International Journal of Behavioral Nutrition and Physical Activity最新文献

{"title":"REFRESH-daily: a short 10-item questionnaire for evaluating behavior change towards healthier and more environmentally sustainable diets.","authors":"Ujué Fresán, Anna Boronat, Joren Buekers, Rafael de la Torre, Laura M König, Guillaume Chevance","doi":"10.1186/s12966-026-01901-4","DOIUrl":"10.1186/s12966-026-01901-4","url":null,"abstract":"<p><p>BACKGROUND: Short dietary questionnaires for measuring environmentally sustainable healthy diets in daily life are scarce. REFRESH-daily (Rapid Evaluation FoR Environmentally Sustainable Healthy diets daily) is a brief 10-item questionnaire developed to fill this gap. It is administered daily and aggregates intake data to capture weekly dietary patterns and its alignment with dietary recommendations. This study aimed to evaluate its internal consistency, relative validity, construct validity, as well as end-user acceptability. METHODS: A validation study was conducted among 106 adults in Spain. Participants completed REFRESH-daily for seven days via a mobile application, alongside a 7-day digital food diary as the reference method. Internal consistency was assessed using Cronbach’s alpha. Relative validity was evaluated through multi-level Bland–Altman analyses comparing REFRESH-daily with food diary data. Construct validity was tested by examining associations between REFRESH-daily score and food consumption, nutrient intake, estimated health risks based on the Global Burden of Disease framework, and environmental impact via Life Cycle Assessment methodology. Likert-scales were used to assess acceptability. RESULTS: REFRESH-daily showed good internal consistency (Cronbach’s alpha = 0.71). Relative validity analyses showed a small mean difference of 0.3 points (out of 10) between REFRESH-daily and food diary scores. Higher REFRESH-daily scores were associated with greater intake of whole plant-based foods, health-promoting nutrients, lower estimated disease risks, and reduced environmental impacts. User acceptability was high. CONCLUSIONS: REFRESH-daily is a valid, reliable and user-friendly tool for assessing alignment with environmentally sustainable healthy diets. Its ease of use and sensitivity to subtle dietary shifts make it particularly well-suited for the integration into behavioral dietary interventions serving as a key tool for tracking progress and informing feedback in research and applied settings. </p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":" ","pages":""},"PeriodicalIF":7.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13227659/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147596247","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":"Implementation of Change Club action plans to promote built environment change in rural communities.","authors":"Meredith L Graham, Emma C Lewis, Deyaun L Villarreal, Sara C Folta, Leah C Volpe, Galen D Eldridge, Karla L Hanson, Grace A Marshall, Jay E Maddock, Miriam E Nelson, Rebecca A Seguin-Fowler","doi":"10.1186/s12966-026-01908-x","DOIUrl":"10.1186/s12966-026-01908-x","url":null,"abstract":"<p><p>BACKGROUND: Rural United States communities often experience disproportionate burdens of obesity, cardiovascular disease, diabetes, and premature mortality. Built environment constraints, including limited sidewalks, recreation facilities, and access to nutritious foods, may restrict opportunities for adoption and maintenance of healthy eating and physical activity behaviors. Civic engagement approaches empower residents to assess community needs, develop action plans, and implement policy, systems, and environmental (PSE) strategies. However, few randomized trials have examined implementation of PSE strategies and their impacts in rural adult populations. This study evaluated implementation of Cooperative Extension-led Change Club (CC) community project action plans aimed at facilitating PSE change in six rural and micropolitan Texas and New York intervention communities. Presently, we document implementation outcomes and identify factors that may have influenced implementation using the Consolidated Framework for Implementation Research (CFIR). METHODS: CCs followed a 24-module curriculum facilitated by trained Extension educators. Approved action plans were provided with seed money to target diet and physical activity PSE changes. Implementation outcomes regarding the action plans were tracked through educator reports, interviews, and proposals. CFIR factors were assessed during the early stages of action plan implementation using interviews with educators and participant residents. RESULTS: All six intervention communities implemented action plans, most of which had multiple components. Each prioritized environmental changes and most focused on addressing physical activity. Implementation timing and continuity varied, influenced by external factors such as weather and local approvals. CFIR analysis identified beliefs about feasibility, stakeholder engagement, and group decision-making as key factors influencing implementation. CONCLUSIONS: Rural CCs successfully launched a variety of built environment initiatives. This implementation evaluation highlights pathways and barriers related to scaling rural civic engagement strategies. TRIAL REGISTRATION: Clinical Trial #NCT05002660 (August 2021). </p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":" ","pages":""},"PeriodicalIF":7.1,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13162460/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147596209","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":"Committed to climate action? Opportunities for scientific societies to lead the change we need in the world.","authors":"Shilpa Dogra, Rodrigo Reis, Erica Hinckson, Ty Ferguson, Ester Cerin, Julia A Wolfson, Sebastien Chastin, Delfien Van Dyck, Palma Chillón, Karim Abu-Omar, António L Palmeira","doi":"10.1186/s12966-026-01895-z","DOIUrl":"10.1186/s12966-026-01895-z","url":null,"abstract":"<p><p>The climate crisis is undoubtedly compromising human and planetary health. As behaviour change scientists, we must reflect on the behaviours we are promoting, as well as the research and professional practices we engage in, to ensure we are prioritizing human and planetary health. This commentary focuses on issues within the scope of scientific/academic societies by sharing our journey as the Climate Action Committee for the International Society for Behavioural Nutrition and Physical Activity. First, we provide details on the structure and function of our committee, then we provide insights into the GHG emissions associated with running our society, and finally, we report on our journey thus far, sharing the strategies we have identified that align with current evidence on climate change. We also address the tensions associated with climate action within scientific societies, and hope to begin a dialogue with others to come up with creative solutions that continue to support research and researchers, while addressing the urgency of our climate crisis.</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"23 1","pages":""},"PeriodicalIF":7.1,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13034594/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147583049","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":"Overprotective parenting and preschoolers' physical activity and screen time: cross-sectional findings from the DAGIS survey.","authors":"Jenna Rahkola, Henna Vepsäläinen, Reetta Lehto, Sanne Gerards, Jessica Gubbels, Josefine Kailaheimo-Björkqvist, Henna Launistola, Mirkka Maukonen, Nina Sajaniemi, Maijaliisa Erkkola, Eva Roos, Carola Ray","doi":"10.1186/s12966-026-01910-3","DOIUrl":"10.1186/s12966-026-01910-3","url":null,"abstract":"<p><p>BACKGROUND: General parenting describes a parents’ overall approach to parenting across situations, creating the emotional climate of the parent–child relationship. Some general parenting constructs have been associated with children’s health behaviors. However, overprotective parenting—marked by excessive involvement and control with limited autonomy support relative to the child’s developmental level—remains largely understudied in relation to preschoolers’ physical activity (PA) and screen time (ST), as do the potential moderating effects of sociodemographic variables in these associations. Therefore, we examined the associations of overprotection with PA and ST among Finnish preschoolers and explored whether parental education or children’s sex moderated these associations. METHODS: This cross-sectional study included 798 Finnish 3–6-year-olds and their parents from the DAGIS Survey. Parents completed an overprotection scale from an item-reduced version of the Comprehensive General Parenting Questionnaire. Children’s ST was parent-reported via a seven-day diary, while PA was measured with Actigraph accelerometers (for seven days). Weekday, weekend, and overall averages were computed for ST, moderate-to-vigorous physical activity (MVPA), and total physical activity (TPA). Linear mixed-effects models were used for analyses. The models were adjusted for the child’s age and sex, parental education, number of children in the household, birth order, and questionnaire respondent (mother/father). Moderation by sex and education was tested by adding the corresponding interaction terms to the models. RESULTS: Children’s weighted averages were 71 min of MVPA, 398 min of TPA, and 76 min of ST per day. Overprotection was inversely associated with weekend MVPA (B: -3.49, 95%CI: -6.50; -0.48), weekend TPA (B: -9.94, 95%CI: -16.56; -3.34), and overall average TPA (B: -5.70, 95%CI: -10.78; -0.64). No associations with ST were found, nor were any associations moderated by sex or parental education. CONCLUSIONS: These results suggest an association between higher overprotection and lower PA among preschool-aged children regardless of child sex and parental educational level. We hypothesize that overprotective parents may, for example, restrict children’s PA due to safety concerns. Although the mechanisms and causality of the associations found require further investigation, identifying and addressing overprotective parenting could be beneficial in PA-promoting interventions. </p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":" ","pages":""},"PeriodicalIF":7.1,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13154676/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147534190","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":"Associations between perceived neighborhood environment and physical activity among breast cancer patients engaged in a physical activity program concomitant to cancer treatment: cross-sectional and longitudinal analyses in the DISCO trial (DiscoSpace).","authors":"Margaux Langlois, Lény Grassot, Baptiste Fournier, Olivier Trédan, Carmen Dupuis, Aurélia Maire, Annabelle Sueur, Delphine Praud, Béatrice Fervers, Olivia Pérol, Mathilde His","doi":"10.1186/s12966-026-01909-w","DOIUrl":"10.1186/s12966-026-01909-w","url":null,"abstract":"<p><p>BACKGROUND: Despite the proven benefits of physical activity during breast cancer treatment, many women reduce their practice after diagnosis. A better understanding of how the neighborhood environment influences physical activity behavior could help optimize strategies for physical activity in breast cancer patients undergoing cancer treatment. This study examined associations between perceived neighborhood environment and physical activity among breast cancer patients undergoing treatment and engaged in a physical activity program. METHODS: Participants were 313 breast cancer patients enrolled in the DISCO physical activity intervention trial (NCT03529383). In the present observational analysis (DiscoSpace), cross-sectional (at baseline) and longitudinal (during intervention) associations between perceived neighborhood environment and physical activity were investigated. The perceived neighborhood environment was assessed using the ALPHA questionnaire, physical activity and physical functioning were evaluated through the Recent Physical Activity Questionnaire (self-reported physical activity) and the 6-Minute Walk Test (to measure the 6-Minute Walk Distance (6MWD)). Associations were estimated through mixed linear regression models. RESULTS: Better perceived cycling and walking infrastructures and network were associated with higher self-reported physical activity at baseline (total infrastructures: β = 0.226, 95% CI (0.063;0.388); network: β = 0.161, 95% CI (0.008;0.314)). Perceived distance to local facilities was inversely associated with 6MWD at baseline (β=-11.363, 95% CI (-20.607;-2.118)). The perception of densely populated neighborhoods (β=-0.306, 95% CI (-0.494;-0.117)) was associated with a smaller increase in self-reported physical activity during the intervention, after adjustment for trial arm. These associations varied according to women’s socioeconomic status and municipality class. CONCLUSIONS: The perceived neighborhood environment and socioeconomic characteristics of women with breast cancer should be given greater consideration for developing effective programs to promote physical activity in this population. </p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":" ","pages":""},"PeriodicalIF":7.1,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13154525/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147516487","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 and application of a scoring and visualization approach for 24-hour movement behaviours: an example based on social-emotional development in early years children.","authors":"Samah Zahran, Dorothea Dumuid, Mark S Tremblay, Dylan P Cliff, Devan Antczak, Eivind Aadland, Emad A Anam, Katrine N Aadland, Hayley Christian, Jade Burley, Catherine E Draper, Diego Augusto Santos Silva, Esther M F van Sluijs, Timothy S Olds, Ty Stanford, Rute Santos, Zhiguang Zhang, Ian Janssen","doi":"10.1186/s12966-026-01907-y","DOIUrl":"10.1186/s12966-026-01907-y","url":null,"abstract":"<p><p>BACKGROUND: Current methods for assessing the healthfulness of 24-hour movement behaviours (sleep, sedentary time, light physical activity, moderate-to-vigorous physical activity) use binary classifications that fail to capture their continuous and compositional nature. This study introduces a percentile-based scoring and visualization approach to evaluate the healthfulness of movement behaviour time-use compositions, using social-emotional development in early childhood as an example. METHODS: This cross-sectional study includes 560 children aged 1.2–2.9 years and 1,500 children aged 3.0-4.9 years from Sleep and Activity Database for the Early Years (SADEY), an international accelerometer repository of young children’s movement behaviours. Sedentary time, light physical activity, and moderate-to-vigorous physical activity were measured using accelerometers. Sleep duration was parent-reported. Social-emotional development was assessed using age- and sex-normalized scores from the Strengths and Difficulties Questionnaire. Linear regression models with compositional covariates were used to model associations between movement behaviours and Strengths and Difficulties Questionnaire scores. Representative grids containing all possible time-use compositions (in 5 min/d increments) of sleep, sedentary time, light physical activity, and moderate-to-vigorous physical activity were developed. The regression models were applied to each time-use composition in the grid, and the predicted scores were ranked to create percentile scores for different movement behaviour time-use compositions. RESULTS: The 24-hour movement behaviour composition was associated with all five Strengths and Difficulties Questionnaire scores in both age groups (p ≤ 0.01). The grids contained 17,577 and 16,535 possible time-use compositions for 1–2 and 3–4-year-olds, respectively. Time-use compositions ranked at the 0th percentile had the least sleep and highest sedentary time, while those ranked at the 100th percentile had the most sleep and least sedentary time. Across the central range of the percentile score distribution (e.g., rankings between the 25th to 75th percentiles), some very different time-use compositions had the same percentile score. Interactive visualization tools were presented to enable real-time exploration of percentile scores for various movement behaviour time-use compositions. CONCLUSIONS: This study introduces a novel approach to evaluate the health benefits of movement behaviours. This approach moves beyond traditional binary cutoffs to recognize the gradual improvements in health that occur with small changes in behaviours, and that there are multiple pathways to achieving the same health benefits. </p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":" ","pages":""},"PeriodicalIF":7.1,"publicationDate":"2026-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13137636/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147505352","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":"\"There's no better medicine than my outdoors\": understanding the importance of physical activity in rural and remote First Nations communities in Northern British Columbia, Canada.","authors":"Sunaina Chopra, Travis Holyk, Stacy Maddocks, Suzanne Huot, Pat G Camp","doi":"10.1186/s12966-026-01892-2","DOIUrl":"10.1186/s12966-026-01892-2","url":null,"abstract":"<p><p>BACKGROUND: While Canadian First Nations communities actively participate in sport, cultural, and land-based activities, they face various barriers to physical activity. Despite calls for increased support at all government levels, access to suitable programs for those with chronic conditions in particular remains limited. As part of an ongoing partnership between the University of British Columbia and Carrier Sekani Family Services (CSFS), this qualitative study aimed to explore current values, perceived barriers, and potential facilitators of physical activity among people living with chronic health conditions in rural and remote First Nations communities in northern British Columbia. METHODS: This qualitative study is part of a larger mixed-methods, community-based participatory action project with CSFS titled Niwh Yizt’iyh Hilht’iz Nets’eelh’iyh – “Strengthening our Bodies”. Semi-structured interviews, with optional Photovoice, were conducted with participants aged 12 years and older who had at least one chronic condition and belonged to First Nations communities served by CSFS. Participants were recruited from a prior community-based physical activity survey study that captured brief information on current physical activity experiences in their community. Data were analyzed using reflexive thematic analysis, guided by Indigenous Wholistic Theory (a framework emphasizing the interconnected and cyclical physical, mental, emotional, and spiritual dimensions of health and wellness) to ensure cultural relevance. Coding progressed from semantic to latent themes, supported by NVivo and reflexive journaling. RESULTS: Interviews were conducted with 29 participants from three communities (69% female, mean age: 55 years old), all managing various chronic conditions such as diabetes, arthritis, and cardiovascular disease. The identified themes were: 1) Integrating cultural values with physical activity to manage chronic disease, 2) Cultural disconnection: A barrier to health and physical activity, and 3) Community approaches to facilitate physical activity in chronic disease. Together, these themes highlight the role of culture, supportive community structures, and tailored approaches in physical activity engagement. CONCLUSION: To strengthen physical activity programming, service providers should ensure initiatives are aligned with community values, address identified barriers, and encourage locally recognized facilitators. These insights will empower health care organizations and communities to develop targeted, inclusive strategies for physical activity programming tailored to individuals with chronic conditions. </p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":" ","pages":""},"PeriodicalIF":7.1,"publicationDate":"2026-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13130438/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147494401","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 independent and combined effect of price increase and price labelling on sugar-sweetened beverage vending machine sales in an Australian university: a factorial randomised controlled trial.","authors":"Miranda R Blake, Jane Dancey, Adrian J Cameron, Anna Peeters, Julie Brimblecombe, Liliana Orellana","doi":"10.1186/s12966-026-01890-4","DOIUrl":"10.1186/s12966-026-01890-4","url":null,"abstract":"<p><p>BACKGROUND: No studies have examined how price increases on unhealthy drinks in university vending machines impact customer purchasing or vendor financial implications. Vending machines often display prices only upon product selection, hindering consumers’ price evaluation. OBJECTIVE: To assess the independent and combined effects of (i) a 20% price increase on unhealthy drinks, and (ii) prominent labels displaying the price below each product, on the healthiness of customer purchases and revenue in university vending machines. DESIGN: Two-year 2 × 2 factorial cluster randomized controlled trial (March 2020 to February 2022). Machines were clustered by proximity. Itemised weekly sales data were collected for 33 weeks pre-trial and 103 weeks during the trial. Six-monthly audits assessed treatment maintenance. PARTICIPANTS/SETTING: Sixty vending machines across four campuses of a university in Victoria, Australia, with 59 machines analyzed. INTERVENTION: Machine groups were randomly allocated to four conditions: (i) 20% price increase on unhealthy drinks (‘Price Increase Only’); (ii) prominent labels displaying the price below each product (‘Price Label Only’); (iii) ‘Price Increase + Price Label’; and (iv) no price increase or labels (‘Control’). MAIN OUTCOME MEASURES: The primary outcome was the change from pre-trial mean of volume percentage of unhealthy drinks sold per machine per week. Secondary outcomes included volume percentage of healthier drinks sold per week and revenue. STATISTICAL ANALYSES: Sales data were analysed using linear mixed models with machine cluster and machine as random effects; and fixed effects for price, label, price × label, pre-trial mean outcome, teaching period, COVID-19 lockdowns, and season. RESULTS: Mean volume percentage of unhealthy drink sales was higher for the ‘Price Label Only’ compared to ‘Control’ condition (6.34 percentage points, 95%CI: 1.85, 10.82), percentage of unhealthy drink units sold, and energy and total sugar content of drinks sold, and lower for volume and unit percentage of unhealthy drink sales. No other significant differences were observed for the primary or secondary outcomes. CONCLUSIONS: This study in university vending machines found no impact of a 20% unhealthy drink price increase, and an increase in volume sales of unhealthy drinks in response to prominent price labelling only. TRIAL REGISTRATION: Australian New Zealand Clinical Trials Registry Number: ACTRN12620000206921 (prospectively registered 20 February 2020). </p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":" ","pages":""},"PeriodicalIF":7.1,"publicationDate":"2026-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13126900/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147482169","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":"Associations of eating context with dietary quality, satiety, and postprandial blood glucose in free-living Singaporean adults during 9 days of intensive digital phenotyping.","authors":"Leah Turton, Jiali Yao, Salome A Rebello, Xueling Sim, Falk Müller-Riemenschneider, Rob M van Dam","doi":"10.1186/s12966-026-01903-2","DOIUrl":"10.1186/s12966-026-01903-2","url":null,"abstract":"<p><p>BACKGROUND: Eating behaviors are shaped by contextual factors such as where people eat, who they eat with, and their activities and mood during meals. However, data on these determinants of food choice in Asian populations are limited. We examined how eating context is associated with dietary quality, satiety, and postprandial blood glucose levels in an urban Asian population. METHODS: We analyzed data from up to 1291 Singapore residents aged 21–69 years (20,629 meals) in the Continuous Observations of Behavioral Risk Factors in Asia (COBRA) study. Over nine consecutive days, participants completed smartphone-based ecological momentary assessments six times per day, reporting meal composition, location, companions, concurrent activities, and premeal hunger, tiredness, stress, and happiness. We calculated diet quality scores for each meal (range 0–10). Masked continuous glucose monitors recorded interstitial glucose every 15 min, from which the 2-hour postprandial glucose was derived using incremental area under the curve. We estimated associations using generalized estimating equations, adjusting for sociodemographic, lifestyle, clinical, and other contextual factors. RESULTS: Meals were consumed at home (60%), hawker centers (local open-air food courts) (14%), the workplace (11%), other restaurants (9%), fast-food restaurants (2%), or other locations. Compared with home meals, diet quality was significantly lower at all out-of-home locations, particularly at fast-food restaurants (β: -0.70; 95% CI: -0.82, -0.57) and hawker centers (β: -0.56; CI: -0.63, -0.48). Postprandial glucose was higher after meals at hawker centers (β: 30.11 mmol/L*minute; CI: 20.11, 40.11) and the workplace (β: 17.48; CI: 4.34, 30.62) than at home. Eating with friends was associated with lower postprandial glucose than eating alone. Higher premeal happiness was associated with modestly higher diet quality, whereas greater premeal hunger was associated with higher postprandial glucose. CONCLUSIONS: In this urban Asian setting, eating location was a key determinant of meal quality and postprandial glycemic response. Hawker centers and fast-food restaurants were associated with worse diet quality, and hawker centers and workplace venues with higher postprandial glucose. Interventions that support home-prepared meals and promote healthier food options when eating away from home may improve cardiometabolic health. </p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":" ","pages":""},"PeriodicalIF":7.1,"publicationDate":"2026-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13123034/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147482122","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":"Social and physical environmental correlates of movement behaviors, body weight status, and well-being among adolescents in Nigeria: a youth-centered participatory action project narrative review.","authors":"Adewale L Oyeyemi, Adefunke B Ogunleye, Anita C Okafor, Neha Kollipara, Mai J M ChinAPaw, Dayo R Omotoso","doi":"10.1186/s12966-026-01904-1","DOIUrl":"10.1186/s12966-026-01904-1","url":null,"abstract":"<p><p>BACKGROUND: The epidemic of non-communicable diseases related to lifestyle movement behaviors is rising rapidly in Africa, with adolescents increasingly affected by physical inactivity, excessive sedentary behavior, poor sleep, being overweight or obese, as well as mental health challenges. While evidence supports the importance of social and physical environmental factors in improving adolescents’ health, understanding these issues among African adolescents remains limited. Insights from evidence from low- and middle-income countries (LMICs), which are often underrepresented in research on environmental influences on movement behaviors and health, may be relevant to certain Western contexts, especially those in resource-constrained settings. This narrative review aims to synthesize findings from available literature on social and physical environmental correlates of movement behaviors, body weight status, and well-being among adolescents in Nigeria, an LMIC in Africa. METHODS: We searched electronic databases, including PubMed, Scopus, Google Scholar, and African Journals Online, for original research articles published prior to January 2025 on socioenvironmental factors and movement behaviors, body weight status, and well-being among Nigerian adolescents (aged 10–20 years). Each study underwent screening and data extraction by two reviewers. Study quality was assessed with the modified Downs and Black checklist, and data were analyzed using narrative synthesis. RESULTS: A total of 25 articles met the inclusion criteria, all of which were cross-sectional studies. The review suggested that social class, school settings, peer relationships, family structure, electronic device use in the bedroom, neighborhood walkability features, availability of open recreational spaces, and urbanization were important socioenvironmental factors related to multiple movement behaviors and health outcomes among Nigerian adolescents. Some of these relationships were modified by gender and socioeconomic status. CONCLUSIONS: The evidence from this narrative review highlighted the need for more prospective and intervention studies to understand how environmental factors may promote healthier movement behaviors, enhance health, and overall well-being among Nigerian adolescents. The results could be used by researchers, policymakers, and stakeholders, including school administrators, urban planners, health professionals, parents, and community organizations who are interested in how social and physical environments contribute to adolescents’ movement behaviors, health, and well-being in resource-constrained settings. </p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":" ","pages":""},"PeriodicalIF":7.1,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13107659/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147470009","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}