International Journal of Behavioral Nutrition and Physical Activity最新文献

{"title":"Physical activity interventions among children and adolescents in China: a scoping review through an equity lens.","authors":"Minghui Li, Yong Liu, Yaodong Gu, Raymond Kim Wai Sum","doi":"10.1186/s12966-025-01866-w","DOIUrl":"10.1186/s12966-025-01866-w","url":null,"abstract":"<p><p>BACKGROUND: Equity in health promotion is essential to ensuring fair opportunities for children to engage in physical activity (PA). While China has implemented numerous PA interventions, little is known about how these programs address or overlook equity considerations. This scoping review synthesizes evidence on equity measures in PA interventions among Chinese children. METHODS: A scoping review was conducted following the guidance of PROGRESS-Plus framework to assess equity measures across PA interventions for children in China. Published studies were analysed to identify equity-related indicators including place of residence, ethnicity, occupation, sex, education, and household income. This review was registered on OSF registries ( https://osf.io/zbfpd ). RESULTS: Sixty-five individual interventions were identified. Equity considerations were rarely explicit. Most interventions were concentrated in well-developed cities, with only two conducted in rural regions. Male participants slightly outnumbered females. Children from families with lower parental education or occupational status, as well as those from ethnic minoritised groups and children who are left-behind or displaced, were consistently underrepresented. While a number of interventions focused on children with health issues, these efforts were not intentionally designed to address PA inequities. CONCLUSIONS: Equity considerations are largely absent from PA interventions for Chinese children. The disproportionate region and sex focus, combined with neglect of rural, minority, and disadvantaged groups, suggests these interventions may unintentionally widen health disparities. Future efforts should apply an equity lens in PA interventions by prioritizing underserved children and considering upstream, policy-level strategies to promote fair and inclusive PA opportunities. </p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":" ","pages":"9"},"PeriodicalIF":7.1,"publicationDate":"2025-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12838491/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145811767","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":"Free summer programming on elementary-aged children's food and beverage consumption: a randomized clinical trial.","authors":"Meghan C Savidge, Sarah Burkart, Christopher D Pfledderer, Elizabeth L Adams, R Glenn Weaver, Bridget Armstrong, Keith Brazendale, Xuanxuan Zhu, Brian Chen, Alexander McLain, Michael W Beets","doi":"10.1186/s12966-025-01861-1","DOIUrl":"10.1186/s12966-025-01861-1","url":null,"abstract":"<p><p>PURPOSE: During summer vacation, many children in households with low income lose access to federally-funded, healthful school meals. Summer day camps (SDCs) provide access to healthful meals and a structured environment; yet low-income families often cannot afford SDCs which may influence food/beverage consumption. This study examined the impact of receiving a free SDC versus experiencing summer as usual (SAU) on dietary intake during summer among children from low-income families. METHODS: Parent-child dyads (N = 422; child age: 8.2 ± 1.5 yrs; 48% female; 51% Black) were recruited over 3 years (2021–2023) from schools serving families with low-income. Children were randomized to receive 8–10 weeks of free SDC (intervention) or SAU (control). Parents completed daily diaries for 14 days during school (April/May) and summer (July) which captured child consumption of healthful (e.g., fruit, vegetables, milk) and unhealthful (e.g., soda, fast food, snacks/chips) foods/beverages. Mixed-effects intent-to-treat (ITT) models examined the odds of consuming different foods/beverages during summer, controlling for school year consumption, in the SDC group compared to SAU. Secondary as-treated analyses examined the impact of attending structured summer programming versus not attending on the odds of consuming different food/beverages, regardless of randomization. RESULTS: A total of 2,931 daily diaries were completed for intervention (n = 232) and control (n = 201) children. ITT analyses showed the SDC group had decreased odds of consuming frozen desserts (OR 0.68, 95%CI 0.49–0.94), compared to SAU, during summer weekdays. No other differences were observed. As-treated analyses showed children had increased odds of consuming fruit (1.77, 1.30–2.41), milk (1.97, 1.44–2.69), and chips/snacks (1.49, 1.17–1.90), and decreased odds of consuming soda (0.53, 0.34–0.84), fast food (0.57, 0.45–0.73), and frozen desserts (0.58, 0.45–0.74) on weekdays when they attended structured summer programming, compared to days they did not attend. CONCLUSIONS: Providing free SDC alone did not promote more healthful food/beverage consumption during summer vacation compared to SAU. However, on days children attended a structured program, children experienced more dietary benefits compared to days they did not. Thus, structured environments may positively impact children’s diet during summer; yet, identifying strategies to address barriers beyond cost to improve attendance and enrollment may enhance the impact of summer programming. </p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":" ","pages":"160"},"PeriodicalIF":7.1,"publicationDate":"2025-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12751208/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145795134","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":"Correction to: Does optimizing choose to move - a health‑promoting program for older adults - enhance scalability, program implementation and effectiveness?","authors":"Lindsay Nettlefold, Heather M Macdonald, Joanie Sims Gould, Adrian Bauman, Zoe Szewczyk, Heather A McKay","doi":"10.1186/s12966-025-01867-9","DOIUrl":"10.1186/s12966-025-01867-9","url":null,"abstract":"","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"22 1","pages":"158"},"PeriodicalIF":7.1,"publicationDate":"2025-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12718456/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145800901","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 of a teacher-led social cognitive theory-based multicomponent movement education program on preschoolers' fundamental movement skills and physical activity: the PA-REALITY cluster-randomized controlled trial.","authors":"Amy S Ha, Taoran Zeng, Meingold H M Chan, Cecilia H S Chan, Anthony D Okely, Suzannie K Y Leung, Johan Y Y Ng","doi":"10.1186/s12966-025-01864-y","DOIUrl":"10.1186/s12966-025-01864-y","url":null,"abstract":"<p><strong>Background: </strong>A growing body of studies has shown that fundamental movement skills (FMS) and physical activity (PA) are crucial for preschoolers' development. However, most Hong Kong preschoolers still do not meet the WHO guidelines for PA and demonstrate poor FMS performance. The present study examined the effectiveness of physical activity routines, education, assessment, literacy, and information technology application in young children (PA-REALITY), a social cognitive theory-based movement education program led by preschool teachers.</p><p><strong>Methods: </strong>Twenty-nine preschools signed up for the program and were cluster-randomized into an experimental group (15 preschools) and a wait-list control group (14 preschools). Totally 440 (age = 4 ± 0.95 years; 54.5% male) preschoolers took part in the baseline test and 349 preschoolers from 26 schools took part in the post-test (10 months). We delivered intervention contents including teacher workshops, teaching materials (booklet, simple sports equipment), and a mobile application to teachers. At baseline and post-test (10 months), respectively, preschoolers' FMS proficiency, PA, and executive function (EF) were assessed using objective tools. Mixed-linear models using intention-to-treat analyses were used to examine intervention effects.</p><p><strong>Results: </strong>Participants in the experimental group showed significant improvements in catch (B = 0.37, p < .001) and moderate-to-vigorous PA (B = 4.49, p = .04) at 10 months, compared with participants in the wait-list control group. No effects were found for total PA other FMS and EF outcomes.</p><p><strong>Conclusions: </strong>The PA-REALITY intervention improved some FMS outcomes and MVPA at 10 months. These results highlight the important roles of teachers in developing children's movement skills and PA. Continuous professional development training for teachers may be an effective and sustainable way to improve existing practices.</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":" ","pages":"8"},"PeriodicalIF":5.5,"publicationDate":"2025-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12837030/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145795167","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":"Navigating the complexity: a comment on difficulties in conducting systematic reviews to evaluate the effectiveness of behaviour change interventions.","authors":"Sarah Rhodes, Ukachukwu Abaraogu","doi":"10.1186/s12966-025-01857-x","DOIUrl":"10.1186/s12966-025-01857-x","url":null,"abstract":"<p><p>Behaviour change interventions are widely applied across diverse domains to modify behaviours and improve outcomes, including but not limited to physical activity, sedentary behaviour, and nutrition. Systematic review of trials of behaviour change interventions often aim to determine both their overall effectiveness and the specific components driving behaviour change. The Behaviour Change Technique Taxonomy v1 (BCTTv1) is a useful framework for coding the individual Behaviour Change Techniques (BCTs) within an intervention. This commentary highlights key methodological challenges in conducting a systematic review of behaviour change interventions. It calls for collaboration in developing clear and consistent methodological guidance to enhance the rigor of systematic reviews to optimise behaviour change interventions.</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"22 1","pages":"157"},"PeriodicalIF":5.5,"publicationDate":"2025-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12709702/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145776223","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":"Development of the Canadian Eating Practices Screener for Adolescents to assess eating practices based on Canada's Food Guide 2019 recommendations.","authors":"Raphaëlle Jacob, Marciane Any, Virginie Desgreniers, Geneviève Bessette, Rita Al Kazzi, Alicia E Martin, Claire Tugault-Lafleur, Kimberley Hernandez, Sylvie St-Pierre, Jess Haines","doi":"10.1186/s12966-025-01853-1","DOIUrl":"10.1186/s12966-025-01853-1","url":null,"abstract":"<p><p>BACKGROUND: In addition to guidance on food choices, the Canada’s Food Guide 2019 (CFG-2019) provides recommendations to support healthy eating habits. A brief self-administered eating practices questionnaire informed by CFG-2019 recommendations was recently developed and validated among adults, but no such measure is available for adolescents. The objective of this study was to develop and assess the content validity of a self-administered screener to measure eating practices based on CFG-2019 recommendations among English- and French-speaking adolescents aged 10 to 17 years. METHODS: Following a literature review of existing measures and the identification of guiding principles for questionnaire development, a 26-item draft screener was created. The content validity of the draft screener was assessed by an expert panel with expertise in nutrition, eating behaviours, public health and/or questionnaire validation (English n = 13, French n = 7) and through two rounds of cognitive interviews with adolescents (English n = 18, French n = 13). RESULTS: The number of items was reduced from 26 to 12 following review by the expert panel, and further reduced to 11 after the cognitive interviews with adolescents. Minor wording changes were made to improve clarity of a few items. CONCLUSIONS: This study resulted in the development of the 11-item Canadian Eating Practices Screener for Adolescents/Questionnaire court canadien sur les pratiques alimentaires des adolescents designed for use among adolescents aged 10 to 17 years. Further work is needed to test the screener for construct validity and reliability. After which, this measure can be used for research and nutrition surveillance of eating practices among adolescents living in Canada. </p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":" ","pages":"6"},"PeriodicalIF":7.1,"publicationDate":"2025-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12822044/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145769769","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":"Effectiveness and equity impacts of traffic restriction schemes outside schools: a controlled natural experimental study.","authors":"Richard Patterson, Emma Grace Carey, Kate Garrott, Yuru Huang, David Ogilvie, Sophie Hadfield-Hill, Andy Cope, Adrian Davis, Esther van Sluijs, Jenna Panter","doi":"10.1186/s12966-025-01858-w","DOIUrl":"10.1186/s12966-025-01858-w","url":null,"abstract":"<p><p>BACKGROUND: Active travel (such as walking, cycling and scooting) has a range of benefits for human and planetary health, whereas driving children to school contributes substantially to motor vehicle traffic at peak times. Local governments have collaborated with schools to implement traffic restriction schemes, in which motor vehicle access around schools is restricted at drop-off and pick-up times. We examined the impacts of these schemes on how children travel to school, and how these differed between socio-economic groups, in England and Scotland. METHODS: In this controlled before-and-after natural experimental study, we used data collected by primary schools on children’s mode of travel to school between 2012 and 2023. We matched each intervention school to two control schools based on area-level deprivation, urban–rural status, school size, baseline prevalence of active travel to school, and geographical region. We used fixed-effects regression models to conduct difference-in-difference analyses of the percentage of pupils using active modes of transport and private motor vehicles, adjusting for potential confounding factors. We examined absolute and relative differences and differential effects by stratifying analyses by geographical region, method of enforcement, area-level deprivation, and urban–rural status. RESULTS: We used data from 498 schools (166 intervention and 332 control) at which on average 70% of children travelled to school by active modes at baseline, with no significant difference between intervention and selected control schools (p = 0.79). The proportion of pupils in intervention schools travelling by active modes increased by 5.9 absolute percentage points (95% CI: 2.5 to 9.1), and the proportion travelling by private motor vehicle decreased by 5.3 points (2.5 to 8.2), relative to control schools. The results for relative changes were similar, the patterns were consistent between jurisdictions and no differences were seen in other stratified analyses. CONCLUSION: We found that after primary schools implemented schemes, a greater proportion of children walked, cycled or scooted to school and a smaller proportion were driven. These findings suggest that wider roll-out of these schemes might contribute to promoting active travel in children, and perhaps, to improving health. Improving the availability, quality and consistency of routinely collected data on travel to school would facilitate future research into these schemes. </p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":" ","pages":""},"PeriodicalIF":7.1,"publicationDate":"2025-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12964863/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145764384","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":"Optimising 24-Hour movement behaviours in preschoolers through parenting practices: an evidence-based intervention study.","authors":"Marga Decraene, Aaron Miatke, Dorothea Dumuid, Greet Cardon, Maïté Verloigne, Ruth De Bruyne, Vera Verbestel, Marieke De Craemer","doi":"10.1186/s12966-025-01863-z","DOIUrl":"10.1186/s12966-025-01863-z","url":null,"abstract":"<p><strong>Background: </strong>Establishing healthy 24-hour movement behaviours early in life is crucial for long-term health. However, few preschoolers comply with the 24-hour movement behaviour guidelines. Given the pivotal role of parents in shaping children's health habits, interventions targeting parenting practices may optimise these behaviours in preschoolers. This study evaluates the effectiveness of the 'Move ARound And Get Active' (MARGA) intervention in improving preschoolers' 24-hour movement behaviour composition, guideline compliance, and parents' parenting practices.</p><p><strong>Methods: </strong>A two-armed, non-equivalent pretest-post-test control group design was conducted in Belgium. The MARGA intervention, co-created with parents, incorporated seven interactive sessions over 11 weeks, focussing on parenting practices conceptualised within the Self-Determination Theory and behaviour change methods such as planning and goal setting. Participants included preschoolers (2.5-6 years) and one parent per child (n = 141; 49 intervention, 92 control). The primary outcomes were changes in preschoolers' 24-hour movement behaviour composition and guideline compliance measured using accelerometers and proxy-reported diary. Secondary outcomes included changes in proxy-reported parents' parenting practices. Both intention-to-treat (ITT) and per-protocol (PP) analyses were performed. In addition, intervention implementation was investigated.</p><p><strong>Results: </strong>The intervention showed no significant impact on the overall 24-hour movement behaviour composition, nor on 24 h-movement behaviour guideline compliance. However, favourable intervention effects were observed for screen time guideline compliance (ITT: d = 1.5, p = 0.04, PP: d = 8.6, p = < 0.001) and combinations of screen time and physical activity (ITT: d = 1.2, p = 0.05, PP: d = 1.7, p = 0.04) or sleep (PP: d = 1.7, p = 0.05) guideline compliance. Parenting practices also improved in parents from the intervention condition compared to parents from the control condition, including setting screen time rules (ITT: d = 0.79, p = 0.01, PP: d = 1.1, p = 0.001), providing choices within sleep routines (ITT: d = 0.63, p = 0.04, PP: d = 0.68, p = 0.05), parent and preschooler performing physical activity together (PP: d = 0.76, p = 0.03) and explaining screen time rules (PP: d = 0.68, p = 0.05). Implementation scores indicated moderate engagement, with attendance rates averaging 49.7%.</p><p><strong>Conclusions: </strong>The intervention showed modest improvements in preschoolers' 24-hour movement behaviours and parenting practices. Extended follow-up observations might be required to capture changes in preschoolers' 24-hour movement behaviours, especially considering that the intervention targets preschoolers indirectly by first aiming to influence parents' parenting practices.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov (ID NCT06171191).</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":" ","pages":"4"},"PeriodicalIF":5.5,"publicationDate":"2025-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12821932/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145745648","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":"Creating healthy habits for Maryland preschoolers (CHAMP): a cluster-randomized controlled trial among childcare centers.","authors":"Alysse J Kowalski, Bridget Armstrong, Angela C B Trude, Raquel Arbaiza, Amber Czinn, Laura L Bellows, Susan L Johnson, Yan Wang, Erin R Hager, Maureen M Black","doi":"10.1186/s12966-025-01824-6","DOIUrl":"10.1186/s12966-025-01824-6","url":null,"abstract":"<p><strong>Background: </strong>Risks for chronic health problems are embedded in preschoolers' dietary and physical activity habits. Childcare centers are a potential venue to establish healthy habits. We hypothesized that health-promoting center plus parent interventions would improve preschoolers' dietary and physical activity outcomes, including body weight, over control.</p><p><strong>Methods: </strong>We made local modifications to the 30-week Food Friends^® curriculum to develop a center intervention, Creating Healthy Habits Among Maryland Preschoolers (CHAMP), and a parent website (CHAMP+), aligned with the CHAMP intervention. The CHAMP intervention included a manual, web-based lessons plans, handouts, resources, and program materials implemented by CHAMP-trained staff. We evaluated effectiveness in a 3-arm cluster randomized controlled trial. Childcare centers serving low-income communities were recruited (2017-2020) from 10 counties and randomized to center (CHAMP), center plus parent (CHAMP+), or Control arms. Willingness-to-try-new-food, fruit and vegetable (FV) preference, motor competence (Test of Gross Motor Development-2), moderate-vigorous-physical-activity (MVPA, 7-day accelerometry), and anthropometry (BMI z-scores) were measured at baseline/endline (6 months post-baseline) by assessors masked to intervention status. Linear mixed models examined differences in changes among arms. Center baseline nutrition/physical activity environmental quality (Environment and Policy Assessment and Observation) was examined as moderating intervention effects.</p><p><strong>Results: </strong>Fifty-six centers were randomized (CHAMP = 21, CHAMP+ = 20, Control = 20); 855 children. Centers were diverse by location, race, and income; children were mean age 48.44 (SD 7.50) months, 54% male; 26% experienced overweight/obesity. Analyses adjusted for baseline differences in child age, race, and ethnicity. The intervention improved motor competence (gross motor quotient: pooled CHAMP/CHAMP+ vs. Control 5.67 [95% CI: 0.60, 10.75]; locomotor score: pooled CHAMP/CHAMP+ vs. Control 1.74 [95% CI: 0.43, 3.05]) and reduced BMIz (pooled CHAMP/CHAMP+ vs. Control (-0.08 [95% CI: -0.15, 0.00]); with no intervention effects on willingness-to-try-new-foods, FV preference, or MVPA and no impact enhancement by the parent intervention (CHAMP+). Moderation analyses showed stronger increases in willingness-to-try-new-foods and MVPA in centers with higher quality nutrition/physical activity environments.</p><p><strong>Conclusions: </strong>Childcare center interventions can improve motor competence and reduce BMIz among preschoolers. Higher quality nutrition/physical activity environment can increase the impact of interventions on children's dietary behaviors and physical activity, contributing to healthy habits.</p><p><strong>Trial registration: </strong>NCT03111264.</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":" ","pages":"156"},"PeriodicalIF":5.5,"publicationDate":"2025-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12701592/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145726961","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":"Exercise empowerment: a scoping review of randomized controlled trials and quasi-experimental physical activity interventions.","authors":"Aspen E Streetman, Rachel L Walden, Colin J Orr, William J Heerman","doi":"10.1186/s12966-025-01859-9","DOIUrl":"10.1186/s12966-025-01859-9","url":null,"abstract":"<p><p>BACKGROUND: Physical inactivity is a leading contributor to chronic disease and premature mortality across the globe. Traditional physical activity interventions often promote physical activity initiation but have limited long-term effectiveness. Empowerment has been recognized as a potentially powerful tool in health behavior change, but it is unclear how empowerment is operationalized in physical activity interventions. One current gap in the literature is the role of empowerment in physical activity interventions. Therefore, this review aims to determine how exercise empowerment is defined, measured, and theoretically framed in randomized controlled trials and quasi-experiments across various populations. We are also interested in understanding the strategies for facilitating empowerment, whether empowering interventions increase physical activity, and if physical activity outcomes are assessed. METHODS: A scoping review adhering to the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews was conducted across five electronic databases (PubMed, Embase, PsycINFO, Web of Science, Cochrane Library, CINAHL). Inclusion criteria included adults and children, participation in a physical activity intervention, and an empowerment strategy. Exclusion criteria included qualitative studies, studies published before 1994, and studies not in English. RESULTS: Forty papers were included in this scoping review, but no interventions explicitly defined exercise empowerment. Empowerment was not directly measured in any of the included interventions. Empowerment theory or a derivative informed nine (22.5%) of the included articles, while six (15%) lacked theoretical underpinnings. Most interventions (55%) utilized an educational approach. Physical activity was measured subjectively in 27 (67.5%) interventions. Physical activity increased in most studies (n = 29; 72.5%). CONCLUSIONS: This review highlights the disconnect between the multidimensional framework of empowerment theory and interventions designed to empower participants. We identified several opportunities to increase intervention effectiveness, including developing and applying a consensus definition of exercise empowerment that creates better alignment with empowerment theory. Exercise empowerment should be defined as the perceived confidence and control over exercise choices that lead to sustained exercise and a sense of fulfillment. It can be experienced both individually and collectively. The process of building exercise empowerment depends on developing personal confidence and control over exercise choices, engaging with supportive social networks to initiate and sustain exercise, and utilizing available community-based exercise resources. </p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":" ","pages":"5"},"PeriodicalIF":7.1,"publicationDate":"2025-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12821911/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145716129","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}