Time Of Day Research Articles

Media use and attitudes towards screens in children aged 36-72 months; a cross-sectional, descriptive study.

Introduction: The age at which children are introduced to media devices is becoming increasingly earlier. Studies regarding the media habits of young children have gained importance. The aim of the study was to describe the screen media habits (age of introduction media, time spend with screen, popular choices) of preschool children and to explore their relationship with household characteristics. Population and methods: Cross-sectional descriptive study; the parents of children aged 36-72 months who attended childcare centers in Kayseri, a central Anatolian city in Türkiye, completed a questionnaire on media habits of families and children. Results: There were 858 questionaires included. The proportion of children using screen media more than 2 h/day was 28%; 36% of children were introduced to media devices before the age of two. The most frequently used media tool was television (95%) and the program watched was cartoons for TV (86.7%). Children of highly educated parents had shorter TV, computer and smartphone screen time (p = 0.012, p = 0.007, p <0.01 for mother and p = 0.049, p = 0.032, p = 0.04 for father respectively). Introducing books in the first 6 months was associated with shorter daily screen time (p = 0.011, p = 0.009, p = 0.002 for TV, computer and smartphone ,respectively). Parent's time spent on TV was positively correlated with children's time spent on TV (p <0.05, r = 0.354). Conclusion: Parents' education levels, parents' screen time and introducing book in early age was related to children's media habits. Comprehensive studies are needed to explain this relationship more clearly.

Light pollution affects activity differentially across breeding stages in an urban exploiter: an experiment in the house sparrow (Passer domesticus)

Artificial Light At Night (ALAN) is a major urban perturbation, which can have detrimental effects on wildlife. Recent urban planning has led to an increased use of white light emission diodes (LEDs) in cities. However, little is known about the effects of this type of ALAN on wild vertebrates, especially during reproduction. We designed an experiment to test the impact of ALAN on the activity rhythms (daily time of first activity (TFA) and time of last activity (TLA)) of captive House sparrows (Passer domesticus) during several reproductive stages (from pre-breeding to post-breeding). We also tested the impact of ALAN on reproductive performance (laying date, clutch size, hatching and fledging success). Experimental birds were active earlier in the morning (earlier TFA) relative to controls although experimental and control birds did not differ in their TLA. The effect of ALAN on TFA was apparent during specific stages only (pre-breeding and chick-rearing stages), suggesting that sparrows actively adjust their activity in response to ALAN only during specific periods. This impact of ALAN on activity did not persist through the whole breeding season, suggesting that sparrows may habituate to ALAN. Alternatively, they may not be able to sustain a long-term increased activity in response to ALAN because of sleep deprivation and related physiological costs. Finally, we did not find any impact of ALAN on the reproductive performance of captive house sparrows held under optimal conditions. This suggests that ALAN may not be dramatically detrimental to the reproduction of this urban exploiter, at least when food availability is not constraining.

Association between endocrine adjuvant therapy intake timing and disease-free survival in patients with high-risk early breast cancer: results of a sub-study of the UCBG- UNIRAD trial

Circadian rhythms regulate cellular physiology and could influence the efficacy of endocrine therapy (ET) in breast cancer (BC). We prospectively tested this hypothesis within the UNIRAD adjuvant phase III trial (NCT01805271). 1278 patients with high-risk hormonal receptor positive (HR+)/HER2 negative (HER2-) primary BC were randomly assigned to adjuvant ET with placebo or everolimus. Patients prospectively reported in a diary the daily timing of ET intake among four 6-h slots (06:00-11:59 (morning), 12:00-17:59 (afternoon), 18:00-23:59 (evening), or 24:00-05:59 (nighttime). The association between ET timing and disease-free survival (DFS) was a prespecified secondary endpoint of the trial and the results of this observational study are reported here. ET timing was recorded by 855 patients (67.2%). Patients declaring morning (n=465, 54.4%) or afternoon (n=45, 5.4%) ET intake were older than those declaring evening (n=339, 39.6%) or nighttime (n=5, 0.6%) intake. With a median follow-up of 46.7 months, 118 patients had a local (n=30) or metastasis relapse (n=84), and 41 patients died. ET intake timing was not associated with DFS in the whole population (HR=0.77, 95% CI [0.53-1.12]). The association between ET intake timing and DFS according to the stratification factors revealed interactions with ET agent (tamoxifen versus Aromatase inhibitors (AI) with an increased DFS in the group of evening/nighttime versus morning/afternoon tamoxifen intake (HR=0.43, 95% CI [0.22-0.85]), while no association was found for AI intake (HR=1.07, 95% CI [0.68-1.69]). The interaction between ET intake timing and ET agent remained in multivariable analysis (HR=0.38 [0.16-0.91]). Tamoxifen intake in the evening/nighttime could be recommended in patients with high-risk HR+/HER2- BC while awaiting for results from further ET timing studies. UNIRAD was Supported by a grant from the French Ministry of Health PHRC 2012 and received funding from La Ligue contre le Cancer, Cancer Research-UK, Myriad Genetics, and Novartis.

Stability assessment of railway trackwork scheduling in Sweden

Ensuring the reliability of railway transportation is heavily dependent on the quality of its infrastructure. In this regard, renewal and maintenance of the railway track infrastructure, referred to as trackwork, play a vital role. However, trackwork execution requires temporary capacity restrictions for train traffic. Therefore, harmonising the train and maintenance schedules is critical but challenging to accomplish when one is frequently changing. This paper explores and models the nature of trackwork schedule instability at the tactical level of the scheduling process. We analyse data from one year of trackwork rolling horizon plans, focusing on weekly changes at eight key trackwork locations across Sweden’s railway network. Our study considers various factors that may affect schedule stability, such as track type, location, time of day, train traffic intensity, and the type of prevailing traffic. We find that schedule instability increases as the rolling horizon plan approaches its end. The regression analysis reveals that the most significant predictors of changes in trackwork schedules include previous changes, track type (single vs. double), work location (at station vs. between stations), and the timing of trackwork (daytime vs. nighttime and month). These provide insights to trackwork planners in making informed and proactive decisions about trackwork timeslot allocation.

Assessing Patterns of CGM use and Metrics of Glycemic Control in T1D and T2D Patients in the Veterans Healthcare System: Integrating CGM Device Data with EHR Data.

To integrate long-term daily continuous glucose monitoring (CGM) device data with electronic health records (EHR) for type 1 and type 2 diabetes patients in the Veterans Affairs Healthcare System to assess real-world patterns of CGM use and the reliability of EHR-based CGM information. This observational study used Dexcom CGM device data linked with EHR (from 2015-2020) for a large national cohort of diabetes patients. We tracked the initiation and consistency of CGM use, assessed concordance of CGM use and measures of glucose control between CGM device data and EHR records, and examined results by age, ethnicity, and diabetes type. The time from pharmacy release of CGM to patients to initiation of uploading CGM data to Dexcom servers averaged three weeks but demonstrated wide variation among individuals; importantly, this delay decreased markedly over the later years. The average daily wear time of CGM exceeded 22 hours over nearly three years of follow-up. Patterns of CGM use were generally consistent across age, race/ethnicity groups and diabetes type. There was strong concordance between EHR-based estimates of CGM use and Dexcom CGM wear time and between estimates of glucose control from both sources. The study demonstrates our ability to reliably integrate CGM devices and EHR data to provide valuable insights into CGM use patterns. The results indicate in the real-world environment that CGM is worn consistently over many years for both type 1 and type 2 patients within the Veterans Affairs Healthcare System and is similar across major race/ethnicity and age groups.

Effects of computer use on upper limb musculoskeletal disorders and function in academicians

Objectives. This study aimed to investigate the effects of academician’s demographic characteristics and computer usage habits on upper limb musculoskeletal disorders (MSDs) and function. Methods. A cross-sectional observational study was conducted with 100 academicians. Data were collected using questionnaires, which included the patient-rated wrist evaluation questionnaire – Turkish version (PRWE-T), the Cornell musculoskeletal discomfort questionnaire – Turkish version (CMDQ-T), the upper extremity functional index – Turkish version (UEFI-T), demographic characteristics and average daily computer usage time. Results. A low-level significant correlation was found between the age of the individuals and the CMDQ-T forearm (p = 0.044; r = 0.202) and CMDQ-T wrist (p = 0.001; r = 0.337) scores. Women had higher CMDQ-T neck scores and lower UEFI-T scores than men (p < 0.05). Academicians who used computers for 6 h a day or more had higher PRWE-T and CMDQ-T neck, shoulder, upper arm and forearm scores, and had a lower UEFI-T score (p < 0.05). Conclusion. Neck, shoulder, upper arm and forearm symptoms were higher and upper extremity function was impaired in academicians who used computers for 6 h a day or more. Besides, gender and age were associated with upper limb MSDs and function, but occupation duration did not affect those outcomes in academicians.

Light Intensity of Phosphorescent-Netting Pots and Determining Their Visibility to Snow Crab (Chionoecetes opilio) Using Visual Modeling Techniques

This study explores the visibility of phosphorescent-netting pots to snow crab (Chionoecetes opilio) using visual modeling techniques. Light emitted from such pots increases catch per unit effort, yet little is understood about the factors driving these higher catch rates. In this study, we measure pot light emission and snow crab visual acuity. Combining these data with estimates obtained in the literature for other biotic and abiotic factors, we model snow crab vision in relation to the pots. Utilizing these factors and environmental conditions, we derive a contrast ratio between the pot light and the ambient light. Findings reveal that the visibility of pot lights at 200-m depth depends primarily on solar angle (time of day) and time elapsed post-deployment. Additional factors influencing the vision of the pots include water column quality and benthic boundary layer turbidity. This study is the first to model the visual ecology of snow crab and the first to estimate snow crab visual acuity. These insights into snow crab visual ecology can potentially enhance fishing techniques, promote catch efficiency and sustainability, and help provide a path forward for visual ecology research in the fisheries science field.

Will future wind power development in Scandinavia have an impact on wolves?

The global energy demand is growing, and the world is shifting towards using more renewable energy, like increased onshore wind power development. We used Global Positioning System (GPS) and Very High Frequency (VHF) location data from adult, territorial wolves Canis lupus in Scandinavia (Sweden and Norway; 1999–2021), to examine the potential for wind power development to affect wolf behavioural ecology. We examined the spatial overlap of areas proposed for wind power development with wolf territory activity centres prior to construction, to test to what extent overlap varies with season, time of day and social status (breeding versus non‐breeding wolves). Measures of overlap were the distance between wolf activity centre points and nearest proposed wind turbine, the probability of proposed wind turbines being within the activity centre, and the density of proposed wind turbines within the activity centre. The wolf activity centre points were closer to sites of proposed turbines in early summer than in late winter and the density of proposed turbines in the activity centre was higher in early summer than in late winter. These findings probably result from an altitudinal shift in wolf area use between summer and winter. We also found that the probability for proposed turbines to be within the activity centre was higher for non‐breeding than for breeding wolves during early summer, whereas it was higher for breeding compared to non‐breeding wolves during late winter. This difference might be an effect of that breeding wolves have a restricted area use during the early summer season (denning period), resulting in a lower probability of turbines being inside their activity centre as compared to late winter. There was no clear pattern for other seasonal and social status differences. The results should be viewed as a starting point for further research and supplemented with before‐after studies.

The conundrum of turtle and tortoise basking: A critical review

AbstractBehaviours designated as basking span a broad array of ectothermic and endothermic animals. Understanding the role that basking plays in thermal biology is important because maintaining body temperatures within certain limits is essential to survival, growth and reproduction, and may affect responses to climate change. In the case of turtles and tortoises, behaviours designated as basking may occur out of water, at the surface of a water body or deep in a water body, during the day or at night, and with or without exposure to solar radiation or another heat source. On the available evidence, the primary function of most nominal chelonian basking is thermoregulatory warming, which provides numerous benefits including expediting gonadal recrudescence, enhancing foraging, feeding, digestion and growth, and amelioration of infectious disease and endoparasitism. Substantial evidence supports conditioning of the skin and shell as a common additional function of chelonian basking. Other functions of nominal chelonian basking with some supporting evidence for particular species and environments are thermoregulatory cooling, leech removal, vitamin D synthesis and osmotic control. Nominal chelonian basking may sometimes be undertaken for resting or avoiding aggression, but supporting evidence is scant. The only uniting feature of all chelonian behaviours designated as basking is quiescence, but not all quiescent chelonian behaviours are labelled as basking. Consequently, the general meaning of chelonian basking is indeterminate. Avoiding ambiguity requires the provision of explicit criteria by which basking can be distinguished from other quiescent behaviours, and the attachment of qualifiers that specify the applicable time of day, medium and environmental exposure.

Within-person bidirectional associations between maternal cortisol reactivity and harsh parenting across infancy and toddlerhood.

To understand transactional associations between mothers' biological stress responsivity and parenting behaviors, we examined bidirectional effects between maternal cortisol reactivity to observing their children during distress-eliciting paradigms and harsh parenting across infancy and toddlerhood using longitudinal data from the Family Life Project (N = 1,292, 41.5% African American). Children completed a series of distress-eliciting laboratory paradigms when they were 7, 15, and 24 months old, and mothers observed their children during the paradigms. Maternal cortisol reactivity was computed as a residualized change score from baseline to 20 min postparadigm, controlling for the time of day the saliva sample was collected. Harsh parenting was measured using five items from the Home Observation Measurement of the Environment inventory. A random-intercept cross-lagged panel model revealed that increases in maternal cortisol reactivity at 15 months predicted subsequent increases in harsh parenting at 24 months. Similarly, increases in harsh parenting at 15 months predicted increases in maternal cortisol reactivity at 24 months. Findings indicate that increased cortisol reactivity to children's distress in early toddlerhood may indicate a risk for harsh parenting in late toddlerhood and that increases in harsh parenting can also negatively impact mothers' stress physiology over time. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Examining Factors Contributing to Motorcycle Collisions with Left-Turning Vehicles at Urban Intersection Locations

Motorcycle crashes account for a significant proportion of traffic-related fatalities on U.S. roadways. Compared with motor vehicles, motorcycles traveling straight ahead are more susceptible to collisions with left-turning vehicles at intersections (note – in a system where traffic travels on the right-hand side of the road). The limited knowledge of the causes and influences of this specific type of crash deters efforts to improve motorcycle safety and is partly influenced by two issues. First, significant variables are unknown; second, motorcycles comprise a small proportion of vehicles in the traffic stream. This study sought to understand the factors that may contribute to the disproportionate crash risk left-turning vehicles pose for motorcyclists while accounting for the imbalance of vehicle proportions. Data containing motorcycle-motor vehicle and motor vehicle-motor vehicle crashes involving left-turning motor vehicles at intersections in South Florida were collected from 2015 to 2017. The study applied logistic regression on a balanced dataset generated using the random oversampling technique. The proposed model improved the predictive accuracy and enabled the identification of factors contributing to motorcycle crashes with left-turning vehicles. A Bayesian network analysis was also applied to the balanced data to analyze the interrelationship of factors associated with motorcycle crashes with left-turning vehicles. Results indicated that the type of intersection and traffic control, time of day, age of drivers, sex of the motorcyclist, roadway type, and weather were significantly associated with motorcyclists’ susceptibility to collisions with left-turning vehicles. Recognizing these attributes could help devise engineering measures and policies for promoting motorcycle safety.

WEARABLE CARDIOVERTER–DEFIBRILLATORS IN CLINICAL PRACTICE IMPLEMENTATION OF THE ANMCO POSITION PAPER FOR APPROPRIATE USE OF THE WEARABLE CARDIOVERTER DEFIBRILLATOR

Abstract Introduction Wearable cardioverter–defibrillators (WCD) have emerged as a valuable tool in the management of patients at risk for life–threatening arrhythmias. These devices offer a non–invasive and temporary solution, providing continuous monitoring and the potential for prompt defibrillation when needed. In this study, we explore the indications for WCD and evaluate arrhythmic events through comprehensive monitoring. Methods From November 2022 to December 2023, we conducted an outpatient follow–up of 18 patients receiving WCD. Regular check–ups and comprehensive echocardiography were performed to optimize therapy based on specific indications for each patient. Results The average age of the patients was 59.3±17.4 years, with 79% being male. Among the cohort, 58% had hypertension, and a similar percentage comprised smokers and individuals with dyslipidemia, while 32% were diabetic. The indications for receiving WCD were: de novo diagnosis of dilated cardiomyopathy with reduced ejection fraction in 9 (50%) patients, recent acute coronary syndrome and ejection fraction &amp;lt; 35% in 5 (28%), cardiac electronic device infections in 3 (17%) patients and myocarditis with electrical instability in 1 (5%) patient. Patients were in optimal medical therapy (OMT) tailored to their specific comorbidities, with 84% on renin–angiotensin–aldosterone system inhibitors, 95% on beta–blockers, 53% on mineralocorticoid receptor antagonists, 53% on sodium–glucose cotransporter–2 inhibitors, and 37% on antiarrhythmics. The average follow–up was 64±45 days according to specific etiology, with a daily wearing time of 22.9±1.1 hours. No device interventions were recorded. At the end of the follow–up period, 6 (33%) patients still required implantable cardioverter–defibrillator (ICD). Among these, 4 patients (22%) underwent to ICD implantation, 3 for secondary prevention, and 1 for primary prevention, while notably, 2 (11%) patients, declined the procedure. Conclusions The use of wearable cardioverter–defibrillators in the outpatient setting for patients at risk of life–threatening arrhythmias allowed to optimize therapy and restrict the indications for ICD, in our cohort up to 67%, with a good safety profile due to the low incidence of device interventions.

REAL–WORLD SINGLE CENTER EXPERIENCE WITH THE WEARABLE CARDIOVERTER DEFIBRILLATOR: SEX DIFFERENCES IN RISK STRATIFICATION FOR SUDDEN CARDIAC DEATH

Abstract Background Wearable cardioverter defibrillator (WCD) demonstrated an important role for prevention of sudden cardiac death in patients with advanced heart failure and reduced left ventricular ejection fraction. Although in randomized trial there are no gender difference in WCD use and defibrillator (ICD) implantation rate, real world data in female patients is lacking. Purposes: We aimed to describe the sex differences in WCD use, the rate of cardiac events detected with WCD and the rate of ICD implantation after WCD use in women in a real–world single center experience with reduced left ventricular ejection fraction or prior ventricular tachyarrhythmia. Methods and Results According with the current guidelines indications, between August 2017 and June 2023 ninety–six consecutive patients (mean age 66.0±11.1 years) received a WCD at Piacenza Hospitals and were retrospectively included in this analysis. There were no differences in clinical characteristics between female (18 patients, 18,8%) and male: in particular baseline left ventricular ejection fraction (LV EF) were similar between the two groups (29.5±5.2 vs 27.9±7.9, p=0.23) and no differences were found in the rate of ischaemic cardiopathy (66,6% vs 69,2% p=0.51). After 3–months follow up with WCD use, a similar rate of ventricular arrhythmias were found in the two groups (5.5% vs 3.8%, p=0.48) and no ventricular fibrillation was detected. The WCD usage period and median daily wear time were not different between female and male (55.2±50.6 vs 56.2±34.8 days p=0.53, 21.0±6.4 vs 23.1±1.5 hours p=0.48, respectively). However women presented a better LV EF improvement (12.2±9.7 vs 7.2±6.8, p=0.01), with a significant lower ICD implantation rate at the end of WCD use (55.5% vs 43.8%; p&amp;lt; 0.01). Conclusions In this real word analysis women presented a nice compliance using WCD. In spite of a similar burden of ventricular arrhythmic events, women presented a better LV EF improvement with a significant lower ICD implantation rate.

Population characteristics and self-assessment of speaking and singing voice in Polish contemporary commercial music singers—an exploratory, cross-sectional study

BackgroundThe domination of the Contemporary Commercial Music (CCM) industry in music markets has led to a significant increase in the number of CCM performers. Performing in a wide variety of singing styles involves exposing CCM singers to specific risk factors potentially leading to voice problems. This, in turn, necessitates the consideration of this particular group of voice users in the Occupational Health framework. The aim of the present research was threefold. First, it sought to profile the group of Polish CCM singers. Second, it was designed to explore the prevalence of self-reported voice problems and voice quality in this population, in both speech and singing. Third, it aimed to explore the relationships between voice problems and lifetime singing involvement, occupational voice use, smoking, alcohol consumption, vocal training, and microphone use, as potential voice risk factors.Materials and methodsThe study was conducted in Poland from January 2020 to April 2023. An online survey included socio-demographic information, singing involvement characteristics, and singers’ voice self-assessment. The prevalence of voice problems was assessed by the Polish versions of the Vocal Tract Discomfort Scale (VTDS) and the Singing Voice Handicap Index (SVHI). Also, a self-reported dysphonia symptoms protocol was applied. The perceived overall voice quality was assessed by a Visual Analogue Scale (VAS) of 100 mm.Results412 singers, 310 women and 102 men, completed the survey. Nearly half of the studied population declared lifetime singing experience over 10 years with an average daily singing time of 1 or 2 h. 283 participants received vocal training. For 11.4% of respondents, singing was the primary income source, and 42% defined their career goals as voice-related. The median scores of the VTDS were 11.00 (0–44) and 12.00 (0–40) for the Frequency and Severity subscales, respectively. The median SVHI score of 33 (0–139) was significantly higher than the normative values determined in a systematic review and meta-analysis (2018). Strong positive correlations were observed between SVHI and both VTD subscales: Frequency (r = 0.632, p &amp;lt; 0.001) and Severity (r = 0.611, p &amp;lt; 0.001). The relationships between most of the other variables studied were weak or negligible.ConclusionThe examined CCM singers exhibited substantial diversity with regard to musical genre preferences, aspirations pertaining to singing endeavors, career affiliations, and source of income. Singing voice assessment revealed a greater degree of voice problems in the examined cohort than so far reported in the literature, based on the SVH and VTDS.

Sociodemographic differences in recreational screen time before and during the COVID-19 pandemic in Canada.

Over the last several years, recreational screen time has been increasing. During the COVID-19 pandemic, recreational screen time rose among Canadian youth and adults, and those who increased screen time had poorer self-reported mental health compared with those who decreased or maintained their recreational screen time levels. Using data from the 2017, 2018, and 2021 Canadian Community Health Survey, the prevalence of meeting the recreational screen time recommendation from the Canadian 24-Hour Movement Guidelines was compared before and during the pandemic across sociodemographic groups. Logistic regression was used to identify sociodemographic groups that were more likely to meet the recreational screen time recommendation before and during the pandemic. The amount of time Canadians spent engaging in daily recreational screen time increased from 2018 to 2021, leading to fewer youth and adults meeting the recreational screen time recommendation during the pandemic compared with before. The prevalence of meeting the recommendation was lower during the pandemic compared with before the pandemic among almost all sociodemographic groups. Among youth, living in a rural area was associated with a greater likelihood of meeting the recommendation before and during the pandemic. Among adults, the following characteristics were all associated with a greater likelihood of meeting the recommendation during the pandemic: being female; living in a rural area or a small population centre; identifying as South Asian; being an immigrant to Canada; living in a two-parent household; being married or in a common-law relationship or widowed, separated, or divorced; working full time; and being a health care worker. The prevalence of meeting the recreational screen time recommendation during the pandemic was lower overall compared with before the pandemic. Several sociodemographic groups were more likely to meet the recommendation during the pandemic. Continued surveillance of recreational screen time is necessary to monitor the indirect effects of the pandemic and to identify population subgroups that would benefit from tailored interventions in the pandemic recovery period.

Psychometric Properties of the Thai Gaming Disorder Test (GDT) and Thai Gaming Disorder Scale for Adolescents (GADIS-A)

ABSTRACT The present study examined psychometric properties of the Gaming Disorder Test (GDT) and Gaming Disorder Scale for Adolescents (GADIS-A), among Thai university students. A convenience sample of university students (n = 612) completed an online survey. . A one-factor structure for GDT, and a two-factor structure for GADIS-A were confirmed . Omega coefficients for both scales were acceptable. . There were positive significant associations between the assessed scales and other related measures indicating convergent validity. Appropriate fit indices were found (across gender and daily time spent gaming supporting measurement invariance. The GDT and GADIS-A are appropriate instruments to assess gaming disorders among Thai university students. .

Time of day determines cancer immunotherapy response.

Time of day determines cancer immunotherapy response.

Attribution analysis and forecast of salinity intrusion in the Modaomen estuary of the Pearl River Delta

Attribution analysis and forecast of salinity intrusion in the Modaomen estuary of the Pearl River Delta

The impact of the world’s first regulatory, multi-setting intervention on sedentary behaviour among children and adolescents (ENERGISE): a natural experiment evaluation

BackgroundRegulatory actions are increasingly used to tackle issues such as excessive alcohol or sugar intake, but such actions to reduce sedentary behaviour remain scarce. World Health Organization (WHO) guidelines on sedentary behaviour call for system-wide policies. The Chinese government introduced the world’s first nation-wide multi-setting regulation on multiple types of sedentary behaviour in children and adolescents in July 2021. This regulation restricts when (and for how long) online gaming businesses can provide access to pupils; the amount of homework teachers can assign to pupils according to their year groups; and when tutoring businesses can provide lessons to pupils. We evaluated the effect of this regulation on sedentary behaviour safeguarding pupils.MethodsWith a natural experiment evaluation design, we used representative surveillance data from 9- to 18-year-old pupils before and after the introduction of the regulation, for longitudinal (n = 7,054, matched individuals, primary analysis) and repeated cross-sectional (n = 99,947, exploratory analysis) analyses. We analysed pre-post differences for self-reported sedentary behaviour outcomes (total sedentary behaviour time, screen viewing time, electronic device use time, homework time, and out-of-campus learning time) using multilevel models, and explored differences by sex, education stage, residency, and baseline weight status.ResultsLongitudinal analyses indicated that pupils had reduced their mean total daily sedentary behaviour time by 13.8% (95% confidence interval [CI]: -15.9 to -11.7%, approximately 46 min) and were 1.20 times as likely to meet international daily screen time recommendations (95% CI: 1.01 to 1.32) one month after the introduction of the regulation compared to the reference group (before its introduction). They were on average 2.79 times as likely to meet the regulatory requirement on homework time (95% CI: 2.47 to 3.14) than the reference group and reduced their daily total screen-viewing time by 6.4% (95% CI: -9.6 to -3.3%, approximately 10 min). The positive effects were more pronounced among high-risk groups (secondary school and urban pupils who generally spend more time in sedentary behaviour) than in low-risk groups (primary school and rural pupils who generally spend less time in sedentary behaviour). The exploratory analyses showed comparable findings.ConclusionsThis regulatory intervention has been effective in reducing total and specific types of sedentary behaviour among Chinese children and adolescents, with the potential to reduce health inequalities. International researchers and policy makers may explore the feasibility and acceptability of implementing regulatory interventions on sedentary behaviour elsewhere.

Comparing pricing mechanisms for managed lanes

Two commonly used methods for pricing managed lanes (MLs) are adjusting tolls based on the time of day or dynamically changing them in response to real-time traffic congestion. It is unclear which of these tolling options is more effective in controlling the usage of MLs. This study employed nine different performance measures with the goal to evaluate the toll's capacity to manage traffic on six MLs across the United States, including if dynamic tolling or variable tolling is better at managing ML traffic. Among the MLs examined, two were priced variably (SR-91 and I-25), while four were priced dynamically (I-35W, I-394, I-35E, and MoPac). Overall, both pricing approaches were found to effectively maintain traffic flow on MLs, with neither method demonstrating clear superiority. However, dynamic pricing did exhibit a slight advantage over variable pricing in most performance measures. Our results imply that both pricing mechanisms are similarly effective in ensuring the smooth operation of MLs and are therefore viable options for ML operators.