Healthy Lifestyle Behaviors Research Articles

Role of metabolic syndrome and lifestyle factors in endometrial cancer risk and prevention

Introduction: The incidence of endometrial cancer, the sixth most common cancer among women, has been rising, especially in developed countries, possibly due to the obesity and diabetes pandemic. The aim of this review is to investigate the connection between metabolic syndrome, its individual components and endometrial cancer risk and to explore the role of lifestyle factors in endometrial cancer prevention. Materials and methods: For this review, we included studies regarding endometrial cancer and metabolic syndrome, obesity, diabetes and hyperglycemia, hypertension, dyslipidemia and several lifestyle factors, from 1994 to 2024. State of knowledge: This paper reviews existing literature on the relationship between metabolic syndrome and endometrial cancer, highlighting the significant role of central obesity, hyperglycemia and diabetes, dyslipidemia, and hypertension as risk factors. Evidence consistently demonstrates that individuals with metabolic syndrome, and its components individually, are at a heightened risk of developing endometrial cancer compared to those without metabolic abnormalities. Biological mechanisms linking metabolic syndrome’s components to endometrial cancer involve complex interplays between metabolic, hormonal or inflammatory factors and signalling pathways. Lifestyle interventions focusing on weight management, physical activity, and eating habits play an important role in reducing endometrial cancer risk and improving overall health outcomes. Conclusion: An understanding of the relationship between metabolic syndrome and endometrial cancer is crucial for improving risk stratification, early detection, and prevention strategies. Addressing metabolic abnormalities and promoting healthy lifestyle behaviours are essential actions against the rising incidence and burden of endometrial cancer.

An educational intervention to enhance self-care practices among 1st year dental students- a mixed method study design.

Prevalence of rising stress among medical students has been reported widely and may jeopardize patient interaction and care. Evolving medical education needs to demonstrate compassionate self-care practices to enhance mental well-being of students. Although numerous researches have highlighted the stressors and coping strategies but no structured educational intervention has been reported so far among medical students of Pakistan. Hence, we explored if a Personal Development Plan could stimulate meaningful self-reflection and self-care practices among dental students. All first-year dental students of Riphah International University participated in this mandatory lesson plan. This 1-h activity every fortnightly, consisted of a thought-provoking discussion with predetermined reading material followed by SMART goal settings & later follow ups. Students were divided into 4 groups of 18-20 students with a designated trained Mentor. At the end of academic year, students were asked to submit a 500-word reflection based on their experience of understanding self-care needs (intellectual, emotional, physical, spiritual aspects). A mixed-methods embedded design was used. First a quantitative analysis of the content of all 75 students' reflections was conducted using a scoring system based on the REFLECT rubric. Then for the qualitative manual thematic analysis, the researchers exclusively used reflections that scored levels 3 and 4 on the REFLECT rubric. Approximately 60% of students demonstrated an in-depth thoughtful reflection according to the REFLECT rubric. Students reflected by acknowledging the importance of self-care for their personal and professional grooming, Some observed the positive impact of working on self-determined healthy lifestyle behaviours on their physical & emotional wellbeing. They stressed the importance of physical activity, meditation and social connections in their daily life. They also reflected on reduced stress after incorporating these self-care strategies. This study supports the value of incorporating self-care strategies in medical/dental curriculum to enhance personal and professional wellbeing of students and hence patient care. Students reflected on different themes of self-care related to physical, spiritual and social wellbeing. In addition, more than half of the students exhibited higher levels of reflection suggesting that these sessions contributed to action-oriented self-awareness towards holistic health.

The Cross-Sectional Association of Health Literacy With Healthy Lifestyle Behaviors in the Turkish Population: A Systematic Review and Meta-Analysis.

To meta-analytically investigate the cross-sectional association between health literacy (HL) and healthy lifestyle behaviors (HLBs) in the Turkish population. Web of Science, PubMed, Scopus, EBSCO, DergiPark, TRDizin, and Türkiye Council of Higher Education Thesis Center. Not accessible in Turkish or English in full text; not on the Turkish population; addressed e-HL, digital HL, mobile HL or corporate HL; addressed HL in a specific context; did not seek any association between HL and HLBs. Cross-sectional studies that reported a correlation coefficient or any convertible equal statistical measure for the association between HL and HLBs. Two reviewers independently screened the articles, extracted the data from the included studies into a structured form and assessed their methodological quality. We conducted meta-analyses and reported the characteristics, outcomes, and quality assessment of studies. Of 3833 records accessed we included 52 that fulfilled the eligibility criteria. Our primary findings demonstrated positive low-to-moderate associations between HL and health-promoting behaviors (r = .32 [CI:.30-.35; I2 = .00]), HL and physical activity (r = .23 [CI:.18-.27; I2 = .12]), and HL and vaccination (r = .12 [CI:.07-.17; I2 = .00]). In contrast, HL was not significantly associated with non-smoking (r = .02 [CI:-.02-.36; I2 = .09]), healthy diet (r = .02 [CI:-.01-.06; I2 = .00]), and screening (r = .07 [CI:.04-.11; I2 = .07]). However, our sensitivity and meta-regression analysis results suggested that the association of HL with healthy diet seems to increase with age. On the other hand, we failed to find any convincing evidence of any of the included variables affecting the association between HL and all types of HLBs (r = .17, I2 = 95.81%). HL has the potential to improve the HLBs of Turkish individuals, however, there is a need for better understanding of the possible underlying determinants of the association between them.

The Association Between Healthy Lifestyle Behaviors and Polypharmacy in Older Adults: The Loma Linda Longevity Study

Polypharmacy—defined as taking numerous medications that may not be clinically necessary—is becoming a significant concern among the older adult population. This study examined the associations between lifestyle behaviors and the number of prescribed medications in older adults (75 years and older) living in the counties of San Bernardino and Riverside. This study employed a cross-sectional survey to assess lifestyle behaviors and medication use in 611 older adults aged 75 or over. Bivariate correlation and linear regression analyses were used to assess potential relationships between lifestyle behaviors and the number of prescribed medications. Fruit consumption ( P = 0.005), mild physical activity per week ( P < .001), and lifestyle index ( P = 0.003) had a highly significant inverse association with the number of prescribed medications. Fat consumption had a direct positive relationship with the number of prescribed medications ( P = 0.02). Higher fat intake was directly linked to an increased need for medications, while regular physical activity, a higher fruit intake, and a healthy overall lifestyle were all associated with a lower likelihood of polypharmacy. Future research can explore the mechanisms linking these behaviors with medication usage.

Determining the relationship between the fear of Coronavirus and healthy lifestyle behaviors in midwifery students in Türkiye

The new coronavirus (COVID‑19) pandemic, midwifery students, who are usually more interested in face-to-face practical learning, have shifted to online learning, changing their fear and healthy lifestyle behaviors. The present research aimed to determine the relationship between the fear of COVID-19 and healthy lifestyle behaviors in midwifery students in Türkiye. This cross-sectional study was performed on 313 midwifery students in the midwifery department of a university in Türkiye from April to June 2021. The data were collected with the student descriptive information form, Fear of Coronavirus Scale (FCV-19S), and Health-Promoting Lifestyle Profile-II(HPLP-II). The data were analyzed with mean score, standard deviation, number and percentage values, independent sample t-test, ANOVA, Pearson’s correlation test. The FCV-19S total mean score was moderate with 17.37±5.61. The total mean score on the HPLP-II was 129.93±21.50, students received the highest mean score on the spiritual development sub-dimension (26.17±5.01) and the lowest mean score on the physical activity sub-dimension (17.05±5.08). It was found that midwifery students had a moderate fear of COVID-19 and displayed moderate healthy lifestyle behaviors.

Determinants of the quality of life of mother with children with disability: A systematic review

Mothers who care for children with disabilities experience various problems that affect their quality of life. The objective of this study was to identify the factors that influence the quality of life of mothers with disabilities children. A systematic review was conducted using data from six prominent electronic databases. Studies were observational, cross-sectional designs, and original research conducted from 2019 to 2023. Mothers who have children with Autism Spectrum Disorder (ASD) have the lowest scores for quality of life compared to mothers who have children with other types of disabilities. Parents have lower quality of life scores as primary caregivers compared to other caregivers. WHOQOL-Bref is the most widely used method as an instrument for evaluating quality of life. Parents who have children with disabilities experience problems, especially psychological health. The main factor related to the quality of life of parents who have children with disabilities is lifestyle. Parents who experience a decrease in quality of life are worried that their ability to provide care will not be optimal. It is recommended for health workers to socialize healthy lifestyle behaviors so that they can help improve the quality of life of parents who have children with disabilities.

Exploring the association between lifestyle and cardiovascular health metrics and HPV infection risk: insights from the National Health and Nutrition Examination Survey 2005–2016 data

BackgroundHuman Papillomavirus (HPV) infection has garnered significant attention due to its high prevalence and association with various cancers and other health conditions. Composite lifestyle factors may influence the risk of HPV infection, yet their cumulative impact remains insufficiently explored. This study aims to explore the association between the Life’s Essential 8 (LE8) Score and HPV infection status, highlighting the potential role of lifestyle and health behaviors in HPV infection prevention.MethodsUtilizing data from the National Health and Nutrition Examination Survey (NHANES) spanning 2005–2016, we analyzed the health and nutritional statuses of 6,773 participants after excluding those with missing HPV infection status, inability to calculate the LE8 Score, and missing covariate data. The LE8 Score was computed based on eight cardiovascular health metrics, encompassing both health factors (BMI, non-HDL cholesterol, blood pressure, and blood glucose) and health behaviors (physical activity, diet, sleep duration, and nicotine exposure). HPV infection status was determined through vaginal swab specimens analyzed using various Roche assays. Multivariate logistic regression, the restricted cubic splines (RCS) analysis and weighted quantile sum (WQS) regression were employed to assess the association between LE8 Score and HPV infection risk.ResultsOur findings indicate a significant inverse association between the LE8 Score and HPV infection risk. Participants with medium and high LE8 Scores exhibited a 21% and 31% lower risk of HPV infection, respectively, compared to those with low LE8 Scores in multivariate logistic regression models. The analysis also revealed that lifestyle factors, particularly nicotine exposure and blood pressure, significantly contributed to the observed association.ConclusionThe study underscores the importance of healthy lifestyle behaviors in reducing the risk of HPV infection. Public health strategies promoting such behaviors could complement existing HPV prevention measures, potentially lowering the burden of HPV-related diseases. Future research should further investigate the mechanisms underlying this association and the effectiveness of lifestyle interventions in diverse populations.

A lifestyle program for socially vulnerable community-dwelling elderly

Abstract Problem Socially vulnerable older adults often face lower health literacy and limited access to health care. Description of the problem Current lifestyle programs are often insufficiently adapted to this socially vulnerable target group. As a result, these older adults are underrepresented in lifestyle programs. From a public health perspective, lifestyle programs that improve the poorer physical and mental health of these older adults, should be made more accessible by involving the expertise, participation and needs of this group. The aim of this study was to develop and implement a lifestyle program adapted to the expectations and needs of socially vulnerable older adults. Results Both the target group and the local community (health) centers were involved during the co-creative phase of development. A neighborhood analysis was used to identify and reach out to the target group. Motivators and barriers for a healthy lifestyle were identified through focus groups. The developed program consisted of 10 weekly group sessions. Various health aspects were integrated, including exercise, nutrition, stress, sleep, positive psychology, meaningful living, and motivation. Nine centers for community dwelling older adults in Flanders and Brussels were included. In total, 93 older adults were recruited out of which 76 completed the full program. In the final phase, the program was evaluated by means of objective and subjective measuring methods. Finally, the local community (health) centers are currently involved in the program’s sustainability through a trainers’ program. Lessons The belongingness, the catering, the empowering attitude of the trainer and the ‘fun’ factor turned out to be success factors for the adherence to the program. The participating centres experienced an increase in numbers of older adults that were attracted to their activities that are focused on healthy lifestyle behaviors. The continuity of the program is currently being examined. Key messages • A neighbourhood analysis in collaboration with local partners helped to reach the target group. • The program was made attractive by the involvement of the older adults, the fun-factor and the small groups.

Association of healthy lifestyle on overweight and obesity among adolescents in Luxembourg

Abstract Background Adolescent overweight and obesity are significant public health challenges. Understanding the impact of healthy lifestyle behaviours is crucial for effective intervention strategies. The aim of this study is to analyse the association between healthy lifestyle behaviours with overweight and obesity among adolescents in Luxembourg. Methods The study was based on the HBSC Luxembourg 2022 survey and includes 8415 adolescents aged 11 to 18 years. Adolescents self-reported the frequency of fruit and vegetable consumption, physical activity, height, and body mass. Eating and physical activity behaviours were categorized based on WHO recommendations. Body Mass Index categorization followed International Obesity Task Force criteria. Binomial logistic regression of obesity and overweight with the interaction between healthy diet and physical activity was performed, controlling for age, gender, family affluence, migration background, and family structure. Results The results indicated a significant protective effect of healthy lifestyle behaviours against overweight and obesity. For overweight, adolescents engaging in either fruit and vegetable consumption (OR = 0.829, 95% CI [0.697-0.986]) or physical activity (OR = 0.719, 95% CI [0.566-0.913]) showed reduced odds compared to those with unhealthy behaviours. For obesity, similar associations were observed. Adolescents engaging in physical activity (OR = 0.407, 95% CI [0.235-0.705]) showed reduced odds compared to those with unhealthy behaviours. Combining both behaviours resulted in the lowest risk of obesity (OR = 0.366, 95% CI [0.177-0.760]) and overweight (OR = 0.473, 95% CI [0.340-0.658]). Conclusions Promoting health eating and physical activity behaviours are important strategies for preventing overweight and obesity in youth in Luxembourg. Implementing targeted interventions aimed to promote these behaviours could mitigate the burden of overweight and obesity in this population. Key messages • Healthy lifestyle matters: Fruit and vegetables consumption or regular physical activity significantly reduce the risk of overweight and obesity among adolescents. • Combining behaviours counts: Concurrent engagement in both fruit and vegetables consumption and physical activity offers the greatest protection against overweight and obesity.

The relationship between health literacy and healthy lifestyle behaviors: A meta-analysis.

Health literacy and healthy lifestyle behaviors are both pivotal elements for public health improvement. This meta-analysis aims to scrutinize studies investigating the nexus between health literacy and healthy lifestyle behaviors and to examine the correlation between health literacy and such behaviors. Studies conducted from 2013 to 2023 exploring the association between health literacy and healthy lifestyle behaviors, as well as the impact of gender and chronic disease status on health literacy, were included. The selection criteria for the meta-analysis involved a literature search utilizing databases such as PubMed, Google Academic, Web of Science, and the National Thesis Center. The keywords "health literacy" and "healthy lifestyle behaviors" were employed, identifying 206 studies. Subsequently, 53 studies meeting predetermined criteria were deemed suitable for inclusion in the meta-analysis. The analysis of the relationship between health literacy and healthy lifestyle behaviors revealed no publication bias. Despite heterogeneity among the studies, the correlation effect size was determined to be 0.278 using the random effect model. In the meta-analysis examining the effect of gender on health literacy, no publication bias was detected. Since there was heterogeneity among the studies, the average effect size was calculated as 0.078 according to the random effect model. Regarding the meta-analysis on the effect of chronic disease status on health literacy, no publication bias was observed, and due to homogeneity between the studies, the average effect size was determined to be -0.098 using the fixed effect model. A positive yet weak relationship was identified between health literacy and healthy lifestyle behaviors. Notably, gender was a significant sociodemographic factor affecting health literacy, with higher levels observed in women. Moreover, individuals without chronic diseases exhibited higher mean health literacy scores than those with chronic diseases.

Preconception Health Education is Provided to Healthy Childbearing Couples in The Preconception Phase

<div><table cellspacing="0" cellpadding="0" align="left"><tbody><tr><td align="left" valign="top"><p><em>Several biological, behavioral, and social preventative strategies can improve the chances of having a healthy baby during pregnancy. Preconception health care spans the entire reproductive life cycle. Early preconception counseling should attempt to improve both women's and men's sexual and reproductive health. It should begin with early instruction on healthy lifestyle behaviors, safe sex, and pregnancy planning for childbearing couples. This research aims to develop preconception health education for family-based childbearing age couples planning a healthy pregnancy in Deli Serdang district. The Equivalent Time Series Samples approach was employed in this study as a quasi-experimental approach. The total sample size was 90 couples of reproductive age. </em><em>The analysis in this study was carried out descriptively to see the characteristics of each variable studied and to measure the effect of providing health education during the preconception period on the knowledge and perception of Couples of Childbearing Age about preconception health using a paired sample T test. The intervention provided is health education about preconception health provided to couples of childbearing age. The implementation of the research has received approval from the Health Research Ethics Committee of the Medan Health Polytechnic with the number: 01.25.174 /KEPK/POLTEKKES KEMENKES MEDAN 2023. </em><em>There is a difference in the average variable knowledge of couples of childbearing age at pretest and posttest with an increase of 5, 2778, and there is also an increase in the perception variable with an increase of 0.8889, and the results of statistical tests using the Paired Samples Test obtained show differences in respondents' knowledge and perceptions before and after the intervention. Family-based preconception health education has been effective in raising the awareness and attitudes of childbearing couples regarding the planning and preparation of a healthy pregnancy as well as in motivating them to seek a check-up at a health care facility.</em><em> </em><em></em></p><p class="TableParagraph"><strong><em> </em></strong></p></td></tr></tbody></table></div><strong><em>Keywords: Health Behavior, Health Services, Preconception Care, Pregnancy</em></strong>

Barriers to healthy behaviors: perspectives from teens with comorbid Type 1 diabetes and overweight/obesity, caregivers, and pediatric endocrinologists.

This study aimed to understand barriers to engagement in healthy lifestyle behaviors among adolescents with comorbid Type 1 diabetes (T1D) and overweight/obesity (n = 12), their caregivers (n = 12), and pediatric endocrinologists (n = 9). Participants (n = 33) completed individual, semi-structured interviews. Interviews were transcribed verbatim, and applied thematic analysis was used to analyze the interview data. Results from adolescents, caregivers, and pediatric endocrinologists revealed three thematic barriers to healthy lifestyle behaviors for adolescents with T1D and overweight/obesity: (1) discomfort with aspects of T1D that draw attention to the self; (2) T1D as a barrier to engagement in healthy lifestyle behaviors; and (3) physiological dysregulation due to T1D impacting health behaviors. Results identify perceived limitations to engaging in recommended healthy lifestyle behaviors and diabetes management concurrently. Results may assist research and clinical care in identifying supports and guidance needed to support adolescents in meeting behavioral recommendations for their health.

Evaluation with structural equation modeling of variables affecting health-seeking behaviors during the COVID-19 pandemic in İstanbul, Türkiye.

The relation between the demographic characteristics of individuals and their health-seeking behaviors was presented and the effects of health cognitions, healthy lifestyle behaviors, and coronavirus fear levels on health-seeking behaviors during the COVID-19 pandemic were examined. This descriptive survey study was conducted in the Tuzla District of İstanbul, Türkiye, between March and June 2021. From analysis of the 391 participants, 60.0% were females, 27.1% were between 31 and 40 years of age, 47.0% were healthcare professionals, and the perceived socioeconomic status of 50.9% was above average. According to the results, the women exhibited more health-seeking behavior than the men (p < 0.05). While the young participants showed more online health-seeking behavior (p < 0.05), the older ones showed greater health responsibility (p < 0.05). The participants with a high level of education exhibited traditional health-seeking behavior (p < 0.05) more than the others, and below-low socioeconomic status increased the COVID-19 fear level 1.94 times (95.0% CI: 1.08-3.48). The Health-Seeking Behavior Scale (HSBS) score was related to the Health Cognitions Questionnaire (HCQ) (p < 0.0001) and the Healthy Lifestyle Behaviors Scale-II (HLBS-II) scores (p = 0.002; Table 3). While the HSBS score was positively associated with an increase in the HCQ score and HLBS-II score (p < 0.05), the HSBS score was not significantly related to the Fear of COVID-19 Scale score (p > 0.05). While fear of COVID-19 was not significantly influential, health cognitions and healthy lifestyle behaviors were the main factors that led to health-seeking behavior during the COVID-19 pandemic.

A comparative study on the physical fitness of college students from different grades and majors in Jiangxi province.

Research to date has not provided a clear understanding of how different grades and majors affect the physical fitness of college students. It is postulated that there are significant disparities in physical health among college students of different grades and majors. The purpose of this study was to evidence these health disparities and to engage in an extensive analysis and discussion thereof. A sample of 8,772 (2,404 boys and 6,368 girls) Chinese college students from freshman to junior years, aged 17-22, including 12 different majors in four colleges, were recruited in Jiangxi Province. All seven physical fitness indicators (body mass index (BMI), forced vital capacity, 50-m dash, standing long jump, sit and reach, upper body muscle strength, and endurance runs) were conducted for all participants. One-way ANOVA and LSD tests were conducted to compare the physical fitness scores of different grades in the same major. Independent sample t-tests were utilized to compare the differences in every physical fitness indicator for different majors. Pearson's correlations among 12 majors for every grade were conducted to study the significant corrections between the two physical fitness indicators. The body mass index (BMI) and physical fitness indicator (PFI) for college students of different grade were investigated using a nonlinear regression model. The current state of physical fitness among college students is concerning, as the majority of students were barely passing (with a passing rate of 75.3%). Specifically, junior students exhibited lower scores than freshman and sophomore students across all 12 majors. From freshman to junior year, majors of music (78.01±4.58), English (79.29±5.03), and education (76.26±4.81) had the highest scores, respectively, but major art consistently scored the lowest, which were 73.85±6.02, 74.97±5.53, and 72.59±4.84, respectively. Pairwise comparisons revealed more significant differences in individual physical fitness indicators among the three grades in humanities than in sciences. Pearson's correlations showed significant correlations among seven physical fitness indicators in all three grades. PFI had a parabolic trend with BMI both for boy and girl college students in Jiangxi province. The physical fitness indicators of college students in Jiangxi province significantly differed in grades and majors, showing undesirable phenomena. The physical fitness of senior and humanities major college students was much weaker and needs sufficient attention. The relationship between BMI and PFI presented an inverted "U"-shaped change characteristic. Continued nationwide interventions are needed to promote physical activity and other healthy lifestyle behaviors in China.

Burden landscape of hepatobiliary and pancreatic cancers in Chinese young adults: 30 years' overview and forecasted trends.

Hepatobiliary and pancreatic (HBP) cancers impose a considerable burden on young populations (aged 15 to 49 years), resulting in a substantial number of new cases and fatalities each year. In young populations, the HBP cancers shows extensive variance worldwide and the updated data in China is lacking. To investigate the current status, trends, projections, and underlying risk factors of HBP cancers among young populations in China. The Global Burden of Disease Study 2019 provided data on the annual incidence, mortality, disability-adjusted life years (DALYs), age-standardized incidence rate (ASIR), mortality rate (ASMR), and DALYs rate (ASDR) of HBP cancers in young Chinese adults between 1990 and 2019. Temporal trends were assessed using estimated annual percentage change and hierarchical clustering. Sex-specific mortality and DALYs caused by various risks were analyzed across China and other regions, with future trends until 2035 projected using the Bayesian age-period-cohort model. From 1990 to 2019, incident cases, deaths, DALYs, ASIR, ASMR, and ASDR for liver cancer (LC) in young Chinese individuals decreased, classified into 'significant decrease' group. Conversely, cases of gallbladder and biliary tract cancer and pancreatic cancer rose, categorized as either 'significant increase' or 'minor increase' groups. The contribution of risk factors to mortality and DALYs for HBP tumors increased to varying degrees. Healthy lifestyle behaviors, such as tobacco control, weight management, alcohol moderation, and drug avoidance, could lower HBP cancers incidence. Moreover, except for LC in females, which is likely to initially decline slightly and then rise, the forecasting model predicted that the ASIR and ASMR for all HPB cancers subtypes by gender will increase among young adults. HBP cancers burden among young adults in China is expected to increase until 2035, necessitating lifestyle interventions and targeted treatment strategies to mitigate the public health impact of these cancers.

Effect of stressors during COVID-19 lockdown on malnutrition and health-risk behaviors among Jordanian college students: A cross-sectional study.

A stressful condition such as the emergence of the coronavirus and its related lockdown measures might trigger alterations in college students' behaviors. This cross-sectional study aimed to identify the changes in college students' dietary and lifestyle behaviors during the lockdown and the effect of lockdown-related stressors on health-risk behaviors. A web-based survey was conducted among undergraduate college students in Jordan. Weight and height were reported by the students. The students' dietary and lifestyle behaviors and their changes during 1 month of the countrywide lockdown were assessed. The Perceived Stress Scale-4 was utilized to assess stress levels. Results indicated that 77.2% of the students reported weight changes. Notably, 45.9% increased their intake of unhealthy food, while and 38% opted for healthier food choices. Most students experienced alterations in physical activity (80.0%), screen time (86.2%), smoking, and sleep patterns (85.4%), with a higher tendency toward adopting health-risk behaviors. Perceptions of curfew-related stress were associated with distance learning-related stress (OR = 2.73, CI: 1.08-6.90, P = .034), and a greater change in physical activity (OR = 3.59, CI: 1.36-9.48, P = .010). Additionally, weight changes were associated with perception of other types of stressors (OR = 3.39, CI: 1.39-8.28, P = .007). Overall, there was a considerable increase in malnutrition and health-risk behaviors among students during the lockdown. Understanding students' responses to these stressful conditions and the role of stress in driving behavioral changes are crucial for developing interventions that enhance college students' adaptation to such changes and maintaining healthy dietary and lifestyle behaviors in the future.

The impact of a positive discipline group intervention on parenting self-efficacy among mothers of young children.

Instilling healthy behaviors in early childhood is crucial as they can have lifelong impacts. However, many Chinese mothers lack effective parenting strategies, resulting in low self-efficacy. Positive Discipline, a non-punitive and non-indulgent approach, can help enhance maternal parenting self-efficacy and promote healthy lifestyle behaviors in children. This study explores the impact of a Positive Discipline group intervention on the parenting self-efficacy of Chinese mothers and how it can contribute to promoting diet and healthy lifestyle behaviors in early childhood. We randomly selected 70 mothers with low parenting self-efficacy from a kindergarten in China, dividing them into an intervention group (35 participants) and a control group (35 participants). The intervention group received a 6-week Positive Discipline intervention, while the control group received no intervention. The intervention aimed at helping mothers nurture their children in a kind and firm manner. We used paired samples t-tests and independent samples t-tests to compare changes in parenting self-efficacy scores before and after the intervention. Results showed that the intervention group's parenting self-efficacy scores significantly improved after the intervention, from an average score of 25.00 ± 4.08 to 36.29 ± 2.99 (p < 0.05, Cohen's d = 3.156). Significant improvements were observed in areas like "believing their parenting style benefits their child's growth" and "knowing how to effectively parent their children." The control group's average scores showed no significant changes between pre- and post-intervention (pre: 25.07 ± 5.33; post: 24.86 ± 5.75, p > 0.05, Cohen's d = 0.076). Furthermore, 3 months post-intervention, the intervention group's scores remained significantly higher than pre-intervention (p < 0.05), demonstrating the intervention's lasting effect. This study demonstrates that the Positive Discipline group intervention significantly enhances parenting self-efficacy in Chinese mothers, promoting healthy lifestyle behaviors in early childhood. Providing continuous support and guidance to mothers can help solidify their parenting confidence, ensuring long-term intervention success. Future research should explore how group interventions can effectively integrate healthy behaviors into early childhood routines and impact children's diet and lifestyle behaviors.

Comparative Outcomes of a Cognitive-Behavioral Skills Building Program on the Mental Health and Healthy Behaviors of Prenursing Students

Background: Nursing students experience significantly more stress related diseases when compared to non-nursing students, and the state of their mental health can result in short-term increased attrition rates and increased nursing shortages. Purpose: A preexperimental pre-post study design was used to examine mental health and healthy behaviors among prenursing students. Methods: Cohorts received the MINDSTRONG© program either in-person or virtually. Data analysis included Personal Wellness Assessments completed at both pre- and poststudy for all participants (n = 110). Results: Both groups postintervention had statistically significant decreases in anxiety, depression, and stress and statistically significant increases in healthy lifestyle behaviors and beliefs. Students with elevated depression and anxiety scores at baseline had greater decreases postintervention than the overall groups. Conclusion: The outcomes for both cohorts were positive and effective in reducing stress, anxiety, and depressive symptoms. Healthy behaviors were improved and align with findings with an in-person format. Findings from this study support implementation of MINDSTRONG in synchronous sessions, either in-person or virtual.

8352 Association Between Sleep and Physical Activity Among Women with Obesity and Infertility

Abstract Disclosure: K. Brûlé: None. F. Jean-Denis: None. M. Belan: None. M. Langlois: None. S. Ruchat: None. J. Baillargeon: Grant Recipient; Self; Ferring Pharmaceuticals. BACKGROUND: Infertility affects up to 15% of couples and a major modifiable risk factor is obesity. Thus, it has been recommended that women with obesity should be assisted to adopt healthy lifestyle behaviors prior to conception. Also, individuals with obesity often present reduced sleep quantity and quality, which could affect their physical activity (PA) practice. On the other hand, PA seems to improve sleep quality. Regular practice of PA could also improve an individual’s functional capacity, and thus could be an objective measure of a person's level of PA. Hence, our study aimed to: 1) compare the sleep quantity of women with obesity and infertility to the Canadian population; and 2) determine the relationship between their PA practice, functional capacity and sleep quantity and quality. Methods: This cross-sectional study is nested within a multicenter randomized controlled trial recruiting women of 18-40 years old with obesity and infertility in Canadian fertility clinics. At their initial research visit, they were assessed for body mass index (BMI), functional capacity (distance at 6-min walk test); total energy expenditure (EE, kcal/day), total PA (steps/day) and time spent in light (min/day) or moderate-to-vigorous physical activity (MVPA, min/day) or sedentarity (min/day) (Fitbit monitor); as well as sleep quality and duration (Pittsburgh Sleep Quality Index questionnaire and Fitbit monitor), and total time asleep per night (Fitbit monitor). For the Canadian population, we used the mean sleep duration of women aged 18-60 years reported in the Canadian Community Health Survey of 2020. Associations were tested using Pearson’s correlations (some measures were made normally distributed by square root transformation). Results: A total of 98 women (mean age = 31.5 years and mean BMI = 39.2 kg/m2) from 5 centers were included, 48% of whom were recruited in Sherbrooke (Qc). Their sleep duration was significantly lower than that of Canadian women (7.2±1.1 vs 8.1 h; p&amp;lt;0.001). Poor perceived sleep quality was negatively associated with EE (r=-0.271; p=0.020) and steps (r=-0.280; p=0.026), but directly with sedentary time (r=0.277; p=0.033). Light PA was negatively associated with measured sleep duration (r=-0.241; p=0.016), but positively associated with measured sleep efficiency (r=0.237; p=0.036). Functional capacity is positively associated with measures of EE, steps and MVPA (r=0.239 to 0.347; p=0.005 to 0.031), and there is a tendency with total time asleep (r=0.238, p=0.061). Conclusion: Canadian women with obesity and infertility have, on average, less sleep time than women in the general Canadian population. Their PA practice is associated with better perceived sleep quality but does not improve their sleep quantity per se. Furthermore, the association between their functional capacity and PA practice suggests that it is a valid objective indirect measure of PA practice. Presentation: 6/1/2024

Lifestyle Medicine Implementation in Family Medicine Clinic.

Background: Lifestyle medicine, a patient-centered approach promoting healthy lifestyle behaviors, is an evidence-based tool for preventing and treating chronic diseases. It has been shown to reduce the burden of physical and psychological diseases. Despite this, clinical implementation is lagging, with physicians facing barriers effectively encouraging lifestyle change. Objective: This project studies the Lifestyle Medicine Assessment (LMA) tool regarding ease of implementation and influence on patient motivation, perception of lifestyle changes, and satisfaction. Methods: A two-pronged approach was conducted. First, the implementation time was recorded for multiple encounters (N = 42). Next, a different subset of patients (N = 22) receiving the LMA completed a pre- and post-encounter survey about their motivation to change, perception of lifestyle changes on well-being, and visit satisfaction. A control group (N = 21) also received these surveys. Results: The average time of application was 7.12min. Intragroup scores for motivation to change were significantly higher in the LMA group post-intervention (p LMA = .001), but not in the control group. Conclusion: These results show the potential benefits of the LMA tool in a clinical setting, demonstrating realistically achievable implementation times and increased patient motivation regarding better lifestyle choices. Providers should consider using the LMA tool to promote lifestyle change within their practice.