Search Results (1,280)

This scoping review examined the current literature on routines and habits in individuals with attention deficit hyperactivity disorder (ADHD). To our knowledge, research in this area remains limited. Therefore, this review mapped which areas of daily routines are most affected in children and adults with ADHD and explored related assessments and interventions. A comprehensive search was conducted across four databases: PubMed, Scopus, CINAHL, and PsycINFO, using keywords including “attention deficit hyperactivity disorder,” “ADHD,” “routine,” “habit,” and “lifestyle.” The findings identified four main domains in which individuals with ADHD experience difficulties: sleep hygiene, feeding, physical activity, and sedentary behaviors, with sleep hygiene addressed in more than half of the included studies. Study habits were addressed in only one included study. Among the 31 included studies, six involved interventions. The review also found that no validated assessment was specifically designed to measure routines or habits in individuals with ADHD, and that broader measures of routines, habits, or lifestyle were often non-validated or developed for a single project. Overall, the existing studies were concentrated primarily in pediatric populations, with limited research involving adults. These findings highlight important gaps in the literature and underscore the need for more research on routines and habits in adults with ADHD. They also support the development of assessments and interventions that specifically address these areas. Full article

Background: Childhood obesity remains a major public health challenge worldwide, with increasing prevalence across Europe. Schools represent an important setting for promoting healthy lifestyles through physical activity and nutrition-related interventions. This systematic review aimed to evaluate the effectiveness of school-based interventions promoting physical activity and healthy eating behaviours among children and adolescents aged 6–18 years in European countries. Methods: A systematic literature review was conducted using PubMed and Scopus. Studies were eligible if they were conducted in school settings, targeted children and adolescents aged 6–18 years, were implemented in European countries, had a minimum duration of nine months, and assessed anthropometric and/or behavioural outcomes related to obesity prevention. Methodological quality was assessed using the Effective Public Health Practice Project (EPHPP) Quality Assessment Tool. Results: Sixteen studies conducted across nine European countries met the inclusion criteria. Intervention duration ranged from nine months to five years, and most studies employed multicomponent approaches combining physical activity promotion, nutrition education, environmental modifications, and parental involvement. Seven studies were rated as strong quality, six as moderate quality, and three as weak quality. Among the fourteen studies assessing BMI or other anthropometric outcomes, eleven (78.6%) reported statistically significant improvements in at least one obesity-related measure, including BMI, BMI z-score, waist circumference, waist-to-height ratio, body fat percentage, or overweight/obesity prevalence. Evidence regarding physical activity and nutrition-related outcomes was more heterogeneous, although several studies reported improvements in dietary behaviours, nutrition knowledge, sedentary behaviour, and physical activity levels. Positive anthropometric effects were more commonly observed in interventions lasting at least one academic year and in multicomponent programmes. Some studies also reported differential effects according to sex and parental educational background. Conclusions: The findings of this review suggest that long-term, multicomponent school-based interventions can contribute to improving obesity-related anthropometric outcomes among children and adolescents in European countries. However, evidence regarding sustained changes in physical activity and dietary behaviours remains less consistent. Future research should focus on identifying the most effective intervention components and strategies for achieving long-term behavioural change across diverse populations and educational contexts. Full article

Background/Objectives: Consumption of ultra-processed foods (UPF) has been linked to poorer diet quality and adverse health outcomes. Although Chile ranks among the highest consumers of UPFs in Latin America, studies using primary dietary data, especially among older adults, are scarce. This study aimed to describe the food intake of Chilean older adults according to the degree of food processing, and to explore the association between UPF intake and sociodemographic, economic and health factors. Methods: A cross-sectional study of 434 non-institutionalized older adults (≥60 years) living in the Metropolitan Region of Chile was conducted. Dietary intake was assessed using interviewer-administered 24h recall, with a second assessment 8–15 days later in a random subsample (n = 60). Foods were classified according to the NOVA system into minimally processed foods (MPFs), culinary ingredients, processed foods (PF), or UPF. Usual energy intake was estimated using the MSM. Sociodemographic (sex, age, area), economic (income, education, health system), and health-related variables (chronic conditions, sedentary lifestyle, tobacco use) were collected through home-visit questionnaires. Anthropometric and functional measurements were taken by trained nutritionists. The association between UPF intake and studied variables was evaluated using multivariate fractional probit regression, with mean marginal effects presented. Results: Most of the participants were women (86.2%), aged 70–79 years (47.9%), and residents of urban areas (76.3%). Most of their calories came from MPF (45.7%), followed by PF (25.5%) and UPF (16.6%). Higher UPF intake was associated with living in an urban area (+3.8%; 95% CI 1.2–6.3%), higher education (+3.5%; 95% CI 1.1–6.0%), and being affiliated with the private health system (+9.1%; 95% CI 4.1–14.0%). Conclusions: In this community-based sample of Chilean older adults, UPF intake was associated with socioeconomic factors but not health status. Full article

Background: Migraine (MIG) management guidelines support a comprehensive approach combining medication, therapeutic patient education (TPE), behavioral strategies, lifestyle changes, diet, and physical activity (PA). Objective: To present an innovative interdisciplinary outpatient model for individuals with MIG, focusing on PA, sedentary behavior, eating habits (EH), metabolic health, temporomandibular disorders, and postural dysfunctions. Design: A randomized controlled trial will enroll 200 adults with MIG over two years. Inclusion criteria are chronic MIG (≥15 attacks/month for ≥3 months) or high-frequency episodic MIG (8–14 attacks/month), physical inactivity, and independent walking ability. Exclusion criteria include contraindications to PA and lack of informed consent. Participants will be randomized to standard care (SC) or an intervention group receiving TPE plus three months of supervised exercise (EXE). All participants will receive an informational brochure with nutritional tips (included in SC) and undergo: (1) neurological examination, (2) validated questionnaires, (3) kinesiological and postural assessment, and (4) gnathological evaluation. The primary outcome is change in monthly MIG frequency at 6 and 12 months; additional outcomes include disability, quality of life, and intensity of MIG, PA levels, sedentary behavior, medication use, EH, functional capabilities, postural parameters, and temporomandibular disorder-related variables. Results: Hypothetically, the intervention may reduce monthly MIG frequency by approximately 15–20% relative to baseline. Improvements may also occur in disability, quality of life, medication use, lifestyle behaviors, and psychological and cardiometabolic parameters. Conclusions: This trial will evaluate whether adding supervised EXE and TPE to SC may improve MIG outcomes compared with SC alone, supporting a comprehensive management strategy. Full article

Background: Modifiable lifestyle factors may contribute additively to colorectal cancer (CRC) risk in individuals who already have non-modifiable risk factors, such as prior colorectal neoplasia or significant family history of CRC. However, the impact of multicomponent lifestyle interventions (such as dietary modification, physical activity, and counselling) on behavioural modification, risk of colorectal neoplasia, and quality of life (QoL) in this population has not yet been systematically reviewed. Aims: The primary aim was behavioural change (change in body weight, diet, physical activity, sedentary lifestyle, smoking, and alcohol consumption). The secondary aim was colorectal neoplasia outcomes, including the incidence of precancerous lesions and/or cancer and CRC mortality/survival, and QoL, including specific domains. Methods: This review was conducted following the Cochrane guidelines for Systematic Reviews of Interventions. Both randomised and non-randomised studies assessing the effect of multicomponent lifestyle interventions on behavioural modification, risk of colorectal neoplasia, mortality, and quality of life in people at above-average risk of CRC were included. Medline/Ovid, Cochrane Library, Web of Science, and Scopus were searched. Screening, data extraction, and risk of bias assessment were independently performed by two reviewers using the revised Cochrane Risk of Bias (RoB) tools. Results: Of the 4174 studies screened, 10 interventional studies were eligible for inclusion, which had outcomes for behavioural change or quality of life. No interventions assessed neoplasia risk or mortality outcomes. Multicomponent lifestyle interventions mainly targeting diet and physical activity, delivered via a telephone-based or health coaching approach, showed positive effects on healthy behaviours and quality of life compared with usual care, although some studies reported inconsistent results. Conclusions: There is emerging evidence that multicomponent lifestyle interventions may offer beneficial effects on practicing healthy behaviours and improving QoL for individuals at above-average risk for CRC and undergoing colonoscopy surveillance. Full article

Background: In an era of sedentary lifestyles and multifaceted health challenges, adopting health behavior (HB) is essential to address the health problems threatening the physical health of university students. This study aimed to explore the factors associated with HB among university students. The University Student Health Behavior Model (USHBM) was developed based on the theory of planned behavior and incorporated health consciousness (HC), health knowledge (HK), and risk perception (RP). Methods: Using a cross-sectional survey design, data were collected from 384 university students in China. Structural equation modeling was employed to evaluate the hypothesized relationships of the USHBM. Results: HK significantly and directly predicted behavioral intention (BI) (β = 0.421, p < 0.001). Perceived behavioral control (PBC) emerged as the strongest associated factor of BI (β = 0.417, p < 0.001). HC was significantly and positively related to attitude toward behavior (ATT) (β = 0.451, p < 0.001), subjective norm (SN) (β = 0.332, p < 0.001), and PBC (β = 0.357, p < 0.001). Furthermore, RP functioned as an associated factor of HB (β = 0.411, p < 0.001). Additionally, RP was significantly and positively associated with the adoption of HB. Conclusions: The findings provided an in-depth understanding of university students’ HB. According to the findings, practical implications for enhancing university students’ HB were discussed. Full article

Metabolic dysfunction-associated fatty liver disease (MAFLD) is now recognized as a leading form of chronic liver disease globally and is strongly associated with metabolic abnormalities. Traditionally, the pathogenesis of MAFLD has mainly been attributed to genetic susceptibility and unhealthy lifestyles (such as high-calorie diets and sedentary behavior). However, in recent years, environmental factors, especially air pollution, have been confirmed as independent risk factors and important promoting factors for MAFLD development and further disease progression. This review summarizes current epidemiological findings on the link between air pollution exposure and MAFLD, while exploring its potential biological mechanisms involving systemic inflammation, oxidative stress, immune alteration, genetic risk, and epigenetic regulation underlying the relationship between air pollution and hepatic steatosis. It also reviews the additive interaction between air pollution and lifestyle or socioeconomic factors in MAFLD. Finally, we also discuss multilevel strategies spanning individual-, community-, national-, and global-level cooperation to address the increasing public health burden caused by air pollution. Therefore, incorporating the assessment and control of air pollution into the comprehensive strategies for MAFLD prevention and treatment has important scientific value and public health significance. Full article

Despite advances in lifestyle-based therapy, achieving clinically meaningful reductions in blood lipid levels remains a major challenge in obese men with secondary hypercholesterolemia. Hypoxic exposure encompassing both training sessions and nocturnal rest may offer a novel adjunct to conventional interventions; however, no study has evaluated such a protocol in this population. Twenty sedentary men with obesity-related hypercholesterolemia were randomly allocated to a hypoxic group (H) or normoxic control group (C). Both groups completed an identical two-week high-intensity training program under an individualized calorie-restricted diet, residing at the same lowland location (~100 m above sea level). The H group trained and rested under normobaric hypoxia (FiO₂ = 14.4%, simulated altitude ~3000 m, 8 h nightly); C remained under normoxic conditions. The H group demonstrated significantly greater reductions in body mass (−4.1%) and fat mass (−11.0%). Significant reductions in total cholesterol (−20.1%), low-density lipoprotein cholesterol (−21.3%), non-high-density lipoprotein cholesterol (−23.1%), atherogenic index of plasma (−42.4%), and Castelli Risk Index I (−19.4%) occurred exclusively in the H group, accompanied by a strong downward trend in Castelli Risk Index II (p = 0.072). High-density lipoprotein cholesterol did not change; for triglycerides, a clear downward trend was observed in the H group, approaching statistical significance within-group (p = 0.052). The magnitude of cholesterol reduction was significantly associated with body mass and fat loss (r = 0.61–0.67). A two-week intervention combining hypoxic training with nocturnal normobaric hypoxic exposure and caloric restriction produces clinically relevant improvements in lipid profile and body composition in men with obesity-related hypercholesterolemia. Full article

Background: Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD) is a global health priority affecting approximately 30% of the population. It represents the hepatic manifestation of metabolic syndrome, potentially progressing from simple steatosis to Metabolic Dysfunction-Associated Steatohepatitis (MASH), cirrhosis, and hepatocellular carcinoma. This review aims to compare current knowledge of MASLD in mouse models and humans, focusing on pathophysiology, histological phenotypes, and the role of preclinical imaging as a non-invasive translational screening tool. Methods: A literature search was conducted in PubMed and Web of Science to identify English-language publications from January 2020 to March 2026 on murine models and imaging techniques for MASLD, using pertinent keywords. Attention was given to highlighting similarities and differences between human and murine approaches. Results: MASLD arises from complex interactions between genetics, sedentary lifestyles, and imbalanced diets. While mouse models have been refined to capture the multifactorial interplay driving disease progression and are still essential for drug development, no single model fully mirrors the human condition. Histological assessment remains an essential tool for MASLD staging, in both humans and mouse models. However, imaging is increasingly emerging as an important complementary technique to non-invasively investigate MASLD. Conclusions: Mouse models are essential to address specific mechanistic and therapeutic questions, but understanding of their limitations and strengths is crucial for translational research. Integrating phenotype-driven approaches in both humans and mice, combining traditional histology, quantitative imaging, and metabolic profiling, as well as longitudinal, combined, and humanized preclinical models, will enhance translational alignment and accelerate the development of therapies for MASLD. Full article

Background: Emerging evidence suggests that metabolic, nutritional, and lifestyle-related factors may be associated with tinnitus occurrence and symptom burden. Nutritional status, obesity, and sedentary behavior have been hypothesized to be linked with auditory function, neural excitability, and tinnitus-related outcomes. This scoping review aimed to map and summarize the available evidence on associations between dietary factors, nutrient intake, body mass index (BMI), obesity, physical activity, and tinnitus occurrence, severity, and related clinical outcomes. Methods: A scoping review was conducted in accordance with the PRISMA-ScR reporting guidelines. A comprehensive search of PubMed, Web of Science, and Cochrane Library databases was performed. Eligible designs included randomized controlled trials, cohort studies, case–control studies, and cross-sectional studies. Data were extracted and synthesized narratively due to methodological heterogeneity. Results: Twenty-four studies met the inclusion criteria. Several observational studies reported associations between protein intake, lipid profile, micronutrient status, BMI, obesity, physical activity, and tinnitus-related outcomes. Evidence on antioxidant supplementation was heterogeneous, with some trials reporting favorable changes in tinnitus-related measures and others showing no significant benefit compared with placebo. Elevated BMI, obesity, and altered body composition were generally associated with tinnitus occurrence or greater symptom severity. Randomized trials suggested that structured lifestyle programs involving dietary modification, weight reduction, and physical activity may be associated with improvements in tinnitus severity and quality of life in selected patient groups. Conclusions: The available literature suggests potential associations between nutritional, metabolic, and lifestyle-related factors and tinnitus occurrence or symptom severity. However, the evidence is heterogeneous and largely observational, with inconsistent adjustment for hearing loss, psychological distress, and general health status. Further well-designed prospective studies and randomized controlled trials are needed before causal or clinical recommendations can be formulated. Full article

This study assessed physical activity (PA) levels and energy expenditure among students across various medical disciplines at Wroclaw Medical University. Data were collected in late 2024 using the International Physical Activity Questionnaire (IPAQ) long-form. Statistical analysis, including Mann–Whitney U and Kruskal–Wallis tests were used to reveal significant differences based on gender, age, and field of study. While female students generally achieved higher metabolic equivalent (MET) MET-min/week values at home and in transport, male students demonstrated significantly higher scores in total physical activity, total vigorous physical activity, and vigorous activity in free time. Gender based analysis did not reveal any statistically significant differences. Significant variations across study programs were observed only in occupational PA, same as in age-related analysis. The findings highlight sedentary risks within specific student subgroups, which may contribute to professional burnout and diminished effectiveness as future health promoters. Consequently, the study suggests that medical institutions should incorporate lifestyle medicine and health promotion strategies into their curricula to foster the long-term well-being of future healthcare professionals. Full article

This pilot randomized controlled trial (RCT) aimed to evaluate the effect of a lumbar spine stabilization exercise program (LSSEP) in healthy adults with a sedentary lifestyle. Thirty-eight healthy Greek adults (mean age 40.53 ± 11.91 years) who had been sedentary for at least six months participated in the study. They were randomly assigned to an intervention group (n = 18) and a control group (n = 20). The intervention group followed a supervised progressive four-week LSSEP, while the control group received a booklet with ergonomic and stretching instructions (passive control). The primary outcome was the 12-Item Short Form Health Survey version 2 (SF-12v2), which measures quality of life, and secondary outcomes were the Functional Movement Screen (FMS) and the Y-Balance test (YBT), assessed before and immediately after the intervention period. A repeated-measures 2 × 2 mixed ANOVA revealed significant time × group interactions in favor of the intervention group for the mental component of quality of life and for functional movement and dynamic balance performance (p < 0.05), with moderate to large effect sizes. The LSSEP appears to improve specific aspects of quality of life and movement performance in healthy sedentary adults, with potentially clinically meaningful benefits observed even within a short four-week period. Confirmation through larger, longer-term trials is warranted. Full article

Soccer support staff operate under demanding schedules and high-performance environments while guiding players’ movement, sleep, and nutrition; however, their own lifestyle behaviours remain under-researched. This exploratory study assessed adherence to the Canadian 24-Hour Movement (24HM) guidelines and its association with diet quality (DQ) in professional and semi-professional soccer support staff. Methods: A cross-sectional survey collected data from 236 staff in the United Kingdom and Spain. Movement behaviours were measured using the Whole Day Matters Toolkit and DQ using the validated Mini-EAT questionnaire. A graded 24HM score (0–8) summed binary adherence across four general (MVPA, LPA, sedentary time, sleep) and four secondary (muscle-strengthening, sedentary interruptions, screen time, sleep–wake time) behaviours. Associations with DQ were estimated using adjusted multiple linear regression. Results: Only 7.6% of participants met all eight guidelines. Each one-point increase in the graded score was associated with 0.89-point higher DQ (95% CI 0.29–1.49, p = 0.004), with stronger associations observed for secondary behaviours (β = 1.27, p = 0.006) than for general behaviours (β = 0.38, p = 0.50). Conclusions: A graded 24HM scoring approach showed a graded association with DQ in soccer staff, with secondary movement behaviours showing a stronger association. All findings should be interpreted as exploratory and hypothesis-generating. ClinicalTrials.gov: NCT06771752. Full article

Background: Physical inactivity and sedentary behaviour are major public health concerns associated with an increased risk of non-communicable diseases, reduced quality of life, and substantial healthcare burden. In recent years, technology-based interventions, including wearable devices, mobile health applications, artificial intelligence-driven systems, and adaptive digital platforms, have been increasingly adopted to promote physical activity and reduce sedentary time in adult populations. However, the evidence remains fragmented across intervention types, behavioural targets, and population groups. The aim of this scoping review was to map the recent literature on digital interventions designed to promote active lifestyles in adults, with a specific focus on their reported impact on physical activity promotion and sedentary behaviour reduction. Methods: This scoping review was conducted in accordance with the PRISMA-ScR guidelines. A literature search was performed in PubMed and Scopus using a predefined search strategy combining terms related to digital technologies, physical activity, sedentary behaviour, and adult populations. Studies published in English between 2022 and 2026 were considered. After removal of duplicates and screening of titles and abstracts, full texts were assessed according to predefined eligibility criteria. Data were charted descriptively and synthesised narratively to identify the main intervention models and emerging research trends. Results: The search identified 887 records, of which 35 studies were included in the final synthesis. The literature included was grouped into four broad categories: wearable devices and mHealth tools for monitoring and goal-setting; adaptive interventions based on Just-In-Time Adaptive Interventions, artificial intelligence, and gamification; advanced technologies such as Internet of Things systems and exoskeleton-based approaches; and hybrid interventions combining digital tools with human support or environmental modifications. Overall, technology-based interventions were generally associated with increases in step count, moderate-to-vigorous physical activity, and adherence to movement-related behaviours. In contrast, their effectiveness in reducing sedentary behaviour was less consistent and appeared to depend more strongly on context-sensitive prompting, posture-focused strategies, and multicomponent or hybrid intervention models. Conclusions: Digital health interventions represent a promising strategy for promoting physical activity in adults, but their impact on sedentary behaviour reduction remains more limited and heterogeneous. The findings suggest that simply increasing exercise is not sufficient to address prolonged sitting and that more tailored, adaptive, and context-aware approaches are needed. Future research should prioritise methodological standardisation, longer follow-up periods, and interventions specifically designed to interrupt sedentary time across different adult populations. Full article

Background: Hypertension is one of the most common noncommunicable diseases. Objectives: This research assessed the magnitude of hypertension among young adults, identified its key determinants, and explored potential strategies adopted for prevention. Methods: A cross-sectional design was employed, including 1606 participants aged 18 years and older, recruited through convenience sampling from universities and community settings. Data were collected using a content-validated questionnaire covering sociodemographic information, personal and family medical history, and lifestyle habits. Results: Of the participants, 993 (61.8%) reported hypertension, nearly double previous national estimates. Male gender, age ≥ 30 years, and family history were significant risk factors, along with smoking, alcohol use, sedentary lifestyle, and unhealthy diet, while physical activity and dietary modification were protective. Despite high prevalence, only 22.1% had controlled blood pressure and 17.8% adhered to medication, with 51.5% relying on herbal remedies. Conclusions: These findings highlight the urgent need for early screening, youth-focused awareness, and culturally tailored interventions to reduce hypertension and prevent long-term cardiovascular complications. Hypertension among young adults in the UAE is a major public health concern, requiring integrated strategies combining education, lifestyle modification, and medical management to improve outcomes. Full article