International Journal of Behavioral Nutrition and Physical Activity最新文献

{"title":"The whole day matters, but so do living conditions: reframing the 24-hour movement through an equity lens.","authors":"Rodrigo Reis","doi":"10.1186/s12966-026-01992-z","DOIUrl":"10.1186/s12966-026-01992-z","url":null,"abstract":"<p><p>The 24-hour movement approach has strengthened physical activity science by integrating physical activity, sedentary behavior, and sleep within the day's finite time. This Comment argues that its major contribution is also its main limitation. By treating the day as a composition of movement states, the approach extends the energy-expenditure definition of physical activity into a more complete, yet still behavior-centered, account of daily life. Physical activity should also be understood as a population condition shaped by governments, institutions, and markets through access to opportunity. This shift matters because individuals do not simply allocate movement, sitting, and sleep; labor, transport, housing, safety, gender, income, climate, commercial forces, and public infrastructure structure these activities. Moreover, in low-income settings and low- and middle-income countries, necessity often shapes activity, while choice-constrained conditions frequently limit leisure-time or volitional activity. A more equitable 24-hour framework should therefore move from movement behaviors alone to 24-hour living conditions, asking not only how time is spent but also how opportunity is distributed.</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"23 1","pages":""},"PeriodicalIF":7.1,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13660133/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Good science, poor visibility? Communicating behavioural nutrition and physical activity evidence in the algorithmic attention economy.","authors":"Stephen Barrett, Emma Ostermeier-Karim, Jennifer Gale, Kylie Wilson, Michael Wheeler, Courtney Anne West, Emily Denniss, António Palmeira","doi":"10.1186/s12966-026-01962-5","DOIUrl":"10.1186/s12966-026-01962-5","url":null,"abstract":"<p><p>Behavioural nutrition and physical activity research has produced a strong and growing evidence base to inform prevention, treatment, and policy across a wide range of health outcomes. Yet the visibility of this evidence beyond academic audiences does not consistently reflect its scientific quality. Increasingly, dissemination occurs within digital environments shaped by algorithms that prioritise engagement, simplicity, novelty, and emotional salience over nuance and uncertainty. This creates a mismatch between the complexity that characterises behaviour change science and the attention-driven logics that shape what evidence becomes visible.This Comment was prompted by our involvement in developing the NESI (Network of Early Career Researchers and Students of ISBNPA) Podcast and ASPA (Asia-Pacific Society for Physical Activity) Radio, initiatives designed to disseminate credible behavioural science. Despite prioritising high-quality, peer-reviewed research, we encountered persistent challenges in achieving visibility relative to simplified or commercially framed health narratives amplified in digital spaces.We argue that visibility in digital environments is algorithmically mediated in ways that can systematically disadvantage complex, context-dependent evidence characteristic of behavioural nutrition and physical activity research. We explore the risks of equating visibility with impact, including oversimplification and erosion of trust, while contending that disengagement from contemporary communication platforms is not viable for a field committed to translation. We propose reframing dissemination as a collective responsibility of researchers, journals, and professional societies, focused on stewardship, integrity, and principled engagement. Addressing the visibility gap is essential to ensuring that credible evidence remains visible, interpretable, and influential within an attention-driven information ecosystem.</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"23 1","pages":""},"PeriodicalIF":7.1,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13640066/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mobilising social workers to promote physical activity: a call to action.","authors":"Brett Smith, Javier Monforte, Tanya Moore, Amarjit Randhawa, Jennifer Airlie","doi":"10.1186/s12966-026-01981-2","DOIUrl":"https://doi.org/10.1186/s12966-026-01981-2","url":null,"abstract":"","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"23 1","pages":""},"PeriodicalIF":7.1,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13637357/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Connecting behaviour change to systems change: rethinking climate action in scientific societies.","authors":"Loes Crielaard, Jillian O'Mara, Coosje Dijkstra, Wilma Waterlander","doi":"10.1186/s12966-026-01983-0","DOIUrl":"https://doi.org/10.1186/s12966-026-01983-0","url":null,"abstract":"<p><p>Climate change is increasingly recognised as one of the greatest threats to public health, and scientific societies, like the International Society of Behavioral Nutrition and Physical Activity (ISBNPA), are rightly asking how they can contribute to meaningful action. Yet a fundamental question remains largely unanswered: how can individual action be connected to efforts to address systemic drivers? At its 2026 conference in Cádiz, Spain, ISBNPA asked presenters to declare the estimated carbon emissions from their travel to the conference. Well-intentioned as it is, viewed through a systems lens, such an intervention risks placing disproportionate emphasis on individual responsibility when it is not embedded within broader institutional and structural change. Here we see parallels with complex public health problems within ISBNPA's scientific scope, where individual behaviours are increasingly understood as shaped by commercial, political and environmental forces. Building on the ISBNPA Climate Action Committee's initiative to rethink conference travel and its 2026 commentary, we examine this issue through four systems science lenses - shifting the burden, the fundamental attribution error, pushing stones uphill and unintended consequences - and outline three opportunities to connect behaviour change to systems change within ISBNPA: conference paradigm, research priorities and collective advocacy.</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"23 1","pages":""},"PeriodicalIF":7.1,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13632241/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intensity-specific physical activity and mortality in 147,414 adults: a pooled accelerometer analysis.","authors":"Michael J Stein, Claas Lendt, Fabian Bamberg, Janett Barbaresko, Hansjörg Baurecht, Klaus Berger, Patricia Bohmann, Julian Brummer, Christoph Buck, Beate Fischer, Heinz Freisling, Daniela Georges, Karin Halina Greiser, Jana-Kristin Heise, Florian Herbolsheimer, Marie-Theres Huemer, André Karch, Thomas Keil, Lilian Krist, Wolfgang Lieb, Claudia Meinke-Franze, Rafael Mikolajczyk, Katharina Nimptsch, Nadia Obi, Cara Övermöhle, Tobias Pischon, Steffen Ringhof, Börge Schmidt, Markus Scholz, Peggy Sekula, Karen Steindorf, Paula Stürmer, Henry Völzke, Ronny Westerman, Kerstin Wirkner, Johanna Wirler, Annette Peters, Michael F Leitzmann","doi":"10.1186/s12966-026-01980-3","DOIUrl":"10.1186/s12966-026-01980-3","url":null,"abstract":"<p><strong>Background: </strong>Insufficient physical activity is a leading global cause of premature mortality, yet how light-, moderate-, and vigorous-intensity activity differ in their associations with mortality and the implications of reallocating time across intensities remain unclear.</p><p><strong>Methods: </strong>We prospectively analysed individually pooled baseline device-measured physical activity from 147,414 participants aged 40-74 years in the German National Cohort (NAKO) and UK Biobank, the largest pooled accelerometer dataset to date. Multivariable Cox models estimated hazard ratios (HR) and 95% confidence intervals (CI) for mortality across activity intensities and under time-reallocation models holding total active time constant.</p><p><strong>Results: </strong>Over a mean follow-up of 7.9 years, 5,545 deaths occurred. Compared with no activity, 150 min per week of moderate-intensity activity was associated with lower mortality (HR: 0.70; 95% CI: 0.67, 0.72). Similar associations were observed for approximately 510 min per week of light-intensity activity or 12 min per week of vigorous-intensity activity. Additional activity beyond these levels was associated with further risk reduction. Replacing 15-60 min per week of light- or moderate-intensity activity with vigorous-intensity activity was associated with 18-30% lower mortality risk.</p><p><strong>Conclusions: </strong>Physical activity at all intensities was associated with lower mortality, with vigorous-intensity activity showing strong inverse associations even at low volumes. Shifting modest amounts of active time toward higher intensities was associated with further risk reductions. These findings provide quantitative evidence to inform the interpretation of physical activity recommendations.</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"23 1","pages":""},"PeriodicalIF":7.1,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13576285/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148978444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Micro-bursts matter: vigorous intermittent lifestyle physical activity and risk of common brain disorders in a prospective cohort study.","authors":"Chang Liu, Jiang-Yan Wang, Xiao-Yu Jia, Cun-Xian Jia, Bao-Peng Liu","doi":"10.1186/s12966-026-01966-1","DOIUrl":"10.1186/s12966-026-01966-1","url":null,"abstract":"<p><strong>Background: </strong>Physical activity, particularly moderate-to-vigorous physical activity, is important for brain health; however, many adults do not meet recommended activity levels. Vigorous intermittent lifestyle physical activity (VILPA) may provide a feasible alternative. This study examined the associations of accelerometer-derived vigorous intermittent lifestyle physical activity with the risk of five common brain disorders.</p><p><strong>Methods: </strong>This prospective cohort study used accelerometer data from the UK Biobank to quantify daily VILPA according to both duration and standardized frequency, using bouts lasting up to 1 min and up to 2 min. Incident anxiety, depression, dementia, Parkinson's disease, and stroke were ascertained through linked health records. Cox proportional hazards models were used to estimate hazard ratios (HRs) and 95% confidence intervals (CIs). Restricted cubic spline models were applied to examine dose-response associations. Analyses were further stratified by exercise habit status.</p><p><strong>Results: </strong>During a median follow-up of approximately 8 years, 2,150 anxiety (2.47%), 1,511 depression (1.81%), 676 dementia (0.74%), 343 Parkinson's disease (0.37%), and 1,385 stroke cases (1.55%) were identified. Higher VILPA frequency and duration were associated with lower risks of several brain disorders. Compared with the lowest quartile, modest VILPA levels were associated with reduced risks of anxiety (HR = 0.80, 95% CI: 0.71-0.90), depression (HR = 0.86, 95% CI: 0.75-0.99), dementia (HR = 0.72, 95% CI: 0.59-0.88), and Parkinson's disease (HR = 0.58, 95% CI: 0.43-0.78). Associations with stroke were weaker and less consistent. Dose-response analyses showed inverse nonlinear associations for anxiety, depression, dementia, and Parkinson's disease, characterized by a steep initial decline followed by a gradual plateau. Similar patterns were observed among both exercisers and non-exercisers.</p><p><strong>Conclusions: </strong>VILPA was associated with lower risks of several common brain disorders. Incorporating brief bursts of vigorous movement into daily life may represent a feasible strategy for promoting brain health.</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"23 1","pages":""},"PeriodicalIF":7.1,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13602585/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149041697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects and moderators of a 16-week intervention on contextual physical activity in adults with moderate to severe depressive symptoms: short and long-term results of a randomized clinical trial.","authors":"Cecília Bertuol, Kelly Samara Silva, Marcus Vinicius Veber Lopes, Deborah Kazimoto Alves, Caroline Soares da Silva, Marcelo Baggio do Amaral, Anne Ribeiro Streb, Giovani Firpo Del Duca","doi":"10.1186/s12966-026-01950-9","DOIUrl":"10.1186/s12966-026-01950-9","url":null,"abstract":"<p><strong>Background: </strong>Depression is associated with reduced physical activity (PA), and evidence on the long-term effects of interventions and their potential moderators remains limited. Thus, this study aimed to evaluate the short- (post-intervention) and long-term (six-month follow-up) effects of a PA-promoting intervention on contextual PA and to explore potential moderators in adults with depressive symptoms.</p><p><strong>Methods: </strong>A randomized, controlled, and assessor-blinded clinical trial was conducted with adults presenting depressive symptoms. The intervention lasted 16 weeks, with two sessions per week. Strategies were grounded in Self-Determination Theory and aimed to increase participants' awareness of their lifestyle, primarily focusing on PA and its relationship with depression. Activities included lectures, group discussions, interactive activities with family and friends, and PA practices in different contexts. Intensity-specific PA was assessed using wrist-worn accelerometers, and contextual PA (by type and domain) was self-reported. Generalized estimating equations were used to assess intervention effects. Potential moderators (sex and age) were examined in exploratory analyses using three-way interaction terms.</p><p><strong>Results: </strong>A total of 78 individuals (76.9% women, mean age 37.5 ± 10.2) were equally randomized into control (CG) and intervention (IG) groups. No significant group-by-time interactions were identified in the intention-to-treat analyses. However, per-protocol analysis suggested that the intervention increased leisure-time PA compared to controls (p = 0.004), with short-term increases (between-group changes of 119.6 min/week) and maintenance at follow-up (83.6 min/week). Exploratory moderator analyses indicated potential differences in intervention effects according to sex and age.</p><p><strong>Conclusion: </strong>Although no significant effects were identified in the intention-to-treat analyses, per-protocol findings suggested potential increases in leisure-time PA among participants with higher adherence. Exploratory findings indicate possible variation according to sex and age, but these results should be interpreted with caution and considered hypothesis-generating. Overall, the findings highlight the importance of strategies to improve adherence in PA interventions targeting adults with depressive symptoms.</p><p><strong>Trial registration: </strong>Brazilian Registry of Clinical Trials (ReBEC) RBR7466htj, April, 17 2023. Retrospectively registered.</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":" ","pages":""},"PeriodicalIF":7.1,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148551376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gender-disaggregated longitudinal associations between health behaviours and life satisfaction in community-dwelling older adults: a six-year growth curve analysis of the CLSA.","authors":"Chiedozie James Alumona, Ogochukwu Kelechi Onyeso, Adesola C Odole, Laura Vogelsang, Jerome Singleton, Oluwagbohunmi Adetunji Awosoga","doi":"10.1186/s12966-026-01956-3","DOIUrl":"10.1186/s12966-026-01956-3","url":null,"abstract":"<p><strong>Background: </strong>Health behaviours such as physical activity, sedentary behaviour, nutrition, sleep, alcohol consumption, and smoking are modifiable determinants of life satisfaction - an essential outcome for healthy ageing and well-being. We explored the longitudinal association between these health behaviours and life satisfaction among older adults in Canada.</p><p><strong>Methods: </strong>The study was a secondary analysis of data from the Canadian Longitudinal Study on Aging, focusing on 11,215 adults aged 65 years and older at baseline, with follow-ups 1 and 2 at three-year intervals. Data were analysed using linear mixed-effects growth curve models, stratified by gender, with health behaviours decomposed into within- and between-person components.</p><p><strong>Results: </strong>At baseline, the participants' mean (SD) age was 72.94 (5.64) years, and 54.2% were women. Women had lower life satisfaction than men across waves, but the difference was trivial (B=-0.24, p = 0.035, predicted difference [pd]=-0.24 points, effect size [d]=-0.04). Men showed a decline in life satisfaction over time, though the effect size was small (B=-0.09, p = 0.004, pd=-0.54 points, d=-0.09). Within-person analyses showed that higher alcohol use relative to one's usual pattern was associated with lower life satisfaction (B=-0.23, p = 0.037, pd=-0.92 points, d=-0.15), especially among men, with an appreciable effect size (B=-0.35, p = 0.024, pd=-1.40 points, d=-0.24). In contrast, improvements in nutritional risk (B = 0.04, p < 0.001, pd = 0.24 points, d = 0.04) and sleep duration (B = 0.22, p < 0.001, pd = 0.32 points, d = 0.05) were associated with negligible concurrent increases in life satisfaction. At the between-person level, higher average physical activity across the waves was associated with slightly higher life satisfaction (B = 0.01, p = 0.004, pd = 0.58 points, d = 0.10), particularly among men (B = 0.01, p < 0.001, pd = 0.58 points, d = 0.10), whereas higher average sedentary time was weakly associated with lower life satisfaction (B=-0.04, p < 0.001, pd=-0.33 points, d=-0.06). Lower average nutritional risk (B = 0.20, p < 0.001, pd = 1.22 points, d = 0.21) and higher average sleep duration (B = 0.35, p < 0.001, pd = 0.51 points, d = 0.09) were associated with higher life satisfaction, with nutrition showing a modest effect size.</p><p><strong>Conclusions: </strong>The findings demonstrate that behavioural changes and sustained health behaviours are associated with differences in older adults' life satisfaction, with gender-specific patterns, providing actionable evidence for individuals, healthcare practitioners, and policymakers to promote healthy behaviours.</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":" ","pages":""},"PeriodicalIF":7.1,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13673672/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148551316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Within-person associations of psychological factors with healthy or unhealthy diet in EMA studies in general adult populations: a systematic review and meta-analysis.","authors":"A DeSmet, D Powell, B Asiamah-Asare, D Kwasnicka, F Naughton, V Schneider, J Keller, G Ten Hoor, O Perski, D Kale, P Gérain","doi":"10.1186/s12966-026-01949-2","DOIUrl":"https://doi.org/10.1186/s12966-026-01949-2","url":null,"abstract":"<p><strong>Background: </strong>(Un)healthy eating behaviours may vary by moment and psychological context. Ecological momentary assessment (EMA) is well-suited to study within-person, momentary, and context-dependent behaviours and correlates, as it uses repeated sampling of real-time experiences. Insights in such within-person relations could inform ecological momentary interventions. A systematic review and meta-analysis of these insights in a healthy population is, however, currently lacking. The aim of this systematic review and meta-analysis was to synthesise within-person associations between psychological factors and eating behaviour in healthy adults, and summarise methodological aspects of these studies.</p><p><strong>Methods: </strong>Observational and experimental studies on psychological predictors of (un)healthy eating behaviours in adult healthy populations were included, based on a systematic search of Ovid MEDLINE, Embase, PsycINFO and Web of Science. Meta-analysis of ≥ 5 studies per predictor/outcome was performed in metafor R-package.</p><p><strong>Results: </strong>During title and abstract screening, n = 2046 articles were reviewed (n = 119 from overarching review, n = 1927 from updated search), n = 208 were screened in full-text screening. Forty-nine (review) and fifteen studies (meta-analysis) were included. Most studies were observational, and used fixed time-based sampling, and most assessed food eaten since the last prompt/timeframe. Various measures reported on study adherence (between 79 and 90%). Only around half reported on reliability and/or validity of the predictors or outcomes, most often referring to an adaptation of non-EMA scales, with little information of their exact adaptation. Due to high diversity in conceptualization and reporting of effect sizes, not all could be meta-analyzed. Meta-analyses showed negative psychological triggers (NPT, e.g., negative affect, daily stress, and ruminations) predicted lower levels of healthy eating behaviour (β=-0.007, p=.028, k = 8, n total = 1,489), higher levels of unhealthy eating behaviour (β = 0.054, p=.022, k = 6, n total = 1,578), but had no significant association with unhealthy behaviour event occurrence (logOR=0.469, p=.095, k = 5, n total = 934). All meta-analyses were characterized by small effect sizes and important heterogeneity.</p><p><strong>Conclusions: </strong>Associations at the within level of NPT with (un)healthy eating highlight their potential utility for inclusion in health promoting ecological momentary interventions. Nevertheless, the methodological and conceptual heterogeneity of the studies highlight a need for harmonized practices, including broader adoption of reporting guidelines, to facilitate cumulative knowledge in the field.</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":" ","pages":""},"PeriodicalIF":7.1,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Meeting 24-hour movement guidelines among Canadian post-secondary students: temporal trends, disparities, and mental health associations.","authors":"Meijun Hou, Mark R Beauchamp, Matthew Y W Kwan, Guy Faulkner","doi":"10.1186/s12966-026-01952-7","DOIUrl":"10.1186/s12966-026-01952-7","url":null,"abstract":"<p><strong>Background: </strong>Meeting the 24-Hour Movement Guidelines (24-HMG), comprising aerobic physical activity, sedentary behavior including recreational screen time, and sleep, is critical for post-secondary student health. However, multi-year temporal trends spanning the pandemic and post-pandemic period, as well as sociodemographic and mental health disparities, remain understudied in Canada. This limits the development of targeted interventions.</p><p><strong>Methods: </strong>We conducted a serial cross-sectional analysis using Canadian Campus Wellbeing Survey data collected between 2019 and 2025. A self-reported questionnaire was administered annually to assess aerobic physical activity, sedentary behavior (including recreational screen time), sleep duration, sociodemographic characteristics, and mental health. Prevalence of meeting individual and integrated 24-HMG components was estimated. Temporal trends were examined using regression models with survey year treated as a continuous variable and were further stratified by sociodemographic characteristics and mental health status. Multivariable logistic regression was used to examine factors associated with meeting all guidelines and meeting none.</p><p><strong>Results: </strong>Among 116,597 students (mean [SD] age, 23.95[8.02] years; 78,623[67.43%] women), divergent trends emerged. From 2019 to 2025, meeting physical activity and sedentary behavior guidelines increased, whereas meeting recreational screen time and sleep guidelines declined. The proportion meeting none of the guidelines significantly decreased, ranging from 7.45% to 4.44% (-0.29% [-0.30, -0.22], p < 0.001). Meeting all guidelines (14.66% in 2019, 8.92% in 2021, 11.74% in 2025) showed a positive linear trend (β = 0.30% [95% CI: 0.20, 0.40], p < 0.001) that sensitivity analyses attributed to transient COVID-19 fluctuations. Meeting none of the guidelines significantly decreased (β = -0.29% [-0.30, -0.22], p < 0.001). Disparities were observed: younger students (≤ 24 years), those identifying as non-binary/Two-Spirit or Black, those reporting lower parental education or high financial stress, and those experiencing severe mental distress or low well-being were less likely to meet integrated guidelines.</p><p><strong>Conclusions: </strong>While post-pandemic improvements were observed in physical activity and sedentary time, prevalence of meeting recreational screen time and sleep guidelines declined over time. Overall compliance with all movement components remains low and socially patterned. Continued surveillance and focused, equity-informed campus health strategies are warranted to address persistent behavioral and mental health disparities in the digital era.</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":" ","pages":""},"PeriodicalIF":7.1,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}