Healthcare最新文献

{"title":"Effects of Active Gamification on Sleep and Anxiety Reduction in Spanish Primary School Children.","authors":"María Del Carmen Carcelén-Fraile, Alberto Ruiz-Ariza, Alba Rusillo-Magdaleno, Agustín Aibar-Almazán","doi":"10.3390/healthcare13060623","DOIUrl":"10.3390/healthcare13060623","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Active gamification, which incorporates game elements with physical interaction, is presented as an innovative strategy to address anxiety problems and sleep quality in children. This study aimed to evaluate the impact of an active gamification program on the aforementioned variables in children in primary education. <b>Methods</b>: This study utilized a randomized, controlled trial with 120 children between 8 and 11 years of age, divided into an experimental group, which participated in a 12-week gamified program, and a control group, which continued with traditional physical education classes. <b>Results</b>: The main findings indicate that the intervention had a significant impact on reducing anxiety, with improvements in most of the subscales evaluated except for the obsessive-compulsive disorder subscale. Significant improvements were also found in sleep quality, with reductions in bedtime resistance, nighttime awakenings, parasomnias, and sleep-disordered breathing, although no significant changes were noted in sleep-onset delay, sleep duration, sleep anxiety, and daytime sleepiness. <b>Conclusions</b>: The gamification intervention in physical exercise showed positive effects in reducing anxiety and improving sleep quality in primary school children, highlighting its potential as an intervention strategy in primary education classrooms.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 6","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11942101/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Obesity Class and Severity of Metabolic Emergencies: A Single-Center Retrospective Five-Year Study.","authors":"Iulia Najette Crintea, Alexandru Cristian Cindrea, Teodor Florin Fulga, Cosmin Iosif Trebuian, Adina Maria Marza, Alina Petrica, Ovidiu Alexandru Mederle, Romulus Timar","doi":"10.3390/healthcare13060617","DOIUrl":"10.3390/healthcare13060617","url":null,"abstract":"<p><p><b>Background/Objectives</b>: This study aims to investigate the impact of obesity severity on the prevalence and outcomes of acute metabolic emergencies in the emergency department (ED) setting, with a specific focus on obesity class stratification and associated metabolic complications. <b>Methods</b>: This retrospective, single-center study analyzed data from 433 patients admitted to the ED of the Timisoara Municipal Emergency Hospital between January 2019 and March 2024. Patients were classified according to WHO obesity grades (Class I: BMI 30.0-34.9 kg/m², Class II: 35.0-39.9 kg/m², Class III: ≥ 40.0 kg/m²). The prevalence and severity of metabolic emergencies, including hyperglycemic crises, acute kidney injury (AKI), and severe electrolyte imbalances, were compared across obesity classes. <b>Results</b>: Obese patients (37.2%) exhibited a significantly higher prevalence of metabolic emergencies than non-obese individuals (<i>p</i> < 0.001). Hyperglycemia was present in 27.9% of obese patients vs. 11.0% of non-obese patients (<i>p</i> < 0.001). AKI incidence nearly doubled in obese patients (12.4% vs. 5.5%, <i>p</i> = 0.01). Logistic regression identified Class III obesity as an independent risk factor for metabolic emergencies (adjusted OR = 3.2, 95% CI: 2.1-4.9, <i>p</i> < 0.001). <b>Conclusions</b>: The severity of metabolic emergencies increases with increasing obesity class, emphasizing the need for obesity-specific risk stratification in ED settings. Routine monitoring of metabolic markers and early intervention strategies should be prioritized for high-risk obese patients.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 6","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11942349/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"AI-Powered Transformation of Healthcare: Enhancing Patient Safety Through AI Interventions with the Mediating Role of Operational Efficiency and Moderating Role of Digital Competence-Insights from the Gulf Cooperation Council Region.","authors":"Fatema Saleh AlDhaen","doi":"10.3390/healthcare13060614","DOIUrl":"10.3390/healthcare13060614","url":null,"abstract":"<p><p><b>Background/Objectives:</b> The purpose of this study is to investigate the role of the adoption of artificial intelligence technology in improving patient safety in hospitals working in gulf Cooperation Council (GCC) countries, with a focus on the mediating role of operational efficiency and moderating effect of digital competence. <b>Methods:</b> Applying a quantitative, cross-sectional, and explanatory research design, data were gathered from 300 healthcare professionals across five hospitals in the GCC region. <b>Results</b>: The results show that AI interventions improve patient safety by improving operational efficiency, while the digital competence of healthcare professionals further enhances the effectiveness of AI interventions. The findings exhibit that AI interventions enhance patient safety through high diagnostic accuracy at 95.2%, combined with 1.8% low medication errors and 92.4% efficient timely interventions. Based on previous research, the proposed approach achieves 5.7% better diagnostic accuracy and 1.4% fewer medication errors, together with 4.9% enhanced timely interventions. <b>Conclusions and Implications:</b> These findings highlight the importance of adopting AI technologies and enhancing digital competence among healthcare professionals to optimize operational efficiency and ensure safer healthcare delivery. This study offers actionable insights for healthcare managers and policymakers, emphasizing the need for AI-driven training programs and infrastructure investments.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 6","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11942247/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143728568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"eHealth Literacy and Trust in Health Information Sources.","authors":"Abdullah Alhewiti","doi":"10.3390/healthcare13060616","DOIUrl":"10.3390/healthcare13060616","url":null,"abstract":"<p><strong>Introduction: </strong>The spread of health-related information across the internet necessitates an evaluation of public eHealth literacy, trust in different health information sources, including healthcare providers, and how eHealth literacy is related to trust in different sources.</p><p><strong>Methods: </strong>407 individuals participated in a web-based survey in the Tabuk region of Saudi Arabia. Univariate analysis was used to evaluate the relationships between eHealth literacy and demographic variables, and multiple linear regression was used to measure the relationship between eHealth literacy and trust in health information sources after adjustment for demographic factors.</p><p><strong>Results: </strong>The average eHealth literacy of the respondents was 27.17 out of 40. eHealth literacy levels were higher among females, younger age groups, those in the higher-education category, and those with a chronic disease or currently on medication. For 51.9% of participants, physicians and healthcare workers were their main source of health information, while 40% considered the internet their main source. None of the study participants perceived physicians and healthcare workers as untrustworthy, and social media was the least trusted source. eHealth literacy was not related to trust in physicians and health workers but was positively associated with trust in specialized health websites and negatively associated with trust in social media.</p><p><strong>Conclusions: </strong>The findings suggest that the public tends to prefer and trust physicians and other healthcare workers as a primary source of health information, regardless of their eHealth literacy levels. A higher eHealth literacy level was associated with trust in specialized health websites and distrust in social media.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 6","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11942269/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of and Socio-Demographic Factors of Malnutrition Among Vietnamese Children and Adolescents: A Cross-Sectional Study.","authors":"Ngan Thi Duc Hoang, Nghien Thi Thao Hoang, Duong Thanh Tran, Hoa Anh Le, Tuyen Danh Le, Ewa A Szymlek-Gay, Hiep N Le, Hiep Thi Le, Du Thi Doan Dang, Hai Phung","doi":"10.3390/healthcare13060612","DOIUrl":"10.3390/healthcare13060612","url":null,"abstract":"<p><p><b>Background/Objectives:</b> Limited data exist on the nutritional status of Vietnamese children aged 5 years and older. This study aimed to (1) determine the nutritional status and (2) assess the associations between malnutrition and socio-demographic factors among children and adolescents aged 5-19 years old in selected provinces in Vietnam. <b>Methods</b>: A cross-sectional study was conducted on 3055 children aged 5-19 years old. Children's weight and height were collected to calculate BMI for Age Z-score and Height for Age Z-score to determine the prevalence of overweight/obesity, stunting, thinness/underweight, stunted-overweight, stunted-underweight, at least one type of undernutrition, and at least one type of malnutrition. <b>Results</b>: The prevalence of stunting and thinness/underweight was around 10%, overweight and obesity was 14.5%, while the prevalence of malnutrition was 36.5%, with 19.7% of children experiencing at least one form of undernutrition. Significant associations were found between malnutrition and socio-demographic factors such as age, ethnicity, and the number of household possessions. Stunting was more prevalent among older children and those from lower-income households, whereas overweight and obesity were more common in wealthier families. <b>Conclusions</b>: These novel findings highlight the need for targeted interventions addressing both undernutrition and obesity in Vietnam's diverse demographic groups.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 6","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11941974/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Associated with Perinatal Bereavement Among Mothers in Bolivia: A Qualitative Study.","authors":"Claudia Eva Fernández-Cox, María Fabiana Chirino-Ortiz, Tania Lara, Marion K Schulmeyer, Manuel Fernández-Alcántara","doi":"10.3390/healthcare13060615","DOIUrl":"10.3390/healthcare13060615","url":null,"abstract":"<p><p><b>Background/Objectives</b>: The objective of this research was to analyze the experiences and factors associated with perinatal grief in mothers in the urban context of Santa Cruz de la Sierra, Bolivia. <b>Methods</b>: The sample consisted of seven mothers who experienced a loss during pregnancy up to the second month after the baby's birth, occurring between 2015 and 2020 in the city of Santa Cruz de la Sierra. The mean age of the mothers was 34.86 years (SD = 3.13), and they belonged to middle or upper-middle socioeconomic levels. Data were collected through semi-structured interviews and analyzed using descriptive qualitative analysis. <b>Results</b>: The identified characteristics of perinatal grief were sadness, anger, guilt, emotional numbness, social isolation, and anxiety. Factors contributing to grief processing included support from the partner and family, when they accommodated and respected the mother's needs. Factors hindering the grieving process included social and cultural environments that often silence and minimize the loss, a history of previous losses, the desire to be pregnant, and the mother's life expectations and projects focused on motherhood. <b>Conclusions</b>: In conclusion, this research suggests that perinatal losses in the Bolivian context may be influenced by factors such as knowledge of the cause of death, previous loss experiences, and their emotional effects. The limitations of the study include the lack of diversity in participants' educational and socioeconomic backgrounds and the restriction of the sample to an urban area in Bolivia. Emotional interventions to support these bereaved mothers in those complex moments should be integrated in the Bolivian healthcare system.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 6","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11942419/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Paramedics' Behavior Patterns When Transferring Non-Mobile Patients from the Ground to a Stretcher.","authors":"Maïté Tanguay, Jason Bouffard, Jasmin Vallée-Marcotte, Philippe Corbeil","doi":"10.3390/healthcare13060611","DOIUrl":"10.3390/healthcare13060611","url":null,"abstract":"<p><p><b>Background/Objectives:</b> Transferring non-mobile patients from the ground to a stretcher represents one of the riskiest tasks for musculoskeletal disorders among emergency medical technicians-paramedics (EMT-Ps), but there is little information available on how they perform in real-life work situations. <b>Methods:</b> This study aimed to describe EMT-Ps' patterns of behavior observed from field data and highlight safe work operations. A secondary analysis was conducted on 27 videos collected during EMT-Ps' responses to live calls. Contextual variables (workspace and external assistance), operations during the preparation subtask (move patient or interfering objects and adjust stretcher's height and position), and movements and postures related to the transfer subtask were extracted from the videos. <b>Results:</b> The results demonstrate that despite stratification based on similar contextual factors (equipment and limited workspace), EMT-Ps' behavior varied between interventions during the preparation and transfer subtasks. Several operations to adjust the patient-stretcher configuration before the lifting phase were carried out to facilitate patient transfer, but these were not always optimal from a safety perspective. Strategies such as fast loading (1 out of 4) and the use of external assistance (6 out of 15) were beneficial in certain circumstances. <b>Conclusions:</b> EMT-Ps demonstrated their ability to analyze the situation, organize accordingly, and adapt their behavior by applying these safety skills.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 6","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11942343/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advanced Glycation End Products and Mobility Decline: A Novel Perspective on Aging.","authors":"Hyeong Jun Park, Moon Jin Lee, Jiyoun Kim","doi":"10.3390/healthcare13060613","DOIUrl":"10.3390/healthcare13060613","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Advanced Glycation End Products (AGEs) are high-molecular-weight compounds formed through non-enzymatic reactions between sugars and proteins, lipids, or nucleic acids. This study aimed to comprehensively analyze the association between the accumulation of AGEs and lower-limb muscle strength, gait speed, and balance abilities related to mobility in elderly individuals. <b>Methods</b>: This cross-sectional correlational study included 552 community-dwelling older adults. AGE accumulation was assessed using skin autofluorescence (SAF) measured using an AGE reader. Mobility decline factors were evaluated using the sit-to-stand (STS), gait speed (4 m walk tests), single-leg stance (SLS), and Timed Up and Go (TUG) tests. <b>Results</b>: A comparison of the physical function across the quartile groups revealed that the group with the highest SAF values, Q4, exhibited a general decline in STS, gait speed, SLS, and TUG performance when compared with the other groups (<i>p</i> < 0.001). Spearman's correlation analysis revealed that the SAF-AGEs demonstrated significant negative correlations with STS (<i>r</i> = -0.211, <i>p</i> < 0.001), gait speed (<i>r</i> = -0.243, <i>p</i> < 0.001) and SLS (<i>r</i> = -0.201, <i>p</i> < 0.001). Additionally, TUG showed a significant positive correlation (<i>r</i> = 0.239, <i>p</i> < 0.001). In the logistic regression analysis, compared with the Q1 group, the Q4 group had significantly higher odds of low STS performance (odds ratio (OR) = 2.43, <i>p</i> = 0.006), slow gait speed (OR = 2.28, <i>p</i> = 0.002), low SLS performance (OR = 2.52, <i>p</i> = 0.001), and slow TUG (OR = 2.00, <i>p</i> = 0.035). The optimal cutoff value of the SAF for mobility decline was 3.15 (area under the curve 0.694; 95% confidence interval: 0.618-0.771). <b>Conclusions</b>: This study has demonstrated that higher SAF values were associated with decreased lower-limb strength, gait speed, and balance, thereby suggesting that SAF may be a useful screening tool for predicting mobility decline in older adults.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 6","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11942588/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Loneliness and Social Isolation in Individuals with Acute Myocardial Infarction and Takotsubo Syndrome: A Scoping Review.","authors":"Gabriele Lo Buglio, Gianluca Cruciani, Marianna Liotti, Federica Galli, Vittorio Lingiardi, Annalisa Tanzilli","doi":"10.3390/healthcare13060610","DOIUrl":"10.3390/healthcare13060610","url":null,"abstract":"<p><strong>Background/objectives: </strong>Loneliness and social isolation are considered significant social determinants of myocardial infarction (MI) or Takotsubo syndrome (TS). However, research on these factors in MI populations is highly heterogeneous, and evidence regarding TS is sparse. The present scoping review aimed at mapping the extent and breadth of the literature on loneliness and social isolation in individuals with MI or TS.</p><p><strong>Methods: </strong>Following PRISMA-ScR guidelines and JBI methodology, we conducted a systematic search in PubMed, Web of Science, and EBSCO/PsycINFO, supplemented by a manual search, for studies published up to 25 June 2024. Primary research studies on loneliness and/or social isolation in individuals with MI or TS were included based on predefined inclusion and exclusion criteria, with title-abstract and full-text screening.</p><p><strong>Results: </strong>Sixteen studies met the inclusion criteria, all of which focused on MI. Studies were categorized into three key concepts: loneliness (<i>k</i> = 5), social isolation (<i>k</i> = 7), and both loneliness and social isolation (<i>k</i> = 4). The findings showed that MI impacts subjective experiences and interpersonal relationships, often leading to identity shifts and increased social isolation and loneliness. These factors have been shown to be associated with severe physical health outcomes, including heightened mortality risk; however, these associations appear to be highly mediated by unhealthy lifestyle behaviors. Notably, no studies on TS met the inclusion criteria, highlighting a significant research gap. Additionally, no study explored clinical interventions targeting social isolation or loneliness.</p><p><strong>Conclusions: </strong>MI has a profound impact on social and emotional well-being, with loneliness and social isolation contributing to severe health outcomes. Further research is needed to understand the impact of these factors on individuals with TS.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 6","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11942604/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Research on Body Composition and Lifestyle Behaviors During Pubertal Development in 6-12-Year-Old Children with Obesity.","authors":"Jin Zhang, Tian Zhang, Naijun Wan","doi":"10.3390/healthcare13060607","DOIUrl":"10.3390/healthcare13060607","url":null,"abstract":"<p><p><b>Objective:</b> The objective of this study was to investigate the pubertal development in school-age children with obesity and to explore the body composition and lifestyle behaviors influencing its onset. <b>Method:</b> We enrolled 217 children, aged 6-12 years, who visited the Pediatrics Department at Beijing Jishuitan Hospital, Capital Medical University. All participants underwent a series of examinations. These assessments included body composition analysis, measurement of blood glucose and fasting insulin levels, and evaluation of secondary sexual characteristics. Statistical analysis was conducted using R4.0.3 software. <b>Results:</b> Of the 152 male participants, 83 (54.6%) were in the adolescent-undeveloped group, and 69 (45.4%) were in the adolescent-developed group. Of the 119 female students, 30 (25.2%) were in the adolescent-undeveloped group, and 89 (74.8%) were in the adolescent-developed group. In a comparative analysis of children, those in the adolescent development group exhibited significantly higher values for age, height, weight, body mass index (BMI), BMI-z score, body fat, muscle mass, fat-free weight, fat-free body mass index, and waist/hip ratio compared to the adolescent-undeveloped group (<i>p</i> < 0.05). Additionally, fasting insulin and insulin resistance index were also higher in the development group, with statistical significance observed. BMI emerged as an independent factor affecting the adolescent development of school-age girls with obesity (<i>p</i> < 0.05). Among boys in the adolescent development group, the consumption of sugary drinks and fried food was higher than in the undeveloped group, and moderate-intensity exercise was significantly lower, with statistical significance (<i>p</i> < 0.05). In girls, the adolescent development group reported longer daily sitting times and higher intakes of sugary drinks and fried foods compared to the undeveloped group, with these differences being statistically significant (<i>p</i> < 0.05). The consumption of fried food was positively correlated with adolescent development in children with obesity and was identified as an independent influencing factor of adolescent development (<i>p</i> < 0.05). <b>Conclusions:</b> A high body mass index (BMI) in girls with obesity and high intake of fried foods in both genders are strong predictors of early puberty in school-age children.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 6","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11942127/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}