Physical Activity and Sports-Real Health Benefits: A Review with Insight into the Public Health of Sweden

Exploring the associations of perceived physical literacy with depression, anxiety, and stress among Spanish adolescents

BACKGROUND AND PURPOSE

The concept of physical literacy has gained prominence in the context of adolescent health, with increasing evidence suggesting its potential as a pivotal factor in promoting adolescent well-being and physical activity. The objective of the current study was to examine the relationships between perceived physical literacy (PPL) and symptoms of depression, anxiety, and stress in Spanish adolescents.

MATERIALS AND METHODS

A cross-sectional study including 714 adolescents was conducted. The Spanish Perceived Physical Literacy Instrument for Adolescents (S-PPLI) and Depression Anxiety Stress Scale 21 (DASS-21) were used. To determine the relationship between the PPL and DASS-21 score, robust linear regression models were constructed.

RESULTS

After adjusting for several covariates, an inverse relationship was found between the S-PPLI score and the domains of the DASS-21 (symptoms of depression: unstandardized beta coefficient [B] = -0.14; 95 % confidence interval [CI] -0.20 to -0.08; p < 0.001; anxiety: B = -0.09; 95 % CI -0.15 to -0.04; p = 0.002; and stress: B = -0.09; 95 % CI -0.16 to -0.03; p = 0.006). Furthermore, adolescents with high PPL status presented significantly lower symptoms of depression, anxiety and stress than adolescents with low PPL status did.

CONCLUSION

PPL could be considered a key factor in preventing the development of symptoms of depression, anxiety, and stress in the adolescent population. Physical literacy might play a decisive role in the potential of physical activity in promoting mental health in adolescents.

Dilemmas and strategies in resource allocation for body-health integration from the perspective of collaborative governance: an analysis based on grounded theory

The development of body-health integration is crucial for enhancing public health and enabling China to advance toward a healthier future. Employing grounded theory, an array of policies, literature, and governmental reports was analyzed in this study to construct a model of resource allocation dilemmas under collaborative governance. The model integrates several dimensions, including governance structures, industry configurations, societal roles, and resource types such as governmental, financial, and human. Key strategies for promoting health integration are identified: setting clear developmental directions, establishing robust synergistic mechanisms, reforming health concepts, and enhancing inter-regional cooperation. Furthermore, reforms are proposed for policy enforcement, resource distribution, and professional training to support sustainable health practices. The findings offer valuable theoretical insights for policymakers aiming to foster green development in China's health sector.

Mental Health Care of the Baseball Player

Holistic care of the baseball athlete is incomplete without attention to mental health. Baseball athletes are exposed to multiple stressors that may impact mental health negatively, but little is known about the prevalence of mental disorders in this population due to a paucity of research. Several barriers interfere with baseball athletes getting help when needed. Primary prevention, early intervention and screening, and timely access to specialized care are critical in keeping the baseball athlete healthy, safe, and in the game. Athletic organizations that make mental health a priority have an opportunity to destigmatize mental health concerns and transform culture.

Factors Influencing Sport Persistence Along the Socio-Ecological Model-A Presentation of Sport Persistence Models Based on the Findings of a Representative Hungarian Sample

Background/Objectives: Sport persistence, defined as an athlete's behavioural commitment to sport, is influenced by various psychological, social, and environmental factors. This study examines sport persistence using an ecological framework, incorporating Bronfenbrenner's socio-ecological model and Bauman's multi-level physical activity model. It aims to identify the key determinants of sport persistence among Hungarian athletes and differentiate the influencing factors for competitive and recreational athletes. Methods: The study analysed data from 1105 Hungarian (518 male, 557 female) secondary (n = 478) and university (n = 626) students who pursued competitive (n = 533) or recreational (n = 572) sports. A structured questionnaire assessed socio-demographic factors, sport-specific variables, psychological characteristics, and environmental influences. Statistical analyses were applied to identify predictors of sport persistence. Results: For competitive athletes, persistence was most strongly predicted by goal orientation (β = 0.322; p < 0.001), win orientation (β = 0.156; p = 0.001), resilience (β = 0.161; p < 0.001), and training frequency (β = 0.122; p = 0.017). In contrast, recreational athletes' persistence was linked to task orientation (β = 0.092; p = 0.013), well-being (β = 0.092; p = 0.008), and social support (β = 0.084; p = 0.006). The father's employment status had a positive effect on persistence, while broader socio-demographic factors were more relevant for recreational athletes. The role of micro-, exo-, and macro-system factors, such as peer or teacher support and sport infrastructure, was found to be limited in influencing persistence levels. Conclusions: Sport persistence is primarily driven by individual psychological factors rather than broader ecological influences. Competitive athletes show persistence through performance-oriented traits, while recreational athletes rely more on well-being and motivation. These findings suggest that tailored interventions could enhance sport persistence and performance.

The Arabic Version of Injury-Psychological Readiness to Return to Sport Scale: Translation and Psychometric Validation

Background and Objectives: It is crucial to consider not only the physical variables but also the athlete's psychological condition prior to making the decision to return to sport (RTS). It is unfortunate that there is currently no universal questionnaire available in Arabic to determine whether an athlete is ready to return to sports. So, this cross-cultural validation study was carried out to translate and validate the Injury-Psychological Readiness to Return to Sport Scale (I-PRRS) into the Arabic language. Materials and Methods: One hundred twenty athletes with lower extremity injuries (95 males and 25 females) completed the Arabic I-PRRS twice with a one-week time interval. An additional 50 athletes, comprising 40 males and 10 females, also participated in the study by completing the questionnaire during their initial visit to a physical therapist. Floor and ceiling effects, internal consistency, reliability, discriminate validity, convergent validity, and factor construct were analyzed. Results: The I-PRRS was translated into Arabic with no floor or ceiling effects. It had good internal consistency (0.84) and excellent test-retest reliability (ICC 0.88, 95% CI 0.73-0.95) where the lower bound of 95% CI indicated at least good reliability. The SEM was 1.14, and the MDC was 3.27 points. Athletes who were cleared to RTS demonstrated significant differences in their responses compared with those who were visiting their physical therapist for the first time. These differences were significant across all individual items, as well as in the total scores of the assessment (p < 0.001). There was a significant moderate correlation between overall scores on the I-PRRS and the Tampa Scale of Kinesiophobia (TSK) (rs = 0.69, p < 0.05). Conclusions: The Arabic version of the I-PRRS demonstrated good reliability and validity, making it a suitable tool for evaluating psychological readiness to RTS among injured athletes in Arabic-speaking populations.

Beyond the Handicap: A Cross-Sectional Study of Mental Health Amongst Registered Golfers in Spain

The prevalence of impaired mental health (MH) has increased in recent decades. The aim of the study was to analyze the prevalence of impaired MH amongst registered Spanish golfers using the GHQ-28 questionnaire. A cross-sectional online survey was carried out in Spain between March and August 2024 using a self-administered questionnaire on 298 adult participants. The participants were mainly men (75.1%) over 60 years of age (50.7%) who were married or with a partner (79.5%), and who were active in the job market (56%). Of the participants, 73.5% reported an improvement in MH levels attributed to the game, and 77.2% recommended golf as a way to improve MH. The prevalence of impaired MH was 6.7% (95% confidence interval [CI]: 4.1-10.2%). Differences in impaired MH were found according to age (<=45 years: 28.6%; 46-60 years: 5.0% and >60 years: 4.0%; p = 0.001), marital status (married or with a partner: 4.6% vs. other: 14.8%; p = 0.009) and time of play (morning: 3.3% vs. other: 10.3%; p = 0.015). The prevalence of impaired MH detected was low and these results indicated that such playing habits and characteristics may have a positive impact on the mental wellbeing of golf players.

Lower extremity energy absorption in individuals with lower extremity musculoskeletal injury history during functional tasks: A scoping review

BACKGROUND

Recent evidence has utilized energetic absorption as an alternative method to evaluate biomechanical profiles associated with lower extremity injury risk. The aim of scoping review is to summarize the literatures that utilized energetic analysis in individuals with lower extremity injury history during functional tasks.

METHODS

A literature search, conducted in August 2023, involved four databases-PubMed, SPORTDiscus, Scopus, and Web of Science. A manual search was performed to identify additional articles.

FINDINGS

Among the 17 included studies, we identified 11 and 6 articles investigated lower extremity energetic absorption in individuals with anterior cruciate ligament reconstruction and chronic ankle instability history during jump-related tasks, receptively. Individuals with anterior cruciate ligament reconstruction displayed a reduction of energetic absorption in the involved knee, coupled with increased energetic absorption in the involved hip, as compared to the uninvolved limb or the reference group. The findings in those with chronic ankle instability were varied. Most studies suggested that individuals with chronic ankle instability displayed a compensatory movement pattern to off-load their ankle joint, while concurrently increasing energy absorbed at the knee joint compared to the reference group. Conversely, one study suggested that individuals with chronic ankle instability might rely more on their ankle joint for energy absorption.

INTERPRETATION

Our findings indicated that both individuals with anterior cruciate ligament reconstruction and chronic ankle instability displayed a distinctive compensatory strategy during landing. This strategy is characterized by increasing energy dissipation on the proximal joints, compensating for a reduction on the distal joint to dissipate less energy.

From activity to obesity: understanding gender and type of school divide among Saudi adolescents

Background

Obesity has emerged as a significant predictor of the nationwide burden of non-communicable diseases in Saudi Arabia.

Objectives

This study explores patterns in body mass index (BMI), physical activity (PA), and sedentary behavior (SB) among Saudi adolescents, focusing on variations by gender and school type (public vs. private). It identifies key factors affecting BMI.

Methods

A total of 2,815 students (53.64% male, aged 15.21 ± 1.55 years) participated. Body weight and composition were determined by bioelectrical impedance, while PA levels and SB scores were assessed through validated questionnaires. Two models were created, one with overall SB and the other with specific SBs.

Results

Among participants, 28.4% were overweight/obese, with 17.2% classified as obese. Obesity prevalence was higher in boys (26.9%) compared to girls (6.0%). Overweight prevalence was slightly lower in private schools (9.9%) than in public schools (11.8%), while obesity rates were similar (17.3% vs. 17.2%). A significant association between BMI and school type was identified solely in girls (Model 1: p = 0.004, ES = 0.109; Model 2: p = 0.012, ES = 0.096). Age was positively associated with BMI (Model 1: p < 0.004, ES = 0.025; Model 2: p < 0.001, ES = 0.019), as were SB scores (p < 0.001, ES = 0.17). Conversely, PA levels exhibited a negative correlation with BMI (Model 1: p < 0.001, effect size = -0.104; Model 2: p < 0.001, effect size = -0.106). Polynomial analysis revealed a cubic relationship between BMI and PA across all groups, though with low effect sizes.

Conclusion

Gender, age, PA, and SB explained a small portion of BMI variance. Future research should investigate mechanisms underlying these non-linear trends and explore additional confounding variables.

The impact of 24-forms Tai Chi on alpha band power and physical fitness in young adults: a randomized controlled trial

Regular physical activity is beneficial for health, but research on interventions for young people's physical and mental health remains limited. Tai Chi may have potential benefits, but its effects on young adults are not well - studied. 45 college students were randomly assigned to a Tai Chi (TC) group or a control group. The TC group underwent 45-minute sessions, three times a week for 12 weeks. Physical health performance and alpha-band power of resting-state electroencephalography were measured before and after the intervention. Both groups improved in long jump performance (p < 0.05), but the TC group had a greater improvement (13.73 ± 15.54 vs. 4.91 ± 9.24 cm). The alpha-band power increased in the TC group and decreased in the control group. Tai Chi can enhance physical fitness and alpha-band power in college students, suggesting its potential as a health-promoting activity.

Does becoming a parent reduce sports participation? A longitudinal study of short- and long-term effects

Introduction

Parenthood can have a negative effect on sport behaviour despite the known health benefits of participation in sports. Recent studies have shown that becoming a parent is related to a reduction in exercise. However, this relationship is less clear for men than women. In addition, most studies only focused on short-term effects. Therefore, it is unknown whether these effects remain prevalent one year after becoming a parent.

Method

Using twelve data waves of the Dutch Longitudinal Internet studies for the Social Sciences (LISS) panel, we examined the influence of becoming a parent on sport behaviour in the short- (<1 year) and long-term (>1 year). Given the known differences between men and women, we also examined possible gender differences in this change. Multilevel logistic regression of the data of 6,276 observations for 725 respondents showed that the short- and long-term effects of becoming a parent have different implications for the sport behaviour of men and women.

Results

While men's participation in sports is not affected by parenthood, women initially stop participating in sports, but they start again after one year. Additionally, women's frequency of engagement in sports is reduced when they become mothers. In contrast, the frequency of sport engagement is not affected when men become fathers. From a resource perspective, the results show how limited time and energy can differentially affect the sport behaviour of men and women after they become parents.

Discussion

Together with the different pathways of sport participation in the short- and long-term, these results can inform the development of interventions aimed at sustainable physical activity for new parents.

Exploring Self-Reported Physical Activity Levels and Physical Fitness in Italian Children: A Mediation and Moderation Analysis

BACKGROUND/OBJECTIVES

Skill-related physical fitness is a crucial factor influencing health status during childhood. Starting from the lack of knowledge in the field of skill-related physical fitness and levels of physical activity in Southern Italy, this cross-sectional study aims to explore the mediating and moderating influence of PAL on the association between BMI and skill-related physical fitness.

METHODS

The sample (N = 387 students; male = 196, age = 12.2 ± 0.87 yrs; female = 191, age = 12.3 ± 0.93) was recruited from schools in the Apulia Region. The assessment included standing long jump (SLJ), 2 kg medicine ball throw (MBT) and 10 × 5 shuttle run (10 × 5) as indicators of physical fitness, and a self-report for measuring daily physical activity (PAL). A 2 (gender) × 3 (BMI cutoff)-factorial ANOVA was performed to highlight differences between groups for physical fitness components and PAL. Then, mediation and moderation models were created, establishing BMI as the independent variable, physical fitness tests as dependent variables, and PAL as the mediator and moderator variable.

RESULTS

The findings showed higher physical fitness and PAL in male and female normal-weight groups than in those who were overweight and obese. Mediation analysis revealed that higher PAL improved performance in SLJ (b = 0.091, p < 0.01, R2 = 17.16%), led to a modest understanding of the variation in MBT (ΔR2 = 0.026), and significantly reduced the time spent to perform 10 × 5 (p < 0.0, R2 = 10.72%).

CONCLUSIONS

Despite the obtained results, future research is needed to further understand the association between physical fitness and the sociocultural determinants of physical activity to guide institutional policies and interventions to prevent poor health habits.

Physical activity partially mediates the association between health literacy and mild cognitive impairment in older adults: cross-sectional evidence from Switzerland

Individuals' health literacy (HL) is positively associated with healthy behaviors and global cognitive functioning. Current evidence also suggests that physical activity may prevent or delay cognitive decline and dementia. This study examines the potential mediating role of physical activity in the association between HL and cognition in a population-based sample of adults aged 58+ in Switzerland. We used data from 1645 respondents to Wave 8 (2019/2020) of the Survey on Health, Ageing, and Retirement in Europe in Switzerland. HL was assessed using the HLS-EU-Q16 questionnaire. Mild cognitive impairment (MCI) was defined as a 1.5 SD below the mean of age- and education-specific global cognition score. The frequency of moderate and vigorous physical activity was self-reported. The associations were assessed using probit regression models, controlling for social, health, and regional characteristics. Structural equation modeling was used to test the mediation hypothesis. Higher HL was associated with a higher likelihood of being engaged in moderate (P < .001) and vigorous (P < .01) physical activity and with a lower likelihood of having MCI (P < .05). In addition, both moderate (P < .05) and vigorous (P < .01) physical activity were associated with a lower probability of having MCI. Mediation analysis indicated that the association between HL and MCI was partially mediated by both moderate (12.9%) and vigorous (6.7%) physical activity. Given that physical activity may partially mediate the association between HL and MCI, improving HL in older adults could potentially foster engagement in physical activity, which could, in turn, act as a protective factor against MCI.

Eight weeks of aerobic exercise, but not four, improves insulin sensitivity and cardiovascular performance in young women

Regular aerobic exercise has a significant impact on glucose metabolism and lipid profiles, contributing to overall health improvement. However, evidence for optimal exercise duration to achieve these effects is limited. This study aims to explore the effects of 4 and 8 weeks of moderate-intensity aerobic exercise on glucose metabolism, lipid profiles, and associated metabolic changes in young female students with insulin resistance and varying body mass, seeking to determine the optimal duration for physiological adaptations. Twenty-eight physically semi-active female students were randomly assigned to 4-week (G4, n = 13, age = 23.31 ± 5.19, BMI = 24.78 ± 5.87) and 8-week (G8, n = 15, age = 21.8 ± 2.56, BMI = 24.95 ± 4.81) training groups. The aerobic intervention maintained an intensity of 40-70% of maximum heart rate (HRmax). 6-min-walk test (6MWT), handgrip strength tests, insulin, HOMA-IR, lipid profiles, and metabolic profiles were assessed pre- and post-intervention. Following the intervention, G8, but not G4, exhibited a significant decrease in HOMA-IR (-14.59%, p = 0.047). The improvement in HOMA-IR was accompanied by notable improvements in 6-MWT (+ 38.18%, p < 0.001) and handgrip strength (+ 11.62, p = 0.027 and + 17.59%, p = 0.013), and increased levels of bilirubin degradation products, ribose, and glutarate. The elevated levels of bilirubin degradation products, known for their antioxidant properties, suggested a potential antioxidative response triggered by prolonged aerobic exercise. Additionally, an increase in ribose and glutarate indicated improved metabolic flexibility and enhanced utilization of alternative energy substrates. The 8-week aerobic exercise regimen demonstrated enhanced insulin sensitivity, upper body strength, and cardiovascular performance in young females compared to a 4-week regimen by triggering specific metabolic adaptations. These findings emphasize the complex relationship between exercise duration, metabolic adaptations, and overall well-being in young women, providing valuable insights for optimizing exercise prescriptions in promoting metabolic health.

Self-Esteem, Wellbeing, and Health Status of Female Athletes in the Context of Sport Performance

Background

Competing at a high level is challenging for athletes, both mentally and physically. Intense sport engagement is not always beneficial for health. This study investigates and compares self-esteem, wellbeing, and health status among athletes at different levels. In addition, it examines whether the type of sport (individual versus team) affects the self-esteem and wellbeing.

Methods

A quantitative, observational survey was conducted, involving 296 female participants aged 18-35 years divided into three groups based on their sport performance: high-performance athletes (41%), recreational athletes (27%), and individuals with no or lower levels of physical activity (32%). The Rosenberg Self-Esteem Scale, WHO-5 Well-Being Index, and the EuroQol Visual Analogue Scale were used to measure self-esteem, wellbeing, and health status, respectively.

Results

High-performance athletes exhibited significantly higher self-esteem, wellbeing, and health status compared with individuals with no or lower levels of physical activity. Recreational athletes showed better wellbeing than individuals with no or lower levels of physical activity and had no significant differences from high-performance athletes in any parameter. Results were not affected by whether the sport was individual or team-based.

Conclusions

These findings highlight that regular sport participation, whether at a recreational or high-performance level, provides substantial mental and physical health benefits, while individuals with no or lower levels of physical activity experience significantly lower levels of self-esteem, subjective wellbeing, and health. The findings of this study suggest that regular sport activity, regardless of competitive level, provides substantial benefits, underscoring the importance of maintaining a physically active lifestyle.

Assessing Nutritional Knowledge and Physical Health Among Football Players: A Pilot Study from Three Sports Clubs in Western Romania

BACKGROUND

Football players require optimal nutrition and physical fitness to enhance their performance and maintain their health. Understanding the relationships among nutritional knowledge, dietary habits, physical health, and substance use in athletes is essential for developing effective strategies. This study investigates these factors in male football players aged 16-33 years.

METHODS

The study involved 60 male football players from three teams in Liga4Arad. A mixed-methods approach was used, incorporating a self-developed pilot questionnaire and internationally validated instruments. The reliability of the questionnaire was confirmed using Guttman's λ2. The questionnaire assessed nutritional knowledge, eating habits, substance use, and physical health parameters, including body fat percentage and training frequency. Spearman's correlation was used to analyze the data and explore the interrelationships between these factors. It is important to note that the pilot questionnaire used in this study was self-developed and not previously validated in this specific context.

RESULTS

Nutritional knowledge was positively correlated with healthier eating habits (ρ = 0.675, p < 0.001). Intensive training and higher physical activity levels were both associated with improved body composition and lower body fat (ρ = 0.341, p = 0.006). Supplement use was moderately correlated with alcohol consumption (ρ = 0.548, p < 0.001) and weakly correlated with smoking (ρ = 0.348, p = 0.007).

CONCLUSIONS

The study highlights a strong relationship between nutritional knowledge and healthier eating habits among football players, as well as the significant role of frequent intense training in reducing body fat percentages and enhancing physical fitness. Additionally, the findings suggest a moderate association between dietary supplement use and alcohol consumption, underscoring the need for tailored interventions to address substance use and its impact on players' health behaviors and performance.

Military Sports Recovery Athletes' Perspectives on Role of the Coach in Athletes' Well-Being: The Importance of Supporting Basic Psychological Needs

The purpose of this study was to investigate the experiences of athletes in a competitive military sports recovery program with a specific focus on the extent to which coaches supported, or frustrated, athletes' basic psychological needs. Eight military veteran athletes competing in parasport took part in semistructured interviews. The accounts of their experiences of working with coaches in this context and their influence on their psychological needs and well-being were thematically analyzed. Results demonstrated that coaches' behaviors that support basic psychological needs can have positive effects on athletes' well-being and support their wider rehabilitation. Furthermore, frustration of these needs through controlling behaviors contributed to psychological ill-being. Findings suggest practical implications to help inform coaching practice to support optimal recovery and an environment that promotes well-being.

Prevalence of Exercise Dependence Among High-Intensity Functional Training Practitioners: A Cross-Sectional Analysis

The objective was to explore the prevalence of exercise dependence (ED) risk among regular HIFT exercisers. Secondary objectives include exploring the prevalence of injuries within this population and examining the potential association between ED risk and injury prevalence. This cross-sectional study was conducted in a city in southern Brazil and included HIFT practitioners. ED was evaluated using the Exercise Dependence Scale-Revised (EDS-R). The primary outcome was the prevalence of ED risk. The final analysis included 64 HIFT practitioners, of whom the majority were female (n = 35; 54.7%). The mean EDS-R score was 67.6 ± 14.7. A weak positive correlation was found between the duration of HIFT practice (r = 0.312) and weekly training frequency (r = 0.442) with EDS-R scores. Categorically, 25.0% (n = 16) of participants were classified as being at risk for ED, 60.9% (n = 39) as symptomatic non-dependent, and 14.1% (n = 9) as asymptomatic non-dependent. The prevalence of injuries among participants was 32.8% (n = 21). The mean EDS-R score was 71.0 ± 14.4 for participants with a history of injury and 65.9 ± 14.7 for those without a history of injury. The effect size, measured by Cohen's d, was 0.35 (95% CI: -0.19 to 0.89), indicating no significant difference between the two groups. A high prevalence of ED was observed among HIFT practitioners. Raising awareness of the risk of developing this pathological behavior may help in detection of symptoms and the implementation of preventive and interventional strategies.

Age of First Exposure to Contact Sports Is Not Associated With Worse Later-In-Life Brain Health in a Cohort of Community-Dwelling Older Men

OBJECTIVE

To evaluate whether early age of first exposure to contact sports (AFE-CS) is associated with worse long-term brain health outcomes.

DESIGN

A cross-sectional, survey study of older men with a history of contact sport participation was completed.

SETTING

Tertiary care facility.

PARTICIPANTS

A cohort of community-dwelling older men dichotomized by using AFE-CS (<12 years vs ≥12 years).

INTERVENTIONS

Independent variables included a dichotomized group of AFE-CS (<12 years vs ≥12 years).

MAIN OUTCOME MEASURES

Brain health outcomes measured by depression, anxiety, cognitive difficulties, and neurobehavioral symptoms. Endorsements of general health problems, motor symptoms, and psychiatric history were also collected. Age of first exposure groups was compared using t tests, χ 2 tests, and multivariable linear regressions, which included the following covariates: age, number of prior concussions, and total years of contact sport.

RESULTS

Of 69 men aged 70.5 ± 8.0 years, approximately one-third of the sample (34.8%) reported AFE-CS before age 12 years. That group had more years of contact sports (10.8 ± 9.2 years) compared with those with AFE-CS ≥12 (5.6 ± 4.5 years; P = 0.02). No differences were found after univariate testing between AFE-CS groups on all outcomes ( P -values >0.05). Multivariable models suggest that AFE-CS is not a predictor of depression or anxiety. Those in the AFE-CS <12 group had fewer cognitive difficulties ( P = 0.03) and fewer neurobehavioral symptoms ( P = 0.03).

CONCLUSIONS

Those with AFE-CS <12 to contact sports did not have worse long-term brain health outcomes compared with those with AFE-CS ≥12. Individuals with AFE-CS <12 had significantly lower British Columbia Cognitive Complaints Inventory and Neurobehavioral Symptom Inventory scores compared with those with AFE-CS ≥12.

CLINICAL RELEVANCE

The benefits of earlier AFE-CS may outweigh the risks of head strikes and result in comparable long-term brain health outcomes.

Values associated with Nordic Walking: An international cross-sectional survey among individuals practicing walking with poles

INTRODUCTION

The article is devoted to the sociological exploration of the social phenomenon that Nordic Walking has become in Europe and worldwide over the recent decades.

AIM

It is based on the results of original international sociological research study on the issue of sociodemographic profiles of Nordic Walkers in the context of the values associated with this sports activity.

METHODS

A cross-sectional quantitative study with convenience sampling study was performed among 416 Poles, 132 Europeans from 11 countries (Germany, the UK, Spain, France, Italy, Portugal, Ireland, Denmark, Austria, Sweden, and Norway), and 212 participants from 5 non-European countries (the USA, Canada, Australia, New Zealand, and Japan). The study used an author's tool that included questions concerning the ways of doing Nordic Walking and its and social and organizational contexts, its classification and interpretation as a health-related, recreational, or sports activity, its position in the space of everyday life and in the sphere of preferred values, motives for walking with poles, meanings attributed to this activity, and the individual and social benefits associated with it.

RESULTS

The values most often associated with practicing Nordic Walking belong to the personal and psychophysical spheres. Their dominant position suggests that this activity is a complex one and that its advantages are not restricted to its motor aspects or to contact with nature. It is not a simple activity of walking with poles, as the initial stereotypes seem to suggest, but a kind of movement with a defined framework and a set of principles, engaging the physical and personal spheres of those who practice it, having a cultural meaning, and marked by cultural rootedness.

CONCLUSION

The research results can be useful for health care experts and for those responsible for building prevention strategies in various social groups. This is because they draw attention to the category of accessible and at the same time effective activities, with high individual and social potential. At the same time, they show that an important element of promotion strategies and social campaigns aimed at popularizing sport and healthy lifestyle should be axiological categories as significant predictors of individuals' actions and decisions.

Why do students drop out of regular sport in late adolescent? The experience of a systematic review

Introduction

The positive impact of youth sport on physical, mental and social health has been highlighted in several research which reinforces further investigations concerning the reasons for dropout of athletes. As one of the most emergent difficulties in youth sports is to prevent athletes from dropping out, it is important to explore what factors play important part in this process. The purpose of this study was to identify barriers and challenges related to sport persistence and dropout.

Methods

We conducted a systematic literature review using the EBSCO Discovery Service Search Engine. Our method followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.

Results

Out of the initially examined 512 publications, 11 papers were included in our final sample. Original empirical research published in a peer-reviewed journal, papers focusing on participants age below 25 years and exploring factors influencing dropout determined by any levels of Bronfenbrenner's model were analyzed. Results showed that gender differences were extensively examined and did, in fact, contribute to dropout ratios, while socio-cultural and ethnic backgrounds were largely disregarded in most studies. From presented individual psychological factors perception of ability and success, enjoyment, sports satisfaction and life satisfaction all protected against dropout.

Discussion

Achievement, goal, social and win orientation emerged as positive predictors of sport persistence in many studies, along with motivation and commitment. Many non-psychological factors were also mentioned. Sports requiring more training may lead to increased dropout rates, just as well as the lack of knowledge acquisition and competitiveness. Lastly, social environment and status also often play a significant role in dropout. Individuals with more resourceful socio-economical background find it easier to keep up the pace and have the opportunity to participate in more wealth-consuming sports. Social support received from the family and peers is a very strong preventive factor against dropout and both the personality and leadership of the coach were mentioned in multiple studies. A lack of methodological diversity, paired with the presence of only cross-sectional studies fulfilling the inclusivity criteria raises attention to the importance of examining underrepresented factors and the need for longitudinal research on the topic.

Systematic review registration

https://inplasy.com/inplasy-2024-11-0015/, INPLASY2024110015.

Effect of elite sport activity on salivary microbiota: The case of water polo

It has been well established that the human gut microbiota plays a pivotal role in humans' health, since it is involved in nutrients' uptake, vitamins' synthesis, energy harvest, inflammatory modulation, and host immune responses. Moreover, gut microbiota alterations have been associated to an increasing number of diseases and its composition can be affected by several factors, including physical exercise. In particular, it has been reported that intense physical activity can induce metabolic changes which translate in alterations of specific biomarkers that can lead to the onset of infections, inflammation and hepatic or kidney disorders. Recently, the oral microbiota has shown its relevance not only for the health of oral cavity but also for human host's health, emerging as an ecological niche with a great potential for the study of gut microbiome alterations due also to its accessibility respect to other tracts that can be inferred through fecal samples analysis. Thus, the purpose of this study has been to assess the effect of intense physical activity, i.e., elite water polo, on the human salivary microbiota. Thirteen professional water polo players and nineteen sedentary controls were recruited for this study. The salivary microbiota analysis was performed in oral rinse collected from both controls and athletes three months after the beginning of the agonist season. Our results showed significant differences in the salivary microbiota between athletes and controls. In particular, three species, namely Oribacterium sinus, Oribacterium parvum and Oribacterium asaccharolyticum, were found to be significantly increased in the water polo players compared to controls. Even if these data have to be further validated, also to assess the role of these identified species, they strengthen the hypothesis that elite sports can influence and alter the status of the gut microbiota. Moreover, the saliva is confirmed as a suitable sample for microbiome evaluations that may improve athletes' status evaluation and monitoring.

Assessing sport commitment: the development and preliminary validation of recreational sport commitment questionnaire

BACKGROUND

Presently, where inactivity is an overarching problem globally, participation in recreational sports activities has become an important outlet for promoting healthy lifestyles. However, there is a lack of instruments to evaluate the commitment of recreational and leisure sports users. This study aimed to adapt, develop and provide preliminary validation of the Recreational Sport Commitment Questionnaire (RESQ).

METHODS

The development and validation process in this study consisted of four stages: Stage One involved item pool generation, Stage Two focused on content and face validation, Stage Three encompassed data collection, and Stage Four included the assessment of the psychometric properties of the RESQ. This final stage was conducted through Exploratory Factor Analysis (EFA; n = 275) and Confirmatory Factor Analysis (CFA; n = 313) to evaluate convergent validity, discriminant validity, and composite reliability.

RESULTS

The initial item pool generated 60 items, whereby 42 items were retained after the content validity evaluation process by the panel of experts. Next, EFA analysis suggested 31 items distributed across seven factors. Lastly, psychometric properties of RESQ with 26 items were established through CFA (GFI = 0.91, CFI = 0.97, RMSEA = 0.04, TLI = 0.96, X²/df = 1.52) and other psychometrics evidence.

CONCLUSION

Based on the collected psychometrics evidence, RESQ is a valid questionnaire to evaluate the commitment of recreational sports users. The newly developed questionnaire allows sports organizations to assess the factors influencing sport commitment among recreational sports users. Based on the results of RESQ, sport programmes can be tailored made to optimize sports engagement and promote continued commitment.

Performance and physical activity. How playful activities implemented into training in Danish esports clubs influence players' performance experience

Introduction

Over the past few years, attention has focused on how physical activity can enhance esports players' performance. For example, complementing esports training with physical activities has been explored. However, most of these activities are based on traditional strength or endurance-related exercises, which do not align with the interests of children attending organized esports clubs.

Methods

In this study, we investigate playful physical activities. Our research is based on qualitative pilot studies, where we observed and interviewed players (N = 77) and coaches (N = 12) from nine organized esports clubs for two to four months per club. We explored their experiences with playful physical activities implemented during esports training. Using a reflexive thematic analytical approach, we revisited and analyzed the data.

Results

The results are presented in this paper as three nonfictional short stories, creatively describing the lived experiences of the players and coaches. We emphasize patterns of shared meaning and identify the "What's" and "How's" associated with esports training when playful physical activities are incorporated. Despite differences in form, duration, and intensity compared to activities referenced in the literature on esports and performance, our results demonstrate that playful activities positively influence esports players' skills and performance.

Discussion

Furthermore, our findings suggest that playful physical activities, as opposed to traditional strength and endurance exercises, often associated with physical activity, are acceptable for esports coaches. However, for maximum impact, these activities must be relevant and directly related to the games played in the esports clubs. Based on our research, we recommend implementing playful physical activities that align with the actual esports training to support developing and optimizing players' esports skills and performance.

IOC consensus statement: interpersonal violence and safeguarding in sport

OBJECTIVE

Interpersonal violence (IV) in sport is challenging to define, prevent and remedy due to its subjectivity and complexity. The 2024 International Olympic Committee Consensus on Interpersonal Violence and Safeguarding aimed to synthesise evidence on IV and safeguarding in sport, introduce a new conceptual model of IV in sport and offer more accessible safeguarding guidance to all within the sports ecosystem by merging evidence with insights from Olympic athletes.

METHODS

A 15-member expert panel performed a scoping review following Joanna Briggs Institute methodologies. A seminal works-driven approach was used to identify relevant grey literature. Four writing groups were established focusing on: definitions/epidemiology, individual/interpersonal determinants, contextual determinants and solutions. Writing groups developed referenced scientific summaries related to their respective topics, which were discussed by all members at the consensus meeting. Recommendations were then developed by each group, presented as voting statements and circulated for confidential voting following a Delphi protocol with ≥80% agreement defined a priori as reaching consensus.

RESULTS

Of 48 voting statements, 21 reached consensus during first-round voting. Second-round and third-round voting saw 22 statements reach consensus, 5 statements get discontinued and 2 statements receive minority dissension after failing to reach agreement. A total of 43 statements reached consensus, presented as overarching (n=5) and topical (n=33) consensus recommendations, and actionable consensus guidelines (n=5).

CONCLUSION

This evidence review and consensus process elucidated the characterisation and complexity of IV and safeguarding in sport and demonstrates that a whole-of-system approach is needed to fully comprehend and prevent IV. Sport settings that emphasise mutual care, are athlete centred, promote healthy relationships, embed trauma- and violence-informed care principles, integrate diverse perspectives and measure IV prevention and response effectiveness will exemplify safe sport. A shared responsibility between all within the sports ecosystem is required to advance effective safeguarding through future research, policy and practice.

Physical activity levels, agility skills and speed among female basketball players compared to non-basketball players in Saudi Arabia: A cross-sectional study

BACKGROUND

Research findings indicate a concerning prevalence of physical inactivity among Saudi females, which has been associated with low physical performance levels. To address this challenge, it is crucial to promote sports participation, particularly in activities such as basketball. However, despite its potential benefits, the specific effects of basketball engagement among Saudi females remain largely unexplored. Therefore, this study investigated the relationship between physical performance and basketball playing among female collegiate players compared to non-basketball players in Saudi Arabia. Also, this study examined the effect of years of playing basketball on the basketball players group's speed, agility, and physical activity levels.

METHODS

The participants were divided into two groups: a non-athletic control group of 20 participants (age: 22 ± 2.0 years; weight: 55.6 ± 7.7 kg; height: 157.7 ± 5.5 cm) and a basketball group of 18 participants (age: 20 ± 3.3 years; weight: 60.6 ± 12 kg; height: 163.8 ± 6.3 cm).To examine the relationship between playing basketball and physical performance levels, this study included 38 female participants divided into a non-athletic control group (N = 20) and a basketball group (N = 18). To evaluate physical performance, the 10-Meter Walk Test (10MWT), Modified Agility T-Test (MAT), and International Physical Activity Questionnaire (IPAQ) were used.

RESULTS

Basketball players demonstrated significantly superior performance in the 10-MWT (Mann-Whitney-test = 1.7, p < .05) and MAT (Mann-Whitney-test = 9.6, p < .001) compared to the non-athletic participants. Furthermore, IPAQ scores were significantly correlated with speed and agility (p < 0.05).

CONCLUSION

Women who regularly played basketball exhibited superior physical activity levels and higher physical performance in speed and agility compared to those who were less active. However, no significant differences between the years of playing and any other variables were found. Nevertheless, these findings seek to contribute valuable insights into the potential benefits of basketball playing among Saudi women.

Effects of emotional intelligence on physical activity engagement and the mediating roles of achievement motivation and interpersonal relationship in Chinese undergraduate students

Background

Engaging in physical activity has been demonstrated to enhance cardiorespiratory fitness, muscle strength, bone health, and cardiometabolic health. However, it is concerning that more than 80% of students globally do not meet the recommended standard of at least 1 h of physical activity per day. It is imperative to enhance student involvement in physical activities.

Objective

This study aims to investigate the effect of emotional intelligence (EI) on undergraduate students' physical activity engagement (PAE), to elucidate the mediating role of achievement motivation (AM) and interpersonal relationships (IR).

Methods

A stratified whole-sample was used to survey 810 university students (19.84 ± 1.40 years). The scale items were designed to assess the participants' EI, PAE, AM, and IR based on the correlation scale. SPSS and AMOS were used to analyze the mediating effect.

Results and conclusion

The results demonstrated a positive effect of EI on AM and PAE (β = 0.29, p < 0.001; β = 0.28, p < 0.001). Furthermore, AM was found to have a positive effect on PAE (β = 0.07, p < 0.05). Notably, AM mediated between EI and PAE. In conclusion, our findings provide further insight into the effect of EI on undergraduate students' PAE, and reveal the mediating role of AM.

Frequency of physical activity during leisure time and variables related to pain and pain medication use in Spanish adults: A cross-sectional study

BACKGROUND

Physical inactivity has been identified as a risk factor for pain.

OBJECTIVE

The main objective was to analyze the relationships between leisure time physical activity frequency (PAF) and pain prevalence, pain level, pain impairment, daily life pain impairment, and analgesic use in Spanish adults. In addition, risk factors such as sex, body mass index, marital status and social class were assessed for these pain variables in addition to PAF.

METHOD

Cross-sectional study based on data from the 2014 and 2020 European Health Surveys in Spain residents. The Chi-square test was used to analyze the relationship of dependence between the variables of interest. A correlation study calculating Spearman's rho and a multiple logistic regression were performed to assess risk factors for pain variables.

RESULTS

20,113 and 19,196 subjects with a median age of 49 and 52 years old in 2014 and 2020 European Health Surveys, respectively, were analyzed. Dependence relationships were found between PAF and pain variables (p<0.001). The prevalence of: pain, high levels of pain, pain impairment, high level of pain impairment and use analgesic were higher in the inactive population than in the rest of the PAF levels (36.7-53%) vs (18.6-44.3%), p<0.05. Weak correlations were found between PAF and pain variables (-0.177 ≤ Rho ≤ -0.107) (p<0.001). Logistics regression show that being active or very active reduces the odds of pain, the intensity of pain and being affected in daily activities due to pain by 0.524 to 0.776 times. Likewise, being active or very active reduces the odds of taking pain medication by 0.661 to 0.755 times. Also age, low social class, being a woman, and being obese increase of odds of pain, pain affectation and use of analgesics in both surveys by 1.008 to 2.202 times.

CONCLUSIONS

Physical inactivity was related to a higher prevalence of: pain, higher levels of pain, higher pain involvement and higher analgesic use. In addition, lower social class, being female, older age, and obesity were factors for higher odds of pain, pain involvement, and analgesic use in both surveys.

The Mediating Role of Physical Activity and Self-Rated Health in the Association Between Depression and Quality of Life in Older Europeans: An Analysis Differentiated by Sex

Objectives: This study investigates the mediating role of moderate physical activity (MPA), vigorous physical activity (VPA), and self-rated health (SRH) in the association between depression and quality of life (QoL) in a large sample of Europeans aged 50 and over, differentiated by sex. Methods: Data from the 2017 Survey of Health, Ageing and Retirement in Europe were analyzed, including 11,986 individuals (6843 women) aged 50 and older. All information was collected through face-to-face interviews: sociodemographic data, SRH, physical activity levels, depression (EURO-D scale), and QoL (CASP-12). Results: Comparatively, women reported a higher prevalence of depression, a lower perception of QoL, and slightly lower levels of SRH, MPA, and VPA. Parallel mediation models revealed, for both sexes, that an increase in VPA levels was more effective in benefiting SRH; and MPA proved to be a better promoter of QoL. When comparing sexes, only the path depression → VPA → QoL showed a significant difference (p < 0.001). Conclusions: These results provide valuable insights for developing physical activity interventions capable of improving mental health and promoting QoL in older European adults.

Association between physical activity and immunosuppressive medication adherence among renal transplant recipients: a case-control study

BACKGROUND

Behavioural interventions are closely associated with immunosuppressive medication (IM) adherence. We aimed to explore the relationship between physical activity and IM adherence among renal transplant patients (RTPs) to determine potential interventions to improve IM adherence.

DESIGN

A case-control study.

SETTING

Single-centre study in Changsha, China.

PARTICIPANTS

The study population included 624 RTPs who were adherent to IM and 417 RTPs who were non-adherent to IM.

MAIN OUTCOME MEASURES

Sociodemographic characteristics of RTPs, IM adherence and the association between physical activity patterns or frequency and IM adherence.

RESULTS

The proportion of RTPs who were non-adherent to IM was 40.06%. Compared with RTPs non-adherent to IM, those who were adherent were older, more likely to be married, were evaluated closer to initial time of transplant, had shorter pretransplant waiting times and engaged in more physical activity. Multivariate logistic regression analysis showed that, in the pretransplant stage, only high-frequency aerobic physical activity was significantly associated with IM adherence. However, in the post-transplant stage, patients engaging in low-frequency aerobic physical activity, high-frequency resistance physical activity or high-frequency aerobic physical activity had 2.01, 2.96 and 2.67 times greater odds of being adherent to IM, respectively, compared with patients with no physical activity. RTPs without physical activity in the pretransplant stage were more likely to be adherent to IM if they engaged in post-transplant physical activity. RTPs engaging in low-frequency physical activity in the pretransplant stage may have better IM adherence if they engaged in post-transplant physical activity. RTPs engaging in high-frequency post-transplant physical activity were significantly associated with a greater likelihood of being adherent to IM compared with RTPs engaging in low-frequency post-transplant physical activity.

CONCLUSION

Our study revealed that physical activity, especially in the post-transplant stage, is closely associated with IM adherence and presents a potential intervention for improving IM adherence by RTPs.

Exploring Individual Components of Sport Persistence in the Light of Gender, Education, and Level and Type of Sport

Background/Objectives: Sport persistence can be coded as an indicator of sport performance and commitment, incorporating personality traits such as resilience, adaptive coping, and positive personality traits. Thus, athletes do not merely persist in sporting activities but are qualitatively committed to them. Methods: In the present research, we used a qualitative methodology to investigate the factors underlying sport persistence, using Bronfenbrenner's socio-ecological model. In total, 133 high school and college student-athletes were surveyed in a semi-structured interview study. We set the following research question: How do the factors involved in developing sport persistence vary across athletes' gender, level of study, and level and type of sport? Data were analyzed along the lines of grounded theory. ATLAS.ti and IBM SPSS 22.0 statistical software were used for the analysis. Results: Our analysis divided individual motivation into intrinsic (health promotion, habituation, becoming a competitive athlete, self-improvement, self-actualization, relaxation, and sport enjoyment) and extrinsic motivation (family-related motivation, coach, social relationships, competition, livelihood, recognition). The cross-tabulation analysis revealed that contrary to the general trend, no significant differences can be experienced in the core motivational patterns contributing to sport persistence. However, significant differences could be detected concerning the level of education, level of sporting activity, and type of sport. Conclusions: Our findings not only shed light on the unique factors underlying sport persistence, but also challenge the trends observed in traditional sport motivation analyses. This insight could potentially revolutionize how we approach youth sport promotion and physical activity among young people, making our research highly relevant and impactful.

Qualitative Analysis of Micro-System-Level Factors Determining Sport Persistence

Background/Objectives: Sport persistence is the embodiment of sports performance and mental toughness. It refers to our attempts concerning the performance plateau, failures, injuries, or even the resolution and processing of stressful situations associated with success and positive events. In our research, we used qualitative methods based on Bronfenbrenner's socio-ecological model to investigate the factors influencing sport persistence among high school and university athletes. Methods: The research was based on semi-structured interviews with 133 athletes. ATLAS.ti software and the grounded theory methodology were applied for data analysis. Our analysis grouped the responses according to Bronfenbrenner's categorisation system, highlighting motivational factors at the microsystem level. Our research question was as follows: What kind of factors dominate the development of sport persistence among adolescent (high school) and young adult (university) athletes along Bronfenbrenner's dimension of the microsystem? Results: Regarding the microsystem, family, peers, and coaches were mentioned as influential factors. Concerning the family, general, person-specific, family value-related, future-oriented, introjected, and disadvantage-compensating motivational components were identified. General, individual, community and relational factors were identified concerning peers. Concerning the coach, general, individual, community, and coach personality-driven motivational segments were detected. Conclusions: By recognising the complex interplay of systemic factors, we can design interventions targeting these factors at various socio-ecological levels, promoting youth sports and increasing physical activity among young people. These findings instil hope and motivation for the future of sports and physical activity.

A review of exercise interventions for reducing anxiety symptoms: Insights and implications

Generalized anxiety disorder (GAD) is a prevalent mental health condition affecting a significant proportion of the adult population. Despite the availability of pharmacological treatments, their long-term efficacy and potential side effects necessitate exploring alternative interventions. Aerobic exercise has emerged as a promising non-pharmacological approach for managing anxiety symptoms in individuals with GAD. This narrative review examines the efficacy of aerobic exercise interventions in alleviating symptoms of anxiety disorders, drawing on a comprehensive analysis of relevant literature. The review synthesizes findings from studies investigating various forms of aerobic exercise, including high-intensity interval training, resistance training, Pilates, and walking. The results indicate that aerobic exercise interventions demonstrate efficacy in reducing anxiety symptoms and improving overall well-being across diverse populations, including primary care patients, individuals with coronary heart disease, and older adults with cancer undergoing chemotherapy. The review discusses the neurobiological and psychological mechanisms underlying the anxiolytic effects of aerobic exercise. It highlights the implications of these findings for clinical practice, public health initiatives, and future research directions. Despite the promising evidence, limitations in study methodologies and heterogeneity across interventions warrant a cautious interpretation of the results. Further research is needed to elucidate optimal exercise modalities, dosages, and long-term effects on anxiety outcomes.

Caffeine Placebo Effect in Sport and Exercise: A Systematic Review

The objective of this review article is to systematically identify the caffeine placebo effect in sport and exercise activities. We selected randomized controlled trial studies to better understand the impact of caffeine and its placebo effect on sports performance. We extracted a set of articles that refer strictly to the topics of caffeine and its placebo effect in sport and exercise, considering the databases integrated to the Core Collection Web of Science and Scopus, as well as the registration of the documents in PubMed®, a system with a selection process aligned with the guidelines for the PRISMA methodology, establishing the eligibility criteria of the articles with the PICOS tool, to which a systematic review is applied. Finally, the results show that caffeine improves anaerobic capacity and endurance, while placebo perceived as caffeine can also increase performance by reducing pain and improving concentration. This finding underscores the influence of expectations and placebo on physical performance, suggesting that managing these expectations may be an effective strategy for improving athletic performance.

The effects of different levels of sports activity on health-related quality of life and lifestyle habits in high school Italian students

Physical activity (PA) is an important predictor of physical and mental health preventing chronic degenerative diseases. The purpose of this study was to investigate in a group of Italian high school students whether health-related quality of life (HRQoL) and lifestyle habits (diet) are associated with the level of physical activity performed (low, moderate, high). Data were collected from 2819 adolescents (n = 951 males). HRQoL was analyzed using the Italian version of the KIDSCREEN-52. Physical activity level was analyzed using the PAQ-A, while eating habits with KIDMED. Practicing physical activity in general improves HRQoL. Specifically, adolescents practicing moderate or high PA, in single dimensions of HRQoL, showed better mood (p < 0.001), self-perception (p < 0.001), family relationships (p < 0.001), reported a higher perception of socioeconomic status (p < 0.05), relationship with peers (p < 0.001), and social acceptance (p < 0.001). High PA subjects reported increased physical (p < 0.001) and mental health (p < 0.001), increased autonomy (p < 0.001), and school learning (p < 0.001). For lifestyle habits, practicing moderate PA showed higher adherence tox the Mediterranean diet (p < 0.001). Conclusion: Our results highlighted a positive association between the frequency of PA levels, some dimensions of HRQoL, and risk behaviors. These findings demonstrated the protective role of sports not only as a preventive strategy for the onset of chronic degenerative diseases, but also as an educator of healthy lifestyle habits, thus suggesting the importance and need to implement strategies to promote sports practice.

Exploring the Association between Socioeconomic Environment, Eating Habits and Level of Nutrition in Children of High School Age: A Part of National Survey

BACKGROUND/OBJECTIVES

One of the raising public health problems in the adolescent population is obesity, which has reached epidemic proportions worldwide. The aim of this work is to determine the prevalence of obesity in the population of children of secondary school, age 15 to 19 years in Serbia and the determinate connection with demographic and socio-economic characteristics of the respondents and their eating habits and physical activity.

METHODS

The research is part of the fourth National Population Health Survey conducted in 2019, which was conducted by the Republic Institute of Statistics, in cooperation with the Institute of Public Health of Serbia and the Ministry of Health of the Republic of Serbia. As a research instrument, questionnaires were used in accordance with the methodology of the European Health Survey. For the purposes of this research, data on the adult population aged 15-19 and over were used.

RESULTS

The association of overweight with demographic and socioeconomic characteristics was examined using binary regression. In the univariate model, male gender (OR = 1.95), younger age (OR = 1.57) and Region of Vojvodina (OR = 2.47) stood out as significant predictors of overweight, which was confirmed by the multivariate model.

CONCLUSIONS

The results of our study emphasize that the prevalence of obesity in the population of high school youth is at a significant level and that a lot more needs to be done to promote healthy lifestyles and raise awareness of their benefits on health status.

Determinants of Engagement in Leisure-Time Physical Activity and Club Sports among University Students: A Large-Scale Study

Various socio-demographic, environmental, and lifestyle-related factors have been reported to be associated with physical activity (PA) habits. However, there exist insufficient data comparing different forms of engagement in PA, sports, and exercise. This study aimed to investigate potential factors associated with the engagement in leisure-time PA (LPA) and club sports (CSs) in a large sample of college/university students. This Austria-wide study followed a cross-sectional design with a final sample of 4508 participants (mean age: 24.9 years; 65.9% female) from 52 Austrian colleges/universities. A standardized survey was used to collect data on demographics, anthropometric characteristics, and a wide range of health-related lifestyle factors, including patterns of PA and underlying motivations for PA engagement as well as details of dietary habits, sleep routines, smoking, and alcohol consumption. Descriptive statistics, chi-squared, logistic regression, and MANCOVA were used for data analysis. Across the entire sample, 85.7% of participants reported regular participation in LPA, including 22.5% who were active members of sports clubs. Of the 36 potential motives listed in the questionnaire, "maintaining physical health", "feeling good", and "refreshing the mind" were the most commonly reported factors motivating students to engage in either LPA or CSs. Ten socio-demographic, dietary, or lifestyle factors were identified as predictors of CSs participation (p < 0.01), whereas only two variables (specifically sleep-related factors) were identified as predictors of LPA participation (p < 0.001). These findings emphasize the importance of considering the type of PA and sport participation and the associated determinants when designing tailored strategies to promote an active lifestyle.

Mitigating the Risks of Lower Extremity Injuries in Soccer: A Comprehensive Analysis of Lower Extremity Injury Rates in Soccer Between 2014 and 2023

Objective

With events such as the Copa America 2024, the 2026 World Cup, and the arrival of European stars in Major League Soccer (MLS), the already observed and forecasted rise of soccer in the United States (US) seems to be an inevitable outcome. Although regular participation in soccer features several benefits, including increasing cardiovascular health, decreasing stress, and promoting interpersonal relationships, the risk of injury, as is the case in any sport, is ever present. Although many sports that are popular in America feature high rates of concussion, rotator cuff injuries, and general upper extremity injuries, soccer, being more strenuous on the lower-half of the body, features a disproportionate rate of lower extremity injuries. An analysis of the frequencies of these injuries, relative to factors such as year of injury, age, gender, location of injury, and diagnosis of injury, may help organizational bodies and soccer leagues implement new regulations regarding the usage of protective equipment and rules regarding gameplay. This study aims to illuminate these takeaways in an effort to better patient care outcomes in soccer-related injuries.

Method

This paper utilized the National Electronic Injury Surveillance System Database (NEISS) to compile data on lower extremity soccer-related injuries within the defined study period, 2014-2023. Inclusion criteria for the study involved all patients presenting to the emergency department (ED) within the study period and within the defined age range of 0 to 69 years old, with injuries sustained from or related to soccer. Using NEISS, trends were elucidated discriminating based on year of injury, sex, age group, location of injury, and diagnosis group of injury.

Results

Within the defined study period of 10 years, from 2014-2023, there were approximately 843,063 total soccer-related lower extremity injuries which presented to various EDs across the US. Regarding majorities, the most injuries were sustained in 2014 (12.84% of total injuries), most patients sustaining injuries were male (66.6% of all patients), and within the age range of 10-19 years old (63.24% of all patients), with the most instances occurring at age 15. Lower extremity injuries were most reported to be affecting the ankle with 306,797 incidences (36.39% of total injuries seen) and the most frequent diagnosis group was reported to be strains/sprains with 396,420 (47.02% of total injuries seen) total occurrences.

Conclusion

This study analyzes the incidents of lower extremity injuries while participating in soccer for the last 10 years, 2014-2023. The study provides new data regarding the frequency of injuries and their relative rate with respect to year of injury, age group, sex, location of injury, and diagnosis. The results of this study show injury majorities and trends which can be used to dictate changes in regulation regarding gameplay and the utilization of protective equipment in order to mitigate injuries related to the lower extremities in soccer.

How to Compare Relative Age Effect in Different Sports? A New Methodological Approach-Example of Youth Olympic Games

This research aimed to propose a new methodological approach for analyzing relative age effect (RAE) in different sports or samples named "Relative age effect overall scale" (RAEOS). The sample consisted of 1455 male and female young athletes who competed in four different sports (basketball, n = 159; handball, n = 215; swimming, n = 981; taekwondo, n = 100) at the Youth Olympic Games (YOG) in Buenos Aires in 2018. To construct the new model, the sample was classified into four unified quartiles of a specific range depending on the sport (swimming: 48-month range, taekwondo: 24-month range, and basketball and handball: 36-month range). Expected and observed frequencies for each sport, the winners/all athletes, and differences between team and individual sports were analyzed using a non-parametric Chi-square test. The obtained results confirm the existence of the RAE in all four analyzed sports (p > 0.01) in a sample of all participants and the sample of gold medalists. Differences between team and individual sports in the analyzed sample have also been found. The proposed methodological approach (RAEOS) is a simple and applicable tool that provides opportunities for comparison and analysis of different sports and competition formats, as well as improvement of the sports talent system in the context of RAE issues. It is suggested to the sports decision-makers to improve the YOG qualification and competition system to enable fairer competition and reduce the influence of RAE on the performance and development of young athletes.

Hypothetical mechanisms driving physical activity levels in ethnic minority groups living in Europe: a systematically identified evidence-based conceptual systems model

BACKGROUND

In Europe, physical activity levels tend to be lower in ethnic minority groups than the general population. Interventions and policies based on research examining isolated determinants of physical activity have had limited success in increasing physical activity levels. This study used systems dynamics theory and the capability approach theoretical framework to develop a conceptual model of how individual characteristics, institutional and physical environments and the migration context may interact to promote or hinder physical activity in ethnic minority groups living in Europe.

METHODS

A systematic update of Langøien et al.'s 2017 review of the determinants of physical activity in ethnic minority groups living in Europe was conducted. Our target population included individuals of all ages who reported a familial migration background from any low- and middle-income countries or belonging to minority indigenous population in Europe. Outcomes pertaining to non-work related physical activity of light, moderate or vigorous intensity performed in any setting were included. Included studies provided an evidence base from which to derive the causal loop diagrams comprising our conceptual model. Sub-system causal loop diagrams were interpreted in co-author review sessions to explicate non-linear system mechanisms, such as reinforcing and balancing feedback loops.

RESULTS

Forty-one studies were identified, of which the majority was qualitative. The conceptual model consisted of 4 causal loop diagrams relating to psychosocial constructs; sociocultural constructs; health and health communication and social and material resources, in interaction with environmental/migration context. Four hypothetical mechanisms were identified, e.g. hypothesizing that participation in organised activities leads to increased self-efficacy, thereby enabling further participation.

CONCLUSIONS

This study contributes an evidence-based conceptual systems model which elucidates how low levels of physical activity in ethnic minority groups in Europe could be supported by reinforcing and balancing mechanisms involving factors relating to physical and institutional environments, migration context and individuals. A pluralistic approach to literature review, integrating complexity methods such as CLDs into more conventional systematic literature review, supports novel insights into how factors could interact to support persistently low levels of activity, moving beyond the identification of potential relationships between isolated factors to indicating the ways in which these relationships are sustained and could be modified by intervention or policy.

Benefits Perceived by Caregivers of Patients with Alzheimer's Disease on Physical and Emotional Health in an Interdisciplinary Program: A Qualitative Study

Alzheimer's disease is the most common type of dementia, severely affecting the families and caregivers who live with those affected. The aim was to explore the physical, psychological, and behavioral benefits for caregivers of people with Alzheimer's disease. Fifteen semi-structured interviews were conducted with informal Alzheimer's caregivers upon completion of the program. Following a discussion on the topics, categories, and codes among the researchers, a consensus was reached to obtain the final themes and categories. Three main categories were obtained: (1) perceived benefits by the participants; (2) applicability of the knowledge; and (3) proposals for improvement. Participants expressed having perceived improvements in their ability to manage emotions and cope with the situation created by the disease, physical capacity, and in their relationships. In this sense, the application of the contents addressed during the intervention became a fundamental tool for the participants' daily lives. This study showed how an interdisciplinary intervention with psychological sessions, health education, and physical activities could be beneficial for improving both the physical and mental health of caregivers.

Resilience among Turkish adolescents: A multi-level approach

The objective of this study is to determine the components that contribute to psychological resilience in adolescents and to determine if physical exercise, emotion control, or self-efficacy are more effective predictors of resilience. Data from participants was collected through a personal information form, the International Physical Activity Questionnaire-Short Form, the Self-Efficacy Scale for Children, the Emotion Regulation Scale for Children and Adolescents, and the Psychological Resilience Scale for Children and Adolescents. The data were gathered online from 16 out of the 81 provinces in Turkey, representing 7 different regions, using convenience sampling. The study sample comprised 505 adolescents, with 309 females and 196 males. The average age of the participants was 15.66 years, with a standard deviation of 1.34. The data obtained from the students was analyzed using SPSS 27.0 statistical software. The Chi-Square test was employed to establish the correlation between the demographic features of adolescents and their levels of physical activity. The relationship between the independent variables and the dependent variable was determined using correlation analysis and hierarchical regression analysis. According to the analyzed results, there was a substantial positive correlation between physical activity and resilience, reappraisal and resilience, and self-efficacy and resilience. In addition, it was noted that physical activity alone explains 4.8% of the overall variation in resilience and is a significant predictor of resilience. The inclusion of reappraisal in the model resulted in a partial prediction of resilience by physical activity. However, the primary strength of the model was attributed to reappraisal. The inclusion of self-efficacy in the model resulted in a significant prediction of resilience, accounting for 36.8% of the total variance. The self-efficacy variable had a higher impact level compared to the other variables. Furthermore, the inclusion of self-efficacy in the model resulted in the elimination of the influence of physical activity on resilience. The research conclusions point out that self-efficacy has a greater impact on psychological resilience compared to physical activity and emotion regulation.

Exploring stress management strategies among emergency medical service providers in Iran: a qualitative content analysis

BACKGROUND

Emergency medical service providers are frequently exposed to a variety of stressors as a result of their work environment. These stressors can have detrimental effects on both the physical and mental well-being of individuals. This study was conducted with the aim of exploring stress management strategies in emergency medical service providers.

METHODS

This study was conducted in 2023 using a qualitative approach and content analysis method. A purposive sampling method was used to include 16 emergency medical system providers from Hamadan city. Semi-structured interviews, with a duration of 45-60 min, were conducted for data collection. The Data were analyzed using Graneheim and Lundman's conventional content analysis approach.

RESULTS

The analysis of the interview data revealed three themes: readiness for the worst conditions, assistance based on supportive partnerships, and striving for balance. The six categories within these three themes were mental preparation, risk management, collaborations in emergency response, supportive communication, adaptive behaviors, and maladaptive responses.

CONCLUSIONS

The results of this study shed light on the various stress management strategies employed by emergency medical service providers. Understanding and implementing effective stress management strategies can not only enhance the well-being of emergency medical service providers but also improve the quality of patient care. Further research and action are essential to promote the resilience and mental health of these professionals, ensuring their overall well-being and job satisfaction.

Enhancing University Students' Motivation in Basketball Courses through Tactical Games Model

As the COVID-19 pandemic subsides, universities face challenges such as diminished student physical fitness and a decreased interest in physical education courses. The purpose of this study was to evaluate the effectiveness of the tactical games model (TGM) in enhancing university students' motivation in basketball courses, using a comparison control group taught using the direct instruction model (DIM). Additionally, this research delves into the motivational dynamics explained by self-determination theory, aiming to identify key factors influencing student engagement and participation. A total of 141 sophomore university students were analyzed and divided into an experimental group (68 students) and a control group (73 students). The participants engaged in an 8-week teaching intervention program. To assess motivation, the Sport Motivation Scale-II (SMS-II) was administered both before the start and one week after the conclusion of the intervention. Differences in motivation and subscale scores between the TGM and DIM groups were evaluated using analysis of variance (ANOVA) and analysis of covariance (ANCOVA). The results of the study demonstrated that the TGM significantly enhanced university students' motivation (SDI: F = 6.949; p = 0.009; η² = 0.049). Furthermore, TGM enhanced scores on intrinsic and extrinsic motivation sub-scales more effectively than the DIM. These findings advocate for the adoption of TGM by university instructors as a potent tool to elevate student motivation, emphasizing the importance of focusing on both intrinsic and extrinsic motivational elements within physical education programs.

Effects of physical activity on depression, anxiety, and stress in college students: the chain-based mediating role of psychological resilience and coping styles

Background

Physical activity can alleviate negative emotions in college students by enhancing mood and cognitive functions. Yet, the mechanisms underlying these benefits remain unclear.

Purpose

This study examines the association between physical activity and negative emotions-specifically, depression, anxiety, and stress-in college students. Additionally, we explore the mediating effects of psychological resilience and coping styles to offer theoretical and practical insights for mitigating students' negative emotions.

Methods

Using a stratified random sampling approach, a total of 1,380 college students, from five universities in Hangzhou, Nanjing, and Wenzhou, were included in the analysis. The survey instruments included the Physical Activity Rating Scale, Connor-Davidson Resilience Scale, Simple Coping Style Scale, and Depression-Anxiety Stress Scale. The data were statistically analyzed using multivariate methods with IBM SPSS 25.0 and the PROCESS V3.3 plug-in.

Results

(1) College students engage in a low level of physical activity, with male students participating significantly more than female students (p < 0.001). (2) Physical activity was significantly positively correlated with psychological resilience and positive coping styles (t = 9.126, p < 0.001; t = 23.087, p < 0.001) and overall negative correlated with negative emotions in college students (t = -3.601, p < 0.001). (3) Psychological resilience and positive coping styles were found to play a chain mediating role between physical activity and negative emotions. The mediation effect consists of two paths: physical activity → psychological resilience → negative emotions (effect value: -0.0324), and physical activity → psychological resilience → positive coping → negative emotions (effect value: -0.0099). (4) Female students demonstrated higher levels of positive coping (p < 0.001), while male students exhibited more negative emotions (p < 0.001).

Conclusion

Our study identifies a significant indirect link, mediated by psychological resilience and positive coping styles, between physical activity and the reduction of negative emotions. Targeted interventions addressing gender differences, such as offering special courses and providing specialized exercise programs and emotional management strategies, can enhance psychological resilience and positive coping mechanisms. Consequently, these measures can alleviate the adverse effects of negative emotions. Our findings have broader implications for both research and practical interventions in promoting mental health among college students.

Tracking Studies on the Effects of Qi Gong Fitness on Stress, Anxiety, and Depression Among Underprivileged Working Youth

OBJECTIVE

This study aimed to evaluate the effectiveness of Qi Gong fitness in alleviating stress, anxiety, and depression among underprivileged working youth with a follow-up study.

METHODS

Eighty subjects were randomly assigned to normal groups (NG) and treatment groups (TG), with 40 participants in each group. The Perceived Stress Scale (PSS), Generalized Anxiety Disorder 7 (GAD-7), and 24-Item Hamilton Rating Scale for Depression (HAMD-24) were used to evaluate the effect of Qi Gong fitness on alleviating stress, anxiety, and depression symptoms in underprivileged working youth.

RESULTS

There was no significant difference in demographic outcome indicators between NG and TG. The main analytic results showed significant differences (P < .05) in the intra- and inter-group comparisons of NG and TG in stress, anxiety, and depression before and after intervention. When compared with prior intervention, NG and TG after intervention showed more favorable scores in PSS, GAD-7, and HAMD-24, among which PSS (NG: 51.61 ± 4.32 vs. 29.80 ± 3.08; TG: 55.21 ± 5.41 vs. 15.85 ± 2.25; P < .01), GAD-7 (NG: 10.83 ± 2.45 vs. 9.85 ± 2.52; TG: 12.23 ± 1.90 vs. 7.84 ± 1.57; P < .01), and HAMD-24 (NG: 10.83 ± 2.45 vs. 9.85 ± 2.52; TG: 25.63 ± 3.94 vs. 11.40 ± 3.82; P < .01); These results indicate that NG and TG have significant effects on alleviating occupational stress, anxiety, and depression in young underprivileged people.

CONCLUSION

The study indicates that Qi Gong fitness had a positive effect on reducing and alleviating stress, anxiety, and depression among young underprivileged professionals. This highlights the potential benefits of incorporating Qi Gong fitness into treatment plans.

Balance performance among horseback-rider compared to non-horseback-rider women in Saudi Arabia: A cross-sectional study

Horseback riding requires adapting to constant changes in balance conditions, maintaining equilibrium on the horse, and preventing falls. However, differences in balance performance among horseback riders and non-rider-healthy young women in Saudi Arabia have not been explored. This study investigates whether horseback-rider women would perform better on static and dynamic balance tests than non-rider women. Also, the study examined the effect of years of horseback riding on balance performance in the rider group. Twenty healthy young females participated in the study using a convenience sampling method. Ten were riders, and ten were non-riders. Static and dynamic balance tests, including the Berg balance scale (BBS), timed up and go (TUG), and unipedal stance test (UPST), was obtained from all subjects. Descriptive and inferential statistics were used to compare balance performance between the horseback riders and non-riders groups. The horseback-rider group had statistically significantly higher scores on both the static and dynamic tests than non-riders: BBS test (Z = -2.537, P = .011), TUG (t = -3.889, P = .001), and unipedal stance test with the eyes open and closed (t = 14.048, t = 13.639, P = .000). Our rider sample did not show a statistically significant correlation between years of riding and balance scores. The horseback riders have greater static and dynamic balance abilities than non-riders. Further study is needed to compare the balance performance between experienced riders versus beginners among healthy adults in Saudi Arabia.

Physical Activity, Anxiety, Depression, and Body Image in Trans Individuals: An Exploratory Study

Physical activity (PA), mental health, and body image are some important health topics in the transgender population that have been recently discussed and appear to play a crucial role in the quality of life of the trans population. This study aims to elucidate the complex interplay of these variables and their implications for the well-being of trans individuals.

METHODS

In a cross-sectional study, 75 Portuguese transgender individuals (M = 23.68; SD ± 6.59) were recruited to participate in this study. The participants completed three questionnaires related to the assessment of physical activity (IPAQ), depressive and anxious symptomatology (HADS), and satisfaction with body image (BISQp).

RESULTS

Trans individuals showed a total energy expenditure of 3316.40 metabolic equivalent tasks (METS), had a moderate level of anxiety symptomatology, and low levels of satisfaction with body image. Satisfaction with body image was negatively associated with anxiety (r = -0.441, p < 0.01) and depression symptomatology (r = -0.600, p < 0.01).

CONCLUSIONS

The implementation of inclusive programs that promote body acceptance and coping strategies, particularly within the context of physical exercise, may help alleviate distress related to body image dissatisfaction while also addressing underlying anxiety and depression symptoms.

The impact of regional sports industry aggregation on residents' health level in China

Health is the basis for human survival and development and is an important symbol to evaluate a country's economic growth and social progress. This article measures the degree of sports industry agglomeration in different regions of China and uses the Moran index to verify the existence of global autocorrelation in sports agglomeration. Next, the spatial Durbin model was used to verify the spatial spillover effect of sports industry agglomeration on the health level of residents, and the following conclusions were obtained.Firstly, there is spatial autocorrelation and heterogeneity in the clustering level of China's sports industry. The spatial distribution is extremely uneven, and different regions have formed relatively stable spatial patterns. Secondly, the degree of aggregation of the sports industry can reduce the number of per capita visits and have a positive spatial spillover effect on the health of residents. Not only can it promote the health level of residents in the province, but it also has spatial spillover effects on surrounding areas.Finally, based on the research results, the following conclusions are proposed in this article. Policy recommendations include increasing investment in sports talent cultivation, accelerating the construction of sports center cities, and increasing residents' attention to sports to improve residents' health.

Virtual Golf, "Exergaming", Using Virtual Reality for Healthcare in Older Adults: Focusing on Leisure Constraints, Participation Benefits, and Continuous Participation Intention

Exergaming, a new type of sport, combined with virtual reality, has provided new opportunities for the aging population. This study analyzed the differences in leisure constraints, participation benefits, and continuous participation intention in virtual golf (represented as an exergame) depending on the participants' ages. Data collection was conducted from August 2023 to November 2023. A quantitative research design and a convenience sampling method were employed, targeting 310 regular virtual golf participants aged 20 years or older in the Republic of Korea. For comparative analysis, the survey participants were segmented into three groups: Group 1, young adults (18-35 years); Group 2, middle-aged adults (36-55 years); and Group 3, older adults (56-69 years). To compare and analyze participation behaviors in virtual golf, the dependent variables were identified: (a) leisure constraints (four factors) to limit formation and participation in leisure; (b) participation benefits (four factors) to encourage participation in leisure; and (c) continuous participation intention (single factor) to show likelihood to participate in leisure in the future. The results revealed that the young adult group showed statistically high results for costs under leisure constraints (F = 14.949, p < 0.001, ηp2 = 0.089), and the older adult group reported statistically high results in physical (F = 9.346, p < 0.001, ηp2 = 0.057) and mental (F = 7.249, p < 0.001, ηp2 = 0.045) participation benefits and continuous participation intention (F = 6.486, p < 0.01, ηp2 = 0.041). This study confirmed that virtual golf using advanced technology brings physical and mental benefits to older people based on reasonable cost and enables continuous participation in physical activity.

Timing Matters: Time of Day Impacts the Ergogenic Effects of Caffeine-A Narrative Review

Caffeine has attracted significant attention from researchers in the sports field due to its well-documented ergogenic effects across various athletic disciplines. As research on caffeine continues to progress, there has been a growing emphasis on evaluating caffeine dosage and administration methods. However, investigations into the optimal timing of caffeine intake remain limited. Therefore, this narrative review aimed to assess the ergogenic effects of caffeine administration at different times during the morning (06:00 to 10:00) and evening (16:00 to 21:00). The review findings suggest that circadian rhythms play a substantial role in influencing sports performance, potentially contributing to a decline in morning performance. Caffeine administration has demonstrated effectiveness in mitigating this phenomenon, resulting in ergogenic effects and performance enhancement, even comparable to nighttime levels. While the specific mechanisms by which caffeine regulates circadian rhythms and influences sports performance remain unclear, this review also explores the mechanisms underlying caffeine's ergogenic effects, including the adenosine receptor blockade, increased muscle calcium release, and modulation of catecholamines. Additionally, the narrative review underscores caffeine's indirect impact on circadian rhythms by enhancing responsiveness to light-induced phase shifts. Although the precise mechanisms through which caffeine improves morning performance declines via circadian rhythm regulation necessitate further investigations, it is noteworthy that the timing of caffeine administration significantly affects its ergogenic effects during exercise. This emphasizes the importance of considering caffeine intake timing in future research endeavors to optimize its ergogenic potential and elucidate its mechanisms.