International Journal of Behavioral Nutrition and Physical Activity最新文献

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Vigorous intermittent lifestyle physical activity (VILPA) and mortality risk among US adults: a wearables-based national cohort study. 美国成年人的剧烈间歇性生活方式体力活动(VILPA)和死亡风险:一项基于可穿戴设备的国家队列研究
IF 7.1 1区 医学
International Journal of Behavioral Nutrition and Physical Activity Pub Date : 2026-01-30 DOI: 10.1186/s12966-026-01876-2
Nicholas A Koemel, Matthew N Ahmadi, Raaj Kishore Biswas, Cecilie Thøgersen-Ntoumani, Armando Teixeira-Pinto, Clara K Chow, Jaroslaw Harezlak, Emmanuel Stamatakis
{"title":"Vigorous intermittent lifestyle physical activity (VILPA) and mortality risk among US adults: a wearables-based national cohort study.","authors":"Nicholas A Koemel, Matthew N Ahmadi, Raaj Kishore Biswas, Cecilie Thøgersen-Ntoumani, Armando Teixeira-Pinto, Clara K Chow, Jaroslaw Harezlak, Emmanuel Stamatakis","doi":"10.1186/s12966-026-01876-2","DOIUrl":"10.1186/s12966-026-01876-2","url":null,"abstract":"<p><p>BACKGROUND: Vigorous intermittent lifestyle physical activity (VILPA) completed through normal daily living may offer a time-efficient avenue to accrue physical activity in a behaviourally sustainable manner. However, no research to date has explored its association with mortality in a nationally representative population. This study aimed to examine the dose-response association between VILPA and mortality risk in a nationally representative sample of US adults. METHODS: This study included a nationally representative sample of 3293 US adults from the 2011-14 National Health and Nutrition Examination Survey (NHANES) who self-reported no participation in structured exercise (52.3% female; mean age: 50.7 [SD: 16.6 years]. The dose-response relationship between VILPA and all-cause mortality was estimated using multivariable-adjusted cubic splines. Average daily frequency (bouts/day) and duration (minutes/day) of VILPA bouts lasting up to one minute were measured using a wrist-worn accelerometer. RESULTS: Over the mean (SD) 6.7 (1.4) year follow-up period, 290 all-cause mortality events occurred. Compared to the referent point (0 bouts per day), there was an L-shaped dose-response association where the median frequency (5.3 bouts per day) was associated with a 44% lower risk of all-cause mortality (HR: 0.56; 95% CI: 0.39, 0.82). The dose response curve was less steep beyond approximately 8 bouts per day (HR: 0.46; 95% CI: 0.28, 0.77). Findings for the median frequency of VILPA bouts (5.3 bouts per day) remained consistent after excluding participants with poor health (HR: 0.51: 95% CI: 0.29, 0.87) and those who completed no VILPA (HR: 0.57: 95% CI: 0.38, 0.86). When excluding adults with prevalent cardiovascular disease or cancer at baseline (n = 2,731, 152 events), the dose-response relationship was similar, although the 95% CIs crossed unity for most of the curve (e.g. median frequency of VILPA bouts HR: 0.68: 95% CI: 0.41, 1.11). CONCLUSIONS: In a nationally representative sample of US adults, short bursts of intermittent vigorous physical activity were associated with a lower risk of mortality. Excluding those with prevalent cardiovascular disease and cancer led to attenuated dose-response curves and wider confidence intervals, suggesting that the observed relationships may, at least partly, be driven by existing disease-induced reverse causation. While these results highlight some potential of VILPA as a time-efficient source of activity, additional observational studies with longer follow up and larger sample sizes are warranted. </p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":" ","pages":""},"PeriodicalIF":7.1,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12952009/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146088037","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
Association between life satisfaction and health behaviours among older adults: a systematic review and meta-analysis. 老年人生活满意度与健康行为的关系:一项系统综述和荟萃分析。
IF 7.1 1区 医学
International Journal of Behavioral Nutrition and Physical Activity Pub Date : 2026-01-26 DOI: 10.1186/s12966-026-01877-1
Chiedozie James Alumona, David R Scott, Toyin Aladejebi, Michael E Kalu, Ogochukwu Kelechi Onyeso, Adesola C Odole, Laura Vogelsang, Jerome Singleton, Oluwagbohunmi Adetunji Awosoga
{"title":"Association between life satisfaction and health behaviours among older adults: a systematic review and meta-analysis.","authors":"Chiedozie James Alumona, David R Scott, Toyin Aladejebi, Michael E Kalu, Ogochukwu Kelechi Onyeso, Adesola C Odole, Laura Vogelsang, Jerome Singleton, Oluwagbohunmi Adetunji Awosoga","doi":"10.1186/s12966-026-01877-1","DOIUrl":"10.1186/s12966-026-01877-1","url":null,"abstract":"<p><p>BACKGROUND: Life satisfaction is a key indicator of quality of life among older adults. This systematic review and meta-analysis synthesised evidence on the association between life satisfaction and health behaviours such as smoking status, alcohol use, physical activity, diet/nutrition, and sleep among older adults aged 60 years and older. METHODS: The review was conducted and reported following the PRISMA guidelines. We searched the electronic databases MEDLINE, APA PsycINFO, Web of Science, CINAHL, and Global Health from inception to 10 January 2025 for observational studies reporting an association between life satisfaction and health behaviours. Two independent reviewers completed article screening, data extraction, and risk of bias assessment. The result was summarised through a narrative synthesis, and meta-analysis was completed using CMA (version 4). RESULTS: The 56 included studies were conducted across 22 countries between 1990 and 2025. The pooled mean age and female proportion were 70.59 years (95% CI: 68.98, 72.21) and 58.0% (95% CI: 55.1, 60.7), respectively. Narrative synthesis showed that most studies found quality sleep and/or 7–8 h of sleep (77.3%), a higher physical activity level (69.1%), and a regular intake of fruit and vegetables and/or a balanced diet regularly (52.9%) were significantly associated with higher life satisfaction. Smoking and alcohol use were associated with lower life satisfaction in 33.3% and 15.8% of the analysis, respectively. The meta-analysis showed that higher physical activity levels (r = 0.12, p = 0.003) were associated with higher life satisfaction. Only four studies on physical activity met the criteria for meta-analysis, and no studies on other health behaviours did. CONCLUSIONS: Quality sleep and/or 7–8 h of sleep, a higher physical activity level, and regularly eating fruit and vegetables and/or a balanced diet are associated with higher life satisfaction. The review provides evidence for policymakers, healthcare workers, caregivers, and society to encourage healthy behaviours that foster healthy ageing. Future studies should use standardised instruments to assess health behaviours and life satisfaction, facilitating cross-study comparisons and the meta-synthesis of research findings. SYSTEMATIC REVIEW REGISTRATION: PROSPERO (CRD42023441386). </p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":" ","pages":""},"PeriodicalIF":7.1,"publicationDate":"2026-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12924400/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146054561","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
Participatory design of built environment strategies to enhance movement, wellbeing, and quality of life among incarcerated men. 建筑环境策略的参与式设计,以增强囚犯的运动、福祉和生活质量。
IF 7.1 1区 医学
International Journal of Behavioral Nutrition and Physical Activity Pub Date : 2026-01-22 DOI: 10.1186/s12966-026-01871-7
M Giné-Garriga, C Palma, S Signo, C Isanta, R Romeva, S A Portillo, A C King, M A Cortés, D Ballester, E M Sebastiani
{"title":"Participatory design of built environment strategies to enhance movement, wellbeing, and quality of life among incarcerated men.","authors":"M Giné-Garriga, C Palma, S Signo, C Isanta, R Romeva, S A Portillo, A C King, M A Cortés, D Ballester, E M Sebastiani","doi":"10.1186/s12966-026-01871-7","DOIUrl":"10.1186/s12966-026-01871-7","url":null,"abstract":"<p><p>BACKGROUND: The global prison population has grown by 5% since 2020, intensifying existing challenges to inmate health and well-being. Incarcerated individuals experience disproportionately high levels of sedentary behaviour (SB), which increases their risk of physical and mental health problems. Although regular physical activity (PA) can mitigate these risks, correctional settings often present environmental and institutional barriers that limit opportunities for movement. While modifying built environments has shown promise for promoting PA in community settings, limited research has explored these strategies in prisons. This study applied a community science, co-creation approach to identify inmate-informed, context-specific solutions to reduce SB and enhance PA within a prison setting. METHODS: The study was conducted in a Spanish male prison with 26 adult inmates. Based on facility-use records and self-reported activity/sedentary levels, 13 highly active and 13 inactive inmates were purposively selected to capture diverse perspectives. Participants took part in structured workshops using the Our Voice community science framework. With the Our Voice Discovery Tool mobile app, they documented environmental barriers and facilitators to PA through geo-tagged photos and audio or text comments while moving through prison spaces. Data sources included workshop transcripts, facilitator notes, and app-generated digital content, which were analyzed using Braun and Clarke’s codebook thematic approach. Participants then proposed and ranked potential solutions using an Eisenhower Matrix, and these were later refined with input from prison staff and policymakers. RESULTS: Six major themes influencing movement opportunities emerged: (1) activities, (2) spaces, (3) equipment and materials, (4) staff and support, (5) regulation-related limitations, and (6) scheduling. In total, 39 inmate-generated strategies were identified, 31 of which were rated as high priority. Low-difficulty actions included improved maintenance of activity areas, expanded access to equipment, and more flexible use of existing spaces. Participants emphasized that socially supportive environments were essential to motivation, adherence, and mental well-being. CONCLUSIONS: The study demonstrates the feasibility and value of participatory community science in correctional settings. Involving incarcerated individuals in designing PA solutions generates practical, context-appropriate strategies and supports greater health equity. This approach offers a scalable model for institutions aiming to reduce SB and promote PA through built-environment improvements. </p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":" ","pages":"12"},"PeriodicalIF":7.1,"publicationDate":"2026-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12908275/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146020508","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
Effectiveness of supervised vs brief counselling physical activity promotion interventions in breast cancer survivors on aromatase inhibitors: the PAC-WOMAN randomized controlled trial. 在芳香酶抑制剂治疗的乳腺癌幸存者中,监督与简短咨询体育活动促进干预的有效性:PAC-WOMAN随机对照试验
IF 7.1 1区 医学
International Journal of Behavioral Nutrition and Physical Activity Pub Date : 2026-01-22 DOI: 10.1186/s12966-026-01873-5
Eliana V Carraça, Bruno Rodrigues, Sofia Franco, Inês Nobre, Flávio Jerónimo, Vítor Ilharco, Pedro F Silva, António L Palmeira, Marlene N Silva
{"title":"Effectiveness of supervised vs brief counselling physical activity promotion interventions in breast cancer survivors on aromatase inhibitors: the PAC-WOMAN randomized controlled trial.","authors":"Eliana V Carraça, Bruno Rodrigues, Sofia Franco, Inês Nobre, Flávio Jerónimo, Vítor Ilharco, Pedro F Silva, António L Palmeira, Marlene N Silva","doi":"10.1186/s12966-026-01873-5","DOIUrl":"10.1186/s12966-026-01873-5","url":null,"abstract":"<p><p>BACKGROUND: Aromatase inhibitors (AI) are used to treat hormone-receptor-positive breast cancer, but have several side effects that often lead to premature discontinuation/switch. Physical activity (PA) can attenuate side effects and improve quality of life. However, most cancer survivors fail to meet PA guidelines. Theory-based PA interventions are effective in breast cancer survivors, but scarce. PAC-WOMAN tested the effects of two PA promotion interventions (supervised exercise vs brief counseling) on primary outcomes – PA, sedentary behavior, quality of life –, and secondary outcomes – body composition, fitness, physical function, sleep, body image, depression, psychological well-being, pain, and motivational variables – in women on AI. METHODS: This pragmatic randomized controlled trial included 110 women with stage I-III hormone-receptor-positive breast cancer on AI (56.1 ± 7.6 yr; 28.1 ± 5.9 kg/m2; 23.4 ± 20.1 months on AI), randomized to: 1) brief PA counseling (PAC); 2) structured exercise (ExG); 3) waiting-list control. Primary and secondary outcomes were evaluated with validated instruments at the end of the intervention period. Repeated measures’ Anovas, adjusted for age, AI duration, body mass index and chronic diseases, were conducted. Bonferroni corrections were applied (significance level at p < 0.0083). RESULTS: Significant group-by-time interactions were observed for moderate-vigorous PA (MVPA), exercise motivations and affect, muscle strength and leg endurance (p ≤ 0.008). Objectively measured PA showed no significant effects in either intervention group, except for a near-significant MVPA increase of 107 min/week [95% CI: 4; 209] over time in ExG. Larger improvements were observed in all self-reported PA indicators in ExG, while PAC revealed gains only in light PA and active choices. ExG improved global health status, physical functioning and physiological indicators (e.g., fitness, body composition) over time; PAC enhanced future perspectives, body image functioning, breast symptoms, and other psychological outcomes, with changes in depressive symptoms (-1.4 [-2.4; -0.3]) and life satisfaction (0.8 [0.2; 1.5]) approaching significance. CONCLUSIONS: PAC-WOMAN showed that ExG and PAC yielded distinct benefits for breast cancer survivors on AI. ExG improved total PA, fitness, physical function, physical quality of life, and alleviated pain symptoms. PAC primarily enhanced light PA and psychological outcomes such as body image and life satisfaction. Together, these findings highlight the potential scalability of PAC alongside the robust physical benefits of ExG. TRIAL REGISTRATION: April 2023 – NCT05860621; https://doi.org/10.17605/OSF.IO/ZAQ9N ; UMIN000050945. </p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":" ","pages":"13"},"PeriodicalIF":7.1,"publicationDate":"2026-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12910743/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031545","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
Effects of continuous glucose monitoring on physical activity and diet in diabetes: a systematic review and meta-analysis. 连续血糖监测对糖尿病患者身体活动和饮食的影响:一项系统综述和荟萃分析。
IF 7.1 1区 医学
International Journal of Behavioral Nutrition and Physical Activity Pub Date : 2026-01-21 DOI: 10.1186/s12966-025-01870-0
Mengsi Peng, Peng Shen, Kwang Joon Kim
{"title":"Effects of continuous glucose monitoring on physical activity and diet in diabetes: a systematic review and meta-analysis.","authors":"Mengsi Peng, Peng Shen, Kwang Joon Kim","doi":"10.1186/s12966-025-01870-0","DOIUrl":"10.1186/s12966-025-01870-0","url":null,"abstract":"<p><p>BACKGROUND: Continuous glucose monitoring (CGM) may facilitate behavior modifications among individuals with diabetes. However, existing evidence regarding its effectiveness remains inconsistent. This study aimed to evaluate the effectiveness of CGM in improving physical activity and diet for people with diabetes using both qualitative and quantitative approaches. METHODS: We searched PubMed, Cochrane, Embase, and Web of Science on October 13, 2024 to identify studies utilizing CGM in people of any age with any type of diabetes that reported outcomes related to physical activity and/or diet and were eligible for systematic review. Randomized controlled trials in which CGM was used as the main intervention and whose outcomes could be quantitatively synthesized were included in the meta-analysis. RESULTS: The initial search identified 13,128 records, then 28 studies met the inclusion criteria for the systematic review. Of these, 10 and 8 studies were included in the meta-analysis of physical activity and diet, respectively. Compared with controls, CGM significantly increased daily physical activity time (MD: 16.21 min/day, 95% CI: 10.26 to 22.16; P<0.0001) (low-certainty evidence). In addition, CGM significantly reduced daily caloric intake (-70.81 kcal/day, -132.93 to -8.69; P = 0.03) (low-certainty evidence) and carbohydrate consumption (-19.88 g/day, -27.74 to -12.01; P < 0.00001) (low-certainty evidence) versus controls. CONCLUSIONS: CGM significantly increased daily physical activity time and reduced both caloric intake and carbohydrate consumption in adults with diabetes. Future high-quality, large-scale randomized controlled trials are warranted to confirm these associations and to clarify the mechanisms underlying CGM’s behavioral effects across diverse diabetes populations. TRIAL REGISTRATION: International Prospective Register of Systematic Reviews (PROSPERO; CRD42024609764). </p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":" ","pages":"14"},"PeriodicalIF":7.1,"publicationDate":"2026-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12918550/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146020514","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
Effects of a music-visual guided physical activity promotion program for adults with intellectual disability in supported care settings: a cluster-randomized controlled trial. 音乐-视觉引导体育活动促进计划对支持护理环境中智力残疾成人的影响:一项集群随机对照试验。
IF 7.1 1区 医学
International Journal of Behavioral Nutrition and Physical Activity Pub Date : 2026-01-17 DOI: 10.1186/s12966-026-01872-6
Ho Yu Cheng, Sek Ying Chair, Kai Chow Choi, Ka Ki Wong, Wai Leung Tang, Mohammed Usman Ali, Janet Wing Hung Sit, Erik Fung
{"title":"Effects of a music-visual guided physical activity promotion program for adults with intellectual disability in supported care settings: a cluster-randomized controlled trial.","authors":"Ho Yu Cheng, Sek Ying Chair, Kai Chow Choi, Ka Ki Wong, Wai Leung Tang, Mohammed Usman Ali, Janet Wing Hung Sit, Erik Fung","doi":"10.1186/s12966-026-01872-6","DOIUrl":"10.1186/s12966-026-01872-6","url":null,"abstract":"<p><p>BACKGROUND: Adults with intellectual disabilities (ID) in supported care settings face significant cardiometabolic health disparities, exacerbated by barriers to physical activity (PA). Sustainable, theory-driven interventions are essential to address these challenges and promote cardiovascular health in this vulnerable population. This study evaluated the effectiveness of a novel music-visual guided PA intervention (MVgPA) in increasing moderate-to-vigorous PA time, improving self-efficacy and interest in PA, and enhancing functional exercise capacity among adults with ID in supported care settings. It also assessed the intervention’s acceptability among participants and care staff. METHODS: In a 25-week cluster-randomized controlled trial, 16 supported care settings (N = 238 adults with mild-to-moderate ID) were randomized 1:1 to MVgPA (n = 8 settings, 120 participants; staff training plus twice-weekly 75-minute music-paced, visually cued PA sessions) or usual care (n = 8 settings, 118 participants). The Information-Motivation-Strategy (IMS)-based MVgPA intervention targeted knowledge, motivation, and practical strategies. The primary outcome was accelerometer-measured moderate-to-vigorous PA time. Secondary outcomes included functional exercise capacity (6-minute walk test), exercise self-efficacy (Baseline Interview Questionnaire), and PA interest (visual analogue scale). Outcomes were measured at baseline, 13, and 25 weeks, and analyzed using three-level mixed-effects models accounting for clustering, repeated measures, and individual variability. RESULTS: No significant between-group differences emerged in moderate-to-vigorous PA time. Compared to controls, the MVgPA group showed significant improvements in functional exercise capacity at 13 weeks (Time*Group interaction coefficient, β: 20.89, 95% CI: 7.81 to 33.98, p = 0.002) and 25 weeks (β: 16.78, 95% CI: 2.44 to 31.12, p = 0.02); exercise self-efficacy at 13 weeks (β: 0.60, 95% CI: 0.10 to 1.10, p = 0.02) and 25 weeks (β: 0.96, 95% CI: 0.42 to 1.49, p < 0.001), and PA interest at 13 weeks (β: 1.22, 95% CI: 0.48 to1.96, p = 0.001) and 25 weeks (β:1.76, 95% CI: 0.98 to 2.55, p < 0.001). All intervention settings committed to sustaining MVgPA post-trial. The trial achieved 100% participant retention and demonstrated high acceptability (staff willingness scores: 4 to 6/6). CONCLUSIONS: The IMS-based MVgPA intervention significantly improved functional and psychosocial outcomes associated with cardiovascular health in adults with ID, despite no increase in objectively measured PA. The intervention’s high acceptability and sustainability support its scalable implementation in supported care settings. TRIAL REGISTRATION: The study protocol was registered at ClinicalTrials.gov (NCT04938999) https://clinicaltrials.gov/study/NCT04938999?term=NCT04938999&rank=1 on 2021-06-25. </p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":" ","pages":"11"},"PeriodicalIF":7.1,"publicationDate":"2026-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12896249/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145994723","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
Feasibility of the "LvL UP" trial: a pilot sequential multiple assignment randomised trial of an adaptive, holistic mHealth lifestyle coaching intervention. “LvL UP”试验的可行性:一项适应性、整体性移动健康生活方式指导干预的先导顺序多任务随机试验。
IF 7.1 1区 医学
International Journal of Behavioral Nutrition and Physical Activity Pub Date : 2026-01-03 DOI: 10.1186/s12966-025-01869-7
Shenglin Zheng, Oscar Castro, Jacqueline Louise Mair, Ahmad I Jabir, Sarah Yi Xuan Tan, Akshaye Shenoi, Samarth Negi, Ruth Rachael Mathews, Rachel Woon Sim Koh, Xiaoxi Yan, Bibhas Chakraborty, E Shyong Tai, Rob M van Dam, Florian von Wangenheim, Elgar Fleisch, Konstadina Griva, Tobias Kowatsch, Falk Müller-Riemenschneider
{"title":"Feasibility of the \"LvL UP\" trial: a pilot sequential multiple assignment randomised trial of an adaptive, holistic mHealth lifestyle coaching intervention.","authors":"Shenglin Zheng, Oscar Castro, Jacqueline Louise Mair, Ahmad I Jabir, Sarah Yi Xuan Tan, Akshaye Shenoi, Samarth Negi, Ruth Rachael Mathews, Rachel Woon Sim Koh, Xiaoxi Yan, Bibhas Chakraborty, E Shyong Tai, Rob M van Dam, Florian von Wangenheim, Elgar Fleisch, Konstadina Griva, Tobias Kowatsch, Falk Müller-Riemenschneider","doi":"10.1186/s12966-025-01869-7","DOIUrl":"10.1186/s12966-025-01869-7","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Mobile Health (mHealth) interventions are promising for addressing the growing burden of noncommunicable diseases and common mental disorders but often focus on single domains and lack adaptability. LvL UP (\"Level Up\") is a holistic mHealth lifestyle coaching intervention that integrates physical activity, diet, and emotional regulation. It provides blended coaching support through an app-based conversational agent with adaptive human support. This pilot trial assessed the feasibility of delivering the LvL UP intervention and implementing its adaptive procedures using a sequential multiple assignment randomised trial (SMART) design.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;This eight-week pilot trial was conducted from 29 March to 1 August 2024. We recruited adults in Singapore aged 21-59 at risk of chronic conditions. Participants were randomised 2:1 to the intervention (LvL UP app with a peer supporter-LvL UP Buddy) or comparison (control app with educational resources). After four weeks, non-responders (defined as completing &lt; 6 digital coaching sessions or rated session usefulness &lt; 4/5) were re-randomised 1:1 to continue or receive three additional motivational interviewing (MI)-informed sessions with a human coach; responders remained on their original allocation. Primary outcomes included feasibility indicators: recruitment, LvL UP Buddy enrolment, non-responder rate, trial retention, data completion rate, and intervention engagement. Secondary outcomes measured changes from baseline to eight weeks in mental well-being, psychological distress, physical activity, sleep duration, and fruit and vegetable intake. Six progression criteria were prespecified to guide advancement to a definitive trial.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Of the 458 individuals screened, 394 were eligible, and 123 were enrolled (82 interventions; 41 controls). Most intervention participants (95.1%) were paired with a LvL UP Buddy. Thirty-eight participants (46.3%) were non-responders; of those assigned to MI-informed sessions, 52.6% (10/19) completed all three. Eight-week retention was high (91.5% intervention; 92.7% control), with 12.2% missing data. Positive trends were observed in mental well-being (2.12, 95% CI [-0.58, 4.82]), psychological distress (-0.94 [-2.08, 0.20]), and sleep duration (0.49 h/week [0.17, 0.82]). The study met five of six prespecified progression criteria: recruiting ≥ 60 participants within six weeks, achieving ≥ 75% retention, maintaining ≤ 20% missing data, obtaining a 40-60% non-responder rate, and showing a positive change in ≥ 1 health-related outcome. The digital coaching session adherence fell below the target (39.5% vs. 70%).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;LvL UP was feasible to deliver and evaluate using a SMART design. The results provide strong operational guidance and a solid foundation for the refinement and implementation of a fully powered trial.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Trial registration: &lt;/strong&gt;ClinicalTri","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":" ","pages":""},"PeriodicalIF":7.1,"publicationDate":"2026-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12931026/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145897093","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
Every move counts: but some more than others. 每个动作都很重要,但有些动作比其他动作更重要。
IF 5.5 1区 医学
International Journal of Behavioral Nutrition and Physical Activity Pub Date : 2026-01-03 DOI: 10.1186/s12966-025-01865-x
Melvyn Hillsdon, Brad Metcalf, John N Newton, Amal A Wanigatunga, Jennifer A Schrack
{"title":"Every move counts: but some more than others.","authors":"Melvyn Hillsdon, Brad Metcalf, John N Newton, Amal A Wanigatunga, Jennifer A Schrack","doi":"10.1186/s12966-025-01865-x","DOIUrl":"10.1186/s12966-025-01865-x","url":null,"abstract":"<p><strong>Background: </strong>Physical activity (PA) plays an essential role in reducing the risk of non-communicable diseases and improving health and well-being. However, current PA guidelines do not adequately reflect emerging evidence on the importance of the relationship between patterns of PA bout duration and health outcomes.</p><p><strong>Main text: </strong>This paper explores the limitations of evidence based on self-reported, aggregated measures of PA, and advocates for greater use of time series data from accelerometers to describe daily patterns of PA bout duration. Time series data offer insights into how PA is accumulated in different bout lengths and how such patterns impact health, independent of total weekly volume of PA. Evidence from accelerometer-based studies of the association between patterns of PA bout duration and health outcomes challenges the revised World Health Organisation guideline that 'every move counts toward better health'.</p><p><strong>Conclusion: </strong>By highlighting the novel nature of time series data and their corresponding patterns of PA bout duration, this paper aims to challenge current public health guidelines and inform the development of future guidelines, surveillance, policies, and interventions to prevent morbidity and mortality.</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":" ","pages":"10"},"PeriodicalIF":5.5,"publicationDate":"2026-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12865967/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145897122","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 free summer day camp on physical activity behaviors and screentime of elementary-age children from low-income households: a randomized clinical trial. 免费夏令营对低收入家庭小学生体育活动行为和屏幕时间的影响:一项随机临床试验。
IF 5.5 1区 医学
International Journal of Behavioral Nutrition and Physical Activity Pub Date : 2025-12-29 DOI: 10.1186/s12966-025-01852-2
Michael W Beets, Sarah Burkart, Christopher D Pfledderer, Elizabeth Adams, R Glenn Weaver, Bridget Armstrong, Keith Brazendale, Xuanxuan Zhu, Brian Chen, Alexander McLain
{"title":"Impact of free summer day camp on physical activity behaviors and screentime of elementary-age children from low-income households: a randomized clinical trial.","authors":"Michael W Beets, Sarah Burkart, Christopher D Pfledderer, Elizabeth Adams, R Glenn Weaver, Bridget Armstrong, Keith Brazendale, Xuanxuan Zhu, Brian Chen, Alexander McLain","doi":"10.1186/s12966-025-01852-2","DOIUrl":"10.1186/s12966-025-01852-2","url":null,"abstract":"<p><strong>Background: </strong>To examine the efficacy of providing free summer day camp (SDC) to children from low-income families on changes in physical activity, time spent sedentary, and screentime.</p><p><strong>Methods: </strong>Across three summers (2021-2023), we randomized 422 children (8.2 ± 1.5yrs, 48% female, 51% Black, 69% at or below 200% Federal Poverty Level, 30% food insecure) from seven elementary schools to one of two conditions: summer as usual (control, n = 199) or free SDC for 8-10wks (intervention, n = 223). Accelerometry measured activity (moderate-to-vigorous PA [MVPA] and time spent sedentary) and parent daily report of screentime were measured using a 14-day in April/May (school) and July (summer). Intent-to-treat analysis examined changes in behaviors between school and summer. Exposure models examined differences in behaviors during summer on days when children attended vs. did not attend a SDC in both intervention and control children.</p><p><strong>Results: </strong>Intent-to-treat models indicated in the summer children in the intervention group accumulated + 15.0 min/day (95CI 12.0 to 18.0) more MVPA and spent - 29.7 min/day (-37.7 to -21.8) less time sedentary and - 14.1 min/day (-23.9 to -4.3) on screens, compared to children in the control group. Exposure models indicated, on days children attended SDCs, they accumulated more MVPA (+ 26.1 min/day, 22.5 to 29.7), and spent less time sedentary (-63.5 min/day, -72.9 to -54.1) and on screens (-9.5 min/day, -20.1 to 1.2), compared to days when children did not attend SDC.</p><p><strong>Conclusions: </strong>Policies targeting upstream structural factors, such as universal access to existing community SDCs during summer, could lead to improvements in health behaviors among children from low-income households.</p><p><strong>Clinical trials: </strong>GOV: NCT04072549.</p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":"22 1","pages":"159"},"PeriodicalIF":5.5,"publicationDate":"2025-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12751614/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145858941","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
Effects of mHealth interventions to prescribe resistance training: a systematic review and meta-analysis of randomized controlled trials. 移动医疗干预对抗阻训练处方的影响:随机对照试验的系统回顾和荟萃分析。
IF 7.1 1区 医学
International Journal of Behavioral Nutrition and Physical Activity Pub Date : 2025-12-22 DOI: 10.1186/s12966-025-01868-8
Emily R Cox, Sam Beacroft, Anna K Jansson, Levi Wade, Mitch J Duncan, David R Lubans, Sara L Robards, Manuel Leitner, Niklas Gutberlet, Ronald C Plotnikoff
{"title":"Effects of mHealth interventions to prescribe resistance training: a systematic review and meta-analysis of randomized controlled trials.","authors":"Emily R Cox, Sam Beacroft, Anna K Jansson, Levi Wade, Mitch J Duncan, David R Lubans, Sara L Robards, Manuel Leitner, Niklas Gutberlet, Ronald C Plotnikoff","doi":"10.1186/s12966-025-01868-8","DOIUrl":"10.1186/s12966-025-01868-8","url":null,"abstract":"<p><p>BACKGROUND: This review evaluated the efficacy of resistance training mHealth interventions for improving neuromuscular fitness and resistance training participation. It also explored how resistance training is prescribed through mHealth, and the theoretical frameworks and behavior change techniques (BCTs) employed. METHODS: MEDLINE (OVID), Embase (OVID), Emcare (OVID), SPORTDiscus, Web of Science, Scopus and Cochrane (CINAHL) were searched from January 2010 to February 2025. Randomized controlled trials published in English, targeting adults, that prescribed resistance training via an mHealth platform and measured at least one outcome of neuromuscular fitness or resistance training participation were included. RESULTS: From the 12,059 records identified, 32 RCTs were included. mHealth-delivered resistance training interventions produced a small, statistically significant improvement in neuromuscular fitness compared with no intervention/usual care (Cohen’s d = 0.18, 95% CI [0.08, 0.28], p < .001, 18 studies). There was a significant, moderate effect for lower body neuromuscular fitness outcomes, but no significant effect for upper body outcomes. Only two studies measured changes to resistance training participation, precluding meta-analysis on this outcome. Studies targeted mostly clinical populations and used mobile applications or websites. Majority of studies included bodyweight exercises, prescribed via videos or pictures, along with text description. Exercise prescription was generally poorly reported across studies. Only 7 studies used a theoretical framework to inform their intervention. All studies incorporated BCTs (17 discrete BCTs used), with a focus on providing instruction and demonstrating behavior. CONCLUSIONS: mHealth is a potentially scalable, effective method of prescribing resistance training. Better reporting of exercise prescription, along with clearer grounding in established theoretical frameworks, is recommended. REVIEW REGISTRATION: The review was prospectively registered with the International Prospective Register of Systematic Reviews (PROSPERO; registration number CRD42025641142). </p>","PeriodicalId":50336,"journal":{"name":"International Journal of Behavioral Nutrition and Physical Activity","volume":" ","pages":"7"},"PeriodicalIF":7.1,"publicationDate":"2025-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12836956/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145811783","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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