International Journal of Behavioral Nutrition and Physical Activity最新文献

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Effect of physical activity on changes in weight and aerobic capacity during an 18-month behavioral weight loss intervention. 在18个月的行为减肥干预期间,体育活动对体重和有氧能力变化的影响。
IF 5.6 1区 医学
International Journal of Behavioral Nutrition and Physical Activity Pub Date : 2025-05-21 DOI: 10.1186/s12966-025-01754-3
Seth A Creasy, Danielle M Ostendorf, Laura Kaizer, Rebecca Rosenberg, Matthew J Breit, Daniel H Bessesen, Edward L Melanson, Victoria A Catenacci
{"title":"Effect of physical activity on changes in weight and aerobic capacity during an 18-month behavioral weight loss intervention.","authors":"Seth A Creasy, Danielle M Ostendorf, Laura Kaizer, Rebecca Rosenberg, Matthew J Breit, Daniel H Bessesen, Edward L Melanson, Victoria A Catenacci","doi":"10.1186/s12966-025-01754-3","DOIUrl":"10.1186/s12966-025-01754-3","url":null,"abstract":"<p><strong>Background: </strong>The objective of this secondary analysis was to examine the effect of MVPA and the time of day that MVPA (i.e., morning vs. evening) is performed on long-term changes in body weight and aerobic capacity.</p><p><strong>Methods: </strong>Adults with overweight and obesity (n = 105) enrolled in an 18-month behavioral weight loss intervention involving a reduced calorie diet and a supervised exercise program. Participants were encouraged to increase their bouted MVPA (i.e., MVPA accumulated in bouts ≥ 10 min) to 300 min/wk. Body weight, body composition, aerobic capacity, and physical activity were assessed at 0, 6, 12, and 18 months. Participants were categorized based on whether they increased bouted MVPA by ≥ 150 min/wk during the supervised exercise program. Linear regression was used to examine the effect of increasing bouted MVPA on weight loss and aerobic capacity. Similar methods were used to examine the effect of time of day of MVPA on weight loss and aerobic capacity.</p><p><strong>Results: </strong>Participants who increased bouted MVPA by ≥ 150 min/wk during the supervised exercise program had greater weight loss, fat loss, and increases in aerobic capacity at 18 months compared to participants who increased bouted MVPA by < 150 min/wk. Amongst participants who increased bouted MVPA by ≥ 150 min/wk, the time of day of MVPA had no significant effect on weight loss or aerobic capacity.</p><p><strong>Conclusions: </strong>Increasing bouted MVPA by ≥ 150 min/wk improves weight loss and aerobic capacity during a behavioral weight loss intervention which includes caloric restriction. MVPA earlier and later in the day is beneficial for weight management and cardiorespiratory fitness.</p><p><strong>Trial registration: </strong>Clinicaltrials.gov (NCT01985568) on October 24, 2013.</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"22 1","pages":"57"},"PeriodicalIF":5.6,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12093688/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Adherence to the planetary health diet is associated with slower cognitive decline: a prospective cohort analysis of Chinese older adults. 坚持行星健康饮食与减缓认知能力下降有关:一项对中国老年人的前瞻性队列分析
IF 5.6 1区 医学
International Journal of Behavioral Nutrition and Physical Activity Pub Date : 2025-05-16 DOI: 10.1186/s12966-025-01759-y
Lulu Tang, Xiaoli Yu, Changcui Qiu, Yu Lu, Yunlan Wang, Fei Liu, Xiaoping Zhu
{"title":"Adherence to the planetary health diet is associated with slower cognitive decline: a prospective cohort analysis of Chinese older adults.","authors":"Lulu Tang, Xiaoli Yu, Changcui Qiu, Yu Lu, Yunlan Wang, Fei Liu, Xiaoping Zhu","doi":"10.1186/s12966-025-01759-y","DOIUrl":"10.1186/s12966-025-01759-y","url":null,"abstract":"<p><strong>Background: </strong>The EAT-Lancet commission has proposed a planetary health reference diet (PHD) aiming to improve human health and global environmental sustainability. Emerging evidence suggests that high-quality diet is a modified risk factor cognitive decline. However, population-based evidence in relation to the association between this diet and cognitive decline is scarce.</p><p><strong>Methods: </strong>This prospective cohort study examined data from the China Health and Nutrition Survey (CHNS) during 1997-2011.We included 3404 adults aged 60 years and older with normal cognition at baseline. Dietary intake was assessed using 3-day 24 h dietary recalls combined with weighing methods and cognitive function was assessed using repeated measures of the Telephone Interview for Cognitive Status-modified (TICS-m). The Planetary Health Diet Index (PHDI) was based on 14 food groups and a total score from 0 to 140. Higher scores indicated greater adherence to the PHDI. We used linear mixed model with random intercepts and slope to evaluate the association between PHDI score and cognitive decline adjusting for demographic, health, and lifestyle confounders.</p><p><strong>Results: </strong>During a median follow-up of 12 years, higher adherence to the PHDI was associated with a slower decline in memory and global cognition. Participants in the highest quintile of PHDI adherence had significantly slower memory decline (B = 0.025, 95%CI:0.000-0.049, P for trend = 0.019) and global cognitive decline (B = 0.020, 95%CI:0.004-0.037, P for trend = 0.029) compared to those in the lowest quintile. Stratified analyses revealed that physical activity modified these associations (P < 0.05). Among participants engaging in vigorous physical activity, those in the highest PHDI quintile exhibited an attenuated annual memory decline (B = 0.070, 95%CI:0.010-0.130, P for trend = 0.013) and global cognitive decline (B = 0.045, 95%CI:0.003-0.086, P for trend = 0.037) compared to those in the lowest quintile.</p><p><strong>Conclusion: </strong>Higher adherence to the PHD was associated with slower cognitive decline in older Chinese adults. Physical activity, particularly vigorous physical activity, may enhance the cognitive benefits of this dietary pattern. These findings highlight the potential dual benefits of sustainable dietary patterns for both environmental and cognitive health.</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"22 1","pages":"56"},"PeriodicalIF":5.6,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12082918/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144087105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Associations between parental perceptions of neighbourhood environments and active travel to school: IPEN Adolescent study. 父母对邻里环境的看法与主动上学之间的关系:IPEN青少年研究。
IF 5.6 1区 医学
International Journal of Behavioral Nutrition and Physical Activity Pub Date : 2025-05-15 DOI: 10.1186/s12966-025-01738-3
Anna Timperio, Scott Duncan, Muhammad Akram, Javier Molina-García, Delfien Van Dyck, Anthony Barnett, Ferdinand Salonna, Anjana Rm, James F Sallis, Michal Vorlíček, Erica Hinckson, Kelli L Cain, Terry L Conway, Wan Abdul Manan Wan Muda, Mika Moran, Adewale L Oyeyemi, Andreia Pizarro, Rodrigo S Reis, Sheikh Muhammad Rezwan, Jasper Schipperijn, Ester Cerin
{"title":"Associations between parental perceptions of neighbourhood environments and active travel to school: IPEN Adolescent study.","authors":"Anna Timperio, Scott Duncan, Muhammad Akram, Javier Molina-García, Delfien Van Dyck, Anthony Barnett, Ferdinand Salonna, Anjana Rm, James F Sallis, Michal Vorlíček, Erica Hinckson, Kelli L Cain, Terry L Conway, Wan Abdul Manan Wan Muda, Mika Moran, Adewale L Oyeyemi, Andreia Pizarro, Rodrigo S Reis, Sheikh Muhammad Rezwan, Jasper Schipperijn, Ester Cerin","doi":"10.1186/s12966-025-01738-3","DOIUrl":"10.1186/s12966-025-01738-3","url":null,"abstract":"<p><strong>Background: </strong>Studies of correlates of active transport to and from school (ATS) focus mainly on children, have a limited conceptualisation of ATS trips, lack heterogeneity in built environments, and rarely consider effect modifiers. This study aimed to estimate associations of parent-perceived neighbourhood environment characteristics with self-reported ATS among adolescents from 14 countries, and whether associations differ by sex, city/region, and distance to school.</p><p><strong>Methods: </strong>Observational cross-sectional design. Data were from the International Physical activity and Environment Network (IPEN) Adolescent study and included 6302 adolescents (mean age 14.5 ± 1.7 years, 54% girls) and a caretaker from 16 diverse sites. Adolescents self-reported usual travel to and from school by walking and bicycling (days/week) and time it would take to walk. Parents completed the Neighbourhood Environment Walkability Scale for Youth (13 scores computed). Generalised additive mixed models estimated associations of parent neighbourhood perceptions with 1) any active transport to/from school, 2) regular walking (5-10 times/week), 3) regular cycling to/from school, and 4) profiles of ATS generated using latent profile analyses. Interactions were also explored.</p><p><strong>Results: </strong>Overall, 58.7% reported any ATS, 39.9% regularly walked, 7.7% regularly cycled, and four profiles of ATS were identified: walk to and from school; walk from school; cycle to and from school; no ATS. Distance to school was negatively associated with all outcomes, though evidence was weak for regular cycling to/from school. Land use mix - diversity was positively related to all ATS outcomes except those related to cycling. Accessibility and walking facilities were associated with higher odds of any ATS, regular walking to/from school, and the profile walking to and from school. Residential density was negatively related to regular cycling to/from school. Positive associations were observed between traffic safety and any ATS, and between safety from crime, aesthetics, and odds of regular cycling to/from school. Distance to school, adolescent sex, and city moderated several associations.</p><p><strong>Conclusions: </strong>Parent perceptions of compact, mixed-use development, walking facilities, and both traffic and crime-related safety were important supportive correlates of a range of ATS outcomes among adolescents in high- and low-middle-income countries. Policies that achieve these attributes should be prioritised to support more widespread ATS.</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"22 1","pages":"55"},"PeriodicalIF":5.6,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12079927/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081811","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Spillover effect of a dietary intervention on physical activity in a randomized controlled trial with colorectal cancer patients. 结直肠癌患者随机对照试验中饮食干预对身体活动的溢出效应
IF 5.6 1区 医学
International Journal of Behavioral Nutrition and Physical Activity Pub Date : 2025-05-09 DOI: 10.1186/s12966-025-01757-0
Hege Berg Henriksen, Åshild Kolle, Andreas Stenling, Ingvild Paur, Siv Kjølsrud Bøhn, Pernille Brøto, Tuva Syrdal Tronstad, Rune Blomhoff, Sveinung Berntsen
{"title":"Spillover effect of a dietary intervention on physical activity in a randomized controlled trial with colorectal cancer patients.","authors":"Hege Berg Henriksen, Åshild Kolle, Andreas Stenling, Ingvild Paur, Siv Kjølsrud Bøhn, Pernille Brøto, Tuva Syrdal Tronstad, Rune Blomhoff, Sveinung Berntsen","doi":"10.1186/s12966-025-01757-0","DOIUrl":"10.1186/s12966-025-01757-0","url":null,"abstract":"<p><strong>Background: </strong>Randomized controlled studies (RCTs) targeting dietary changes may also lead to other, untargeted changes in lifestyle habits, as spillover effects. In particular, the isolated impact of the dietary intervention may be difficult to separate due to spillover effects from changes in physical activity and physical function. Therefore, the aim of this study was to investigate the spillover effect of a one-year dietary intervention in post-surgery colorectal cancer patients by comparing the changes in physical activity and physical function between the diet intervention group and the control group in a randomized controlled trial, called the CRC-NORDIET study.</p><p><strong>Methods: </strong>Men and women, aged 50-80 years were randomized into either the intervention group (n = 240) or the control group (n = 229). Both groups received similar incentives on physical activity. Activity sensors were used to collect data on physical activity at baseline, 6 months, and 12 months. Physical function was estimated by results from handgrip strength, 30 s sit-to-stand test and 6-min walking test. Anthropometric measurements and body composition were also measured.</p><p><strong>Results: </strong>We found a significantly higher increase in moderate-to-vigorous intensity physical activity (MVPA) of 0.18 h per day from baseline to 6 months in the diet intervention group compared to the control group, respectively. However, the spillover effect of the dietary intervention on physical activity diminished to 0.10 h per day at 12 months follow-up which was not statistically significantly different (p = 0.24) from the control group. All measures of physical function increased in both groups from baseline to 6 months with no further increase at the 12-month follow-up.</p><p><strong>Conclusions: </strong>The dietary intervention did not induce a significant spillover effect on physical activity after 12 months of baseline, which was the main timepoint of the intervention. Providing identical physical activity guidance to both study groups during the 12-month intensive dietary intervention period, ensured comparable levels of physical activity across both study groups. This approach facilitated the isolation and analysis of the dietary intervention's effects on primary endpoints, as well as effects of behaviour interventions in secondary preventions, such as the CRC-NORDIET study.</p><p><strong>Trial registration: </strong>The study is registered on the National Institutes of Health Clinical Trials website ( www.</p><p><strong>Clinicaltrials: </strong>gov ; Identifier: NCT01570010).</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"22 1","pages":"54"},"PeriodicalIF":5.6,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12063259/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Developing an implementation fidelity measure for a family healthy weight program. 制定家庭健康体重计划的实施保真度措施。
IF 5.6 1区 医学
International Journal of Behavioral Nutrition and Physical Activity Pub Date : 2025-05-06 DOI: 10.1186/s12966-025-01755-2
Caitlin A Golden, Paul A Estabrooks, Kate A Heelan, R Todd Bartee, Gwenndolyn C Porter, Emiliane L Pereira, Bryce M Abbey, Tzeyu L Michaud, Jennie L Hill
{"title":"Developing an implementation fidelity measure for a family healthy weight program.","authors":"Caitlin A Golden, Paul A Estabrooks, Kate A Heelan, R Todd Bartee, Gwenndolyn C Porter, Emiliane L Pereira, Bryce M Abbey, Tzeyu L Michaud, Jennie L Hill","doi":"10.1186/s12966-025-01755-2","DOIUrl":"10.1186/s12966-025-01755-2","url":null,"abstract":"<p><strong>Background: </strong>Measuring implementation fidelity is crucial yet proves challenging. While observational methods are considered the gold standard, their practicality in geographically dispersed community settings is often limited by resource constraints. Engaging community members as paid research staff is a potential strategy to develop local capacity to conduct direct observations. This paper reports on the development and preliminary utility of a fidelity measure for a community-based family healthy weight program (FHWP), Building Healthy Families (BHF), and a method to hire and train local community members to conduct direct observation.</p><p><strong>Methods: </strong>A consensus process guided the development of a comprehensive fidelity measure for direct observation. We piloted and refined the measure using a qualitative iterative approach with observers. Communities delivering BHF were geographically dispersed up to 450 miles resulting in the development of a training protocol to hire and train local community members as direct observers. Inter-rater agreement of ≥ 85% with an expert observer was required for observers to independently assess BHF sessions.</p><p><strong>Results: </strong>A multidimensional fidelity measure for direct observation was developed specific to the core components of BHF and the session structure and process. The training method successfully prepared community-based observers (n = 5) to conduct fidelity assessments with the same quality as the trained research team observers (n = 3). Inter-rater agreement ≥ 85% with an expert observer was achieved on all training sessions. The fidelity measure demonstrated strong utility, effectively capturing multiple dimensions of fidelity and provided actionable insights to support consistent and high-quality implementation across community settings.</p><p><strong>Conclusions: </strong>This study provides a systematic approach to assessing implementation fidelity of a FHWP in micropolitan and surrounding rural areas. Our approach to hiring and training local community members as direct observers enhanced the feasibility of measuring implementation fidelity across multiple geographically dispersed settings and established a model for ongoing assessments.</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"22 1","pages":"53"},"PeriodicalIF":5.6,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12057106/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143992961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Development and evaluation of the COntextualised and Personalised Physical activity and Exercise Recommendations (COPPER) Ontology. 情境化和个性化身体活动和运动建议本体的发展和评估。
IF 5.6 1区 医学
International Journal of Behavioral Nutrition and Physical Activity Pub Date : 2025-05-05 DOI: 10.1186/s12966-025-01744-5
M Braun, S Carlier, A De Paepe, F De Backere, F De Turck, G Crombez
{"title":"Development and evaluation of the COntextualised and Personalised Physical activity and Exercise Recommendations (COPPER) Ontology.","authors":"M Braun, S Carlier, A De Paepe, F De Backere, F De Turck, G Crombez","doi":"10.1186/s12966-025-01744-5","DOIUrl":"https://doi.org/10.1186/s12966-025-01744-5","url":null,"abstract":"<p><strong>Background: </strong>Personalised recommendations for action and coping plans for physical activity (PA) may reduce user burden and increase plan quality. Ontologies are a promising alternative to existing black-box approaches for creating such personalised recommendations as they are able to integrate knowledge from domain experts, input from end-users and data. Here, we report the development of an ontology of physical activities action and coping plans relevant for primary prevention.</p><p><strong>Methods: </strong>Ontology specification was carried out using literature research, requirement analysis using use case scenarios, and decision-tree workshops. Conceptualisation combined input from existing theories and classification systems, end-users, domain experts and data sets to create lists of concepts, labels, definitions, properties and relationships. Logic rules were created during ontology formalization, and the entire ontology was translated into Web Ontology Language using Protégé. The ontology was checked for logical consistency. The process was evaluated using the Open Biomedical and Biological Ontology (OBO) Repository Principles, and the resulting recommendations using competency questions and use cases.</p><p><strong>Results: </strong>The ontology consists of an upper-level ontology, and lower-level ontologies for personal profile, planning, activity, context, barrier, and coping strategy. The final ontology consists of 288 classes, 9 data properties and 64 object properties. Development followed OBO ontology design principles. The ontology is logically and structurally consistent, and resulting recommendations were deemed relevant based on competency questions and use cases.</p><p><strong>Conclusions: </strong>This is the first ontology focusing on physical activity that (1) follows OBO design principles, including being openly available, (2) includes profile and context information and (3) maps knowledge regarding barriers and coping strategies. It can be used as the base of decision-support systems for action and coping planning for physical activity in primary prevention in Western-European adults, and is easily adaptable to other target groups. Challenges and opportunities of ontologies in health promotion are discussed.</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"22 1","pages":"52"},"PeriodicalIF":5.6,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12054263/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Impact of a multi-component implementation strategy to increase outdoor free play opportunities in early childhood education and care (ECEC) services: the get outside get active (GOGA) randomised controlled trial. 多组件实施策略对增加幼儿教育和护理(ECEC)服务中户外自由游戏机会的影响:外出活动(GOGA)随机对照试验。
IF 5.6 1区 医学
International Journal of Behavioral Nutrition and Physical Activity Pub Date : 2025-05-01 DOI: 10.1186/s12966-025-01749-0
Sze Lin Yoong, Nicole Pearson, Luke Giles, Hannah Lamont, Luke Wolfenden, Jannah Jones, Christophe Lecathelinais, Patti-Jean Naylor, Anthony Okely, Nicole Nathan, Kathryn Reilly, Rebecca Lorch, John Wiggers, Jacklyn Jackson, Melanie Lum, Karen Gillham, Alice Grady
{"title":"Impact of a multi-component implementation strategy to increase outdoor free play opportunities in early childhood education and care (ECEC) services: the get outside get active (GOGA) randomised controlled trial.","authors":"Sze Lin Yoong, Nicole Pearson, Luke Giles, Hannah Lamont, Luke Wolfenden, Jannah Jones, Christophe Lecathelinais, Patti-Jean Naylor, Anthony Okely, Nicole Nathan, Kathryn Reilly, Rebecca Lorch, John Wiggers, Jacklyn Jackson, Melanie Lum, Karen Gillham, Alice Grady","doi":"10.1186/s12966-025-01749-0","DOIUrl":"https://doi.org/10.1186/s12966-025-01749-0","url":null,"abstract":"<p><strong>Background: </strong>Increased outdoor free play is associated with health and developmental benefits for preschool-aged children. It is therefore recommended that early childhood education and care (ECEC) services provide increased time for outdoor free play. This study seeks to understand the impact of a multi-component implementation strategy (Get Outside Get Active) on ECEC service provision of opportunities for outdoor free play.</p><p><strong>Methods: </strong>This was a parallel-group randomised controlled trial involving 84 ECEC services located in one region of New South Wales, Australia. Forty-one services were randomised to a 6-month multi-component implementation strategy or to a usual care group (n = 43). To increase total scheduled outdoor free play time, services were supported to modify their routines to increase provision of outdoor free play and/or indoor-outdoor free play opportunities (whereby children are allowed to move freely between indoor and outdoor spaces). The primary trial outcome, mean minutes per day of outdoor free play opportunities provided in ECEC services, was measured at baseline, 6-months (primary endpoint), and 18-months. Secondary outcomes were mean minutes of indoor-outdoor free play only and proportion implementing indoor-outdoor free play for the full day. The quality of the movement environment was assessed using direct observations in 30 ECECs at 6 months only.</p><p><strong>Results: </strong>At 6 months, the intervention group showed a significant increase in mean daily minutes of outdoor free play (61.3 min; 95% CI 2.5 to 120.01; p = 0.041) and indoor-outdoor free play (59.1 min; 95% CI 9.1 to 109.1; p = 0.021) relative to the control group. However, no significant between-group differences were observed at 18 months. The proportion implementing a full-day indoor-outdoor program (OR 1.97; 95% CI 0.81 to 4.78; p = 0.196) and the quality of movement environments did not differ between groups at 6 months.</p><p><strong>Conclusions: </strong>The implementation strategy significantly increased outdoor free play opportunities in ECEC services post-intervention, though the between group effects were not sustained at 18 months. Future research should focus on ensuring the long-term impact of implementation strategies and understanding the factors driving changes in control group behaviour.</p><p><strong>Trial registration: </strong>This trial was prospectively registered with the Australian New Zealand Clinical Trials Registry (ACTRN12621000987864).</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"22 1","pages":"51"},"PeriodicalIF":5.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12046965/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144038744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Relative validity of the Chrono-Nutrition Behavior Questionnaire (CNBQ) against 11-day event-based ecological momentary assessment diaries of eating. 时间营养行为问卷(CNBQ)与11天基于事件的生态瞬时饮食评估日记的相对效度
IF 5.6 1区 医学
International Journal of Behavioral Nutrition and Physical Activity Pub Date : 2025-04-25 DOI: 10.1186/s12966-025-01740-9
Kentaro Murakami, Nana Shinozaki, Tracy A McCaffrey, M Barbara E Livingstone, Shizuko Masayasu, Satoshi Sasaki
{"title":"Relative validity of the Chrono-Nutrition Behavior Questionnaire (CNBQ) against 11-day event-based ecological momentary assessment diaries of eating.","authors":"Kentaro Murakami, Nana Shinozaki, Tracy A McCaffrey, M Barbara E Livingstone, Shizuko Masayasu, Satoshi Sasaki","doi":"10.1186/s12966-025-01740-9","DOIUrl":"https://doi.org/10.1186/s12966-025-01740-9","url":null,"abstract":"<p><strong>Background: </strong>A growing number of studies have investigated chrononutrition-related variables in relation to health outcomes. However, only a few questionnaires specifically designed for assessing chrononutrition-related parameters have been validated. We aimed to examine the relative validity of the Chrono-Nutrition Behavior Questionnaire (CNBQ) against 11-day event-based ecological momentary assessment (EMA) diaries of eating.</p><p><strong>Methods: </strong>Informed by previous research, we developed the CNBQ for the comprehensive assessment of chrononutrition-related parameters, including sleep variables, eating frequency, timing of eating, duration of eating occasions, duration of eating windows, and time interval between sleep and eating, for workdays and non-workdays separately. Between February and April 2023, a total of 1050 Japanese adults aged 20-69 years completed the online CNBQ and subsequently kept event-based EMA food diaries for 11 days, including 6.5 workdays and 4.5 non-workdays on average.</p><p><strong>Results: </strong>Mean differences between estimates derived from the CNBQ and the EMA food diaries were < 10% for most of the variables examined, both for workdays (27 of 33; 82%) and non-workdays (25 of 33; 76%), and for variables based on differences between workdays and non-workdays, such as eating jetlag (5 of 6; 83%). Spearman correlation coefficients between estimates based on the CNBQ and estimates based on the EMA food diaries were ≥ 0.50 for 26 variables (79%) on workdays and 22 variables (67%) on non-workdays (e.g., mid-sleep time; total eating frequency; timing of first eating occasion, last eating occasion, first meal, and last meal; duration of first meal and last meal; duration of eating window; eating midpoint; and time interval between wake time and first eating occasion and between last meal and sleep time), and 2 variables based on differences between workdays and non-workdays (e.g., eating jetlag base on breakfast timing). Bland-Altman analysis showed that the limits of agreement were wide and that the bias of overestimation by the CNBQ was proportional as mean estimates of the CNBQ and EMA food diaries increased.</p><p><strong>Conclusions: </strong>These findings suggest that the relative validity of the CNBQ justifies its use in estimating mean values and ranking individuals for the majority of chrononutrition-related parameters.</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"22 1","pages":"46"},"PeriodicalIF":5.6,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12023641/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Shifts in food consumption patterns in the Levant: a systematic review of the last six decades. 黎凡特地区食物消费模式的转变:对过去60年的系统回顾。
IF 5.5 1区 医学
International Journal of Behavioral Nutrition and Physical Activity Pub Date : 2025-04-24 DOI: 10.1186/s12966-025-01741-8
Hanin Basha, Aisha Shalash, Yasmeen Wahdan, Niveen M E Abu-Rmeileh
{"title":"Shifts in food consumption patterns in the Levant: a systematic review of the last six decades.","authors":"Hanin Basha, Aisha Shalash, Yasmeen Wahdan, Niveen M E Abu-Rmeileh","doi":"10.1186/s12966-025-01741-8","DOIUrl":"10.1186/s12966-025-01741-8","url":null,"abstract":"<p><strong>Background: </strong>Food consumption patterns have changed tremendously since the mid-twentieth century, with a rapid global nutritional shift raising concerns, particularly in disadvantaged regions such as the Eastern Mediterranean region (EMR). Given that food intake is very context-specific, this research examines food consumption patterns in Jordan, Lebanon, Palestine, and Syria, representing the contemporary Levant region.</p><p><strong>Methods: </strong>A systematic review was conducted by searching PubMed, EMBASE, Web of Science, and CINAHL. The eligibility criteria were to include only original peer-reviewed observational studies reporting individual-level food consumption among local Jordanians, Lebanese, Palestinians, and Syrians. Extracted data were synthesized through descriptive statistics and presented in tables and charts. The risk of bias was assessed using the tool developed by Hoy et al. for prevalence studies.</p><p><strong>Results: </strong>A total of 43 articles that measured and reported food consumption at the individual level for the populations in these countries were included. Findings reveal that in the 1960s, diets in the region were primarily local, seasonal, and plant-based, with moderate to low animal product intake. By the 1990s, a noticeable shift occurred, marked by increased consumption of processed foods, refined carbohydrates, and animal products, with minimal increase in fruit and vegetable intake. Most studies were conducted in Lebanon, limiting the generalizability of findings across the Levant countries.</p><p><strong>Conclusion: </strong>This review presents an understanding of food consumption changes on the level of food items, food groups, and dietary patterns specific to the Levant. Future studies on food consumption patterns should prioritize national surveys using valid, reliable, and cultural-specific measurement tools and provide detailed, age-disaggregated dietary data. Public health interventions are needed to address the ongoing dietary shift, which is unfolding amid political instability, economic crises, and food insecurity.</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"22 1","pages":"50"},"PeriodicalIF":5.5,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12023382/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144003927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Targeting mental health and wellbeing in women who have experienced gender-based violence through moderate-vigorous physical activity: a systematic review. 通过中等强度的身体活动改善遭受性别暴力的妇女的心理健康和福祉:一项系统综述
IF 5.5 1区 医学
International Journal of Behavioral Nutrition and Physical Activity Pub Date : 2025-04-24 DOI: 10.1186/s12966-025-01735-6
Thea Baker, Niamh Mundell, Harriet Koorts, Michelle Pebole, Simon Rosenbaum, Elly Ganakas, Megan Teychenne
{"title":"Targeting mental health and wellbeing in women who have experienced gender-based violence through moderate-vigorous physical activity: a systematic review.","authors":"Thea Baker, Niamh Mundell, Harriet Koorts, Michelle Pebole, Simon Rosenbaum, Elly Ganakas, Megan Teychenne","doi":"10.1186/s12966-025-01735-6","DOIUrl":"10.1186/s12966-025-01735-6","url":null,"abstract":"<p><strong>Background: </strong>Gender-based violence (GBV) is associated with high rates of psychopathology (i.e., depression, anxiety, post-traumatic stress disorder) in victim-survivors. Existing research has demonstrated that physical activity is beneficial for mental health and wellbeing across various populations. However, it is currently unclear whether moderate-vigorous physical activity (MVPA) is efficacious for victim-survivors of GBV. Therefore, this systematic review aims to understand 1) the acceptability and feasibility of leisure-time MVPA interventions for victim-survivors of GBV, 2) the efficacy of leisure-time MVPA interventions for mental health and wellbeing in this cohort, and 3) the implementation strategies used in the development of such interventions.</p><p><strong>Methods: </strong>Four databases were searched from inception to January 2024. Leisure-time MVPA intervention studies that reported on at least one measure of mental health or wellbeing for self-identified/biological women who had lived experience of GBV were eligible.</p><p><strong>Results: </strong>Eleven studies met inclusion criteria, and analysis revealed a range of different types of MVPA (n = 5) and mental health/wellbeing outcomes measured (n = 9). The main findings include: 1) feasibility and acceptability of MVPA for victim-survivors was enhanced where trauma and violence-informed (TVI) practices were used in the development and delivery of interventions. 2) There was a lack of clarity and consistency around TVI practice in physical activity intervention research. 3) Leisure-time MVPA may be positively associated with mental health and wellbeing.</p><p><strong>Conclusions: </strong>Limited evidence exists regarding the impact of MVPA on mental health and wellbeing for this important population group. Future studies should embed TVI strategy within the design, delivery, and implementation of interventions.</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"22 1","pages":"49"},"PeriodicalIF":5.5,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12023535/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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