Search Results (164)

Hydrolyzed protein is increasingly used in pet food, especially for animals with adverse reactions to food or gastrointestinal issues. This randomized, double-blind controlled trial evaluated the effects of a diet containing hydrolyzed anchovy protein on the gut health of healthy adult West Highland white terriers (5 males, 25 females; 5.6–9 kg). The dogs were randomly assigned to a control group (CTR, n = 15), receiving a standard commercial diet, or a treatment group (TRT, n = 15), fed a diet partially replacing anchovy meal with hydrolyzed anchovy protein for 42 days. All the dogs underwent a veterinary health check at baseline (T0) and remained healthy throughout the study. The food and water intake were recorded daily. The body weight (BW), body condition score (BCS, 1–9), and fecal score (FS, 1–7) were assessed at days 0, 21, and 42. Fecal samples were collected at T0 and T42 to measure calprotectin, cortisol, and putrefactive compounds (indole and skatole). No significant differences were found between the groups in the BW, BCS, FS, calprotectin, or cortisol. However, the TRT group showed a significant reduction in fecal indole and skatole. The results suggest that hydrolyzed anchovy protein may improve gut fermentation and support better digestive health in dogs, leading to reduced fecal odor and increased owner satisfaction. Full article

Objectives: This scoping review aims to synthesize the methodological characteristics of weight-cutting strategies, summarize their effects on sleep, recovery, and injury outcomes, and identify research gaps. Methods: Following the PRISMA guidelines, searches were conducted on 20 May 2025, across PubMed, Scopus, and Web of Science, with snowball citation tracking and expert consultation to enhance retrieval. Inclusion criteria targeted peer-reviewed studies involving competitive or recreational combat sport athletes (all ages and sexes) undergoing weight-cutting practices, reporting outcomes on sleep (e.g., quality and duration), recovery (e.g., perceived fatigue and biomarkers), or injury incidence (e.g., reported injuries and odds ratios). Studies included randomized controlled trials, non-randomized trials, or cohort studies with or without comparator groups. The risk of bias was assessed using the RoB 2 tool for randomized trials and the ROBINS-I tool for non-randomized studies. Results: From 2784 records, 17 studies met the inclusion criteria. Participant ages ranged from 17.79 ± 0.75 to 30.1 ± 7.5 years, predominantly national-level combat sport athletes (wrestling, judo, taekwondo, and MMA). Rapid weight loss (RWL, 2–10% body mass loss over 1–7 days) via food/fluid restriction, sauna use, and caloric deficits consistently increased creatine kinase (peaking at 713.4 ± 194.6 U/L), perceived fatigue (41.8 ± 0.9 to 51.3 ± 2.0 A.U.), and injury rates (45.62 injuries/1000 athletic exposures in females). Cortisol responses showed increases in some studies (from 499.9 ± 107.8 to 731.6 ± 80.2 nmol/L) and decreases in others (from 603.2 ± 146.8 to 505.8 ± 118.4 nmol/L). Sleep quality showed mild worsening (5.15 ± 1.83 to 5.52 ± 1.71 A.U.), and perceived recovery declined post-RWL (101.40 ± 2.52 to 87.63 ± 2.47 A.U.). Conclusions: RWL in combat sports consistently impairs recovery, increases muscle damage and fatigue, and increases injury risk, though sleep quality effects are less pronounced. Variability in weight-cutting protocols, outcome measures, and study designs shows the need for standardized methodologies, broader inclusion of female athletes, and longitudinal studies to assess long-term impacts. Full article

Background: Healthcare professionals experience high levels of stress due to demanding work, especially in metropolitan areas. Nature-based interventions offer potential mental health benefits. This randomized intervention study aimed to evaluate the effects of nature immersion therapies on mental health outcomes in healthcare workers with different psychological risk in Bogota, Colombia. Methods: During a period of 6 months, a total of 82 healthcare workers from two institutions were assigned to three groups: two exposed weekly to nature (parks and forests) and one control group with monthly conventional interventions. Psychological assessments of stress, anxiety, fatigue, and sleep quality were conducted at three time points (baseline, three, and six months of intervention). Cortisol Awakening Response (CAR) was measured monthly using immunoassay. Results: A decrease in the proportion of participants reporting high levels of perceived stress was observed in both intervention groups. Both forest and parks interventions significantly reduced anxiety and fatigue, while sleep quality improved only in the forest group. Multivariate analysis found a negative association between fatigue and forest intervention, as well as significant differences in CAR concentrations across groups over time. Conclusions: This study provides evidence that nature immersion therapy, particularly urban forests, positively impact mental and physical health, reducing stress, anxiety, fatigue, and CAR levels, and could be considered as an effective intervention to enhance workers’ resilience to stress, benefiting their overall health and well-being. Full article

Background: Chronic stress in childhood and adolescence leads to excessive cortisol secretion, adipokines production and obesity with all the negative mental and physical effects on the health of individuals and adulthood. Objectives: The aim of the present non-randomized controlled trial was to investigate the effect of a stress management protocol with diaphragmatic breathing (DB) and physiotherapy exercise on stress, body composition, cardiorespiratory and metabolic markers of children and adolescents with morbid obesity. Methods: The study included 31 children and adolescents (5–18 years old) with morbid obesity (22 in the intervention arm and 9 controls). All participants completed anxiety questionnaires and a self-perception scale. Forced expiratory volume in the first second (FEV1), forced vital capacity (FVC), blood pressure (BP) and SpO₂ were measured. Fasting glucose, uric acid, triglycerides, HbA1c, (AST/SGOT), (ALT/SGPT), HDL, LDL, insulin, ACTH, cortisol, HOMA-IR, 17-OH, S-DHEA, SHBG were assessed, and anthropometric measurements were also performed. Results: In the intervention group, 4 months after the treatment, an improvement was noted in the BMI, BMI z-score, waist-to-height ratio, FEV1, SpO₂, pulse and systolic BP. HDL increased, ALT/SGPT and insulin resistance improved. Positive changes were observed in temporary and permanent stress and self-esteem of children in the intervention group, including anxiety, self-perception, physical appearance, etc. Conclusions: A combined exercise and DB protocol has a positive effect on stress, by improving body composition, reducing insulin resistance, and ameliorating physical and mental health and quality of life of pediatric patients with morbid obesity. Full article

Burnout syndrome is characterized mainly by three criteria (emotional exhaustion, depersonalization, and low personal accomplishment), and further exacerbated by night shift work, with profound implications for individual and societal well-being. The Maslach Burnout Inventory survey applied to 97 medical care professionals (with day and night work) revealed different scores for these criteria. Blood metabolic profiles were obtained by UHPLC-QTOF-ESI⁺-MS untargeted metabolomics and multivariate statistics using the Metaboanalyst 6.0 platform. The Partial Least Squares Discrimination scores and VIP values, Random Forest graphs, and Heatmaps, based on 99 identified metabolites, were complemented with Biomarker Analysis (AUC ranking) and Pathway Analysis of metabolic networks. The data obtained reflected the biochemical implications of night shift work and correlated with each criterion’s burnout scores. Four main metabolic pathways with important consequences in burnout were affected, namely lipid metabolism, especially steroid hormone synthesis and cortisol, the energetic mitochondrial metabolism involving acylated carnitines, fatty acids, and phospholipids as well polar metabolites’ metabolism, e.g., catecholamines (noradrenaline, acetyl serotonin), and some amino acids (tryptophan, tyrosine, aspartate, arginine, valine, lysine). These metabolic profiles suggest potential strategies for managing burnout levels in healthcare professionals, based on validated criteria, including night shift work management. Full article

Chronic rhinosinusitis (CRS) is a prevalent inflammatory condition of the nasal and paranasal mucosa that significantly impacts the quality of life. Postoperative inflammation and polyp recurrence remain common despite advances in endoscopic sinus surgery (ESS), prompting interest in localized corticosteroid delivery systems. This review analyzes bioresorbable steroid-releasing implants and corticosteroid-impregnated nasal dressings, focusing on their pharmacologic mechanisms, safety, and clinical outcomes. A synthesis of findings from randomized trials and observational studies was performed, with emphasis on devices such as Propel™, NasoPore, Merocel, SinuBand FP, and gel-based dressings. The Propel implant demonstrated robust evidence for reducing adhesions and inflammation with negligible systemic absorption. NasoPore and Merocel provided structural support and localized steroid delivery but lacked controlled-release kinetics. Gel-based dressings and SinuBand FP offered anatomic adaptability, with limited systemic effects. Some methods showed systemic steroid exposure in cortisol monitoring. Corticosteroid-releasing devices enhance ESS outcomes through localized therapy. While Propel is the most validated, other devices remain viable alternatives in specific clinical contexts. Comprehensive safety monitoring and standardized trials are essential to optimize their integration into postoperative care. Full article

Tactical athletes and military personnel engaged in intense exercise need to consume enough quality protein in their diet to maintain protein balance and promote recovery. Plant-based protein sources contain fewer essential amino acids (EAAs), while pork loin contains a higher concentration of EAAs and creatine than most other animal protein sources. This study aimed to determine whether the ingestion of plant-based or pork-based military-style meals ready-to-eat (MREs) affects recovery from and subsequent Army Combat Fitness Test (ACFT) performance. Methods: Twenty-three (n = 23) University Corps of Cadets members participated in a randomized, double-blind, placebo-controlled, and crossover-designed study. Diets were prepared by a dietitian, food scientist, and chef to have similar taste, appearance, texture, and macronutrient content. The chef also labeled the meals for double-blind administration. Participants refrained from intense exercise for 48 h before reporting to the lab in a fasted condition with a 24 h urine sample. Participants donated a blood sample, completed questionnaires and cognitive function tests, and consumed a pre-exercise meal. After four hours, participants performed the ACFT according to military standards. Participants were fed three MREs daily while returning to the lab in a fasted condition at 0600 with 24 h urine samples after 24, 48, and 72 h of recovery. On day 3, participants repeated the ACFT four hours after consuming an MRE for breakfast. Participants resumed normal training and returned to the lab after 2–3 weeks to repeat the experiment while consuming the alternate diet. Data were analyzed using general linear model statistics with repeated measures and percent changes from baseline with 95% confidence intervals. Results: Results revealed that 3 days were sufficient for participants to replicate ACFT performance. However, those consuming the pork-based diet experienced less muscle soreness, urinary urea excretion, cortisol, inflammation, and depression scores while experiencing a higher testosterone/cortisol ratio and appetite satisfaction. There was also evidence of more favorable changes in red and white blood cells. Conversely, blood lipid profiles were more favorably changed when following a plant-based diet. Conclusions: These findings suggest that protein quality and the availability of creatine in the diet can affect recovery from intense military-style exercise. Minimally, plant-based MREs should include 6–10 g/d of EAA and 2–3 g/d of creatine monohydrate to offset dietary deficiencies, particularly in military personnel following a vegetarian diet. Registered clinical trial #ISRCTN47322504. Full article

Algae-based supplements are gaining attention for their potential metabolic, antioxidant, and anti-inflammatory properties in sports nutrition. Methods: A 30-day pilot randomized controlled trial was conducted in 70 healthy male athletes (mean age 25.4 ± 4.9 years) from competitive soccer and handball teams. Participants were randomly assigned to a supplementation group (6 g/day of Ulva-derived algae powder) or a control group. Both groups followed identical training routines and adhered to standardized nutritional recommendations, including macronutrient distribution and permitted supplements (e.g., isotonic drinks, protein shakes). Biochemical markers analyzed at baseline and post-intervention included HbA1c, lipid profile, malondialdehyde (MDA), catalase, myeloperoxidase (MPO), erythrocyte sedimentation rate (ESR), and cortisol. Genetic polymorphisms related to metabolic traits were also assessed. Results: Significant group × time interactions (p < 0.001) were observed for HbA1c, LDL, triglycerides, MDA, MPO, ESR, and cortisol, all of which improved in the algae-supplemented group. Correlation analysis revealed associations between HbA1c and LDL/TG as well as between cortisol and MPO. No significant genetic modulation of responses was detected, although a trend was noted for cortisol variation and insulin resistance risk. Conclusions: Algae-based supplementation led to favorable metabolic, oxidative, and inflammatory changes. These findings suggest its potential utility as a nutritional strategy to support recovery in athletes during periods of high training load or competition. Full article

Depression and anxiety are mental health disorders that significantly impact global public health, affecting more than 280 million people with depression and 301 million with anxiety worldwide. These conditions impair individuals’ ability to engage in economic and personal activities and can lead to severe outcomes, such as suicide. Current research suggests that inflammatory cytokines, such as interleukin-1β (IL-1β), interleukin-6 (IL-6), and tumor necrosis factor (TNF), play crucial roles in the pathophysiology of these disorders, influencing neurotransmitters. Elevated cortisol levels, typically associated with anxiety, worsen these conditions through dysregulation of the hypothalamic–pituitary–adrenal (HPA) axis. Additionally, vitamin D deficiency has been linked to reduced production of dopamine and norepinephrine, hormones involved in depressive symptoms. This study utilized the Random Forest machine learning algorithm along with cross-validation to assess the importance of various biomarkers, including IL-1β, IL-6, IL-8, TNF, cortisol, vitamin D, NT-proBNP, CK-MB, troponin, myoglobin, and C-reactive protein (CRP), in volunteers of both sexes diagnosed with mental disorders. A single sample from each of the 96 participants was analyzed, consisting of 50 women and 46 men. The results revealed sex-specific differences in biomarker relevance, with vitamin D, CRP, and D-dimer being the most predictive for depression in men, while IL-6, CRP, and vitamin D were significant in women. For anxiety, vitamin D and myoglobin were important biomarkers in men, while IL-8 and vitamin D were key in women. The methodological strategy adopted, based on the use of Random Forest and cross-validation assessment, not only confirmed the robustness of the model but also reliably identified the most important biomarkers for the outcomes studied. Full article

Prolonged exposure to extreme humid heat can induce systemic inflammation, organ stress, and hormonal imbalance. While fluid replacement is commonly recommended, its mechanistic efficacy under humid heat stress remains unclear. This study investigated the impact of fluid intake on thermoregulation, inflammation, organ function, and stress signaling during 8 h of humid heat exposure (ambient temperature: 40 °C, relative humidity: 55%) in 32 healthy young adults (20 males and 12 females). Participants completed two randomized trials: limited fluid intake (LFI, 125 mL/h) and full fluid intake (FFI, 375 mL/h). Core temperature (T_core), inflammatory cytokines (IL-6, IL-1β, IFN-γ, TNF-α), organ stress markers (ALT, BUN), oxidative stress indices (MDA, SOD), and cortisol were assessed pre- and post-exposure. FFI significantly reduced post-exposure T_core (37.8 ± 0.3 °C vs. 38.1 ± 0.3 °C, p = 0.046), mitigated cytokine elevations, and decreased BUN (blood urea nitrogen), ALT (alanine aminotransferase), and cortisol levels. Western blot analysis of PBMCs revealed that LFI activated NF-κB p65, JNK2, p38, and STAT3α phosphorylation, whereas FFI suppressed these responses. These findings demonstrate that adequate hydration attenuates heat-induced systemic and molecular stress responses. Our results highlight hydration as a key modulator of inflammatory signaling pathways during prolonged heat stress, offering insights into preventive strategies for populations vulnerable to climate-induced extreme heat events. Full article

Background and Objectives: The development of non-dairy probiotic products is a challenge for the food industry, while cereals, as probiotic carriers, provide the means to incorporate probiotics, prebiotics, and fiber into the human diet. The present study investigated the effects of Lactococcus cremoris spp. immobilized on oat flakes on blood and urine biomarkers in a randomized placebo-controlled single-blind clinical trial. Materials and Methods: Fifty-four eligible participants were randomized into a placebo or probiotic group that consumed 5 g of oat flakes daily for 12 weeks. Blood and urine samples were collected at the baseline, 6 weeks, and 12 weeks to assess the glycemic, lipemic, inflammatory, immunological, and antioxidant biomarkers, as well as the vitamin levels. Results: The intervention group exhibited a significant reduction in their hs-CRP levels (p = 0.002) and a trend toward decreased IL-6 levels (p = 0.035) at week 12 compared to the control group, suggesting a potential anti-inflammatory effect. Additionally, a significant reduction in insulin levels was observed in the probiotic group at week 6, with a clinical trend toward differentiation despite the absence of statistically significant differences between the groups. Furthermore, there were promising results regarding certain biomarkers, such as vitamin B12 and cortisol levels, in the probiotic group. Conclusions: The twelve-week consumption of Lactococcus cremoris spp. immobilized on oat flakes resulted in improvements in inflammatory, metabolic, and stress-related biomarkers. These results support the examined concept of non-dairy probiotic products, though further research is needed to confirm their efficacy and clarify their underlying mechanisms. Full article

Stress significantly impacts our society, making strategies for its mitigation necessary. A possible approach may involve binaural beats (BBs), i.e., an auditory stimulation obtained by presenting pure tones with slightly different frequencies to the user’s ears, resulting in a third phantom beat $\left(f_{BB}\right)$. While studies in the literature investigate the effects of BBs at a constant stimulation frequency, with this pilot study, we present an innovative approach that adapts the beat frequency in real time within the theta range (4.0–8.0 Hz) to reduce acute mental stress. A stress index, obtained from the predictions of a random forest regressor, was considered to adjust the stimulation. The regressor considered features from an electrocardiogram (ECG) and the ECG-derived respiratory signal. Thirteen healthy subjects underwent a stressful protocol involving multiple mental arithmetic tasks during which constant (CBB) or adapted (ABB) stimulation occurred. Task performances like accuracy and reaction times were recorded. The results show that ABBs significantly lowered the average stress index ($p<0.05$) and heart rate ($p<0.05$) compared to CBBs. No statistically significant differences were detected in task performance. The results support the importance of adaptive and personalized approaches for mitigating stress. Future research is necessary to assess the goodness of our proposal, considering a larger sample, different stressors, and an objective and external assessment of stress (e.g., cortisol levels). Full article

Objective: This narrative review aims to analyze physical activity as a central pillar of lifestyle modification in the management of chronic musculoskeletal pain by examining its effects on pain modulation as well as related lifestyle domains, including sleep, stress regulation, dietary habits, and smoking behavior. Methods: A narrative structured review was conducted. We searched MEDLINE/PubMed, Embase, and Cochrane Reviews using terms related to chronic pain and lifestyle. Randomized controlled trials, observational studies, systematic reviews, and narrative reviews reporting on the concepts of interest were included. The results were synthesized and described narratively. Results: Through the release of neuromodulatory compounds such as endorphins, endocannabinoids, dopamine, and serotonin, exercise improves analgesia, promotes emotional resilience, and reduces the reward response associated with addictive behaviors such as smoking. Its effects on the hypothalamic–pituitary–adrenal axis reduce cortisol levels, while melatonin regulation promotes circadian synchronization and deeper sleep stages. In addition, exercise modulates appetite by increasing insulin sensitivity and altering hormones such as leptin and ghrelin, contributing to appetite control and energy balance. These mechanisms support a comprehensive approach to chronic pain management. Conclusions: Physical activity is a core component of lifestyle-based chronic pain management, not only because of its analgesic effects, but also because of its positive influence on sleep, stress regulation, dietary habits, and smoking reduction. Although the available evidence is promising, more randomized controlled trials are needed to examine the effects of exercise on other healthy lifestyle behaviors, such as stress reduction, dietary modification, and smoking cessation, to consolidate its role in the comprehensive prevention and management of chronic pain. Full article

Post-COVID-19 condition involves persistent symptoms after acute infection, often linked to dysautonomia, which affects heart rate variability, pain perception, fatigue, and sleep. Superficial neuromodulation has been proposed as a treatment. Objective: To assess the effects of superficial neuromodulation on symptoms, sleep quality, and autonomic function in post-COVID-19 condition patients. Methods: A pilot study was conducted based on a triple-blind randomized controlled trial methodology involving 16 female participants. The experimental group received neuromodulation, while the control group used a placebo device. The intervention spanned 15 sessions over two months. Primary outcomes included heart rate variability, pain threshold, cortisol levels, fatigue, sleep quality, and quality of life, analyzed using repeated-measures ANOVA. Results: Both groups improved over time. Heart rate variability (SDNN) increased in the experimental group (30.42 to 39.11 ms) but decreased in controls (31.88 to 28.73 ms) (p < 0.05). Pain threshold at C5–C6 improved in the experimental group (2.1 to 3.5 kg/cm²) but remained stable in controls (p = 0.032). Fatigue decreased significantly in both groups (p = 0.002). Sleep quality improved, with Pittsburgh Sleep Quality Index scores decreasing similarly in both groups. Cortisol levels increased, with a non-significant trend favoring controls. Conclusions: While improvements were seen, both groups benefited, suggesting a possible placebo effect. Superficial neuromodulation appears safe, but further studies with larger samples are needed to confirm efficacy. Full article

Numerous preclinical and clinical studies indicate that CBD possesses various therapeutic properties, including antipsychotic, analgesic, anticonvulsant, antineoplastic, and antioxidant effects. Recent research has also highlighted its potential anxiolytic effects. This study aimed to evaluate the impact of CBD treatment in a PTSD induction model. To determine CBD’s efficacy, behavioral tests assessing anxiety and memory were conducted. Additionally, two oxidative stress markers were measured to explore its antioxidant properties. Forty adult male rats were used for PTSD induction. The procedure involved exposure to predator odor on day 10, followed by a second exposure on day 20. A secondary stressor, consisting of daily cage partner changes, was also applied. The animals were randomized into four groups: two non-stressed and two stressed groups. CBD was administered at 10 mg/kg. Behavioral effects were evaluated using the open field (OF), elevated plus maze (EPM), novel object recognition (NOR), and Morris Water Maze (MWM) tests. Malondialdehyde and the GSH/GSSG ratio were assessed using liquid chromatography. CBD treatment did not significantly alter anxiety-like behavior in the EPM, though a trend toward increased vertical exploration was observed in the OF test. In memory-related assessments, no significant differences were found in the NOR test, while performance in the MWM indicated improved spatial memory, with CBD-treated rats spending more time in the target quadrant. In addition, malondialdehyde levels decreased in the CBD groups. Elevated cortisol levels in the stressed CBD group suggest a potential anxiolytic effect, warranting further research. Full article