Healthy Lifestyle Education Research Articles

Effect of Educational Intervention Based on Self-efficacy Theory and Self-regulatory Strategies on Physical Activity of Prehypertensive Individuals


 
 
 
 Background: Considering the importance of healthy lifestyle education in the prevention and control of hypertension and the timely identification of pre-hypertensive individuals, the present study was conducted to determine the effect of educational intervention based on self-efficacy theory and self-regulatory strategies on the physical activity of pre-hypertensive individuals.
 
 
 
 
 
 
 
 
 Methods: This quasi-experimental study was performed on 90 people aged 30 to 59 referred to urban health centers in Nehbandan in 2021. They were randomly selected and divided into two groups of 50 (intervention and control). Data were collected by questionnaires on demographic information, hypertension knowledge, self-efficacy of physical activity, and physical activity by the self-administered method. After the pretest, the intervention group received six training sessions in four weeks. The posttest was performed in two groups immediately and three months after the training sessions. Data were analyzed by repeated-measures analysis of variance, Bonferroni post hoc test, independent t-test, and chi-square test in SPSS version 21software.
 
 
 
 
 Results: The mean age of the participants was 45.80 ± 8.31 in the control group and 44.95 ± 8.20 in the intervention group. Data analysis showed the equality of knowledge, self-efficacy, and physical activity between the two groups before the intervention (P > 0.05). After the intervention, a significant increase was observed in the mean scores of knowledge, self-efficacy, and physical activity in the intervention group immediately and three months after the intervention (P<0.05). Also, the levels of knowledge, self-efficacy, and physical activity were significantly lower in the control group than in the intervention group (P<0.001).
 
 
 
 
 
 
 
 
 Conclusions: The present study showed the effectiveness of an educational intervention based on self-efficacy theory and self-regulatory strategies on physical activity of pre-hypertensive individuals. Therefore, this theory is proposed to design educational interventions to promote regular physical activity.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Overview of epidemiological characteristics, clinical features, and risk factors of gastric cancer in Asia-Pacific region.

In spite of decreasing the overall incidence of gastric cancer (GC), it remains one of the most common and deadly cancers worldwide. The incidence and mortality rate of GC is very different in the world. Geographical differentiation is one of the most distinctive characteristics of GC. Effective prevention and early diagnostic strategies are the most important public health interventions in GC, as a common malignancy worldwide. Notably, the preventive strategies require understanding the risk factors associated with GC for identifying high-risk groups that may require screening for prevention. Therefore, up-to-date statistics on GC occurrence and outcome are essential for the primary prevention of the disease. We conducted this review based on the current epidemiology knowledge of GC to provide an update perspective of GC in Asia-Pacific region. Based on the findings of this study, incidence and mortality rate of GC in Asia-Pacific region shows a great heterogeneity. Gastric carcinogenesis arises as a consequence of a complex interaction between host and environmental factors. In addition to screening and eradication of Helicobacter pylori (H. pylori) infection, it seems that the main cause of GC is an undesirable lifestyle in this region. Therefore, it is necessary to improve the lifestyle and the community awareness about GC risk factors and healthy lifestyle education.

Qualitative Perceptions of an Anticipated Fresh Food Prescription Program.

Food insecurity (FI) is a growing public health problem. Produce prescriptions are known to improve healthy eating and decrease FI; however, few studies have incorporated community voice prior to its implementation. In this study, we aimed to elicit perspectives of individuals at risk for FI and the potential impact of a fresh food prescription (FFRx) program. We conducted this qualitative descriptive study through an academic medical center in collaboration with community partners. We conducted focus groups involving Latinx (N = 16) and African-American (N = 8) adults in community settings. Data were interpreted using an inductive thematic analysis. Three overarching themes emerged: (1) fresh food accessibility was limited by cost, household size, and transportation but enhanced by food pantries, budgeting, and education; (2) cooking behaviors were curbed by time constraints and unfamiliarity but propagated by passion, traditions, and communal practices; and (3) health and wellness deterrents included unhealthy diets driven by cultural and familial norms; however, weight loss and awareness of comorbidities were positive motivators. Participants shared their preference for local produce and cooking classes as components of a FFRx program while raising concerns about low participation due to the stigma of receiving aid. Our findings illuminated interest in engaging in a FFRx program and learning ways to prepare healthy foods. A program distributing fresh produce and healthy lifestyle education could close gaps identified in African-American and Latinx communities at risk for FI.

Electroacupuncture Combined With Diet Treatment Has a Therapeutic Effect on Perimenopausal Patients With Abdominal Obesity by Improving the Community Structure of Intestinal Flora.

Background: This study explored the influences of electroacupuncture combined with dietary intervention on the intestinal flora in perimenopausal patients with abdominal obesity by using the 16s rRNA sequencing technology.Methods: Perimenopausal patients with abdominal obesity were divided into the Electroacupuncture group and the Control group. Patients in the Control group received healthy lifestyle education, while those in the Electroacupuncture group received electroacupuncture combined with dietary intervention. Before and after treatment, the weight, height, waist circumference, hip circumference, waist-height ratio (WHtR), waist to hip ratio (WHR), and body mass index (BMI) of the patients were recorded; the levels of serum triglyceride (TG), total cholesterol (TC), low-density lipoprotein (LDL), high-density lipoprotein cholesterol (HDL-C), fasting insulin (FINS), and fasting blood glucose (FGB) were evaluated; and the abundance, diversity, and species differences of intestinal flora were analyzed using 16s rRNA sequencing technology.Results: The body weight, waist circumference, hip circumference, BMI, WHR, and WHtR of patients in the Electroacupuncture group after treatment were lower than those before treatment. Compared with the Control group, patients in the Electroacupuncture group after treatment displayed lower waist circumference, WHtR, WHR, TG, and LDL levels as well as species abundance, higher species diversity, and lager species difference in the intestinal flora. Besides, the proportions of Klebsiella and Kosakonia in the intestinal flora of patients in the Electroacupuncture group after treatment were larger than those before treatment.Conclusion: Electroacupuncture combined with diet treatment generated a therapeutic effect on abdominal obesity in perimenopausal patients by improving the community structure of intestinal flora.

Effectiveness of a Lifestyle Modification Program Delivered under Real-World Conditions in a Rural Setting.

Whilst there is considerable evidence to support the efficacy of physical activity and dietary interventions in disease and death prevention, translation of knowledge into practice remains inadequate. We aimed to examine the uptake, retention, acceptability and effectiveness on physical activity, physical function, sitting time, diet and health outcomes of a Healthy Eating Activity and Lifestyle program (HEALTM) delivered under real-world conditions. The program was delivered to 430 adults living across rural South Australia. Participants of the program attended weekly 2 h healthy lifestyle education and exercise group-based sessions for 8 weeks. A total of 47 programs were delivered in over 15 communities. In total, 548 referrals were received, resulting in 430 participants receiving the intervention (78% uptake). At baseline, 74.6% of participants were female, the mean age of participants was 53.7 years and 11.1% of participants identified as Aboriginal and/or Torres Strait Islander. Follow-up assessments were obtained for 265 participants. Significant improvements were observed for walking, planned physical activity, incidental physical activity, total physical activity, 30 s chair stand, 30 s arm curl, 6 min walk, fruit consumption and vegetable consumption, sitting time and diastolic blood pressure. Positive satisfaction and favourable feedback were reported. The healthy lifestyle program achieved excellent real-world uptake and effectiveness, reasonable intervention attendance and strong program acceptability amongst rural and vulnerable communities.

Nonalcoholic Fatty Liver Disease: Indian Perspective.

Nonalcoholic Fatty Liver Disease: Indian Perspective.

The Effect of Healthy Lifestyle Education on the Quality of Life of the Elderly in Rafsanjan: A Quasi-Experimental Study

The Effect of Healthy Lifestyle Education on the Quality of Life of the Elderly in Rafsanjan: A Quasi-Experimental Study

Health Education of Clean and Healthy Lifestyle using Card Telling Methods towards Diarrhea Prevention Among Children in Elementary School

Introduction:Diarrhea was one of the common diseases that easily acquired by school-age children. It is caused by a lack of health education about hygiene and health. Clean And healthy lifestyle education is one of the viable solutions to prevent diarrhea in elementary school-age children. The purpose of the research is to analyze the effect of health education hygiene and health behavior by using a card-telling method toward child elementary school-aged diarrhea prevention behavior.Methods: This study used a quasi-experimental design. The total number of respondents is 60 children. The respondents were recruited by purposive sampling method. The instrument of study is a card telling and modified the questionnaire adjacent to the previous study. The data were collected used questionnaires and observations than analyzed used significance of <0.05 Wilcoxon sign rank test and Mann-Whitney U test.Results: The Wilcoxon sign rank test result by using a card telling method has a total value p=0.000, then <0.05 there is the effect of the card telling method on hygiene and health behavior to preventing diarrhea knowledge, attitude, and action of the child elementary school age. The statistical analysis showed differences in post-test results between the control group and the treatment group with p=0.000.Conclusion: The card telling method could increase the level of knowledge, attitude, and skill of the child elementary school age. The nurse could use a card telling to achieve optimal results in giving the health education of children.

Resident opinions of diabetes management in training: a survey

Primary care physicians need a strong foundation in diabetes management, as they are the first line of care for patients with this complex disease, which is increasing in frequency in the United States. This foundational training begins in medical school, but its applications become more important during residency. To quantify osteopathic and allopathic family medicine residents' amount of exposure to diabetes in residency training, investigate referral patterns related to diabetes management, and assess comfort levels with various diabetes treatment modalities. An 18-item cross sectional survey was sent via email using Qualtrics to program directors and chief residents of 16 different training programs located in seven different health systems and four different states; the programs were focused on family medicine, internal medicine, pediatrics, and combined internal medicine/pediatrics programs. The link was also posted on Twitter using specific "handles" to "tag" professional associations and groups related to primary care. Emails and tweets were initiated on October 15, 2018 and responses were collected through April 15, 2019. Data collection was reinitiated via email only from May 1, 2020 through July 31, 2020 due to low initial response rate. The study, which included multiple choice and Likert scale questions with some skip logic, was designed by study investigators. Data was exported from Qualtrics to an Excel spreadsheet and analyzed using descriptive statistics, which are reported as percentages. A total of 61 residents responded to the survey, with most (52; 85.2%) enrolled in family medicine or internal medicine programs. Residents were mostly located in rural (28; 45.9%) and suburban (25; 41.0%) areas. Respondents reported being extremely comfortable with metformin (45; 73.8%), basal insulin (24; 39.3%), and healthy lifestyle education (32; 52.5%) for the treatment of diabetes. They reported being least comfortable with diabetes technology, with 51 (83.6%) uncomfortable or extremely uncomfortable with insulin pumps and 43 (70.5%) uncomfortable with continuous glucose monitoring systems for diabetes treatment. Referral rates to endocrinologists were low, with 47 (77%) reporting referral of diabetes patients 10-15% of the time. Residents reported interest in workshops and online continuing medical education for further training opportunities, but interest in additional formal training was low (3; 4.9%). Residents in this study reported confidence in diabetes management and referral rates among this group were low. However, reported comfort levels with treatment modalities beyond metformin and lifestyle changes were not strong. Referral rates may have been low due to the low number of endocrinologists in rural areas and therapeutic inertia. Diabetes fellowships could increase resource availability for patient referral. Utilization of diabetologists in primary care programs may also add benefit and improve skills among trainees including more familiarity with diabetes technology and use of newer medications used in diabetes management.

PERSONALITY: WELLNESS AND SPIRITUAL EDUCATION

Well-being is based on a healthy lifestyle. Only by following the requirements of a healthy lifestyle can a person heal himself both physically and mentally. A healthy lifestyle means spiritual education based on universal and national values, the ability to refrain from bad habits, to prepare the ground for spiritual healing based on strengthening and improving the body.

Dietary Consumption Among Youth with Antipsychotic-Induced Weight Gain and Changes Following Healthy Lifestyle Education.

Background: Youth treated with antipsychotic medications are high risk for weight gain, increased lipids/glucose, and development of metabolic syndrome. Little is known about the dietary intake/nutritional adequacy in this vulnerable population, and effect on weight gain. This secondary data analysis describes the baseline intake and changes in diet after receiving healthy lifestyle education/counseling over 6 months, in a sample of youth with antipsychotic-induced weight gain. Methods: The U.S. Department of Agriculture (USDA) Automated Multiple-Pass Method 24-hour dietary recall was administered to 117 youth at baseline, 3 months, and 6 months. Parent/child received personalized healthy lifestyle education sessions over 6 months. Baseline intake was compared with the USDA Recommended Daily Allowance using independent samples t-tests. Individual dietary covariates were examined for change over 6 months using longitudinal linear mixed modeling. Influence of each on body mass index (BMI) z-score change was tested in a pooled group analysis and then compared by treatment group. Results: Pooled analysis revealed baseline consumption high in carbohydrates, fat, protein, sugar, and refined grains, while low in fruit/vegetables, whole grains, fiber, and water. Change over 6 months demonstrated a statistically significant decrease in daily calories (p = 0.002), carbohydrates (p = 0.003), fat (p = 0.012), protein (p = 0.025), sugar (p = 0.008), refined grains (p = 0.008), total dairy (p = 0.049), and cheese (p = 0.027). Small increases in fruits/vegetables were not statistically significant, although the Healthy Eating Index subscores for total vegetables (p = 0.013) and dark green/orange vegetables (p = 0.034) were. No dietary covariates were predictors of change in BMI z-score. Nondietary predictors were parent weight/BMI and treatment group, with the metformin and switch groups experiencing significant decreases in BMI z-score. Conclusions: Further pediatric studies are necessary to assess the effects of antipsychotic medications on dietary intake, and test efficacy of healthy lifestyle interventions on change in nutrition. The relationship of nutrition to cardiometabolic health in this population must be further investigated. Clinical Trial Registration number: NCT02877823.

THE ESSENCE AND ECONOMIC ROLE OF THE SPORTS AND HEALTH SPHERE OF THE REGION

Introduction. In the twentieth century, anthropocentric trends of social and economic growth stimulated interest in a healthy lifestyle and physical education. There have been processes that have made sports and physical culture an important sector of the economy of many countries. This actualizes the study of the essence, components and economic role of sports and health in ensuring the social and economic development of the region. Methods. The methods of theoretical and comparative analysis were used in the course of the research to reveal the essence and economic role of the sports and health sphere of the region. Results. The article carries out a comparative analysis of the concepts «sphere of physical culture and sports», «sports and health sphere», «physical culture and health services» and «sports and health services», «sports and health activities», «sports and health services market». It was found that according to the traditional approach, the field of physical culture and sports is considered by scientists in the context of its impact on the health and lifestyle of the population, the formation of an appropriate culture of behaviour. It is determined that the use of the term «sphere of physical culture and sports» places a significant emphasis on educational aspects – physical education and physical training. It is proved that the economic essence of sports and health is manifested primarily in the process of providing services to meet the needs of the population in physical activity and health. A schematic representation of the relationship between the concepts and the categorical structure of the sports and health sphere is given. The main components of the sports and health sphere are determined. It is proved that under the conditions of decentralization it is expedient to conduct research of the sports and health sphere at the level of regions. The author`s vision of the concept of sports and the health sphere of the region is offered. Discussion. Prospects for further research are to develop a concept for the development of sports and recreation, which should be based on the principles of comprehensiveness, achieving sustainable development goals, and be adapted to the conditions of decentralized management of sports and recreation. Keywords: sports and health sphere of the region, sports, physical culture, sports infrastructure, the market of sports, and health services.

Can improvements in sleep quality positively affect serum adiponectin-levels in patients with obstructive sleep apnea?

BackgroundAssess if changes in sleep quality (Sleep Quality Index, SQI) based on cardiopulmonary coupling-analysis (CPC) impacts serum adiponectin-levels in patients with cardiovascular disease (CVD). MethodsSecondary analysis of electrocardiogram (ECG) data from the Heart Biomarker Evaluation in Apnea Treatment study (HeartBEAT), a multicenter, controlled trial in patients with CVD and moderate-severe sleep apnea, randomly assigned to intervention of Continuous Positive Airway Pressure (CPAP), Nocturnal Supplemental Oxygen (NSO) or Healthy Lifestyle and Sleep Hygiene Education (HLSE; control group). Participants with good-quality ECG-signal (n = 241) were included. ResultsImproving CPC-sleep quality was associated with net average improvements in serum adiponectin-levels 2.69 μg/ml (p = 0.005) irrespective of therapy initiated. After controlling for confounders, a unit increase in SQI was associated with increase in serum adiponectin-levels 0.071 μg/ml (p = 0.012) and decrease in insulin-levels 0.197 μIU/ml (p = 0.0018). Similarly, a percentage point increase in sleep apnea indicator (SAI) was associated with decrease in serum adiponectin-levels of 0.071 μg/ml (p = 0.017) and increase in insulin-levels of 0.218 μIU/ml (p = 0.020). A percentage point increase in CPC-sleep fragmentation (eLFCBB) had a predicted increase in glucose-levels 0.371 mg/dl (p = 0.009) and insulin-levels 0.284 μIU/ml (p = 0.010).In patients receiving CPAP-therapy, a difference in serum adiponictin levels of 3.82 μg/ml (p = 0.025) is observed comparing patients in which SQI-improved to patients that SQI-declined during the study period. The difference is mostly due to a decrease in serum adiponectin levels in patients that decline in SQI (−3.20 μg/ml). ConclusionImprovements in sleep quality were associated with higher serum adiponectin-levels, and improved measures of glycemic metabolism which may have beneficial effects on metabolic syndrome and cardiovascular health. Clinical trial registration name and numberThe Heart Biomarker Evaluation in Apnea Treatment (HeartBEAT) study is registered at https://clinicaltrials.gov/ct2/show/NCT01086800.

Childhood and Adulthood Severe Stressful Experiences and Biomarkers Related to Glucose Metabolism: A Possible Association?

Background: No study investigated the association between stress exposure in different stages of life and metabolic dysfunction.Aim: We explore the association between stress exposure and several biomarkers related to glucose metabolism (insulin, c-peptide, GIP, GLP-1, glucagon) in a group of 72 healthy individuals.Method: We used the Childhood Experience of Care and Abuse-Questionnaire (CECA-Q) and a modified version of the Life Events Scale to define exposure to stress, according to four categories: no exposure to childhood trauma (CT) nor to stressful life events (SLEs) (46%), only to CT (25%), only to SLEs (21%), to both (8%).Results: We found that c-peptide (p = 0.006) and insulin (p = 0.002) levels differed among the four categories: 0.77 ng/ml (SD 0.27) and 0.21 ng/ml (SD 0.06) for none, 0.77 (SD 0.37) and 0.20 (SD 0.08) for only SLEs, 0.88 (SD 0.39) and 0.27 (SD 0.12) for only CT, 1.33 (SD 0.57) and 0.40 (SD 0.28) for both, respectively. The highest levels of biomarkers were found in subjects exposed to both CT and SLEs.Conclusion: Our preliminary results seem to suggest that CT might be specifically associated with a dysfunction of glucose metabolism, which might increase the risk of poorer health outcomes in adulthood. This association seems to be even stronger in individuals additionally exposed to SLEs in adulthood. In conclusion, if confirmed in other studies, subjects exposed to both CT and SLEs appear the most vulnerable individuals, for whom preventative interventions, such as healthy lifestyle education programs, might ameliorate the risk of developing metabolic abnormalities.

ШЛЯХИ ФОРМУВАННЯ В УЧНІВ СТАРШОЇ ШКОЛИ СВІДОМОГО СТАВЛЕННЯ ДО СВОГО ЗДОРОВʼЯ

The article reveals the ways of forming high school pupils’ conscious attitude to the health, in it the analysis of the research has been done, the essence of the interpretation of the concept «health» which is the key category providing the productivity of a person’s life has been justified. The author affirms that for the research motor activity, healthy lifestyle, physical culture and health education, valeological literacy, psychological attitudes etc. have become the leading factors determining the health of student youth. Physical education and valeological literacy should be considered comprehensively as the way of providing information, teaching methods, techniques, healthy lifestyle skills, education in the spirit of unconditional priority of values of individual health and health of others in all its manifestations and spheres. Widespread using of the health-improving effect of physical training for harmonious development of physical and mental capabilities of the pupil’s personality is considered by the author as an effective direction of forming a conscious attitude to his health. It gives pupils a free choice of physical activity in different directions, belief in their own physical capabilities based on the assimilation of a new variety of information in the form of motor skills and emotional pleasure. The article emphasizes that the regulation of motor activity in physical education classes acquires the model of personality-oriented physical education, which provides the possibility of differential influence on the development of physical qualitiesand implements the health function of different in volume and intensity physical activities. That is why the involvement of high school pupils in various types of physicalculture and health activities should be based on the principle of free choice, voluntary participation, stimulating activity to independent training etc. The emphasis is placed on the fact that the formation of a conscious attitude to the health should be considered in the context of motivating student youth for a healthy lifestyle and it means the activation of physical activity, rational use of free time for active recreation etc. Giving high school students theoretical knowledge about the implementation of adequate self-assessment and self-regulation of their health and physical fitness as the prerequisite for the working-out of the self-development and self-improvement program is the leading direction of solving the above-mentioned problem.

Recent Trends in Various Types of Obesity Among Children and Adolescents in Shandong, China

Background: Childhood obesity has increased dramatically during the past decades. The present study examined the trends in various types of obesity among children and adolescents in Shandong, China from 2010 to 2019. Methods: Data for this study were obtained from two large cross-sectional surveys on students’ constitution and health carried out in 2010 and 2019. A total of 76 640 (38 822 in 2010 and 37 818 in 2019) students aged 7–17 years were included in this study. The body mass index (BMI) cut-offs recommended by the International Obesity Task Force (IOTF) were used to define general obesity. Central obesity was defined as waist-to-height ratio (WHtR) ≥0.5. Both BMI and WHtR were used to define three types of obesity as follows: general obesity only, central obesity only and combined obesity. Results: An increasing trend was observed in general obesity only, central obesity only and combined obesity between 2010 and 2019 (P<0.01), the total prevalence of the three types of obesity has reached 25.19% for boys and 15.77% for girls in 2019. Boys and children (aged 7-12 years) had higher prevalence of obesity than girls and adolescents (aged 13-17 years), respectively (P<0.01). Profiles of obesity subtypes had an obvious change, the proportion of combined obesity increased from 40.91% and 28.30% in 2010 to 49.32% and 35.22% in 2019 for boys and girls (P<0.01). Conclusion: The prevalence of obesity among children and adolescents had rapid increase over the past 9 years, healthy lifestyle education and program interventions are necessary. Funding Statement: This study was supported by the medical and health programme of Shandong, China (2014WS0376). Surveys on students’ constitution and health are conducted under the auspices of the Department of Education in Shandong Province, China. Declaration of Interests: The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. Ethics Approval Statement: The study was approved by the Ethical Committee of the Shandong Center for Disease Control and Prevention, Shandong, China.

Critical ethnography in schools: reflections on power, positionality, and privilege

This paper is a critical reflection of a critical ethnography, a study focused on how ‘healthy lifestyle education’ programmes were implemented and experienced in two primary schools. In an attempt to disrupt the status quo I employed a range of ethnographic methods: ‘hanging out’ with children and adults; building trusting relationships; having research conversations with participants; observing children and adults; and, journaling. However, the messy assemblage of diverse organisations, people, relations of power, discourses, truths, and practices, resulted in the emergence of ethical and methodological conundrums, including how to represent children’s voices, whether (or not) to ‘intervene’ during problematic pedagogical moments, and how to ‘act’ as a critical ethnographic researcher in schools. Applying a critical lens to my own methodology helped to ensure that I embarked on a continuous, reflexive process; one that enabled a critique of research methods and a negotiation of issues of power, positionality, and privilege.

How do physical activity interventions with or without healthy lifestyle education tools compare with a standard physical education curriculum for promoting school achievement and cognition among children and adolescents classified as overweight and obese

How do physical activity interventions with or without healthy lifestyle education tools compare with a standard physical education curriculum for promoting school achievement and cognition among children and adolescents classified as overweight and obese

Independent physical education classes as the basis of active life activity of a student

The role and significance of independent physical education classes by students, their attitude to this process are revealed. Most of the physical culture and health-improving activities carried out in universities do not contribute to the formation of students ' independent, motivated and sustainable self-healing activities with the help of physical culture. The traditional system of physical education of students is not characterized by efficiency in forming a stable interest and need for physical education. Aim and objectives: to assess the value potential of self-study of physical culture and sports was given the task to identify the attitude of students to physical activity; social significance of physical culture; a pattern of physical culture and sports; objective and subjective factors that contribute to the increasing interest in physical culture and sport as to value; the causes that prevent attendance and avoidance of self-employment physical culture and sports. Materials and methods: The results of the study: As a result, new data were obtained on the attitude of students to physical culture, their prognostic assessments in relation to independent physical culture classes during the student years and after graduation. The gap between the statements of attitudes to a healthy lifestyle, physical education and the real behavior of students is fixed, the factors influencing the continuation of physical education classes after graduation are identified. The dynamics of changes in students ' independent physical education classes from the first to the fourth and fifth year are presented. Students objectively assess the state of their health, which many are not satisfied with; the majority of students do not engage in physical education and sports, referring mainly to the lack of free time; students are ready to engage in physical education in the sections of the chosen sport, attend physical education classes independently. Students generally speak positively about classes in the discipline Physical Culture, but a considerable number of students attend these classes only for the sake of credit. Discussion and conclusions: physical education, based on sports-oriented principles, includes classes in sports sections in the following sports: volleyball, basketball, aerobics, badminton, football, table tennis, kettlebell lifting, sports dancing, swimming, athletics, gymnastics, as well as general physical training. Organized on the basis of the chosen sport, classes are more promising in terms of self-improvement, preservation and strengthening of the health of the younger generation, it is an effective means of forming a sports culture, psychophysical formation and professional training of a highly qualified specialist, in contrast to traditional physical education classes. This approach contributes to the activation of independent physical education classes, the formation of an internal need for this. Classes in sports contribute to the solution of the main task of physical education in higher education – introducing students to a healthy lifestyle and independent physical education.

Peer-delivered activity-based education as a preferred method to deliver healthy lifestyle, stress management, life skills and anti-addiction education to adolescents

Peer-delivered activity-based education as a preferred method to deliver healthy lifestyle, stress management, life skills and anti-addiction education to adolescents