International Journal of Behavioral Nutrition and Physical Activity最新文献

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The socioecological model levels, behavior change mechanisms, and behavior change techniques to improve accelerometer-measured physical activity among Hispanic women: a systematic review. 社会生态模型水平、行为改变机制和行为改变技术改善西班牙裔妇女加速计测量的身体活动:一项系统综述。
IF 5.6 1区 医学
International Journal of Behavioral Nutrition and Physical Activity Pub Date : 2025-06-19 DOI: 10.1186/s12966-025-01783-y
Elizabeth Lorenzo, Jeni Page, Rebeca Wong, Elizabeth Lyons
{"title":"The socioecological model levels, behavior change mechanisms, and behavior change techniques to improve accelerometer-measured physical activity among Hispanic women: a systematic review.","authors":"Elizabeth Lorenzo, Jeni Page, Rebeca Wong, Elizabeth Lyons","doi":"10.1186/s12966-025-01783-y","DOIUrl":"10.1186/s12966-025-01783-y","url":null,"abstract":"<p><strong>Background: </strong>Interventions to increase and maintain Hispanic women's moderate-to-vigorous physical activity (MVPA) are lacking. Socioecological models hypothesize that MVPA participation is influenced by factors at multiple levels of the environment (i.e., intrapersonal, interpersonal, organizational, neighborhood, policy). These factors, including behavior change mechanisms (BCM), are targeted with behavior change techniques (BCT) delivered through interventions to improve MVPA participation. However, the specific factors and BCT that positively influence Hispanic women's MVPA remain unknown.</p><p><strong>Purpose: </strong>Synthesize existing literature to determine the socioecological model levels, BCM, and BCT that significantly increased Hispanic women's accelerometer-measured MVPA.</p><p><strong>Methods: </strong>Databases (PubMed, CINAHL, Scopus, Cochrane Library and PsychINFO) were searched using key terms ((Hispanic women) OR (Hispanic OR Mexican American OR Latina OR Latinx) AND (female) AND (exercise OR physical activity)) without date or geographic limitations in March 2023. Peer-reviewed studies published in English that tested interventions to increase Hispanic women's accelerometer-measured MVPA were included. Two authors extracted data, a narrative synthesis was conducted, and a conceptual model of a multilevel MVPA intervention was proposed.</p><p><strong>Results: </strong>Nine unique interventions were identified with four studies providing additional findings (N = 13). Studies were conducted in the United States and totaled 2,303 Hispanic women (M = 28.4-44.6 years). Self-efficacy (intrapersonal level) and family participation (interpersonal level) were the only BCM that mediated MVPA post-intervention. Half of the studies targeting the organizational (n = 3/6) and 83.3% (n = 5/6) targeting the neighborhood levels demonstrated significant improvements in MVPA. BCT targeting confidence, goals, and problem-solving at the intrapersonal level, partner support and childcare barriers at the interpersonal level, and physical activity access with methods to overcome weather and safety barriers at the neighborhood level significantly improved MVPA post-intervention. None of the interventions tested for longer-term (i.e., > 9-months post-intervention) MVPA change.</p><p><strong>Conclusions: </strong>Interventions to increase Hispanic women's accelerometer-measured MVPA in the shorter-term should be developed to include BCT to increase self-efficacy (intrapersonal level) and family participation (interpersonal level) and identify physical activity opportunities/access (neighborhood level), including BCT to overcome safety and weather barriers. Future research is needed to confirm these findings and determine the socioecological levels, BCM, and BCT to maintain Hispanic women's MVPA in the longer term.</p><p><strong>Trial registration: </strong>The 2020 Preferred Reporting Items for Systematic Reviews and Meta-Analyses (","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"22 1","pages":"80"},"PeriodicalIF":5.6,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12180251/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334345","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}
引用次数: 0
Urban cycling-specific active transportation behaviour is sensitive to the fresh start effect: triangulating observational evidence from real world data. 城市自行车特有的主动交通行为对新起点效应敏感:来自真实世界数据的三角测量观测证据。
IF 5.6 1区 医学
International Journal of Behavioral Nutrition and Physical Activity Pub Date : 2025-06-19 DOI: 10.1186/s12966-025-01785-w
Isaak Fast, Shamsia Sobhan, Nika Klaprat, Tyler George, Nils Vik, Dan Prowse, Jacqueline Collett, Jonathan McGavock
{"title":"Urban cycling-specific active transportation behaviour is sensitive to the fresh start effect: triangulating observational evidence from real world data.","authors":"Isaak Fast, Shamsia Sobhan, Nika Klaprat, Tyler George, Nils Vik, Dan Prowse, Jacqueline Collett, Jonathan McGavock","doi":"10.1186/s12966-025-01785-w","DOIUrl":"10.1186/s12966-025-01785-w","url":null,"abstract":"","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"22 1","pages":"81"},"PeriodicalIF":5.6,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12180263/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334346","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}
引用次数: 0
Evaluating the contribution of a scaled up community-based overweight prevention programme in the Netherlands to children's health behaviours and BMIz. 评估荷兰扩大的社区超重预防方案对儿童健康行为和体重指数的贡献。
IF 5.6 1区 医学
International Journal of Behavioral Nutrition and Physical Activity Pub Date : 2025-06-18 DOI: 10.1186/s12966-025-01784-x
Irma Huiberts, Ehsan Motazedi, Famke J M Mölenberg, Amika S Singh, Dorine Collard, Mai J M ChinAPaw, Frank J van Lenthe
{"title":"Evaluating the contribution of a scaled up community-based overweight prevention programme in the Netherlands to children's health behaviours and BMIz.","authors":"Irma Huiberts, Ehsan Motazedi, Famke J M Mölenberg, Amika S Singh, Dorine Collard, Mai J M ChinAPaw, Frank J van Lenthe","doi":"10.1186/s12966-025-01784-x","DOIUrl":"10.1186/s12966-025-01784-x","url":null,"abstract":"<p><strong>Background: </strong>Community-based overweight prevention programmes are widely implemented, however, little is known about their effectiveness after scale-up. This study examines the contribution of a scaled up community-based overweight prevention programme in the Netherlands: Healthy Youth, Healthy Future (JOGG) to children's BMIz, adherence to fruit and/or vegetable consumption guidelines, and minutes of moderate to vigorous physical activity (MVPA) per week.</p><p><strong>Methods: </strong>In this observational study we used repeated cross-sectional data from 5 to 11- and 12-18-year-old participants in the annual Dutch national health survey (2006-2019) and applied two analytical methods for more robust inference. First, we applied linear mixed models to assess the association between JOGG exposure for at least 18 months (n = 1,008) vs. no exposure (n = 23,779) and the outcomes and assessed whether this association differed across subgroups defined by age, socioeconomic position (SEP), or migration background. Second, we compared outcome trends in JOGG and non-JOGG municipalities before and after implementation, using a difference-in-differences approach, to account for unobserved time-invariant confounders.</p><p><strong>Results: </strong>Results showed no significant association between JOGG exposure and BMIz or MVPA. However, JOGG exposure was associated with higher adherence to fruit and/or vegetable consumption guidelines in 12- to 18-year-olds (log odds 1.82, 95%CI 0.23, 3.41). We observed no differential associations across subgroups and no differences in outcome trends between JOGG and non-JOGG municipalities.</p><p><strong>Conclusions: </strong>The scale up of JOGG in the Netherlands between 2010 and 2019 potentially contributed to higher fruit and vegetable consumption but not to BMIz or MVPA levels. Further examination of the implementation process may provide insight in underlying mechanisms and contribution of JOGG.</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"22 1","pages":"79"},"PeriodicalIF":5.6,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12177978/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327631","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}
引用次数: 0
Six-month intervention effect of a digital movement behavior intervention on parent- and child intermediary outcomes-results from the Let's Grow randomized controlled trial. 数字运动行为干预对父母和儿童中介结果的六个月干预效果——来自Let’s Grow随机对照试验的结果。
IF 5.6 1区 医学
International Journal of Behavioral Nutrition and Physical Activity Pub Date : 2025-06-16 DOI: 10.1186/s12966-025-01764-1
Johanna Sandborg, Katherine L Downing, Liliana Orellana, Rachael W Taylor, Lisa M Barnett, Valerie Carson, Kylie D Hesketh
{"title":"Six-month intervention effect of a digital movement behavior intervention on parent- and child intermediary outcomes-results from the Let's Grow randomized controlled trial.","authors":"Johanna Sandborg, Katherine L Downing, Liliana Orellana, Rachael W Taylor, Lisa M Barnett, Valerie Carson, Kylie D Hesketh","doi":"10.1186/s12966-025-01764-1","DOIUrl":"10.1186/s12966-025-01764-1","url":null,"abstract":"<p><strong>Background: </strong>Parental-focused interventions often aim to improve child health behaviors by changing parenting practices and cognitions and supporting child skill development. These intermediary outcomes serve as milestones that indicate progress towards achieving the ultimate intervention goal; however, the impact on these is rarely reported. The aim of this study was to investigate the effect of a digital intervention, intended to help parents promote healthy movement behaviors in toddlers on these intermediary outcomes.</p><p><strong>Methods: </strong>This study utilized data from the Let's Grow trial (n = 1165). Participants were recruited Australia-wide and randomized to usual care (routine child healthcare visits) or intervention (usual care plus Let's Grow app) following baseline assessment. Participants with data on at least one intermediary outcome (assessed via an online survey) at baseline and mid-intervention (6-months) were included (usual care, n = 618; intervention, n = 547). These included parental cognitions (knowledge, self-efficacy, confidence) and behaviors (co-participation, role modelling, family rules and routines, screens in child's bedroom), and child developmental skills (motor skills, emotional regulation). Linear regression compared between-group outcomes. We also explored whether changes in the intermediary outcomes were associated with intervention engagement (Web app analytics).</p><p><strong>Results: </strong>The intervention group had higher knowledge of child movement behaviors (mean difference = 0.41, P = 0.002) compared to control. This difference was driven by knowledge in physical activity (mean differences 0.12, P = 0.028) and sleep (mean difference 0.27, P = 0.003) topics. No significant effect was observed for the other intermediary outcomes. Higher engagement was associated with improvements in parental knowledge of child movement behaviors and physical activity, confidence, ease of parenting, family rules for movement behaviors and screen time, and less parental screen time (all P ≤ 0.039).</p><p><strong>Conclusions: </strong>While Let's Grow positively influenced physical activity and sleep knowledge at the mid-intervention point, our findings suggests that parents might need more time or support to improve cognitions and behaviors related to children's sedentary behavior/screen time and child developmental skills. Further clarity on whether the observed changes translate into differential impacts on child movement behaviors will be reported following trial conclusion. Engagement appears to enhance intervention effects, highlighting the importance of strategies to optimize engagement.</p><p><strong>Trial registration: </strong>ACTRN12620001280998; U1111-1252-0599.</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"22 1","pages":"78"},"PeriodicalIF":5.6,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12172252/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310718","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}
引用次数: 0
The effect of computer prompt in breaks of sedentary behaviour among office workers: a systematic review and meta-analysis. 电脑提示对办公室职员久坐行为的影响:一项系统回顾和荟萃分析。
IF 5.6 1区 医学
International Journal of Behavioral Nutrition and Physical Activity Pub Date : 2025-06-13 DOI: 10.1186/s12966-025-01781-0
Jaime Leppe-Zamora, Sara Ramos-Fuster, Barbara Muñoz-Monari, Sonia Roa-Alcaino, Olga Lucía Sarmiento
{"title":"The effect of computer prompt in breaks of sedentary behaviour among office workers: a systematic review and meta-analysis.","authors":"Jaime Leppe-Zamora, Sara Ramos-Fuster, Barbara Muñoz-Monari, Sonia Roa-Alcaino, Olga Lucía Sarmiento","doi":"10.1186/s12966-025-01781-0","DOIUrl":"10.1186/s12966-025-01781-0","url":null,"abstract":"<p><strong>Background: </strong>Prolonged sitting time in the workplace constitutes a significant portion of waking hours. Sedentary behaviour is associated with higher risks of cardiovascular diseases, obesity, and all-cause mortality. Interventions to reduce workplace sitting, such as health apps, height-adjustable desks, and active breaks, have shown relative effectiveness in improving health outcomes. Among these, computer prompt interventions represent a simple and scalable strategy that can remind workers to take breaks and reduce sedentary behaviour. This study evaluates the effectiveness of computer prompt interventions to reduce sitting at work compared to no intervention or combined strategies.</p><p><strong>Methods: </strong>Primary studies were searched in PubMed (MEDLINE), EMBASE, Scopus, and CENTRAL of the Cochrane Library. The search was conducted until December 2024. Keywords included terms like \"sedentary behaviour,\" \"computer prompts,\" \"sitting time,\" and \"office workers.\" Only randomized controlled trials (individual or cluster) involving desk-based workers aged 18 or older that evaluated computer prompt software were included. Risk of bias was assessed using the Cochrane Risk-of-Bias tool (RoB2). Mean differences with 95% confidence intervals (CI) were calculated for sitting time and secondary outcomes. Analyses were performed using RevMan and R software, and GRADE methodology was applied to assess the certainty of evidence.</p><p><strong>Results: </strong>From 17,880 records, 18 studies involving 1164 office workers were included in the analysis. Ten studies focused exclusively on computer prompts, while 8 studies implemented combined strategies (e.g., computer prompts plus sit-to-stand desks). The median intervention length was 8 weeks, ranging from one to 24 weeks. Studies using only computer prompts included breaks lasting from 1 to 10 min every 30 min up to an hour. Combined strategies included breaks from 6 to 30 min every 30 min up to 3 h. According to objective measurements, the meta-analysis showed a significant reduction of 12.46 min/workday in sitting time (95% CI: -18.12, -6.80) and a significant increase of 1029.99 steps/workday (95% CI: 815.97, 1244). Secondary outcomes included work-related, musculoskeletal, and cardiometabolic outcomes favouring computer prompts but not statistically significant. The certainty of evidence for primary outcomes is rated low to moderate according to GRADE.</p><p><strong>Conclusions: </strong>Computer prompt software interventions show effectiveness in reducing sitting time among office workers. However, more long-term prospective studies with larger sample sizes are needed to accurately determine the effectiveness of computer prompts on various work- and health-related outcomes.</p><p><strong>Trial registration: </strong>The review protocol was registered in the Prospero database (CRD42021287870).</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"22 1","pages":"75"},"PeriodicalIF":5.6,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12164069/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295246","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}
引用次数: 0
StandUPTV: a full-factorial optimization trial to reduce sedentary screen time among adults. 站立电视:减少成年人久坐屏幕时间的全因子优化试验。
IF 5.6 1区 医学
International Journal of Behavioral Nutrition and Physical Activity Pub Date : 2025-06-13 DOI: 10.1186/s12966-025-01771-2
Sarah K Keadle, Kristina Hasanaj, Krista S Leonard, Arlene Fernandez, Lena Freid, Skylar Weiss, Maria Legato, Harsh Anand, Todd A Hagobian, Siobhan M Phillips, Suzanne Phelan, Kate Guastaferro, Ryan G N Seltzer, Matthew P Buman
{"title":"StandUPTV: a full-factorial optimization trial to reduce sedentary screen time among adults.","authors":"Sarah K Keadle, Kristina Hasanaj, Krista S Leonard, Arlene Fernandez, Lena Freid, Skylar Weiss, Maria Legato, Harsh Anand, Todd A Hagobian, Siobhan M Phillips, Suzanne Phelan, Kate Guastaferro, Ryan G N Seltzer, Matthew P Buman","doi":"10.1186/s12966-025-01771-2","DOIUrl":"10.1186/s12966-025-01771-2","url":null,"abstract":"<p><strong>Background: </strong>Using the multiphase optimization strategy (MOST) framework, we aimed to identify an optimized mHealth-delivered intervention for reducing recreational sedentary screen time (rSST) by at least 60 min/day among adults.</p><p><strong>Methods: </strong>Eligible participants were 23-64 years old and self-reported elevated rSST (> 3 h/day). Following a 7-day baseline, participants received a core mHealth application (self-monitoring and 50% reduction target and educational materials) and were randomly assigned to three additional components set to on/off in a full-factorial (2<sup>3</sup>) experiment: LOCKOUT: rSST electronically restricted; TEXT: rSST reduction prompts; and EARN: rSST through physical activity. rSST was assessed at baseline and 16 weeks via an integrated measure that included objectively assessed sedentary time (activPAL accelerometer) and screen time (TV Wifi plugs and tablet usage). We used a linear mixed effect model to evaluate the change in rSST for the three intervention components and their interactions.</p><p><strong>Results: </strong>A total of 82% of the randomized participants (N = 110) were female, with a mean ± SD age of 41 ± 11.7 y and a BMI of 29.7 ± 7.8 kg/m2, and their mean (95% CI) rSST was 184.7 (172.8, 196.5) min/day at baseline. The expected difference (baseline vs. 16 weeks) in rSST was greatest for the intervention versions with the core plus EARN on with an average reduction of -118.1 (-163.0, -73.1) min/day and for core plus LOCKOUT, TEXT, & EARN on (-125.7 [-172.0, -79.3] min/day).</p><p><strong>Conclusions: </strong>We identified several promising intervention versions that exceeded our optimization objective. This study provides important evidence on efficacious multicomponent interventions that should be moved forward to the evaluation phase of the MOST framework to test the effect of rSST reductions on health outcomes.</p><p><strong>Trial registration: </strong>(clinicaltrials.gov NCT04464993).</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"22 1","pages":"77"},"PeriodicalIF":5.6,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12166558/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295183","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}
引用次数: 0
Dietary consumption trajectory profiles over time of French adults from the NutriNet-Santé cohort (2014-2022): multicriteria analysis of sustainability. nutrinet - sant<s:1>队列中法国成年人的饮食消费轨迹(2014-2022):可持续性的多标准分析
IF 5.6 1区 医学
International Journal of Behavioral Nutrition and Physical Activity Pub Date : 2025-06-13 DOI: 10.1186/s12966-025-01777-w
Hafsa Toujgani, Juhui Wang, Elie Perraud, Julia Baudry, Justine Berlivet, Benjamin Allès, Hélène Fouillet, Serge Hercberg, Mathilde Touvier, Denis Lairon, Philippe Pointereau, Christian Couturier, François Mariotti, Emmanuelle Kesse-Guyot
{"title":"Dietary consumption trajectory profiles over time of French adults from the NutriNet-Santé cohort (2014-2022): multicriteria analysis of sustainability.","authors":"Hafsa Toujgani, Juhui Wang, Elie Perraud, Julia Baudry, Justine Berlivet, Benjamin Allès, Hélène Fouillet, Serge Hercberg, Mathilde Touvier, Denis Lairon, Philippe Pointereau, Christian Couturier, François Mariotti, Emmanuelle Kesse-Guyot","doi":"10.1186/s12966-025-01777-w","DOIUrl":"10.1186/s12966-025-01777-w","url":null,"abstract":"<p><strong>Background: </strong>Dietary patterns significantly impact climate change and morbidity, making transitions to sustainable diets urgent. Few studies explore repeated dietary measures collected over several years or variations across distinct consumer profiles characterized by sociodemographic and dietary patterns.</p><p><strong>Objective: </strong>Our study aims to identify dietary trajectory profiles in French adults (2014-2022), assessing environmental, nutritional, and health outcomes.</p><p><strong>Methods: </strong>Consumption data from 17,187 NutriNet-Santé cohort participants (52% women, average age 48y, SD = 16) were collected via food frequency questionnaires in 2014 (weighted to the French Census), 2018, and 2022. Dietary trajectory profiles were modeled using Group-based multi-trajectory modeling based on principal component analysis of energy-adjusted consumption data. Associations with environmental (greenhouse gas (GHG) emissions) and nutritional (adherence to French dietary guidelines, diet quality index) dimensions were assessed via multivariable mixed models. Health impacts were evaluated as Disability-Adjusted Life Years (DALYs)avoided, using the Comparative Risk Assessment approach.</p><p><strong>Results: </strong>Six dietary trajectory profiles (P) with distinct starting diets and evolutions were identified. P0 had average intakes, while P1 and P5 were meat-focused, with P5 showing the highest animal consumption. P3 and P4 leaned plant-based, with P4 maintaining high fish and plant intakes, and P3 increasing ruminant meat. P2 initially high in salty or sweet fatty foods, shifted significantly toward plant-based diets. Over time, GHG emissions decreased (- 5% to - 14%), diet quality (PNNS-GS2 score) improved (+ 12% to + 174%), and health risks declined in four profiles due to reduced red meat and higher whole grains/fruits but increased for P4 and P5 due to processed meat.</p><p><strong>Conclusion: </strong>These profiles reflect diverse population segments with distinct dietary profiles and degrees of sustainability improvements. However, significant advancements remain limited, highlighting the need for further research on economic, psychological, and cultural factors to guide sustainable changes.</p><p><strong>Trial registration: </strong>Trial registration number: NCT03335644. URL of registration: https://clinicaltrials.gov/study/NCT03335644?id=NCT03335644&rank=1.</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"22 1","pages":"76"},"PeriodicalIF":5.6,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12166596/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295182","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}
引用次数: 0
Systems approaches in public health: beyond mapping the causes. 公共卫生中的系统方法:超越绘制原因。
IF 5.6 1区 医学
International Journal of Behavioral Nutrition and Physical Activity Pub Date : 2025-06-12 DOI: 10.1186/s12966-025-01766-z
Loes Crielaard, Mary Nicolaou, Andrew D Brown, S Coosje Dijkstra, Fleur Ter Ellen, Leonie K Elsenburg, Angie Luna Pinzon, Wilma E Waterlander, Karien Stronks
{"title":"Systems approaches in public health: beyond mapping the causes.","authors":"Loes Crielaard, Mary Nicolaou, Andrew D Brown, S Coosje Dijkstra, Fleur Ter Ellen, Leonie K Elsenburg, Angie Luna Pinzon, Wilma E Waterlander, Karien Stronks","doi":"10.1186/s12966-025-01766-z","DOIUrl":"10.1186/s12966-025-01766-z","url":null,"abstract":"<p><strong>Background: </strong>Systems approaches are increasingly adopted in public health, commonly operationalised using system dynamics (SD). In public health, systems approaches have prioritised understanding the current system by describing the causes of a complex problem - e.g. obesity - as a system. It remains challenging to advance from understanding the current system producing undesired outcomes, towards responses to improve outcomes. Rather than creating models of the (entire) system, SD traditionally emphasises specific models to support policy development. While core concepts from SD have effectively been adopted in public health, there may be more to learn from SD when it comes to designing systems approaches that can fulfil the purpose of informing problem responses.</p><p><strong>Methods: </strong>We reviewed seminal SD literature for clues on how to refine the focus of systems approaches, so that they lead to specific models supporting policy development. We conducted a narrative review, seeking a strategy that can be leveraged in systems approaches in public health. We concentrated on SD's problem framing strategy, leading to two insights.</p><p><strong>Results: </strong>Insight 1: Alongside the complex problem at stake (e.g. obesity), consider the intended result of the systems approach (coordination, learning, analysis or transformation). This helps recognise which system components are relevant to problem responses and make methodological decisions accordingly. Insight 2: If investigation of the current system reveals that only radical change can lead to improved outcomes, then proceed to envisioning how the system could be fundamentally transformed to support those desired outcomes. This next step helps to anticipate policy resistance, unintended consequences and counterintuitive behaviour by contemplating how the system would react due to proposed problem responses.</p><p><strong>Conclusions: </strong>Applying a problem framing strategy, as is commonly done in SD, could make systems approaches in public health better positioned to inform problem responses. Problem framing stimulates the contribution of systems approaches to health policy, prioritising system components relevant to problem responses (Insight 1), which may not be part of the system (Insight 2).</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"22 1","pages":"74"},"PeriodicalIF":5.6,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12164216/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144287007","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}
引用次数: 0
Daily time-use compositions of physical behaviours and its association with evaluative and experienced wellbeing: a multilevel compositional analysis. 身体行为的日常时间使用组成及其与评估和体验健康的关联:多层次组成分析。
IF 5.6 1区 医学
International Journal of Behavioral Nutrition and Physical Activity Pub Date : 2025-06-11 DOI: 10.1186/s12966-025-01769-w
Anantha Narayanan, Scott Duncan, Conal Smlith, Flora Le, Lisa Mackay, Julia McPhee, Basile Chax, Tom Stewart
{"title":"Daily time-use compositions of physical behaviours and its association with evaluative and experienced wellbeing: a multilevel compositional analysis.","authors":"Anantha Narayanan, Scott Duncan, Conal Smlith, Flora Le, Lisa Mackay, Julia McPhee, Basile Chax, Tom Stewart","doi":"10.1186/s12966-025-01769-w","DOIUrl":"10.1186/s12966-025-01769-w","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;The composition of daily time-use physical behaviours-such as sedentary behaviour (SB), light physical activity (LPA), moderate-to-vigorous physical activity (MVPA), and sleep may be crucial for overall health and wellbeing. This study examined the associations between these time-use behaviours and both evaluative wellbeing (life satisfaction) and experienced wellbeing (momentary happiness, anxiousness, and tiredness). Evaluative wellbeing reflects an individual's overall life assessment, while experienced wellbeing captures real-time affective states. We investigated these associations by reallocating time among behaviours and assessing the predicted impact on wellbeing outcomes.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Time-use behaviours were obtained from 211 adults who wore Axivity AX3 accelerometers on their wrists for seven days. Participants also completed a survey to assess demographics and life satisfaction, before using a custom smartphone app to report their real-time happiness, anxiousness, and tiredness levels over seven days (at three random times each day). Time-use data were processed using UK Biobank machine learning algorithms. We employed Bayesian multilevel compositional analysis to investigate how time-use behaviours, and reallocating time between behaviours, were associated with both life satisfaction and momentary affective states.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Increasing sedentary time (relative to other behaviours) over the week of observation was negatively associated with happiness and positively associated with anxiousness aggregated at the day level. Conversely, increasing the proportion of MVPA (relative to other behaviours) was associated with reduced anxiousness and tiredness. Substitution analysis showed that reallocating 20 min of SB to MVPA increased happiness by 0.12 units, 95% CI [0.01, 0.22] and reduced anxiousness by 0.20 units, 95% CI [-0.34, -0.07]. Additionally, reallocating 20 min of time spent in LPA to MVPA reduced tiredness by 0.16 units, 95% CI [-0.28, -0.03]. All affective states are reported on a 0-10 scale. No associations were found between time-use behaviours and life satisfaction.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Our study shows that time-use behaviours, particularly reducing sedentary time and increasing physical activity, were more strongly linked to experienced wellbeing. Studies that focus solely on examining time-use behaviours and long-term wellbeing outcomes, such as life satisfaction (common in population studies), may overlook the dynamic interplay and immediate impacts of behaviours on wellbeing. While some associations were present, most of the tested relationships were weak or non-significant, suggesting that contextual factors like social and environmental conditions may play a greater role in shaping wellbeing. The next step is to explore sequential associations, such as behaviours occurring immediately before or after a momentary affect response is rec","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"22 1","pages":"73"},"PeriodicalIF":5.6,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12160111/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276503","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}
引用次数: 0
Cycling infrastructure as a determinant of cycling for recreation and transportation in Montréal, Canada: a natural experiment using the longitudinal national population health survey. 自行车基础设施是加拿大montracimal骑自行车娱乐和交通的决定因素:利用全国人口健康纵向调查进行的自然实验。
IF 5.6 1区 医学
International Journal of Behavioral Nutrition and Physical Activity Pub Date : 2025-06-10 DOI: 10.1186/s12966-025-01767-y
Stephanie A Prince, Tyler Thomas, Philippe Apparicio, Lancelot Rodrigue, Christopher Jobson, Kathryn L Walker, Gregory P Butler, Rania Wasfi
{"title":"Cycling infrastructure as a determinant of cycling for recreation and transportation in Montréal, Canada: a natural experiment using the longitudinal national population health survey.","authors":"Stephanie A Prince, Tyler Thomas, Philippe Apparicio, Lancelot Rodrigue, Christopher Jobson, Kathryn L Walker, Gregory P Butler, Rania Wasfi","doi":"10.1186/s12966-025-01767-y","DOIUrl":"10.1186/s12966-025-01767-y","url":null,"abstract":"<p><strong>Background: </strong>Cycling is associated with numerous health benefits. Evidence suggests that new cycling infrastructure leads to increases in cycling, though studies of network-level changes are lacking. The objective of this study was to determine the longitudinal effect of cycling infrastructure on cycling engagement among adults living in Montréal, Canada.</p><p><strong>Methods: </strong>Using data from the National Population Health Survey (1994-2011), this study included adults who resided in the Montréal Census Metropolitan Area for a minimum of two survey cycles (N = 779). Outcomes included self-reported any cycling (transportation or recreation) and time in recreational cycling (minutes/week). Archival maps describing temporal changes in the cycling network for five-year intervals (1991-2011) were classified using the Canadian Bikeway Comfort and Safety Classification System (Can-BICS). Three cycling exposures were calculated from the centroid of each dissemination area: (1) distance to the nearest cycling path categorized by Can-BICS comfort-level (low, medium or high), (2) presence of cycle paths of each comfort level within distance thresholds (low = 321 m, medium = 623 m, high = 1790 m), and (3) density of cycle paths within a 1000 m buffer. Mixed effects logistic regression models estimated associations between cycling infrastructure and any cycling. Linear mixed effects models estimated associations between cycling infrastructure and time spent in recreational cycling.</p><p><strong>Results: </strong>Over the study period, low- and medium-comfort cycle paths were more prevalent than high-comfort paths and cycling for recreation was more common than cycling for transportation. Exposure to high-comfort paths within an acceptable distance (< 1790 m) was associated with higher odds of any cycling (aOR = 1.28, 95% CI: 1.00-1.63). Cumulative exposure to medium-comfort paths within an acceptable distance (< 623 m) was associated with greater time spent in recreational cycling (β = 0.09, 95% CI: 0.03-0.16). Gender-stratified analyses suggested that cumulative exposures to low- and medium-comfort infrastructure within distance thresholds was associated with time spent in recreational cycling (low: β = 0.06, 95% CI: 0.00-0.12, medium: β = 0.13, 95% CI: 0.04-0.22,) among women. No significant effects were observed for distance to the nearest cycling infrastructure for either outcome. Density was not examined in models due to low variation with most buffers having no cycling infrastructure.</p><p><strong>Conclusions: </strong>This research provides evidence that cycle paths, especially of higher comfort and safety, can promote cycling. Future work is needed to explore cumulative exposures to cycling infrastructure, taking into consideration connectivity of networks, integrated public transport, and accessibility to work.</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"22 1","pages":"71"},"PeriodicalIF":5.6,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12153112/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267787","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}
引用次数: 0
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