely and successfully participate in virtual group tai chi with appropriate modifications and technology support. Full article

The aim of this study was to analyze the effects of different small-sided game (SSG) formats on internal load, perceived enjoyment, and technical-tactical performance in elite youth water polo players. Twenty male athletes (U16, n = 10; U18, n = 10) performed in three 4 vs. 4 SSG formats with different time of ball possessions and size of field areas. Technical-tactical variables were assessed using the Team Sport Assessment Procedure (TSAP), while internal load and enjoyment were measured through session-RPE (s-RPE) and a 7-point enjoyment Likert scale (ENJ). Data were analyzed using linear mixed-effects models and Spearman correlations. SSG format significantly influenced internal load, with higher RPE values (F = 6.878; p = 0.004) and s-RPE (F = 6.27; p = 0.006) observed in larger formats of the SSG. Technical-tactical indices were also affected, with significant differences found for volume of play (VP) (F = 17.041; p < 0.001) and performance score (PS) (F = 18.574; p < 0.001), showing higher values in the smallest format (SSG1). Enjoyment differed between categories (F = 13.136; p = 0.003), with higher scores in U16 players. No significant correlations were found between final RPE and TSAP indices (p > 0.05). These findings suggest that SSGs are effective tools for simultaneously developing physical and technical-tactical skills. Coaches should manipulate task constraints to balance training intensity and skill development, while also enhancing player motivation and engagement. Full article

High-density urban parks are essential spaces for residents in core urban areas for restorative experiences and routine leisure. Research on the impact of cross-density contexts on the motivational structure of park recreation remains limited. Empirical identification under a high-density Built Environment remains limited, and cross-density comparison is largely absent. This study examines five high-density parks using 583 valid questionnaires and the Recreation Experience Preference (REP) scale with exploratory factor analysis (EFA) to identify the motivational structure and motivational expression strength of park recreation. Standardized density assessment and cross-density comparison in existing studies generate exploratory hypotheses. Results identify eight motivational dimensions, explaining 62.36% of the variance. Physical well-being, nature enjoyment, relaxation and family bonding, and social connection are consistently recognized across density contexts, while escape, introspection and self-realization, learning and exploration, and autonomy and independence are more likely to emerge as independent dimensions in high-density contexts. Physical well-being and social connection appear at higher proportions in low-density contexts. This study provides direct empirical evidence on the motivational structure of urban park recreation in high-density Built Environments, exploratory evidence for understanding the potential associations between urban spatial contexts and psychological needs, and a foundation for future research in human-centered urban landscape planning and management. Full article

Objective: To investigate the associations between body weight status and anthropometric parameters, lipid profile, eating behavior characteristics, and physical activity levels among children in a developing country. Methods: The study included 80 children aged 7–11 years, divided into two groups: children with normal body weight (n = 40) and children with overweight or obesity classified using WHO BMI-for-age growth reference standards (overweight >+1 SD, obesity >+2 SD). BMI, waist circumference, and lipid profile (total cholesterol, LDL, HDL, triglycerides) were measured. Eating behavior characteristics and physical activity levels were assessed using standardized questionnaires. Statistical analysis included descriptive statistics, comparative tests, correlation analysis, and exploratory regression models. Results: Children with increased body weight had significantly higher BMI, waist circumference, and a more unfavorable lipid profile (p < 0.01). BMI showed a positive correlation with food enjoyment, emotional overeating, and eating speed, and a negative correlation with satiety responsiveness and food fussiness. Lower physical activity levels were associated with higher BMI and higher total cholesterol in unadjusted analyses. Conclusions: Excess body weight among children in a developing country is associated with metabolic and behavioral characteristics in this sample. Given the cross-sectional design and limited sample size, findings should be interpreted as exploratory. The findings highlight associations between body weight status, metabolic parameters, eating behavior, and physical activity, without implying causality due to the cross-sectional design. Full article

Sustained engagement in physical activity during adolescence is a critical determinant of long-term health and well-being. Performance feedback is widely used in youth sport settings, yet its motivational impact may depend on athletes’ developmental stage and training experience. This study examined adolescents’ motivational responses following individualized sprint performance feedback and investigated whether training experience and sprint performance moderated these responses. Fifty-three adolescent athletes (mean age = 14.86 ± 0.81 years) completed a brief five-item questionnaire assessing commitment, enjoyment, self-determination, intention to continue training, and self-efficacy immediately after receiving individualized sprint performance feedback. Exploratory and confirmatory factor analyses were conducted to evaluate the scale’s factorial structure and reliability. A two-way analysis of variance examined the effects of training age (1–6 vs. 7–12 years) and sprint performance (faster vs. slower) on overall motivational response. Factor analyses provided preliminary support for a unidimensional motivational response construct (ω = 0.92; α = 0.92). Overall motivational responses following feedback were moderately positive. Sprint performance demonstrated a significant main effect on motivation. Importantly, a significant interaction between training age and performance emerged as the key finding, indicating that less experienced athletes were more sensitive to performance outcomes, whereas motivation among more experienced athletes remained relatively stable. Individualized sprint performance feedback appears to be associated with moderately positive motivational responses in adolescent athletes, particularly during early stages of sport participation. These findings highlight the importance of developmentally appropriate feedback strategies that emphasize progress and competence development to support engagement in youth sport, which may be relevant for sustained participation over time. Full article

This study aimed to describe the pre–post changes in intrinsic motivation observed following the implementation of a parkour-based Adventure Education (AE) program in primary school students, and to examine the role of enjoyment, self-confidence, and resilience as variables statistically associated with intrinsic motivation, considering differences according to time (pre-test–post-test) and gender. The sample consisted of 492 fifth- and sixth-grade primary education students (249 boys and 243 girls) with a mean age of 10.67 years, enrolled in 12 Spanish schools. A quasi-experimental design with pre-test and post-test measures was used following the implementation of a seven-session program based on the Pedagogical Model of Adventure Education. Data were collected using instruments validated in the Spanish population: the intrinsic motivation subscale of the Perceived Locus of Causality Scale, the Physical Activity Enjoyment Scale to measure enjoyment, the self-confidence subscale of the Competitive State Anxiety Inventory, and the Connor–Davidson Resilience Scale to assess resilience. Statistical analysis was performed using SPSS 28.0 software, conducting descriptive analyses, correlations, and hierarchical multiple linear regressions to examine the statistical associations among the variables at each measurement point, along with a 2 × 2 repeated-measures ANOVA (time × gender). Post-test scores were significantly higher than pre-test scores for intrinsic motivation, enjoyment, self-confidence and resilience. Enjoyment was the variable most strongly statistically associated with intrinsic motivation, followed by self-confidence and resilience. The ANOVA showed a significant main effect of time, while no significant time × gender interaction was detected, meaning that the study found no evidence that the pre–post change differed between boys and girls. Given the single-arm pre–post design and the absence of a control group, these findings should be interpreted as preliminary descriptive evidence of pre–post change and associations, and not as a causal test of the program’s effectiveness. Full article

Background: Active video games (AVG) may offer an alternative strategy to increase physical activity in adults with obesity. This study compared the acute effects of AVG, moderate-intensity continuous training (MICT), and a seated control condition on capillary blood glucose, physiological responses, and exercise enjoyment in sedentary office workers with overweight or obesity. Methods: Seventeen sedentary middle-aged adults with obesity (41 ± 8 years; BMI: 30.6 ± 5.3 kg/m²) participated in this randomized crossover study conducted at the Human Movement Biosciences Laboratory of the Autonomous University of Baja California, Mexico. Participants completed three conditions: 30 min of AVG, 30 min of treadmill-based MICT, and a seated control session. Capillary blood glucose was measured at baseline, immediately post-exercise, and 24 h post-exercise. Heart rate (HR), rating of perceived exertion (RPE), and exercise enjoyment were also assessed. Results: A significant main effect of time on capillary blood glucose was observed (p = 0.003), with reductions observed immediately and 24 h post-exercise. No significant condition or interaction effects were found. Significant reductions were observed in the AVG condition from baseline to 24 h post-exercise (p = 0.004). AVG and MICT elicited similar moderate-intensity physiological responses (HR and RPE), while AVG produced greater exercise enjoyment than MICT (p = 0.026). Conclusions: AVG appeared to elicit similar moderate-intensity physiological responses in sedentary office workers with overweight or obesity. Additionally, AVG was associated with greater exercise enjoyment and reductions in capillary blood glucose over time, suggesting that AVG could represent a feasible and engaging alternative strategy for promoting physical activity and supporting metabolic health in workplace settings. Full article

Regular physical activity is essential for physical and mental health, yet participation among Norwegian university students remains below nationally recommended levels. This study explored facilitators and barriers for physical activity among first-year students, using the COM-B model as a conceptual framework. Fifteen physically active first-year students from two higher education campuses in Bodø were interviewed in spring 2025, and the data were analysed using inductive thematic analysis. Analysis showed that students’ activity behaviours were shaped by a dynamic interaction between physical and psychological capabilities, particularly in relation to technical competence, previous injuries, and self-regulation strategies. Opportunity-related factors—such as time constraints, financial limitations, commuting distance, and access to facilities—substantially influenced students’ ability to maintain regular activity, while social support from friends, family, and peers functioned as an important facilitator. Motivation emerged through a mixture of automatic processes—including stress reduction, enjoyment, and habits—and reflective processes such as goal-setting and health-oriented decision-making. For students in physically demanding study programmes, professional identity and body-related expectations also contributed to their engagement. Overall, this study highlights the need for institutional strategies that simultaneously address structural, social, and psychological factors to support sustainable physical activity habits during the transition to university life. Full article

Background/Objectives: In the school setting, high-intensity interval training (HIIT) has emerged as a time-efficient strategy to improve children’s physical fitness; however, different implementation modalities have not been compared. The aim of this study was to compare the effects of an individual versus paired HIIT protocol based on functional bodyweight exercises on physical fitness-related and anthropometric outcomes in primary school children. Methods: Sixty-one children (11.6 ± 0.3 years) participated in a 10-week experimental study with three parallel groups: individual HIIT (EG1, n = 21), paired HIIT (EG2, n = 20), and a control group (CG, n = 20). Although both HIIT groups performed the same bodyweight functional exercises, in EG2 the exercises required coordinated movement between the partners. The HIIT protocol was integrated into the warm-up of Physical Education (PE) classes twice per week (Tabata-type protocol; 8 × 20 s/10 s/≤8 min per session). Body composition, muscular strength, and cardiorespiratory fitness (estimated VO₂max) were assessed at pre- and post-test, along with a rating of perceived exertion (1–10 scale) and enjoyment/motivation (1–5 scale) across several sessions (1, 7 and 14). Data were analyzed using pre-post comparisons, ANOVA, and ANCOVA models adjusted for baseline values. Results: Body fat percentage decreased in all groups. The individual HIIT group showed within-group improvements in VO₂max (+5.3%, p < 0.001), handgrip strength (+10.1%, p = 0.003), and standing long jump (+4.1%, p = 0.033), with moderate-to-large effect sizes, whereas the paired HIIT group showed smaller and statistically non-significant changes. Between-group comparisons suggested a tendency toward greater improvements in VO₂max and handgrip strength in the individual HIIT group compared with the paired group, although the overall ANOVA for VO₂max was not statistically significant. Perceived exertion declined over time in the paired group but remained relatively stable in the individual group. Conclusions: A low-volume HIIT program performed individually was associated with improvements in several physical fitness outcomes in schoolchildren. In contrast, paired execution showed smaller and mostly non-significant changes, together with a progressive reduction in perceived intensity. Full article

Background: Emotional determinants of eating behavior are increasingly recognized as critical components of behavioral nutrition, particularly among Generation Z, a population characterized by heightened emotional reactivity and rapidly shifting dietary patterns. Objectives: This cross-sectional study examined the multidimensional structure of emotional influences on eating behavior among 411 university students in Greece and explored which emotional mechanisms are most closely associated with emotional hunger awareness. Methods: Using the Emotional Influence on Eating Behavior Questionnaire (EIEBQ), four constructs were assessed. Exploratory Factor Analysis supported a refined four-factor structure explaining 63.23% of variance, following the removal of one low-communality item. Results: Participants reported moderate emotional undereating (M = 3.17) and reduced enjoyment of food under emotional distress (M = 3.38), lower reliance on food for emotional overeating (M = 2.86), and high emotional awareness (M = 3.76). Regression analyses, although explaining a small proportion of variance (R² = 0.042), indicated that emotional undereating (β = 0.155, p = 0.017) and emotional overeating (β = 0.135, p = 0.027) were the most consistent predictors of emotional hunger awareness. Conclusions: These findings suggest that emotional responses—rather than cognitive appraisal—may play a meaningful role in distinguishing emotional from physical hunger. By providing an initial psychometric evaluation and a behavior-focused framework, this study offers preliminary insights into emotional eating mechanisms among Generation Z university students and contributes to the development of targeted interventions promoting healthier and more sustainable dietary behaviors. Full article

Background: A physically active lifestyle is crucial for long-term cardiovascular health; however, access to supervised exercise programs for children and adolescents with congenital heart disease (CHD) remains limited. Although prior digital exercise interventions for this population have demonstrated safety and feasibility, adherence has often been low. Mobile health approaches integrating gamification may enhance motivation and engagement, particularly among young “digital natives.” FOOTLOOSE is an app-based home exercise program developed specifically for children and adolescents with CHD. This study aimed to evaluate user experience, usability, and perceived impact using a multimethod approach. Methods: Children and adolescents aged 10–18 years with simple, moderate, or complex CHD were recruited between July and December 2025 mainly during routine outpatient visits at the TUM Klinikum Deutsches Herzzentrum. Participants used the FOOTLOOSE app in their daily lives over a two-week period. Evaluation included semi-structured qualitative interviews and standardized questionnaires assessing physical activity self-efficacy, enjoyment of physical activity (PACES-S), user experience (UEQ), and health-related quality of life (KINDL^®). Interviews were conducted digitally, transcribed verbatim, and analyzed using qualitative content analysis according to Kuckartz until thematic saturation was reached. Results: A total of 22 participants (mean age 13.4 ± 2.3 years; 54.5% female) were included. Overall, the FOOTLOOSE app was perceived positively, with participants highlighting enjoyment, intuitive usability, and personalized workout creation. Participants contributed diverse and creative suggestions for further app development, particularly regarding more advanced gamification features (e.g., games or rankings). Most participants reported self-perceived increase in physical activity during the intervention period (n = 15). UEQ scores (mean ± SD) were as follows: attractiveness (1.3 ± 0.8), perspicuity (1.7 ± 1.1), efficiency (1.2 ± 0.9), dependability (1.4 ± 0.7), stimulation (1.0 ± 1.1), and novelty (0.6 ± 1.0). Conclusions: This study demonstrates the feasibility and user acceptance of a gamified, app-based home exercise program for children and adolescents with CHD. User-centered feedback highlights important directions for iterative refinement, particularly regarding age-appropriate and engaging gamification elements. These findings provide a foundation for future studies evaluating long-term engagement and effectiveness in larger samples. Full article

Background: The integration of active breaks during the school day has been widely demonstrated to be effective in counteracting sedentary behaviors. The present study assessed the efficacy of a structured active breaks (ABs) intervention implemented during recess on multiple domains of Physical Literacy (PL) in primary-school children. Methods: A single-blind randomized controlled trial was conducted with 139 children (aged 9–10 years). Classes were randomized into an Experimental Group (EG, n = 66) and a Control Group (CG, n = 73). The EG participated in an 8-week intervention (six sessions/week, ~10 min) consisting of coordinative and interdisciplinary motor tasks during recess. Pre- and post-intervention assessments included physical fitness (SLJ, 4 × 10 m SR, 6MWT, MBT), gross motor skills (TGMD-2), selective attention (Bell Test), physical activity levels (PAQ-C), physical self-perception (PSP), and enjoyment (PACES). Results: A mixed-design MANOVA revealed a significant multivariate Time × Group interaction (p < 0.001). Univariate analyses showed significant improvements in the EG compared to the CG for explosive strength (p < 0.001), agility (p < 0.001), Gross Motor Quotient (p = 0.003), and selective attention (p < 0.001). Furthermore, the EG demonstrated significant increases in physical activity levels, self-perception, and enjoyment (p < 0.05). No significant gender interaction was found, indicating equal effectiveness for boys and girls. Conclusions: Transforming recess into a structured opportunity for movement through ABs effectively enhances physical, cognitive, and affective domains. This intervention represents a sustainable strategy for Health-Promoting Schools to foster PL and psychophysical well-being without reducing curricular instruction time. Full article

Background: Childhood is a key period for the development of body composition and physical activity habits that may influence health throughout life. Although physical activity has been widely associated with adiposity indicators, the role of enjoyment of physical activity as a motivational and affective component remains less explored. Therefore, the aim of this study was to analyze the relationship between several anthropometric indicators and both the level of physical activity and enjoyment of physical activity in schoolchildren. Methods: An observational, analytical, cross-sectional study was conducted with 386 schoolchildren (176 boys and 210 girls) with a mean age of 11.15 ± 0.66 years. Anthropometric indicators included body mass index, waist circumference, hip circumference, waist-to-hip ratio, and triceps and subscapular skinfold thickness. Physical activity level was assessed using the Physical Activity Questionnaire for Children (PAQ-C), and enjoyment of physical activity was evaluated using the Physical Activity Enjoyment Scale (PACES). Multiple linear regression analyses were performed, adjusting for age and sex. Results: Higher levels of physical activity were significantly associated with lower body mass index (B = −1.592; p < 0.001), waist circumference (B = −8.010; p < 0.001), hip circumference (B = −8.227; p < 0.001), waist-to-hip ratio (B = −0.008; p < 0.001), triceps skinfold thickness (B = −0.910; p = 0.002), and subscapular skinfold thickness (p < 0.05). Greater enjoyment of physical activity was significantly associated with lower body mass index (B = −1.778; p < 0.001), reduced waist circumference (B = −8.944; p < 0.001), hip circumference (B = −9.185; p < 0.001), waist-to-hip ratio (B = −0.008; p < 0.001), and triceps skinfold thickness (B = −1.100; p = 0.001). Greater enjoyment was also associated with lower anthropometric indicators of central adiposity (waist circumference and waist-to-hip ratio), whereas no significant association was observed with subscapular skinfold thickness (p = 0.066). Conclusions: Physical activity level and enjoyment of physical activity were associated with multiple anthropometric indicators in children, although physical activity showed more consistent associations, whereas enjoyment demonstrated a more selective pattern depending on the specific adiposity measure. These findings highlight the importance of considering both behavioral and affective dimensions of physical activity when promoting healthy morphofunctional development during childhood. Full article