Daijiro Kabata, Saori Matsumiya, Fumi Yamanouchi, Noriko Saeki, Katsufumi Kajimoto, Aki Kaimori, Riho Tanaka, Ayumi Zeniya, Yukihiro Koretsune
{"title":"Caloric Intake at Lunch Does Not Mediate the Impact of Eating Rate on Weight Gain Among Healthy Adults: Longitudinal Cohort Study.","authors":"Daijiro Kabata, Saori Matsumiya, Fumi Yamanouchi, Noriko Saeki, Katsufumi Kajimoto, Aki Kaimori, Riho Tanaka, Ayumi Zeniya, Yukihiro Koretsune","doi":"10.1177/08901171251335778","DOIUrl":"10.1177/08901171251335778","url":null,"abstract":"<p><p>PurposeThis study aims to evaluate causal relationships among eating rate, caloric intake, and weight gain using longitudinal data and to clarify how caloric intake mediates the effect of eating rate on weight gain.DesignA longitudinal cohort study with a 4-year follow-up.SettingData were collected from Daihatsu Co, Ltd employees, a major Japanese automobile manufacturer with 4 plants in Japan.SubjectsOf the 12,816 working-age Japanese individuals who underwent health checkups in 2020, 7,784 without excess weight or non-communicable diseases were included.InterventionThe eating rate was self-reported, and caloric intake was calculated based on cafeteria meal choices.MeasuresAnnual change in body mass index (BMI), calculated as the difference in BMI between consecutive years.AnalysisMediation analyses using a mixed-effects model were conducted to assess whether caloric intake mediates the effect of eating rate on BMI.ResultsCaloric intake in the fast-eating and ordinal-eating groups exceeded that of the slow-eating group by 19.21 kcal [9.28, 29.13] and 10.01 kcal [1.20, 18.81], respectively. Higher caloric intake was associated with a more significant BMI increase, rising by .09 [.06, .13] per interquartile range increase. The proportion of mediated impact among the impact of eating rate is .19% [.09, .32].ConclusionFaster eating independently contributes to BMI increases, with minimal mediation by caloric intake. Interventions targeting eating pace may prevent obesity, though the study population may limit generalizability.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"1046-1050"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143961582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Josepha D Cabrera, Adolfo G Cuevas, Shu Xu, Virginia W Chang
{"title":"Native Hawaiian and Other Pacific Islanders: Disparities in the Prevalence of Multiple Chronic Conditions.","authors":"Josepha D Cabrera, Adolfo G Cuevas, Shu Xu, Virginia W Chang","doi":"10.1177/08901171251330397","DOIUrl":"10.1177/08901171251330397","url":null,"abstract":"<p><p>PurposeTo examine multimorbidity prevalence by race/ethnicity and unique health disparities for Native Hawaiian and Other Pacific Islanders (NHPI).DesignCross-sectional study.SettingThis study uses combined data from the 2014 National Health Interview Survey (NHIS) and the 2014 NHPI-NHIS.Sample38,965 adults, including a representative sample of 2,026 NHPIs.MeasuresSelf-reported diagnoses of ten chronic conditions and race/ethnicity, including Non-Hispanic (NH) Whites, NH Blacks, NH Asians, NH NHPIs, Hispanics and NH Mixed Race. Covariates include age, sex, marital status, education, family income, and employment status.AnalysisWe used multinomial logistic regression models to evaluate the adjusted association between race/ethnicity and number of chronic conditions: none, 1, and ≥ 2 (multimorbidity).ResultsCompared to Whites, Asians and Hispanics (aRRR = 0.39, <i>P</i> < .001 and aRRR = 0.59, <i>P</i> < .001) had significantly lower odds of having multimorbidity relative to no chronic condition. In contrast, Black Americans and NHPIs (aRRR = 1.27, <i>P</i> < .001 and aRRR = 1.22, <i>P</i> < .05) had significantly higher odds of multimorbidity compared to Whites. Of note, NHPIs showed significantly higher odds of multimorbidity compared to Asians (aRRR = 3.07, <i>P</i> < .001).ConclusionOur findings highlight significantly higher risk of multimorbidity for NHPIs relative to Whites as well as Asians. This underscores the importance of disaggregating NHPI data from Asians as a whole. Future studies should incorporate additional social factors relevant to the NHPI community.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"1037-1041"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Boosting Business and Health: The Case for Workplace Physical Activity.","authors":"Mary T Imboden, Karen Moseley","doi":"10.1177/08901171251357127","DOIUrl":"10.1177/08901171251357127","url":null,"abstract":"","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"1082-1084"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144607084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jennifer L Matjasko, Zhuo Chen, Geoffrey P Whitfield, Laurie P Whitsel, Ken Rose, Kakoli Roy
{"title":"Inadequate Aerobic Physical Activity and Healthcare Expenditures in the United States: An Updated Cost Estimate.","authors":"Jennifer L Matjasko, Zhuo Chen, Geoffrey P Whitfield, Laurie P Whitsel, Ken Rose, Kakoli Roy","doi":"10.1177/08901171251357128","DOIUrl":"10.1177/08901171251357128","url":null,"abstract":"","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"1085-1087"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144615769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"In Briefs.","authors":"","doi":"10.1177/08901171251360583","DOIUrl":"https://doi.org/10.1177/08901171251360583","url":null,"abstract":"","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":"39 7","pages":"971-977"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fatemeh Darabi, Arash Ziapour, Fatemeh Mohamadkhah, Shiva Malekian, Yahya Salimi, Parisa Janjani, Nahid Salehi, Murat Yıldırım
{"title":"Factors Related to Self-Care Behaviors' in Chronic Heart Failure Patients: A Cross-Sectional Study in Western Iran.","authors":"Fatemeh Darabi, Arash Ziapour, Fatemeh Mohamadkhah, Shiva Malekian, Yahya Salimi, Parisa Janjani, Nahid Salehi, Murat Yıldırım","doi":"10.1177/08901171251330513","DOIUrl":"10.1177/08901171251330513","url":null,"abstract":"<p><p>PurposeSelf-care is recognized as an important element in the comprehensive management of patients with heart failure. The study aimed to explore the correlations of self-care behaviors in chronic heart failure patients in Kermanshah, West Iran.DesignDescriptive and analytical cross-sectional.SettingHospital.SampleThe research population included 597 (246 female and 351 male) patients with chronic heart failure visiting Imam Ali Cardiovascular Hospital in Kermanshah in 2022.MeasuresDemographic information, European Heart Failure Self-care Behavior Scale.AnalysisIndependent-sample <i>t</i> test, ANOVA, and Kruskal-Wallis in SPSS-24. The significance level was set at 5%.ResultsThe participants' age was 63.04 ± 14.1 years. The mean and standard deviation of the participants' self-care behaviors was 2.91 ± 31.00, and only 20.60% of the patients reported engaging in satisfactory self-care behaviors. Self-care behaviors were significantly related to Income level, ethnicity, family history of background disease, history of co-morbidity, history of addiction, access to medical centers, and not with any other variables.ConclusionBased on the study's results, most participants exhibited moderate self-care behaviors, suggesting that these patients may need preventive educational interventions to acquire the knowledge, skills, and attitudes necessary for effective self-care behaviors. Therefore, it is essential to design and implement a health promotion educational intervention aimed at convincing these patients to make lifestyle changes and adhere to their dietary and medication regimens to improve self-care behaviors.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"1016-1026"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143960861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kelsey M Conrick, Samantha Banks, Sarah F Porter, Ali Rowhani-Rahbar
{"title":"Examining the Association of Economic Instability and Firearm Storage Behaviors.","authors":"Kelsey M Conrick, Samantha Banks, Sarah F Porter, Ali Rowhani-Rahbar","doi":"10.1177/08901171251330708","DOIUrl":"10.1177/08901171251330708","url":null,"abstract":"<p><p>PurposeTo assess the association between secure firearm storage and economic instability.DesignCross-sectional survey.SettingCalifornia, Minnesota, Nevada, and New Mexico.SampleRespondents to the 2022 and 2023 Behavioral Risk Factor Surveillance System who reported presence of a firearm in or around the home.MeasuresEconomic instability was defined by receipt of food stamps, experiencing threats to shut off utilities, inability to pay bills, employment instability, unreliable transportation, and food insecurity. Firearm storage was dichotomized to \"loaded and unlocked\" or \"all other storage\".AnalysisLogistic regression with complex survey weights.ResultsAmong survey respondents who reported a firearm in or around the home (n = 29,977), 25.8% (95% CI: 24.7-26.8%) reported at least one indicator of economic instability, and 17.4% (95% CI: 16.5-18.3%) stored at least one firearm loaded and unlocked. After controlling for age, sex, and the presence of a child in the home, the odds of storing a firearm loaded and unlocked were 1.26 (95% CI 1.07-1.48) times higher for those experiencing economic instability compared to those who were not.ConclusionThese results provide evidence for the association between economic instability and firearm storage behaviors. In promoting secure firearm storage, economic instability may need to be considered as a correlate of that behavior.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"1042-1045"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143727375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Elizabeth Ablah, Mary T Imboden, Anna L Zendell, Michael Hosking, Robert E Anderson, Kipchoge VanHoose, Neil Peterson, Janet R Wojcik, Nicolaas P Pronk, Murray Harber, Laurie P Whitsel
{"title":"Benefits of Supplementing a GLP-1 Type Medication With Physical Activity.","authors":"Elizabeth Ablah, Mary T Imboden, Anna L Zendell, Michael Hosking, Robert E Anderson, Kipchoge VanHoose, Neil Peterson, Janet R Wojcik, Nicolaas P Pronk, Murray Harber, Laurie P Whitsel","doi":"10.1177/08901171251357130","DOIUrl":"10.1177/08901171251357130","url":null,"abstract":"<p><p>In 2023, more than 100 million US adults-approximately 40% of the adult population-were classified as having obesity. Individuals with obesity often encounter complex health challenges because of physiological changes that alter metabolic processes and gene expression, making weight loss increasingly difficult. Many people with obesity now seek glucagon-like peptide-1 receptor agonists (GLP-1 RA) medications to lose weight and improve their health. Supplementing GLP-1 RA medications with physical activity (PA) can produce synergistic effects that help to reduce risks associated with use of GLP-1 RAs and improve health outcomes, such as blood glucose control, blood pressure control, lipid management, body composition, and overall cardiometabolic risk. Healthcare professionals need to routinely prescribe PA concurrently with a GLP-1 RAs, when appropriate. Moreover, to attenuate disparities related to accessing these medications and PA, insurance carriers, employers, and advocates need to commit to benefit design that covers and/or reduces costs for all who need access to these treatments.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"1088-1095"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144648269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jongwon Lee, Delia West, Christine Pellegrini, Jingkai Wei, Sara Wilcox, Jean Neils-Strunjas, A Caroline Rudisill, Daniela B Friedman, David X Marquez, Jenna Dzwierzynski, Joyce Balls-Berry, Rachelle Gajadhar, Chih-Hsiang Yang
{"title":"Walking Interventions and Cognitive Health in Older Adults: A Systematic Review of Randomized Controlled Trials.","authors":"Jongwon Lee, Delia West, Christine Pellegrini, Jingkai Wei, Sara Wilcox, Jean Neils-Strunjas, A Caroline Rudisill, Daniela B Friedman, David X Marquez, Jenna Dzwierzynski, Joyce Balls-Berry, Rachelle Gajadhar, Chih-Hsiang Yang","doi":"10.1177/08901171251328858","DOIUrl":"10.1177/08901171251328858","url":null,"abstract":"<p><p>ObjectiveThis systematic review summarizes the effectiveness and the dose of walking interventions on specific cognition domains in older adults, including executive function, memory, attention, processing speed, and global cognition.Data sourcePublished randomized controlled trials in PubMed, Embase, and Web of Science until 10 May 2023.Study Inclusion and Exclusion CriteriaStudies include older adults without Alzheimer's or related dementias, involving a walking intervention and performance-based neuropsychological assessments for executive function, memory, processing speed, attention, or global cognition.Data ExtractionTwo independent research assistants reviewed 8424 studies and included 17 studies.Data SynthesisParticipant demographics, intervention features (type, intensity, time, frequency, duration, format, and context), cognitive assessment tools, and main findings.ResultsNine studies found a favorable effect of walking interventions on at least one cognitive domain. Walking interventions improved executive function (n = 6) and memory (n = 3). These studies delivered the intervention individually (n = 3) for at least 40 minutes (n = 6) each time, three times per week (n = 8), between 6 to 26 weeks (n = 8), and walking at a moderate to vigorous intensity (n = 7).ConclusionWalking interventions may improve specific domains of cognitive function in older adults, particularly executive function and memory. More standardized reporting of intervention design and participant compliance based on published guidelines is needed to determine the dose-response association and the long-term effect of walking interventions on cognition.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"1051-1067"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12284334/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143750589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Thomas E Kottke, Brian A Palmer, Stephanie A Hooker, Nicolaas P Pronk, Ross Arena, Colin Woodard
{"title":"Gun Violence as a Source of Anxiety and Stress in the US Population.","authors":"Thomas E Kottke, Brian A Palmer, Stephanie A Hooker, Nicolaas P Pronk, Ross Arena, Colin Woodard","doi":"10.1177/08901171251333563","DOIUrl":"10.1177/08901171251333563","url":null,"abstract":"<p><p>PurposeThe impact of gun violence on mental health is not limited to individuals who have experienced a shooting. This report enumerates, for the entire US population, the prevalence of anxiety and stress about gun violence. It also describes evidence-informed interventions that may improve these symptoms by reducing gun violence.DesignSurveys representing the US population.SettingUnited States.SubjectsAdults and adolescents.MeasuresSelf-reported anxiety and stress.AnalysisDescriptive frequencies.ResultsOn 3 surveys of adults (N sizes 2015 to 3192), between 27% and 38% selected \"extremely anxious\", 26% to 35% selected \"somewhat anxious\", and 12% selected \"not at all anxious\" when asked about gun violence concerns. When asked, 37% of respondents stated that they had avoided going somewhere over the past 6 months due to fear or anxiety about gun violence. In a survey of teens (N = 743) and their parents (N = 1058), 25% of teens selected \"very worried\" and another 32% \"somewhat worried\" about the possibility of a shooting happening at their school. In response to the same question, 24% of parents selected \"very worried\" and another 39% \"somewhat worried\".ConclusionAnxiety and stress about gun violence are pervasive in America. Secure gun storage, universal background checks and extreme risk protection orders are among the interventions that reduce gun violence and may thereby reduce the anxiety and stress it generates.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":" ","pages":"1010-1015"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143966014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}