International Journal of Behavioral Nutrition and Physical Activity最新文献

{"title":"Development and validation of a healthy lifestyle and behavioral score for predicting metabolic syndrome: evidence from a 24-year longitudinal health check-up cohort in Taiwan.","authors":"Jansen M Cambia, Ta-Chien Chan","doi":"10.1186/s12966-026-01940-x","DOIUrl":"10.1186/s12966-026-01940-x","url":null,"abstract":"<p><strong>Background: </strong>Metabolic syndrome (MetS) is a multifactorial condition characterized by obesity, hypertension, hyperglycemia, and dyslipidemia, often resulting from unhealthy lifestyle and behavioral patterns. This study aimed to develop and validate a Healthy Lifestyle and Behavioral Scale (HLBS) that reflects the combined influence of key pillars of lifestyle medicine and to examine its longitudinal association with MetS risk in a large Taiwanese cohort.</p><p><strong>Methods: </strong>Data were drawn from 201,123 participants of the Mei Jau Health Management Institution between 2000 and 2023. Item selection followed a rigorous construct validation process and selection criteria, including exploratory and confirmatory factor analyses, item response theory modeling, and reliability testing. We then combined the HLBS components such as diet, physical activity, sleep, and substance use, and performed a log binomial generalized estimating equation model to assess its risk association with MetS development.</p><p><strong>Results: </strong>The HLBS demonstrated acceptable model fit and strong internal consistency. Moderate (RR = 1.12; 95% CI = 1.09-1.16) and low (RR = 1.46; 95% CI = 1.41-1.50) adherence to healthy lifestyle behaviors were associated with an increased risk of developing MetS compared with high adherence, and each HLBS component independently contributed to elevate MetS risk. Stratified analyses showed consistent linear associations across all age and sex groups, with stronger effects observed among adults and the elderly.</p><p><strong>Conclusions: </strong>The HLBS provides a reliable, culturally adapted tool for assessing lifestyle behaviors and identifying populations at risk for metabolic disorders. These findings emphasize the importance of promoting comprehensive lifestyle interventions to reduce MetS risk in the general population.</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":" ","pages":""},"PeriodicalIF":7.1,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13445918/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279820","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":"Co-designing policy, practice, and research directions for whole-school physical activity: towards sustainable culture change.","authors":"Anna Chalkley, Zoe Helme, Ellen Silva, Shania Boom, Victoria Archbold, Daniel Bingham, Amika Singh, Antti Bloom, Caterina Pesce, Collin A Webster, Edd Riley-Gibson, Esther van Sluijs, Gabriella McLoughlin, Geir Kåre Resaland, Jo Salmon, John Bartholomew, Juana Willumsen, Katrin Mägi, Lauren Clifford, Lawrence Foweather, Mathias Brekke Mandelid, Merike Kull, Natalie Lander, Nicole Nathan, Spyridoula Vazou, Stuart Fairclough, Tuija Tammelin, Andy Daly-Smith","doi":"10.1186/s12966-026-01937-6","DOIUrl":"10.1186/s12966-026-01937-6","url":null,"abstract":"<p><strong>Background: </strong>Whole-school physical activity (WSPA) approaches are recognised globally as a key investment for increasing children's activity levels. Their success depends on translating national policy into effective school practices through systems-level thinking and multi-stakeholder collaboration. This study aimed to use an experience-based co-design process to produce and prioritise future directions for WSPA policy, practice and research by engaging international stakeholders to identify key roles, needs, and actionable recommendations.</p><p><strong>Methods: </strong>The co-design process took place during a two-day international conference on Whole-School Physical Activity (#WSPA2024). Adopting a design thinking approach, 152 international stakeholders representing 16 countries engaged in two co-design workshops. Participants included professionals representing the policy (n = 64), practice (n = 26), or research (n = 62) sectors. Participants undertook tasks in either same stakeholder or mixed stakeholder groupings to explore and prioritise future needs for policy, practice, and research related to WSPA. All discussions were audio recorded, transcribed verbatim, and analysed using inductive thematic and content analysis. Prioritised actions were synthesised and recommendations to support the future of WSPA were drafted. Stakeholders reviewed the drafted recommendations and proposed modifications using an online questionnaire.</p><p><strong>Results: </strong>Twenty-four recommendations (10 for policymakers, eight for practitioners, and six for researchers) to prioritise and plan for WSPA were developed. These are represented by six interlinked themes reflecting conditions for change: systems thinking, partner engagement and collaboration, equity and inclusion, evidence-based and action orientated, knowledge mobilisation, support and capacity building.</p><p><strong>Conclusions: </strong>WSPA approaches should be viewed as a long-term systems change agenda requiring aligned policy, adaptable practice, and innovative research. The WSPA recommendations provide a platform for multi-sector collaboration, co-production, and investment in scalable, context-sensitive solutions.</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":" ","pages":""},"PeriodicalIF":7.1,"publicationDate":"2026-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13543448/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148267066","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":"Interventions for positive parental feeding practices in low-income households: a scoping review.","authors":"Mohammad Affendy Mhd Akhir, Norhasmah Sulaiman, Nurzalinda Zalbahar, Hanina Hamsan","doi":"10.1186/s12966-026-01938-5","DOIUrl":"10.1186/s12966-026-01938-5","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Parental feeding practices play a critical role in shaping children's dietary behaviours and self-regulation during early childhood. These practices are particularly important in low-income households, where structural constraints, including household food insecurity (HFI), may influence how feeding guidance is implemented and sustained. Although a growing number of interventions aim to promote positive parental feeding practices, there remains limited synthesis of how contemporary programmes are conceptualised, designed, and delivered within low-income contexts, including the extent to which feeding-related components, implementation strategies, and contextual factors such as HFI are addressed.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A comprehensive literature search was conducted across PubMed, CINAHL, and EMBASE using predefined search terms. The study selection followed the Joanna Briggs Institute methodology for scoping reviews and the PRISMA-ScR guidelines. Eligible studies included intervention programmes targeting parental feeding practices among low-income families with young children.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Sixteen articles representing fifteen unique interventions published between 2015 and 2025 were included. The parenting-focused domain was the most common, followed by digital, multicomponent, and home-based nutrition education and skill-building domains. Across interventions, responsive feeding emerged as the most consistently targeted and improved construct, regardless of delivery mode or setting. Interventions incorporating active skill-building strategies such as coaching, modelling, and guided practice were more consistently associated with changes in parental feeding behaviours than those relying primarily on information provision. Explicit integration of HFI into the intervention design was limited; only a small number of interventions (n = 3) measured or directly addressed food insecurity, while others (n = 2) addressed related constraints implicitly through food provision, stress reduction, or improvements in home food availability. The effects on child anthropometric outcomes were generally limited and inconsistent.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Contemporary feeding interventions in low-income households demonstrate substantial conceptual convergence around responsive feeding yet vary widely in implementation strategies and attention to structural context. Findings suggest that feeding practices, meal structure, and the home food environment may represent more appropriate intermediate indicators of intervention success than anthropometric outcomes in early childhood. Future interventions should prioritise theory-driven, skill-based designs and more explicitly integrate household food insecurity and related contextual constraints to enhance relevance, equity, and sustainability.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Trial registration: &lt;/strong&gt;Open Science Framework (OSF), January 12, 2026 (DOI: https://doi.o","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":" ","pages":""},"PeriodicalIF":7.1,"publicationDate":"2026-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13543349/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148265780","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":"Characterizing device-measured sleep in observational health research using compositional data analysis: a systematic review.","authors":"Christine W St Laurent, Guilherme Moraes Balbim, Denver M Y Brown, Chelsea L Kracht, Christopher D Pfledderer, Claire I Groves, Carah D Holesovsky, Griffin A T Randolph, Katrina Rodheim, Sarah Burkart","doi":"10.1186/s12966-026-01935-8","DOIUrl":"10.1186/s12966-026-01935-8","url":null,"abstract":"<p><p>Compositional data analysis (CoDA) is widely used to examine the associations between one's balance of movement behaviors (sedentary behavior, physical activity, and sleep) and health outcomes. Existing reviews have primarily focused on reporting standards for physical activity and sedentary behavior, but have not considered the contribution of sleep reporting to our understanding of CoDA.Purpose To characterize device-based sleep data measurement, processing, and reporting in studies using CoDA to examine associations between movement behaviors and health indicators.Methods A systematic search was conducted in seven databases, along with supplemental strategies (forward and backward citation searches and expert review). Observational studies published since 2015 that employed CoDA approaches using isometric log-ratio transformations to examine the associations between movement behavior compositions utilizing device-based measures of sleep and health outcomes were included. Data extraction included items based on sleep actigraphy measurement, processing, and reporting practices recommended by the American Academy of Sleep Medicine. The National Institutes of Health Quality Assessment Tool for Observational Cohort and Cross-sectional Studies was used to assess study quality.Results Among the 70 included studies (n = 60 cross-sectional, n = 10 longitudinal), few articles reported key sleep measurement and processing information. Most articles (n = 67) included only one sleep component in the time-use composition, and less than half of the articles (n = 29) acknowledged sleep-related limitations. Reports were classified as having good (n = 60) or poor (n = 10) study quality.Conclusions This review identified inconsistencies in the measurement, processing, and reporting of device-measured sleep in studies using CoDA. Varying protocols and reporting on sleep data processing highlight the need for adoption of current standardized approaches and reporting practices. Future research should prioritize transparency and consistency to improve the validity and comparability of findings on sleep's role as a key component of the integrative 24-h approach to health.</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":" ","pages":""},"PeriodicalIF":7.1,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13501660/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148260440","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":"Towards sustainable futures: development and validation of a Food Education Scale (FES) for upper elementary students in Taiwan.","authors":"Li-Jiuan Lai, Tzuhui Angie Tseng","doi":"10.1186/s12966-026-01925-w","DOIUrl":"10.1186/s12966-026-01925-w","url":null,"abstract":"<p><strong>Background: </strong>Food education has become an important policy priority in Taiwan following the enactment of the Food and Agriculture Education Act. However, empirically validated instruments for assessing food literacy among elementary school students remain limited. This study aimed to develop and validate a Food Education Scale (FES) for measuring food literacy among upper elementary school students in Taiwan.</p><p><strong>Methods: </strong>The scale was developed based on the six principles of Taiwan's Food and Agriculture Education Act and Nutbeam's (2000) framework of functional, interactive, and critical literacy. A two-dimensional framework integrating food education content and literacy competencies was constructed. Through expert review, pilot testing, and large-scale survey administration, a 36-item questionnaire was finalized. The formal survey included 400 upper elementary students from 12 schools across northern, central, southern, and eastern Taiwan. Reliability and construct validity were assessed using Cronbach's α, exploratory factor analysis (EFA), and confirmatory factor analysis (CFA) to demonstrate satisfactory construct, convergent, and discriminant validity.</p><p><strong>Results: </strong>The results indicated that the FES demonstrated satisfactory psychometric properties. Internal consistency for all dimensions exceeded the recommended threshold (Cronbach's α > 0.70), and both EFA and CFA supported the scale's overall construct validity. In terms of performance patterns, students scored relatively higher in the dimensions related to cherishing food and reducing waste as well as food culture inheritance, while comparatively lower scores were observed in balanced dietary concepts and local production-local consumption. Differences in food literacy were also associated with school types, regional contexts, and family food practices.</p><p><strong>Conclusions: </strong>The Food Education Scale provides a validated instrument for assessing food literacy among upper elementary school students in Taiwan. The findings provide a validated, policy-aligned instrument for assessing children's food literacy and offer practical guidance for curriculum design and sustainability-oriented food education policies.</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":" ","pages":""},"PeriodicalIF":7.1,"publicationDate":"2026-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13491723/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148254310","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 effect of the Baby-Feed website intervention on diet quality in healthy infants: a randomized controlled trial.","authors":"Alayne Gatto, Madison Paes-Leme, Sophia Acosta, Mariana Leon, Gabriella Reingevurts, Catherine Coccia, Cristina Palacios","doi":"10.1186/s12966-026-01934-9","DOIUrl":"10.1186/s12966-026-01934-9","url":null,"abstract":"<p><strong>Background: </strong>Current infant diet recommendations are often not followed by caregivers, impacting their infant's diet quality. Incorporating diet guidelines with real-time feedback via technology may improve infant diet quality, helping mitigate future obesity risk. This study reports the effectiveness of the Baby-Feed website in improving diet quality among US infant caregivers compared to controls. This website was designed using trusted behavior-change theories to provide real-time feedback on infant diets, show current infant diet recommendations, and monitor progress.</p><p><strong>Methods: </strong>Primary infant caregivers (English or Spanish-literate) with internet access, cellphone text capability, and willing to participate in the full study were enrolled into a parallel-group, randomized controlled trial. Infant diet quality was assessed by the total Diet Quality Index Score (DQIS) at baseline (~ 4 months old) and at the end of the study (~ 9 months old). The DQIS (0-55) is scored as: for 0-5.9 months, 15 points for exclusive and 10 points for partial breastfeeding, and 5 points for formula, while other foods score 5 if not introduced and 0 if introduced; for 6-12 months, appropriate intake of each food group (including formula) scores 5 (2.5 if slightly off, 0 if outside recommendations), with same score for breastfeeding. Total DQIS was categorized as ≥45 (excellent) or below. Data were analyzed with ANCOVA or logistic regression, adjusting for infant age and energy intake.</p><p><strong>Results: </strong>One hundred fifty-five participants were randomized, and 150 were included in the analysis (76 in the intervention group and 74 in the control group). At the end of the intervention, infant total DQIS was higher in the intervention group (44.6 ± 6.53) than in the control group (42.5 ± 7.5) in both the unadjusted (p = 0.036) and adjusted models (p = 0.046). Also, infants in the control group had twice the odds of having an infant total DQIS below excellent (adjusted OR = 2.00; 95% CI: 1.012-3.950; p = 0.046) compared to the intervention group.</p><p><strong>Conclusions: </strong>Using the Baby-Feed website for 6 months improved the quality of infant diets. This could be a tool to help caregivers follow current infant diet recommendations with real-time feedback.</p><p><strong>Trial registration: </strong>Clinicaltrials.gov Identifier: NCT05990439.</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":" ","pages":""},"PeriodicalIF":7.1,"publicationDate":"2026-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13430803/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148058189","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":"Maintenance of physical activity gains among Latina teens: 12-month findings from the Chicas Fuertes randomized controlled trial.","authors":"Esmeralda Castro, Jacob Carson, Emily Greenstadt, Brittany Olivera, Shira Dunsiger, Michael Higgins, Job Godino, Bess Marcus, Dawn Meyer, Michelle Zive, Britta Larsen","doi":"10.1186/s12966-026-01933-w","DOIUrl":"10.1186/s12966-026-01933-w","url":null,"abstract":"<p><strong>Background: </strong>Only about three percent of Latina teens are sufficiently active. As Latinas have a higher prevalence of lifestyle-related chronic health conditions, such as diabetes, compared to non-Latinas, targeted interventions that increase and maintain moderate-to-vigorous-intensity physical activity (MVPA) are needed. Chicas Fuertes is a 12-month multi-channel mHealth physical activity intervention for Latina teens shown to increase MVPA over the first six months. The purpose of this study was to test the effectiveness of Chicas Fuertes for maintaining Latina teens' initial physical activity gains over the subsequent six months.</p><p><strong>Methods: </strong>In a randomized controlled trial, Latina teens, aged 13 -18 and underactive, participated in Chicas Fuertes or served as a control. The intervention group initially received a Fitbit, a one-on-one coaching session and two check-in calls, access to a personalized website, tailored text messages, and daily Instagram content while the control group received only a Fitbit. From six to 12-months, the intervention group received a short coaching call and continued access to the tailored digital media content. Weekly minutes of MVPA were assessed at baseline, six, and 12-months with hip-worn Actigraph GT3X+ accelerometers and the 7-Day Physical Activity Recall Interview. Mixed effects regressions were conducted to examine between-group differences in MVPA at twelve months, with models of accelerometer data adjusting for device wear-time.</p><p><strong>Results: </strong>Of the 160 participants (Mage= 15.9 ± 1.6),137 completed the 12-month follow-up. More than half (69%) identified as second-generation and reported a household income of ≤$50,000 (62%). Weekly minutes of MVPA gained at six months were maintained at twelve months in Chicas Fuertes participants compared to control. Intervention participants had increased median changes in accelerometry-measures, 10.00 (IQR=13), compared to decreases observed in the control, -5 (IQR=21). Median changes in self-reported measures 13 (IQR=32) among intervention compared to 5 (IQR=26) among control.</p><p><strong>Conclusions: </strong>Chicas Fuertes was able to support maintenance of objective and self-reported MVPA gains from six months to twelve months with tapered support. Digital technologies that Latina teens commonly use can be leveraged to increase dissemination and implementation of physical activity interventions at a relatively low cost, ultimately enhancing health equity among Latina teens.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov NCT04190225. Registered on November 20, 2019.</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":" ","pages":""},"PeriodicalIF":7.1,"publicationDate":"2026-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13436138/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148058120","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":"Rethinking public health in the digital food era.","authors":"Adyya Gupta, Kylie Fraser, Adrian J Cameron","doi":"10.1186/s12966-026-01920-1","DOIUrl":"10.1186/s12966-026-01920-1","url":null,"abstract":"","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"23 1","pages":""},"PeriodicalIF":7.1,"publicationDate":"2026-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13217731/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148044549","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 mind-eat program leads to greater improvements in mindful, emotional, and external eating compared to intuitive eating-oriented education in adults with overweight or obesity: a randomized controlled trial.","authors":"Marion Van Beekum, Angélique Rodhain, Rebecca Shankland, Soumeya Chetouane, Dominique Jullien-Durmont, Camille Le Rouzic, Justine Myzia, Marie Guiraudou, Youadigue Kemba, Catherine Boegner, Jean-Baptiste Bonnet, Vincent Attalin, Abdulkader Jalek, Ariane Sultan, Christophe Leys, Sandrine Péneau, Antoine Avignon","doi":"10.1186/s12966-026-01931-y","DOIUrl":"10.1186/s12966-026-01931-y","url":null,"abstract":"<p><strong>Background: </strong>Mindful eating interventions target behavioral and emotional processes involved in eating, but most structured programs have been evaluated in English-speaking settings and often compared with passive controls. This randomized controlled trial assessed the effectiveness of the Mind-Eat program, a structured mindfulness-based intervention, versus treatment as usual consisting of a therapeutic patient education (TPE) program grounded in intuitive eating principles, in adults with overweight or obesity.</p><p><strong>Methods: </strong>In this single-center trial, 66 adults with overweight or obesity were randomized (1:1) after oral agreement. Of these, 56 completed baseline assessment, and 46 with baseline and at least one post-baseline assessment were included in the modified intention-to-treat analysis. The Mind-Eat group completed eight weekly experiential sessions plus one follow-up session, while the comparator group followed the department's usual TPE pathway. Assessments were conducted at baseline, post-intervention (week 8), and follow-up (week 12). The primary outcome was change in mindful eating, measured with the validated Mind-Eat Scale. Secondary outcomes included disordered and intuitive eating behaviors, psychological well-being, trait mindfulness, physical activity, and weight. Analyses used linear mixed-effects models.</p><p><strong>Results: </strong>Significant Group × Time interactions favored the Mind-Eat group for mindful eating at week 8 (β = - 0.40, p = .002, d = - 1.32) and week 12 (β = - 0.31, p = .02, d = - 1.02). Compared with treatment as usual, Mind-Eat was also associated with greater reductions in emotional eating (and greater improvements in intuitive eating and trait mindfulness. Improvements were observed in both groups across several outcomes. No between-group differences were found for restrained eating, perceived stress, anxiety, depression, physical activity, or weight.</p><p><strong>Conclusions: </strong>The Mind-Eat program was associated with greater improvements in mindful eating and key eating-related behaviors, particularly emotional and external eating, than an intuitive eating-oriented TPE program delivered as treatment as usual. These findings support the added value of structured mindfulness-based experiential training in obesity care. However, they should be interpreted in light of attrition and the absence of short-term weight effects.</p><p><strong>Trial registration: </strong>The study protocol is recorded at Clinicaltrials.gov under the number: NCT06157411.</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":" ","pages":""},"PeriodicalIF":7.1,"publicationDate":"2026-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13377856/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147984060","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":"Effect of parent-focused interventions for screen use on developmental outcomes in young children: a systematic review and meta-analysis.","authors":"Amanda Machell, Carrie Ewin, Sharon Horwood, Katherine L Downing, Kylie D Hesketh","doi":"10.1186/s12966-026-01919-8","DOIUrl":"10.1186/s12966-026-01919-8","url":null,"abstract":"<p><strong>Introduction: </strong>Parents are a key target for interventions promoting healthy screen use in young children, but no review has evaluated the effect of such parent-focused interventions on developmental outcomes in early childhood. The objective of this study was to conduct a systematic review and meta-analyses of the effects of parent-focused interventions for screen use on young children's social-emotional, cognitive, and physical development, as well as proximal indicators of development including sleep and physical activity. A secondary objective was to assess their impact on children's screen use.</p><p><strong>Methods: </strong>Eight databases were searched with publication dates between 2007 and March 2025. Randomised controlled trials of parent-focused interventions targeting screen use in children (birth-5.99 years) were included if they reported outcomes related to both child screen use and development. Stata was used to undertake meta-analyses using multilevel random effects models to estimate effects for outcomes with data from at least three papers.</p><p><strong>Results: </strong>In total, 10 studies (11 papers) were eligible for inclusion, with eight studies (n = 1,776 participants) providing sufficient data to be included in meta-analyses of at least one outcome. Interventions targeted screen use duration (n = 8 studies), screen use before bed (n = 1 study) and screen content (n = 1 study; 2 papers). Interventions achieved reductions in social-emotional problems (ES=-0.32 (95%CI:-0.51,-0.12)), externalizing behaviors (ES=-0.31 (95%CI:-0.56,-0.05)) and screen time (ES=-0.92 (95%CI:-1.66,-0.18)). Few interventions (n = 2) targeted aspects of screen use other than duration (e.g. content quality and timing). Larger effects were achieved for interventions that were underpinned by a theory and incorporated a range of established behavior change techniques, compared to interventions that did not incorporate these aspects. Few studies explored intervention effects on physical activity, body mass index, cognitive development and/or motor skills, and heterogenous sleep outcomes were reported, making it difficult to draw definitive conclusions regarding these outcomes.</p><p><strong>Conclusions: </strong>Few parent-focused interventions for screen use were identified and most targeted screen use duration. Future intervention studies may consider targeting aspects of screen use other than duration (e.g. content quality), and evaluating their feasibility and acceptability for parents, compared to interventions targeting screen use duration. The protocol was prospectively registered on PROSPERO (ID: CRD420250654905).</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":" ","pages":""},"PeriodicalIF":7.1,"publicationDate":"2026-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13374355/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147984063","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}