Physical Benefits Research Articles

Cluster Randomized Controlled Trial of a Standard Versus Postures-Only Yoga Session: Potential Self-Regulatory and Neurophysiological Mechanisms of an Ancient Practice.

It is well-recognized that maintaining a regular yogic practice is associated with numerous physical and psychological health benefits. However, few studies have explored the possible psychological and neurophysiological mediators through which the component parts of yoga-ethics, breath regulation, postures, and meditation-work to produce salutary effects. To address this gap, we conducted a cluster randomized trial to test the following set of theory-based mechanisms: emotion regulation for ethics, self-control for breath regulation, discomfort and distress tolerance for postures, and mindfulness for meditation. We also explored yoga's effects on the autonomic nervous system by examining salivary acetylcholinesterase levels. Participants (N = 260) were randomly assigned in clusters (n = 37) to a single, hour-long standard or postures-only yoga class. Findings suggest that a single yoga class may confer both psychological and neurophysiological benefits, yet there were few differences between the two types of yoga classes. Pre- to post-session main effects of time, all in the expected direction, emerged for five of eight theoretical mediators, as well as for salivary acetylcholinesterase levels. Time X condition interactions observed for three of the mediators-cognitive reappraisal, discomfort tolerance, and expressive suppression-along with findings from the exploratory mediation analysis suggest potential unique benefits of the two yoga sessions for certain outcomes. Additional studies are needed to replicate these results and to test other potential mediators and/or primary outcomes through which yoga might work to promote health.

Better sleep, lower blood pressure, and less stress following sex: Findings from a large-scale ecological momentary assessment study.

Previous cross-sectional studies have shown that more (vs. less) sexually active individuals tend to be mentally and physically healthier, but little is known about the proximal mechanisms underlying such associations. We analyzed two experience sampling data sets (N = 8,452, 66,181 observations; 72% male, age M = 46.42, 76% White) to examine changes in sleep, cardiovascular responses, and affect in the morning following sex, putative processes implicated in long-term mental and physical health benefits of sex. Consistent with previous findings, our results showed significant between-person associations, suggesting more positive daily health outcomes for more sexually active individuals. Further, we found significant within-person associations suggesting that when people reported having (vs. not having) sex the previous night, they experienced better sleep quality, fewer sleep disturbances and shorter wake after sleep onset, lower blood pressure, less stress, more positive affect, and better coping in the morning. None of these associations were moderated by gender or relationship status. Our findings provide novel evidence suggesting short-term psychological and physiological benefits of sex, which may accrue to create better health over time. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Greater social network complexity mitigates pandemic-related negativity

Having strong, diverse social relationships is tightly linked to myriad physical and mental health benefits by mitigating the negative impacts of adverse events. The COVID-19 pandemic brought increased uncertainty and changes to our social lives that reduced the spread of COVID-19 (e.g., social distancing), but also likely impacted emotional well-being. We investigated how one of these changes – changing social networks – relates to emotional bias (a proxy for well-being), specifically one’s tendency to interpret ambiguous stimuli as positive or negative (i.e., valence bias). Participants ( N = 614) categorized the valence of clearly (e.g., angry and happy expressions) and ambiguously valenced stimuli (e.g., surprised expressions), and were asked about their social network before and during the pandemic. Compared to before the pandemic, participants reported a decrease in overall network size ( p < .001) and number of embedded networks (i.e., a measure of network complexity represented by number of areas of social activity; p < .001). In a model with all three social network dimensions (size, complexity, diversity), network complexity uniquely predicted valence bias ( p = .02). Specifically, participants with greater social network complexity during the pandemic showed a more positive bias. Further, participants that did not experience a pandemic-related reduction in network complexity were protected from pandemic-related increases in negativity ( p < .001). In other words, having a more complex social network could act as a protective factor against adverse outcomes in times of uncertainty.

A Retrospective Study Examining Self-Reported Physical Activity Levels Among Asthma Patients Using the Behavioural Risk Factor Surveillance System (BRFSS) Database.

Regular physical activity benefits respiratory health by reducing the risk of developing asthma. This is achieved by reducing bronchial hyperresponsiveness and preventing lung function decline. The objective of the study is to assess the prevalence of self-reported physical activity among asthma patients in the United States in 2021, based on demographic, socioeconomic, and healthcare access variables. The original research study was conducted using the Behavioural Risk Factor Surveillance System (BRFSS) database for the year 2021. Data regarding asthma status, physical activity, age, gender, race, education level, income level, employment status, and time since the last routine check-up were collected. In the BRFSS study conducted in the USA in 2021, there were 43,6121 participants in total. Of these, 61,362 (14.07%) had asthma and 374,759 (85.93%) did not; 43,678 (71.2%) participants with asthma were engaging in physical activity while 17,684 (28.8%) were not. In the group of participants who did not have the disease, 285,932 (76.3%) were engaging in physical activity and 88,827 (23.7%) were not. Demographically, the highest physical activity among those with asthma was observed in the age group of 18 to 24 years (4,079, 83%), male participants (17,725, 76.4%), and white non-Hispanics (31,964, 72.5%). Higher physical activity levels among asthma patients were associated with advanced education 31,947 (76.5%), employment 23,233 (79.8%), and annual incomes exceeding $150,000, 4,091 (89.9%). Participants who self-reported not having asthma have a higher prevalence of physical activity in all categories studied. There is a significant association between physical activity and self-reported asthma, shaped by demographic and socioeconomic factors, as well as the frequency of routine medical check-ups.

Improving cycling safety for children and youth.

Cycling remains a popular activity for children and youth around the world, combining the fun of moving at speed with numerous health and societal benefits. However, cycling is also associated with risk for serious injury and death. Over the past decade, research has increasingly shown that improving safety for cyclists depends, in large part, on the environment they are cycling in as well as on individual safety measures such as helmet use. The pandemic provided greater opportunity for many children and youth to engage in cycling, and refocused public attention on safer cycling infrastructure such as protected bike lanes. This statement reviews the evidence supporting safer cycling infrastructure for children and youth along with the physical and mental health benefits of cycling. The advantages of active transportation for young people, and how the built environment influences their cycling safety and uptake, are discussed. An overview of measures individuals can take to improve cycling safety is followed by recommendations for clinicians, the cycling community, parents, and policy-makers.

Dual admixtures for cement-based composites comprising steel slag powder and residual lignin-based liquor

Steel slag is a by-product of the steel industry that can be used as an aggregate and/or mineral admixture, conferring physical and mechanical benefits to cement-based composites. In parallel, sugarcane bagasse is a by-product of the sugar/alcohol industry used in biorefineries to produce bioethanol. The delignification processes, employed as a pretreatment in biorefineries, generate residual liquors that contain lignin. Lignin is a natural polymer with plasticizing properties when incorporated into cement mixtures. Given this scenario, this work sought to produce and evaluate dual admixtures containing a residual lignin-based liquor and a steel slag powder. The proposed dual admixtures were prepared from two strategies and incorporated in cement pastes and mortars at different dosages. Mixtures containing a commercial silica suspension and a reference mixture (without admixtures) were also evaluated. The flow test showed that the dual admixtures promoted higher spreading than the silica suspension in all the proposed dosages. Also, the mortars containing the dual admixtures had significantly higher compressive strengths and more refined pore structures than the reference mortar. The residual lignin-based liquor enhanced the workability of the composites and favored the dispersion of the steel slag powder into the matrix. The liquor's plasticizing and set-retarding capacities were attributed to its anionic functional groups and sugar content, respectively. Additionally, the high-efficiency grinding of the steel slag powder contributed to improving its specific surface area and fineness parameters, justifying its performance as a filler and a supplementary cementitious material. This study presents a new route for developing more eco-efficient cement-based composites. It also complies with the principles of circular economy by offering a feasible strategy for valorizing large-scale industrial wastes in civil construction.

Patient-to-patient value co-creation in online health communities: a systematic literature review and research agenda

Purpose The idea of value co-creation involves the benefit actors gain from integrating resources through activities and interactions within a service network, with the environment enabling high-quality collaboration. This paradigm highlights customers’ ability to co-create value with service providers and other customers. This idea is gaining traction in health care. These days, patients are no longer passive recipients of health-care services; rather they have started taking proactive roles in their self-health management. This study aims to understand the phenomenon of value co-creation among patients within online health communities (OHCs). Design/methodology/approach A systematic literature review of papers published from 2003 to 2024 in Web of Science-indexed journals was conducted. The review highlights theories, contexts, characteristics and methodologies in this area, synthesizing insights from previous research and presenting a future research agenda for underexplored and unexplored contexts using emerging theoretical perspectives and analytical methodologies. Findings The review illuminates theoretical and empirical studies on value co-creation among patients in OHCs. Previous research shows that value co-creation among patients leads to cognitive, affective and physical benefits such as reduced anxiety and stress, increased assurance and self-confidence, improved quality of life, enhanced patient empowerment, acceptance of disease and treatment effectiveness and a sense of self-worth and well-being. Originality/value This review synthesizes insights from previous works and outlines a research agenda for future studies in underexplored and unexplored contexts using new theoretical perspectives and methodologies. Considering the role social media plays in an individual’s life, this work will help in deep diving into the role of such online communities in the health-care sector.

Understanding the behavioural determinants of active travel among older adults: A mixed methods study

IntroductionActive travel is an accessible form of physical activity, associated with physical and mental health benefits, particularly for older adults. This study aimed to identify the behavioural determinants that significantly impact older adults’ engagement in active travel as well as how and why these behavioural determinants occur. MethodsThis study employed an explanatory sequential mixed methods design informed by the Theoretical Domains Framework (TDF). The study focused on older adults in Scarborough, Canada. In the quantitative phase, a TDF-informed survey was distributed among Scarborough older adults and analyzed using descriptive statistics, Chi-squared tests, and generalized linear models. TDF determinants that significantly impacted older adult participants in active travel were identified. The qualitative phase followed up with select survey participants about their experiences with these TDF determinants. Semi-structured interviews were conducted, and data was analyzed using thematic codebook analysis. To integrate the quantitative and quantitative results, data were interpreted and integrated using a joint display matrix. ResultsThe survey results suggest that the TDF domains of motivation (i.e., feeling inspired to active travel) and skill (i.e., having the aptitude to active travel) were highly predictive of active travel behaviour among older adults in Scarborough, Canada. Beyond the TDF, the likelihood of active travel increased if participants reported being encouraged and satisfied with their health, fitness, exercise, and well-being in general. The interview results suggest that fostering motivation and skill require a network of interventions that address multiple TDF domains such as promoting action planning, creating commitment, building social connectedness, increasing awareness of active travel options, and building emotional and physical safety. By integrating the quantitative and qualitative results, three overarching themes were presented about older adults’ needs to engage in active travel: building reassurance (i.e., putting safety first); building meaningfulness (i.e., creating joy, fulfillment, and purpose); and building relatedness (i.e., creating awareness and connection). ConclusionsThis study suggests several important implications for future research and policy. The results of this study provide evidence to support investment in both built environment improvements (e.g., safer intersections, bike lanes, lower vehicle speed limits, public transit subsidies) as well as tailored activities to promote active travel (e.g., public awareness campaigns, skill development activities, organized walks). The mixed methods study design employed in this study in conjunction with a novel application of the TDF allowed for a more thorough understanding of behavioural determinants of active travel among older adults.

Scoping review of the role of social support in women Veterans’ psychosocial and health outcomes

Women veterans are a steadily growing population and have unique military experiences (e.g., report high rates of sexual harassment and assault) that are impactful across the lifespan. High levels of positive social support have been linked to a range of positive outcomes in both civilian and military populations. However, research has not consistently explored social support and interpersonal functioning in women veterans, or as potential mechanisms of change within interventions for women veterans. This is a scoping review of peer-reviewed articles that evaluated social support. Articles with at least 10% women or formally evaluated sex or gender in reference to social support were included. A total of 69 studies evaluated social support in relation to women veterans’ health outcomes. From a biopsychosocial perspective, social support is an important construct to examine relative to health care engagement and response. Limited research considered aging women veterans needs or focused on the intersectional identities of women veterans. Positive social support can have major physical and mental health benefits, yet limited research and disparate methodological approaches minimize the ability to draw conclusions on how social support can best be leveraged to support women veterans. Women veterans’ roles and military experiences (e.g., increased likelihood of combat exposure) are changing and this population is aging. Research is needed to inform best practices for this growing segment of the veteran population.

The SMILE scale: a wellness behavioral tool for patients with cancer.

As cancer survivorship increases, there is a need for simple tools to measure and promote healthy behaviors. We created a wellness behavioral tool (the SMILE Scale) to encourage self-monitoring of wellness behaviors. This study aimed to determine the feasibility of collecting daily self-reported SMILE Scale data and weekly quality of life data among patients with cancer. We also aimed to measure the association between SMILE Scale responses and validated health-related quality of life (HRQOL) tools (PROMIS-29 + 2 and SymTrak-8) as a pilot test of the hypothesis that increased wellness behaviors may impact quality of life. We surveyed 100 patients with cancer at the Indiana University Simon Comprehensive Cancer Center. Participants were asked to complete daily SMILE Scale assessments over a two-week period, as well as weekly PROMIS-29 + 2 and SymTrak-8 surveys. The primary endpoint was the SMILE Scale completion rate. Secondary endpoints in this single-arm pilot study included correlations between the SMILE Scale and other HRQOL tools. Daily completion rate of the SMILE Scale ranged from 57% to 65% of participants over a 14-day period. Among the 61% of participants who completed SMILE on day 1, 87% completed SMILE on 10 of 14 days. By end of study, participants who self-reported more wellness behaviors (i.e., higher daily SMILE scores) demonstrated significantly higher PROMIS physical health (p = 0.003), higher PROMIS mental health (p = 0.008), and lower (better) SymTrak total symptom burden (p = 0.006). Further, among those who completed at least 1 of 14 daily SMILE assessments, quality of life significantly improved over the two-week period for PROMIS mental health (p = 0.018) and SymTrak total symptom burden (p = 0.014). The SMILE Scale completion rate did not satisfy our pre-planned ≥70% threshold for feasibility; however, the rate for completing SMILE at least once during the 14 days (77%) met this threshold. Participants with higher average daily SMILE scores had significantly better scores across other validated HRQOL tools. While these results may be correlative and not causative, this suggests a potential physical and mental health benefit for delivering the SMILE Scale in clinical practice to help encourage healthy behaviors and warrants testing the SMILE Scale's impact in future studies.

Combined associations of obesity and physical activity with pain, fatigue, stiffness and anxiety in adults with spondyloarthropathies: UK Biobank study.

Inflammatory spondyloarthropathies are associated with pain, fatigue, stiffness and anxiety. The National Institute for Health and Care Excellence and the EULAR provide limited lifestyle guidance for managing symptoms with inflammatory spondyloarthropathies. We investigated the combined associations of obesity and physical activity with symptom severity in inflammatory spondyloarthropathies. The relationship between BMI, physical activity and symptom severity (spinal and general pain, fatigue, anxiety, mobility) was examined in people with ISpAs (n = 1577). BMI categories were normal weight (18.5-24.9 kg/m2), overweight (25.0-29.9 kg/m2) and obese (≥30 kg/m2). Physical activity was assessed via the International Physical Activity Questionnaire (low < 600 metabolic equivalent of task (MET)-min/week, moderate ≥ 600 METs, high ≥ 3000 METs). Statistical models adjusted for confounders, including medication, estimated the likelihood (odds ratios, OR) of higher symptom severity across BMI and physical activity categories. Overweight and obesity, compared with normal weight, were linked to higher severity of all symptoms, with stronger associations for obesity (OR ≥ 2.34, P < 0.001) than overweight (OR ≥ 1.37, P ≤ 0.032). Moderate activity, compared with low, was associated with lower severity of all symptoms (OR ≤ 0.77, P ≤ 0.032). High activity, compared with low, was associated with lower severity of fatigue, anxiety and mobility issues (OR ≤ 0.74, P ≤ 0.029), but associations with spinal and general pain were not significant (OR ≤ 0.80, P ≥ 0.056). No BMI-by-physical activity combinations were detected, indicating physical activity benefits all BMI groups to a similar extent. National Institute for Health and Care Excellence and EULAR guidance for inflammatory spondyloarthropathies should emphasize maintaining a normal weight. Moderate physical activity is optimal for reducing symptom severity and should be promoted in lifestyle guidance.

Current Advances and Applications of Diagnostic Microfluidic Chip: A Review

Background: As a developed technology, microfluidics now offers a great toolkit for handling and manipulating suspended samples, fluid samples, and particles. A regular chip is different from a microfluidic chip. A microfluidic chip is made of a series of grooves or microchannels carved on various materials. This arrangement of microchannels contained within the microfluidic chip is connected to the outside by inputs and outputs passing through the chip. Objective: This review includes the current progress in the field of microfluidic chips, their advantages and their biomedical applications in diagnosis. Methods: The various manuscripts were collected in the field of microfluidic chip that have biomedical applications from the different sources like Pubmed,Science direct and Google Scholar, out of which some were relevant and considered for the present manuscript. Results: Microfluidic channels inside the chip allow for the processing of the fluid, such as blending and physicochemical reactions. Aside from its practical, technological, and physical benefits, microscale fluidic circuits also improve researchers' capacity to do more accurate quantitative measurements while researching biological systems. Microfluidic chips, a developing type of biochip, were primarily focused on miniaturising analytical procedures, especially to enhance analyte separation. Since then, the procedures for device construction and operation have gotten much simpler. Conclusion: For bioanalytical operations, microfluidic technology has many advantages. As originally intended, a micro total analysis system might be built using microfluidic devices to integrate various functional modules (or operational units) onto a single platform. More researchers were able to design, produce, and use microfluidic devices because of increased accessibility, which quickly demonstrated the probability of wide-ranging applicability in all branches of biology.

The Utility of the Schnur Sliding Scale in Adolescent Patients.

Although the Schnur Sliding Scale (SSS) was not intended to be used by third-party payors, it has become the national standard for coverage decisions regarding macromastia treatment in patients of all ages. Adolescents were neither included in the cohort that created the SSS nor represented in subsequent validation studies. In this prospective study, health-related quality of life surveys were administered to girls and young women 12 to 21 years of age before and after reduction mammaplasty to treat macromastia. The SSS was used preoperatively to estimate the amount of tissue to be resected. Before and after surgery, participants completed the Short Form-36, version 2 (SF-36); the Rosenberg Self-Esteem Scale (RSES); the Breast-Related Symptoms Questionnaire (BRSQ); and the Eating Attitudes Test-26. Demographic data were compared, and linear regressions were used to evaluate the effect of resection amounts meeting the SSS value on survey scores. Resection amounts fell below the SSS for 39 patients and above the SSS for 255 patients. The 2 groups had no differences in mean age or body mass index. Both groups had significant postoperative survey score improvements on the RSES, BRSQ, and 7 of 8 SF-36 domains (all P < 0.05). The groups had comparable postoperative survey scores on the RSES, BRSQ, and 8 of 8 SF-36 domains (all P > 0.05). Adolescents undergoing reduction mammaplasty above and below the SSS experienced comparable physical and psychosocial benefits. These findings underscore the need for third-party payors to broaden coverage for adolescent reduction mammaplasty, as the common coverage cutoff has no effect on overall postoperative benefit. Risk, II.

S06-3: We Walk. Developing and pilot testing a dyadic intervention to promote outdoor walking in people after stroke: benefits, challenges and solutions

Abstract Purpose After stroke, physical activity (PA) levels are low, risking secondary stroke, cardiovascular disease, falls and poor mobility. Regular PA reduces these risks. Walking is a preferred PA option for stroke survivors, and social support influences uptake and maintenance of behaviours. We therefore developed WeWalk, a person-centred, dyadic peer-support behavioural intervention supported by walking buddies, to promote regular walking after stroke. This study evaluated participants’ experiences of WeWalk to refine it ready for effectiveness testing and implementation. Methods Intervention: WeWalk involved facilitated face-to-face and telephone sessions with a researcher with behaviour change training, supported by intervention handbooks and diaries. Dyads agreed walking goals and plans, monitored progress, and developed strategies for maintaining walking. Evaluation Data were collected through semi-structured interviews and facilitator fieldnotes during intervention delivery, and were analysed using thematic analysis, guided by a theoretical framework of acceptability. Results We recruited 21 dyads comprising community-dwelling PWS and their walking buddies. Eighteen dyads completed exit interviews, one dyad was lost to follow-up and two withdrew with ill-health. We identified three themes: acceptability evolves with experience, mutuality, and person-centredness with personally relevant tailoring. As dyads recognised how WeWalk components supported walking, perceptions of acceptability grew. Effort receded as goals and enjoyment of walking together were realised. The dyadic structure provided accountability, and participants’ confidence developed as they experienced physical and psychological benefits of walking. WeWalk required careful facilitation. It worked best when dyads exhibited relational connectivity and mutuality in setting and achieving goals however in a few dyads agreeing and enacting mutual goals was more challenging. Tailoring intervention components to individual circumstances and values supported dyads in achieving meaningful goals. Conclusions WeWalk is feasible and acceptable, illustrating the potential of dyadic interventions after stroke. However, its complexity requires considered implementation strategies. Data highlight the need for careful matching of dyads, facilitation of dyadic working by practitioners who can support development of dyadic relationships; and community structures linked to healthcare pathways that support implementation. We have worked with charities health services organisations to plan and develop these implementation strategies and report the challenges and potential solutions to delivering this complex intervention.

Promoting an Active School Culture: Tools, Resources, and Recognition

Within a whole-of-school approach to student wellness, comprehensive school physical activity programs (CSPAPs) offer opportunities for physical activity before, during, and after the school day. However, to successfully influence behavior and fully reap the physical, cognitive, and psychological benefits of an active lifestyle, schools must strive to embed a culture of physical activity into the fabric of the school community. The national Active Schools movement, established to provide schools with the necessary tools to ensure that all children in the United States have the opportunity to participate in 60 minutes of physical activity each day, has developed a framework for an active school culture that includes nine essential elements. This article introduces the framework and describes the open-source tools and resources offered through Active Schools to promote school-based physical activity, including foundational guidance documents, assessment tools, professional development opportunities, and a school recognition system.

Making Exercise as Medicine a Clinical Reality

Apply It! • Emphasize the Prevalence of Chronic Conditions: 52% of U.S. adults suffer from at least one chronic condition, underscoring the widespread need for exercise intervention in managing these diseases. • Advocate for Structured Exercise Programs: Stress the importance of structured exercise programs in managing chronic diseases, citing well-documented physical and mental health benefits associated with regular physical activity. • Educate on Exercise Thresholds: Educate clients on the exercise thresholds recommended by the World Health Organization, emphasizing the need for at least 150 to 300 minutes of moderate-intensity physical activity per week, complemented by resistance training and a reduction in sedentary behaviors. • Tailor Programs to Individual Readiness: Assess clients' readiness to change unhealthy lifestyle habits using models like the Transtheoretical Stages of Change Model, and tailor exercise prescriptions and counseling accordingly to increase the likelihood of successful behavior change.

“Everyone has a weight complex”: Experiences of participation in physical activity in regional, rural and remote Australia

ABSTRACT There are many complex and interrelated personal and structural benefits and constraints to being physically active. In this research, we invited people living in regional, rural and remote (RRR) environments of Australia to share their experiences of being active both currently and historically via an in-depth open-ended online survey. This study focuses on the perspectives of 139 participants, 92 of whom identified as female, 43 identified as male and 2 identified as gender fluid. Our participants were aged 18–76 years. By using an interpretivist lens and applying the feminist, weight inclusive Well Now approach (Aphramor, 2018) as a framework to understand these experiences, we identified that this group of people enjoyed the benefits of being active that included physical, mental, and emotional health benefits, as well as social benefits. Participants also shared stories about exclusion, discrimination, and reluctance to participate in various forms of physical activity. Our findings may help inform the work of practitioners who seek to use a weight inclusive approach in RRR areas and highlight the need to support individuals to find safe spaces and meaningful opportunities to be active.

Differences in Overuse Injuries in Gender-Comparable Sports: A Nationally Representative Sample of High School Athletes.

Participation in high school sports has physical, physiological, and social development benefits, while also increasing the risk of acute and overuse injuries. Risk of sport-related overuse injury differs between boys and girls. To investigate differences in overuse injuries among US high school athletes participating in the gender-comparable sports of soccer, basketball, and baseball/softball. Descriptive epidemiology study using a nationally representative sample from the High School Reporting Information Online (RIO) database. High schools. Athletes with overuse injuries during the 2006-2007 through 2018-2019 academic years. National estimates and rates of overuse injuries were extrapolated from weighted observed numbers with the following independent variables: sport, gender, academic year, class year, event type, body site, diagnosis, recurrence, activity, and position. Among an estimated 908 295 overuse injuries nationally, 43.9% (n = 398 419) occurred in boys' soccer, basketball, and baseball, whereas 56.1% (n = 509 876) occurred in girls' soccer, basketball, and softball. When comparing gender across sports, girls were more likely to sustain an overuse injury than boys (soccer, injury rate ratio [IRR]: 1.37, 95% CI = 1.20-1.57; basketball, IRR: 1.82, 95% CI = 1.56-2.14; baseball/softball, IRR: 1.21, 95% CI = 1.04-1.41). Most overuse injuries in soccer and basketball for both genders occurred to a lower extremity (soccer: 83.9% [175 369/209 071] for boys, 90.0% [243 879/271 092] for girls; basketball: 77.0% [59 239/76 884] for boys, 80.5% [81 826/101 709] for girls), whereas most overuse injuries in baseball and softball were to an upper extremity (72.5% [81 363/112 213] for boys, 53.7% [73 557/136 990] for girls). For boys' baseball, pitching (43.5% [47 007/107 984]) was the most common activity associated with an overuse injury, which differed from the most common activity of throwing (31.7% [39 921/126 104]) for girls' softball. Gender differences observed in this study can help guide future strategies that are more specific to gender and sport to reduce overuse injuries among high school athletes.

An exploration of a mentoring programme for at-risk adolescents in the West Midlands, UK

ABSTRACT Extra-curricular activities, such as playing sport and participating in mentoring programmes, have physical and mental health benefits for individuals. For adolescents particularly, nurturing these interests has the potential for positive outcomes in academic attainment and personal development, an increase to self-esteem, and positive development of relationship skills. This study explored the understanding and attitudes that 11 adolescents, aged 13–16 years, enrolled on a West Midlands-based charity’s sports and mentoring programme, had towards their participation through the form of semi-structured focus groups. Thematic Analysis was performed, and three key themes were identified: (i) Positive changes to their behaviour, (ii) Connections with the mentors, and (iii) The difference the mentoring programme has made to their lives. The findings demonstrated that the mentoring programme was beneficial and had favourable impact on the adolescents involved and support the need for such programmes to be further developed and promoted for youth to access.

Implementing management of the physical fitness education program for the drug rehabilitation patients in drug addict therapy centre

Abstract. This research analyses the urgency of Implementation of Physical Fitness Education Program Management for Drug Rehabilitation Patients at the Bidayatussalikin Islamic Boarding School (BIBS) Drug Addict Therapy House in Indonesia. This research was a mixed-method research. The quantitative sample consisted of 65 BIBS drug rehabilitation students. The qualitative sample included 6 expert informants. The conclusion is the implementation of physical fitness education programme management as a means of accelerating non-medical rehabilitation for students as former drug addicts needs to be implemented. This programme can be used as a means of accelerating the non-medical healing process through; strengthening physical fitness components, repairing the body's nerve cells, encouraging the release of the hormones dopamine and endorphins that trigger happiness, reducing stress, managing emotions, stabilising mood, channeling positive energy, avoiding empty thoughts, helping restore damaged memory, and entertaining the students as former drug addicts. The conclusion of this study emphasizes the importance of implementing a structured physical fitness education pro-gram in drug rehabilitation centers. The findings confirm that such programs not only provide significant physical health benefits, but also support psychological recovery and encourage positive routines for patients. Physical fitness programs, integrated in drug rehabilitation strategies, should be considered a crucial and indispensable component, due to their contribution to physical and mental well-being during the recovery process. Research has also shown the integral role of rehabilitation in helping individuals suffering from substance use disorders to achieve recovery and pre-vent relapse. By incorporating approaches that cover physical, psychological, social, and spiritual aspects, rehabilitation programs can effectively support the holistic well-being and successful recovery of individuals undergoing rehabili-tation from substance dependence. Keywords: Urgency; Management of Physical Fitness Education Programs; The Drug Rehabilitation Patients