Annals of behavioral medicine : a publication of the Society of Behavioral Medicine最新文献

{"title":"Neighborhood built environment and leukocyte telomere length among African American adults in the Jackson Heart Study.","authors":"Mohammad Moniruzzaman, Yangyang Deng, Lauren A Reid, Allana T Forde, Priya Palta, Mario Sims, Kosuke Tamura","doi":"10.1093/abm/kaag016","DOIUrl":"10.1093/abm/kaag016","url":null,"abstract":"<p><strong>Background: </strong>Evidence on the relationship between the built environment and leukocyte telomere length (LTL), a biomarker of cellular aging, is limited and inconsistent, with intermediary factors and the moderating role of sex remaining understudied.</p><p><strong>Purpose: </strong>This study examined the direct associations between built environment factors and LTL and evaluated whether these associations were mediated by physical activity (PA) and diet and varied by sex.</p><p><strong>Methods: </strong>Cross-sectional data came from the Jackson Heart Study (baseline, 2000-04; n = 2174; mean age = 54.7 years; 55.2% females). LTL was measured from blood using Southern blot analysis. Built environment measures included unfavorable food stores, population density, PA facilities, and popular walking destinations. Total PA and healthy eating diet scores were tested as mediators. Linear regression was used to examine the direct and indirect associations between each built environment factor and LTL adjusted for covariates. All analyses were stratified by sex.</p><p><strong>Results: </strong>Unfavorable food stores, population density, PA facilities, and popular walking destinations were directly associated with LTL (β = -.05, 95% confidence interval [CI] = -0.08 to -0.01; β = -.06, 95% CI = -0.09 to -0.02; β = -.04, 95% CI = -0.07 to -0.01; and β = -.05, 95% CI = -0.08 to -0.02, respectively). When stratified by sex, similar associations were observed in females but not in males. No statistically significant mediation through PA or diet was observed in overall or sex-stratified analyses.</p><p><strong>Conclusions: </strong>Built environment appears to be directly associated with shorter LTL in African American females, suggesting an increased disease risk. Similar studies could be extended to other racial and/or ethnic groups to determine the generalizability of the current findings.</p>","PeriodicalId":520558,"journal":{"name":"Annals of behavioral medicine : a publication of the Society of Behavioral Medicine","volume":"60 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13092137/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149140348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility of a brief sequential sleep and physical activity behavioral intervention in African American adults with overweight or obesity.","authors":"Ivan H C Wu, Nga Nguyen, Diwakar Balachandran, Lorenzo Cohen, Yisheng Li, Lorna McNeill","doi":"10.1093/abm/kaag064","DOIUrl":"10.1093/abm/kaag064","url":null,"abstract":"<p><strong>Background: </strong>Short sleep duration and low physical activity commonly co-occur among African American (AA) adults with overweight or obesity and are associated with adverse health outcomes, including type 2 diabetes, coronary heart disease, stroke, and premature mortality. However, limited evidence addresses whether the sequence of sleep and physical activity intervention components is feasible or associated with short-term behavioral outcomes.</p><p><strong>Purpose: </strong>To evaluate the feasibility of delivering sequential sleep and physical activity interventions in alternate order and to descriptively characterize changes in sleep, sedentary behavior, and moderate-to-vigorous physical activity (MVPA) in a randomized pilot sequencing trial.</p><p><strong>Methods: </strong>Thirty AA adults with body mass index ≥25 kg m², short sleep duration, and low physical activity were randomized to Sleep → Physical Activity, Physical Activity → Sleep, or a contact-matched control condition. Each active intervention sequence included two 4-week phases separated by a 1-week interval. Assessments at baseline, week 5, and week 9 included 7-day wrist actigraphy, daily sleep diary, online questionnaires, and anthropometrics. Feasibility outcomes included recruitment, retention, adherence, and participant satisfaction. Baseline-adjusted ANCOVA models examined exploratory week 9 outcomes.</p><p><strong>Results: </strong>Recruitment (75%) approached the prespecified benchmark (80%), retention met the ≥70% benchmark (70% for Sleep → Physical Activity; 100% for Physical Activity → Sleep; 90% for Control), and mean adherence met the ≥66% criterion (66.7% and 91.7%, respectively). No adverse events occurred. Among respondents with available week 9 satisfaction data, ratings of study procedures, materials, and study service were favorable. In exploratory baseline-adjusted models, no condition effects were observed for actigraphy-measured sleep, sedentary time, MVPA, or Pittsburgh Sleep Quality Index global score. Insomnia Severity Index scores at week 9 were lower in Sleep → Physical Activity compared with Physical Activity → Sleep; this finding was exploratory and not adjusted for multiple testing.</p><p><strong>Conclusions: </strong>Sequential delivery of sleep and physical activity intervention components was feasible in AA adults with overweight or obesity, short sleep duration, and low physical activity. Behavioral outcome findings should be interpreted as hypothesis-generating. Larger trials are needed to evaluate sequencing effects on insomnia symptoms, objective sleep, sedentary behavior, and physical activity.</p>","PeriodicalId":520558,"journal":{"name":"Annals of behavioral medicine : a publication of the Society of Behavioral Medicine","volume":"60 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13629436/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149140294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intersectional discrimination and noncommunicable disease risk factors among sexual minority men of color.","authors":"Madison Shea Smith, Drexler James, Joshua M Schrock, Michael Newcomb, Brian Mustanski","doi":"10.1093/abm/kaag004","DOIUrl":"10.1093/abm/kaag004","url":null,"abstract":"<p><strong>Background: </strong>Sexual minority men (SMM) of color face disproportionate risk for noncommunicable diseases (eg, hypertension) and associated risk factors (eg, substance use) due to intersecting ethnoracial and heterosexist stressors. Existing research often examines experiences of ethnoracial and heterosexist discrimination separately, thereby overlooking the distinct nature of intersectional discrimination.</p><p><strong>Purpose: </strong>We used 2 independent samples of SMM of color to examine (1) the impact of intersectional discrimination on noncommunicable disease outcomes and risk factors above and beyond experiences of ethnoracial and heterosexist discrimination, and (2) whether effects differ by type of intersectional discrimination (racism in LGBT communities; heterosexism in POC [people of color] communities).</p><p><strong>Methods: </strong>Study 1. Participants were 414 SMM of color from a large cohort study (Mage = 26.37). Study 2. Participants were 767 gay/bisexual men of color from a web-based survey (Mage = 30.67). Regressions examined the effect of intersectional discrimination on noncommunicable disease outcomes (eg, chronic illness) and risk factors (eg, substance use), controlling for socio-demographics and ethnoracial and heterosexist discrimination.</p><p><strong>Results: </strong>Intersectional discrimination (Study 1), racism in LGBT communities (Study 2), and heterosexism in POC communities (Study 2) were uniquely associated with perceived stress and alcohol use. Racism in LGBT communities and heterosexism in POC communities were uniquely associated with self-reported body mass index (Study 2). Racism in LGBT communities was associated with illicit drug use (Study 2). Few significant findings emerged for disease outcomes.</p><p><strong>Conclusions: </strong>Intersectional discrimination was associated with stress and health behaviors (eg, alcohol use), highlighting pathways that may increase chronic disease risk among SMM of color.</p>","PeriodicalId":520558,"journal":{"name":"Annals of behavioral medicine : a publication of the Society of Behavioral Medicine","volume":"60 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13378164/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149140313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sleep and diet quality in racial and ethnic minorities following job loss: an 18-month cohort analysis.","authors":"Patricia L Haynes, Lauryn White, John Richmond T Sy, Nupur Rajkaran","doi":"10.1093/abm/kaag059","DOIUrl":"10.1093/abm/kaag059","url":null,"abstract":"<p><strong>Importance: </strong>This study provides insight into the relationship between sleep and diet among racial and ethnic minority populations experiencing involuntary job loss.</p><p><strong>Objective: </strong>The study examined whether individuals from racial and ethnic minority groups with worse multidimensional sleep health (MSH) and more fragmented sleep after job loss would demonstrate worse diet quality over an 18-month period when compared to individuals identifying as non-Hispanic and White (NHW).</p><p><strong>Methods: </strong>Data were derived from the Assessing Daily Activity Patterns through occupational Transitions study, an 18-month cohort study with participants (N = 188) in the US Southwest who experienced involuntary job loss. After an initial baseline assessment, participants completed 5 additional visits that included a 24-hour dietary recall interviews and multimodal sleep assessments (actigraphy, daily sleep diaries, and interview). Data from the dietary recalls were used to calculate the dependent variable, Healthy Eating Index (HEI); higher scores indicated greater adherence to the Dietary Guidelines for Americans. Sleep data were used to generate a composite MSH score (covering regularity, satisfaction, alertness, timing, efficiency, and duration of sleep), and sleep fragmentation was the average number of wake bouts per hour of sleep and wake time after sleep onset (actigraphy). Mixed-effects linear modeling tested whether minority status (dichotomized to racial and ethnic minority and NHW) separately moderated the association between sleep and diet quality over time while controlling for body mass index, sex, education, and reemployment.</p><p><strong>Results: </strong>The HEI did not change significantly over time. No effects were found for MSH. More fragmented sleep was associated with healthier diets in racial and ethnic minorities and less healthy diets in NHW individuals. This interaction was driven by lower consumption of refined grains and saturated fats and increased consumption of greens and beans over time in racial and ethnic minorities and less consumption of whole grains in NHW.</p><p><strong>Conclusions: </strong>In a population of individuals who recently experienced involuntary job loss, sleep fragmentation was associated with diet quality, but MSH was not. The association between sleep fragmentation and diet was in the opposite direction than hypothesized in racial and ethnic minorities. Future research may benefit from testing the daily relationships between sleep fragmentation and cultural differences in dietary choices when under financial strain.</p>","PeriodicalId":520558,"journal":{"name":"Annals of behavioral medicine : a publication of the Society of Behavioral Medicine","volume":"60 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149140242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A scoping review of e/mHealth interventions for weight management in racial and ethnic minority adults in the United States.","authors":"Caroline F Ajilogba, Robert P Briggs, Sam L Battalio, Christopher Nguyen, Eileen Wafford, Sara Hoffman Marchese, Bonnie Spring, Angela Fidler Pfammatter","doi":"10.1093/abm/kaag062","DOIUrl":"10.1093/abm/kaag062","url":null,"abstract":"<p><strong>Importance: </strong>Obesity and chronic diseases disproportionately burden racial/ethnic minority adults in the United States (U.S.) (eg, Black, Hispanic/Latino, Asian, American Indian/Alaska Native, and Native Hawaiian/Pacific Islander), partially owing to barriers to receiving obesity treatment. While eHealth/mHealth-supported interventions offer a potential scalable solution and have proliferated in recent years, the last evidence synthesis was published in 2018.</p><p><strong>Objective: </strong>Given the wide variation in intervention approaches, we aimed to map current evidence on weight management programs targeting U.S. racial and ethnic minority adults. We sought to understand the e/mHealth tools used, the extent to which interventions were tailored, and how they addressed barriers and achieved effectiveness in reducing health disparities.</p><p><strong>Methods: </strong>We performed a Joanna Briggs Institute/Preferred Reporting Items for systematic reviews and meta-analyses and related scoping review guidance-guided search of MEDLINE, Cochrane, Embase, CINAHL Plus, and PsycINFO (inception-June 2025) for U.S. English-language studies (>50% minority adults ≥18 y, BMI ≥ 25 kg/m²) using electronic/mobile health (e/mHealth) for weight management.</p><p><strong>Results: </strong>Dual review of 4811 records yielded 51 studies (45 randomized controlled trials (RCTs)). Most studies used smartphone applications, a form of messaging to phones, and/or wearables (86%; 35/51) as opposed to other eHealth approaches. Interventions were culturally tailored in 34 studies (67%), yet few used co-design methods with the target population (3/51).</p><p><strong>Conclusions: </strong>Interventions that use e/mHealth show moderate promise for scalable weight management, with available but uneven tailoring. Short-term/individual designs limit equity and sustainability, especially for underrepresented men and rural groups. Prioritization of co-designed, social determinants of health (SDOH) and theory-grounded (eg, socio-ecological) trials ≥12 months is necessary for scalable, responsive solutions.</p>","PeriodicalId":520558,"journal":{"name":"Annals of behavioral medicine : a publication of the Society of Behavioral Medicine","volume":"60 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13626718/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149140235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing measurement invariance of scales of likelihood and barriers to bystander intervention for problematic alcohol use among college students.","authors":"Erika Montanaro, Michael Brienzo, Jasmine Temple, Kennicia Fortson, Nicole Schwab, Annelise Mennicke","doi":"10.1093/abm/kaag001","DOIUrl":"10.1093/abm/kaag001","url":null,"abstract":"<p><strong>Background: </strong>Problematic drinking among college students is a serious issue that leads to dire consequences. Bystander intervention (BI) for problematic alcohol use (PAU) is a promising approach that capitalizes on social networks to prevent PAU. Reliable and valid measures of BI for PAU that operate equivalently across demographic groups are needed.</p><p><strong>Purpose: </strong>The purpose of this investigation is to assess the measurement invariance of 2 validated scales of BI for Plikelihood to intervene and self-confidence to overcome barriers to intervention. Measurement invariance was tested across 6 groups, including (1) student athletes, (2) Black, Indigenous, and People of Color, (3) Greek affiliation, (4) sexual and gender minority students, (5) first year in college, and (6) men. Each target group was compared to a random sample of people not in the target group.</p><p><strong>Methods: </strong>Participants (n = 1190) were recruited via Prime Panels to complete the Bystander Alcohol Likelihood to Intervene (BALI) and Overcoming Bystander Alcohol Barriers to Intervene (OBABI) scales. Random subsamples of groups of interest were created to ensure equal size within subgroups. Assessments of measurement invariance occur in a stepwise process: (1) configural, (2) metric, and (3) scalar.</p><p><strong>Results: </strong>Configural invariance was established for each group. Metric invariance was not established, so scalar invariance was not investigated.</p><p><strong>Conclusions: </strong>Establishing configural invariance means that constructs and subfactors of BALI and OBABI operate equivalently between groups. However, the lack of metric invariance suggests that the items are not endorsed equivalently between these different risk groups. Further research should interrogate where discrepancies lie for items on the BALI and OBABI.</p>","PeriodicalId":520558,"journal":{"name":"Annals of behavioral medicine : a publication of the Society of Behavioral Medicine","volume":"60 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13650274/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149140251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"COSMIN systematic review of stigma measurement in smoking, COPD, and lung cancer: content analysis, language audit, and psychometrics.","authors":"Sohail Ahmad, Coral Gartner, Bernadette Richards, Henry Marshall, Julia Yamazaki-Tan, Kiernan Thompson, Kylie Morphett","doi":"10.1093/abm/kaag026","DOIUrl":"10.1093/abm/kaag026","url":null,"abstract":"<p><strong>Background: </strong>Stigma associated with smoking, chronic obstructive pulmonary disease (COPD) and lung cancer is prevalent and can cause distress and delayed treatment-seeking. Interventions to reduce stigma are becoming more widespread and a variety of stigma scales have been developed, but it is unknown how psychometrically sound and appropriately worded they are.</p><p><strong>Purpose: </strong>To (1) systematically identify scales that measure stigma in people who smoke, or those living with COPD or lung cancer; (2) analyze the content of items and language used; and (3) evaluate their psychometric properties.</p><p><strong>Methods: </strong>PubMed, Embase, Web of Science, and Scopus were searched to identify quantitative scales measuring stigma in smoking, COPD, or lung cancer. The Lung Cancer Stigma Communications Assessment Tool was used to assess whether the scales contained language that could exacerbate stigma amongst participants. The COSMIN tool was used to evaluate the psychometric properties of the scales.</p><p><strong>Results: </strong>We identified 962 articles for screening, of which 28 eligible scales were included. The majority (n = 17) measured lung cancer stigma. The content of items largely aligned with theoretical dimensions of stigma. No scales were free of language that could exacerbate stigma. In relation to psychometrics, the majority of the stigma scales assessed internal consistency (n = 25), construct validity (n = 20), and structural validity (n = 15). All scales were categorized as Class B, meaning that they have potential for use but require further research and psychometric testing.</p><p><strong>Conclusion: </strong>A comprehensively validated stigma scale is needed that uses non-stigmatizing, bias-free, and person-first language.</p>","PeriodicalId":520558,"journal":{"name":"Annals of behavioral medicine : a publication of the Society of Behavioral Medicine","volume":"60 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13256004/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149140203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determinants of older adults' sedentary behavior in the context of everyday life: an ecological momentary assessment study.","authors":"Alexander Jochim, Jeffrey D Labban, Brynn L Hudgins, Jaclyn P Maher","doi":"10.1093/abm/kaag037","DOIUrl":"10.1093/abm/kaag037","url":null,"abstract":"<p><strong>Background: </strong>Older adults are highly sedentary, but research has not comprehensively examined the determinants of sedentary behavior (SB) in older adults.</p><p><strong>Purpose: </strong>The present study sought to assess determinants of SB in older adults' everyday lives.</p><p><strong>Methods: </strong>Data were collected between 2021 and 2023. Over 1 year, older adults (N = 202, aged ≥ 60 years) participated in an ecological momentary assessment (EMA) study with three 14-day waves of data collection. At each wave, accelerometer-derived SB was assessed, as well as momentary reports of psychological determinants. To assess behavior-specific reflective constructs, general reflective constructs, and contextual factors, participants responded to 10 EMA prompts per day over 4-days of each wave. Data were analyzed with a two-step multilevel approach estimating (a) the likelihood of any SB occurring in the 60 min following a prompt and (b) on occasions when SB occurred, the volume of SB accumulated in the 60 min following the prompt.</p><p><strong>Results: </strong>Intentions and self-efficacy were negatively associated with sedentary time at the between- and within-person levels and a significant cross-level interaction was found for planning to limit SB. Positive affect, negative affect, and social context were associated with the likelihood of engaging in any SB and the volume of SB accumulated, but the relationships differed for individuals with higher or lower levels of the constructs.</p><p><strong>Conclusions: </strong>Both behavior-specific reflective constructs and contextual factors predict SB, but different determinants predict the likelihood of SB occurring and the volume of SB accumulated when SB does occur.</p>","PeriodicalId":520558,"journal":{"name":"Annals of behavioral medicine : a publication of the Society of Behavioral Medicine","volume":"60 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13344433/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149140229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physical activity, weight, and cardiovascular risk factors after lifestyle behavioral weight loss treatment for binge-eating disorder.","authors":"Sydney Yurkow, Valentina Ivezaj, Carlos M Grilo","doi":"10.1093/abm/kaag009","DOIUrl":"10.1093/abm/kaag009","url":null,"abstract":"<p><strong>Background: </strong>Modest weight loss is associated with improved cardiovascular disease risk factors in binge-eating disorder (BED) with obesity following lifestyle behavioral weight loss treatment.</p><p><strong>Purpose: </strong>This study examined changes in physical activity and associations with outcomes following lifestyle behavioral weight loss treatment.</p><p><strong>Methods: </strong>In this secondary analysis of a randomized controlled trial for BED with obesity testing standard lifestyle behavioral weight loss treatment and a stepped-care approach built upon lifestyle behavioral weight loss treatment, physical activity, weight, cardiovascular disease risk factors, and eating-disorder psychopathology were assessed at baseline, posttreatment (after 6-month lifestyle behavioral weight loss treatment), and 12-month follow-up (18 months after baseline).</p><p><strong>Results: </strong>Physical activity was infrequent at baseline (18.2% \"active\"), increased during treatment (49.1% \"active\" at posttreatment), and remained increased at 12-month follow-up (48.0% \"active\"). At posttreatment, moderate and active groups lost more weight than sedentary. At 12-month follow-up, active group had lower body mass index and greater percent weight loss than sedentary group. Physical activity and physical activity change were related to few cardiovascular disease risk factor outcomes, in contrast with significant associations between weight loss and improvements in several cardiovascular disease risk factor outcomes. Additionally, at posttreatment, active group had lower eating-disorder psychopathology, while sedentary group was less likely to attain binge-eating remission.</p><p><strong>Conclusions: </strong>Lifestyle behavioral weight loss treatment for BED with obesity was associated with increased physical activity sustained through 12-month follow-up. Increased and moderate/active physical activity levels were associated with weight loss and improved eating-disorder psychopathology, but not cardiovascular disease risk factor outcomes/changes, which were associated with weight loss.</p>","PeriodicalId":520558,"journal":{"name":"Annals of behavioral medicine : a publication of the Society of Behavioral Medicine","volume":"60 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149140192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Positive affect predicts enhanced quality of life and glycemic outcomes in adolescents with type 1 diabetes.","authors":"Maya Jayaram, Charity Davis, Kashope Anifowoshe, James C Slaughter, Sarah S Jaser","doi":"10.1093/abm/kaag023","DOIUrl":"10.1093/abm/kaag023","url":null,"abstract":"<p><strong>Background: </strong>Adolescents with type 1 diabetes (T1D) often face challenges with diabetes management and experience diabetes distress related to the burden of treatment. Positive affect, including feelings of enthusiasm, joy, and engagement, may play a role in improving health outcomes.</p><p><strong>Purpose: </strong>This study aimed to identify demographic and clinical factors associated with positive affect in adolescents with T1D and assess the impact of adolescents' positive affect on glycemic outcomes and quality of life over time.</p><p><strong>Methods: </strong>The current study is a longitudinal analysis of data from a multisite randomized controlled trial. Adolescents' self-reported positive affect was analyzed in relation to demographic variables, clinical outcomes, and diabetes-related quality of life over a 12-month period.</p><p><strong>Results: </strong>In our sample of 196 adolescents with T1D, greater adolescent age was significantly associated with lower levels of positive affect. Importantly, positive affect was associated with lower HbA1c and higher quality of life over 12 months, after adjusting for baseline levels and demographic factors.</p><p><strong>Conclusions: </strong>These findings suggest that positive affect may be a protective factor for adolescents with T1D, underscoring the potential for incorporating approaches that induce positive affect as a way to improve diabetes management.</p>","PeriodicalId":520558,"journal":{"name":"Annals of behavioral medicine : a publication of the Society of Behavioral Medicine","volume":"60 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13152637/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149140227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}