Cassandra D'Amore, Alexandra Mayhew, Lauren E Griffith, Parminder Raina, Julie Richardson, Marla K Beauchamp
{"title":"Normative values for the physical activity scale for the elderly in community-dwelling men and women 45 to 85 years old: an analysis from the CLSA.","authors":"Cassandra D'Amore, Alexandra Mayhew, Lauren E Griffith, Parminder Raina, Julie Richardson, Marla K Beauchamp","doi":"10.1186/s12966-025-01820-w","DOIUrl":"10.1186/s12966-025-01820-w","url":null,"abstract":"<p><strong>Background: </strong>Monitoring and improving physical activity levels is essential for promoting healthy aging. The objective of this study was to create age-specific normative values for the Physical Activity Scale for the Elderly (PASE) among community-dwelling women and men aged 45-85 years old.</p><p><strong>Methods: </strong>36,701 participants (47% female) aged 45-85 years old, free of any mobility limitation or activities of daily living disability from the Canadian Longitudinal Study on Aging (CLSA) were included. Best fitting models were identified using Generalized Akaike Information Criteria values and cross-validation. Seasonal differences for males and females were also explored.</p><p><strong>Results: </strong>Separate models for males and females are presented, providing a range of percentile values (5-95%) in charts and tables. Total PASE scores were highest in 45-year-olds and decreased with age. Seasonal differences were not substantial or consistent at the population level.</p><p><strong>Conclusions: </strong>The age- and sex- specific normative values provided can improve the interpretability of PASE scores among middle-aged and older adults. In addition to PA guideline cut-offs, normative values provide further information for monitoring physical activity by allowing for more personalized observations that account for healthy variation.</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"22 1","pages":"127"},"PeriodicalIF":5.5,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12522245/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145294247","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}
Tracy L Schumacher, Erin D Clarke, Jaimee Herbert, Anna Jansson, Chris Oldmeadow, Megan E Rollo, Penny Milson, Carissa Alderton, Leanne J Brown, Jennifer May, Annabelle Williams, Michelle Guppy, Shanthi Ramanathan, John Attia, Clare E Collins
{"title":"The effect of telehealth-based medical nutrition therapy on cardiovascular disease risk factors in a rural population: a secondary analysis of outcomes related to nutrition, health and well-being from the healthy rural hearts randomised controlled trial.","authors":"Tracy L Schumacher, Erin D Clarke, Jaimee Herbert, Anna Jansson, Chris Oldmeadow, Megan E Rollo, Penny Milson, Carissa Alderton, Leanne J Brown, Jennifer May, Annabelle Williams, Michelle Guppy, Shanthi Ramanathan, John Attia, Clare E Collins","doi":"10.1186/s12966-025-01819-3","DOIUrl":"10.1186/s12966-025-01819-3","url":null,"abstract":"<p><strong>Background: </strong>Adults in rural Australia are at elevated risk of cardiovascular disease (CVD). To date, no intervention trials have evaluated the impact of dietitian delivered nutrition therapy using telehealth exclusively in patients recruited in the primary care setting. The primary aim was to assess effectiveness of telehealth delivered Medical Nutrition Therapy (MNT) on change in dietary intake energy, reported as percent energy derived from nutrient-dense (core) foods. Secondary aims included assessment of the intervention effects on percentage weight loss, quality of life, health literacy and patient engagement in their health (patient activation).</p><p><strong>Methods: </strong>This was a secondary data analysis of a pragmatic cluster Randomised Controlled Trial (RCT). Adults from rural areas within the New England North West and Upper Hunter regions of New South Wales, Australia, were identified by their general practitioner (GP) following a Heart Health Check, as being at moderate-to-high risk of CVD and invited to participate. General practices were randomised into intervention or usual care groups. Intervention participants received five personalised telehealth MNT consultations over 6 months. Usual care received stand-alone personalised nutrition reports. All participants were managed by their GP and followed up after 12 months. Primary and secondary outcomes were analysed using Bayesian linear mixed models. Models included fixed categorical effects for time, group, group-by-time interaction, age, and sex, with additional predetermined adjustment for variables determined by the literature.</p><p><strong>Results: </strong>Mean baseline to 12-month increase in percentage of energy from core foods was 7.0% (9.4 SD) for the intervention group and 1.3% (9.6 SD) for usual care group, with an estimated adjusted difference in mean change of 5.9% (95%CI 0.5-11.2). Significant improvements in quality of life (0.04, 95%CI 0.01-0.07) and patient activation were also observed (6.44, 95%CI 0.99-11.83) favouring the intervention group.</p><p><strong>Conclusion: </strong>A personalised telehealth MNT intervention delivered by dietitians significantly improved percentage energy from nutrient-dense foods amongst rural adults at an elevated risk of CVD. Future research is required to support implementation of telehealth MNT into general practice in rural Australia.</p><p><strong>Trial registration: </strong>Australian New Zealand Clinical Trials Registry (ACTRN12621001495819).</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"22 1","pages":"126"},"PeriodicalIF":5.5,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12519800/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145287357","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}
David R Lubans, Nora Shields, Narelle Eather, Jordan J Smith, Michael Noetel, Charles H Hillman, Chris Lonsdale, Christopher Oldmeadow, Ashleigh Stuart, Sarah G Kennedy, James Boyer, Pierre Comis, Laura Roche, Taren Sanders, Tara Finn, Angus A Leahy
{"title":"Scalable physical activity intervention for youth with disability: Burn 2 Learn adapted cluster randomized controlled trial.","authors":"David R Lubans, Nora Shields, Narelle Eather, Jordan J Smith, Michael Noetel, Charles H Hillman, Chris Lonsdale, Christopher Oldmeadow, Ashleigh Stuart, Sarah G Kennedy, James Boyer, Pierre Comis, Laura Roche, Taren Sanders, Tara Finn, Angus A Leahy","doi":"10.1186/s12966-025-01829-1","DOIUrl":"10.1186/s12966-025-01829-1","url":null,"abstract":"","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"22 1","pages":"125"},"PeriodicalIF":5.5,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12509404/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259797","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}
Lars Lenze, Valentin Benzing, Julia Schmid, Beatrice Minder, Rosa-Emilia Henn, Annika Frahsa
{"title":"The effects of different types of leisure-time physical activity on positive mental health among adolescents: a mixed-methods systematic review and meta-analysis.","authors":"Lars Lenze, Valentin Benzing, Julia Schmid, Beatrice Minder, Rosa-Emilia Henn, Annika Frahsa","doi":"10.1186/s12966-025-01834-4","DOIUrl":"10.1186/s12966-025-01834-4","url":null,"abstract":"<p><strong>Background: </strong>Despite the well-researched general effect of physical activity on mental health, less is known about specific effects, such as qualitative and contextual aspects of physical activity. Thus, this review aimed to systematically synthesise evidence on the effects and experiences of different types of leisure-time physical activity (LTPA; e.g., running, fitness, yoga) on distinct positive mental health (PMH) outcomes among adolescents.</p><p><strong>Methods: </strong>We searched in seven databases (MEDLINE, Embase, PsycINFO, Cochrane, SPORTDiscus, CINAHL, and Web of Science) without language restrictions for records from January 2009 to 16 June 2025. Inclusion criteria were defined according to the PICOS framework: population (adolescents from non-clinical studies); intervention (specific LTPA type); comparisons (with and without comparator); outcomes (measures or experiences of PMH); study designs (longitudinal quantitative and qualitative studies). We appraised included studies using the mixed-methods appraisal tool.</p><p><strong>Results: </strong>44 articles from initial 8,149 records were included. Following a convergent segregated approach, the meta-analyses for synthesising the quantitative studies showed different effects depending on the LTPA type. Additionally, the effects depend on the PMH outcome in focus. We identified four facilitators to promote PMH outcomes from the synthesis of qualitative studies: social facilitators for all types of LTPA and various configurations of other facilitators (mastery-related, setting-related, affective-related) for specific LTPA types. The mixed-methods synthesis shows the interplay between LTPA and PMH outcomes depending on the LTPA type.</p><p><strong>Conclusions: </strong>The effects of LTPA on PMH in adolescents depend on the LTPA type and PMH outcome in focus. Perceived facilitators highlight possible explanations for the effects found. By investigating specific LTPA types and different PMH outcomes, ecologically valid implications for specific contexts to foster adolescent mental health may be derived. The limited number of studies per LTPA type, PMH aspect, and study design emphasises the need for more research to derive more specific and robust implications for tailored mental health promotion.</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"22 1","pages":"123"},"PeriodicalIF":5.5,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12506210/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245747","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}
James L Dorling, Corby K Martin, Sai Krupa Das, Susan B Racette, Leanne M Redman, Kim M Huffman, Christoph Höchsmann, William E Kraus
{"title":"Association between physical activity energy expenditure and markers of healthspan during prolonged calorie restriction in individuals without obesity: observations from the CALERIE™ phase 2 randomized controlled trial.","authors":"James L Dorling, Corby K Martin, Sai Krupa Das, Susan B Racette, Leanne M Redman, Kim M Huffman, Christoph Höchsmann, William E Kraus","doi":"10.1186/s12966-025-01825-5","DOIUrl":"10.1186/s12966-025-01825-5","url":null,"abstract":"","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"22 1","pages":"124"},"PeriodicalIF":5.5,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12505589/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245690","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":"The effectiveness of mobile app-based interventions in facilitating behaviour change towards healthier and more sustainable diets: a systematic review and meta-analysis.","authors":"Esther Curtin, Rosemary Green, Kerry A Brown, Sarah Nájera Espinosa, Abinaya Chandrasekar, Lily Hopkins, Grace Turner, Carmelia Alae-Carew, Karen Ullian, Pauline Scheelbeek","doi":"10.1186/s12966-025-01823-7","DOIUrl":"10.1186/s12966-025-01823-7","url":null,"abstract":"","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"22 1","pages":"122"},"PeriodicalIF":5.5,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12487266/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208210","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":"Comment on 'twenty years of behavioural nutrition - a reflection on the road less travelled'.","authors":"Marle Alvarenga","doi":"10.1186/s12966-025-01821-9","DOIUrl":"10.1186/s12966-025-01821-9","url":null,"abstract":"<p><p>With great interest, I read the article by Lien et al. \"Twenty years of behavioural nutrition - A reflection on the road less travelled\". This commentary reflects the long-standing absence of a formal definition for \"behavioral nutrition\" (BN) and its implications for scientific and clinical communities. It highlights the Brazilian experience in conceptualizing BN as a scientifically grounded approach to modifying eating behaviors through a biopsychosociocultural perspective, moving beyond the outdated prescriptive role of the dietitian. The commentary also reviews the historical use of BN in publications, noting inconsistencies, conceptual conflation with \"eating behavior,\" and limited clarity on what constitutes a BN intervention. A clearer, theory-driven definition and expanded discourse on behavioral approaches and models are essential to advancing the field.</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"22 1","pages":"120"},"PeriodicalIF":5.5,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12487458/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145201511","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}
Hannah E Cabre, Kimberly L Drews, Jeremy Pomeroy, Sarah Kozey Keadle, S Sonia Arteaga, Paul W Franks, Debra Haire-Joshu, William C Knowler, Xavier Pi-Sunyer, Linda Van Horn, Rena R Wing, Alison G Cahill, Rebecca G Clifton, Kimberly A Couch, Dympna Gallager, Jami L Josefson, Kaumudi Joshipura, Samuel Klein, Corby K Martin, Alan M Peaceman, Suzanne Phelan, Elizabeth A Thom, Leanne M Redman
{"title":"LIFE-Moms: effects of multicomponent lifestyle randomized control trial on physical activity during pregnancy in women with overweight and obesity.","authors":"Hannah E Cabre, Kimberly L Drews, Jeremy Pomeroy, Sarah Kozey Keadle, S Sonia Arteaga, Paul W Franks, Debra Haire-Joshu, William C Knowler, Xavier Pi-Sunyer, Linda Van Horn, Rena R Wing, Alison G Cahill, Rebecca G Clifton, Kimberly A Couch, Dympna Gallager, Jami L Josefson, Kaumudi Joshipura, Samuel Klein, Corby K Martin, Alan M Peaceman, Suzanne Phelan, Elizabeth A Thom, Leanne M Redman","doi":"10.1186/s12966-025-01805-9","DOIUrl":"10.1186/s12966-025-01805-9","url":null,"abstract":"<p><strong>Background: </strong>This report details the effect of LIFE-Mom's multicomponent lifestyle interventions on physical activity (PA) and inactivity time across pregnancy (2nd and 3rd trimesters) and their effect on gestational weight gain (GWG) and maternal/neonatal outcomes, a pre-specified secondary analysis.</p><p><strong>Methods: </strong>Pregnant people with BMI ≥ 25 kg/m<sup>2</sup> were randomized to lifestyle interventions with dietary and PA counseling or standard care. PA and inactivity time measured by accelerometry and metabolic and inflammatory biomarkers measured in fasting blood are reported in 522 pregnant people at baseline and end of pregnancy. Generalized linear models with and without covariates were used to evaluate group differences (intervention vs. control) and, separately, time differences (total sample with both groups combined).</p><p><strong>Results: </strong>Although there were statistically significant differences in vigorous activity between the intervention and control group (p = .024), there were no clinically meaningful differences in PA. In the combined sample, moderate to vigorous PA (MVPA) significantly decreased across pregnancy (mean ± SD: 72.9 ± 29.1 min/day vs 63.9 ± 28.1 min/day; p < 0.0001), and inactivity time increased [617.5 min/day (573.5, 659.6) vs 630.4 min/day (56.7, 679.9); p < 0.0001]. Increased inactivity time was associated with a less favorable maternal milieu (biomarker Z-scores) for pro-inflammatory (0.2 ± 0.1; p = 0.003) and cardiometabolic markers (0.1 ± 0.07; p = 0.030).</p><p><strong>Conclusions: </strong>Physical activity declined over the course of pregnancy, though the intervention group experienced a smaller reduction in activity levels. Our results linked increased inactivity time to maternal metabolic dysregulation and inflammation. Further research is needed to determine if intensive interventions reducing inactivity can improve maternal health and weight outcomes in pregnant people with overweight and obesity.</p><p><strong>Trial registration: </strong>NCT01545934, NCT01616147, NCT01771133, NCT01631747, NCT01768793, NCT01610752, and NCT01812694.</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"22 1","pages":"119"},"PeriodicalIF":5.5,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12486678/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145201495","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":"Efficiency of time-restricted eating and energy restriction on anthropometrics and body composition in adults: a systematic review and meta-analysis of randomized controlled trials.","authors":"Yichao Sun, Yubo Liu, Weibing Ye, Veeranjaneya Reddy Lebaka, Venkatrayulu Chenji, Weiping Li, Mallikarjuna Korivi","doi":"10.1186/s12966-025-01812-w","DOIUrl":"10.1186/s12966-025-01812-w","url":null,"abstract":"","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"22 1","pages":"121"},"PeriodicalIF":5.5,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12487415/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208185","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}
Louise de Lannoy, Eun-Young Lee, Suryeon Ryu, Olivia Lopes, Joshua S Cheruvathur, Anujah Thankarajah, Dina Adjei Boadi, Isabel de Barros, Scott Duncan, Maeghan E James, Lærke Mygind, Robyn Monro Miller, Leigh M Vanderloo, Po-Yu Wang, Laura Heather, Mark S Tremblay
{"title":"2025 position statement on active outdoor play: process and methodology.","authors":"Louise de Lannoy, Eun-Young Lee, Suryeon Ryu, Olivia Lopes, Joshua S Cheruvathur, Anujah Thankarajah, Dina Adjei Boadi, Isabel de Barros, Scott Duncan, Maeghan E James, Lærke Mygind, Robyn Monro Miller, Leigh M Vanderloo, Po-Yu Wang, Laura Heather, Mark S Tremblay","doi":"10.1186/s12966-025-01806-8","DOIUrl":"10.1186/s12966-025-01806-8","url":null,"abstract":"","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"22 1","pages":"118"},"PeriodicalIF":5.5,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12462215/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151298","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}