Physical Rest Research Articles

Association of a Mediterranean Lifestyle With All-Cause and Cause-Specific Mortality: A Prospective Study from the UK Biobank

ObjectiveTo examine the association between the Mediterranean lifestyle and all-cause, cancer, and cardiovascular disease (CVD) mortality in a British population. Patients and MethodsWe studied 110,799 individuals 40 to 75 years of age from the UK Biobank cohort, free of CVD or cancer between 2009 and 2012 who were followed-up to 2021. The Mediterranean lifestyle was assessed at baseline through the Mediterranean Lifestyle (MEDLIFE) index, derived from the lifestyle questionnaire and diet assessments and comprising three blocks: (1) “Mediterranean food consumption,” (2) “Mediterranean dietary habits,” and (3) “physical activity, rest, social habits, and conviviality.” Death information was retrieved from death register records. Cox regression models were used to analyze the study associations. ResultsDuring a median 9.4-year follow-up, 4247 total deaths, 2401 cancer deaths, and 731 CVD deaths were identified. Compared with the first quartile of the MEDLIFE index, increasing quartiles had HRs of 0.89 (95% CI, 0.81 to 0.97), 0.81 (95% CI, 0.74 to 0.89), and 0.71 (95% CI, 0.65 to 0.78) (P-trend<.001 for all-cause mortality). For cancer mortality, the quartiles had HRs of 0.90 (95% CI, 0.80 to 1.01), 0.83 (95% CI, 0.74 to 0.93), and 0.72 (95% CI, 0.64 to 0.82) (P-trend<.001). All MEDLIFE index blocks were independently associated with lower risk of all-cause and cancer death, and block 3 was associated with lower CVD mortality. ConclusionHigher adherence to the Mediterranean lifestyle was associated with lower all-cause and cancer mortality in British middle-aged and older adults in a dose-response manner. Adopting a Mediterranean lifestyle adapted to the local characteristics of non-Mediterranean populations may be possible and part of a healthy lifestyle.

Fracture Patterns, Associated Injuries, Management, and Treatment Outcomes of 530 Pediatric Mandibular Fractures.

Mandibular fractures account for up to 48.8% of pediatric facial fractures; however, there are a wide range of available treatment modalities, and few studies describe trends in adverse outcomes of these injuries. This study describes fracture cause, pattern, management, and treatment outcomes in pediatric mandibular fracture patients. A retrospective review was performed of patients younger than 18 years who were evaluated for mandibular fractures at a pediatric level I trauma center between 2006 and 2021. Variables studied included demographics, cause, medical history, associated facial fractures, other associated injuries, treatments, and outcomes. A total of 530 pediatric patients with 829 mandibular fractures were included in the analysis. Most isolated mandibular fractures were treated with physical therapy and rest ( n = 253 [47.7%]). Patients with combination fractures, specifically those involving the parasymphysis and angle, were 2.63 times more likely to undergo surgical management compared with patients with a single facial fracture ( P < 0.0001). Older age ( P < 0.001), sex ( P = 0.042), mechanism ( P = 0.008) and cause of injury ( P = 0.002), and specific fractures (eg, isolated angle [ P = 0.001]) were more associated with adverse outcomes. The odds of adverse outcomes were higher for patients treated with closed reduction and external fixation or open reduction and internal fixation compared with conservative management (OR, 1.8, 95% CI, 1.0 to 3.2; and OR, 2.1, 95% CI, 1.2 to 3.5, respectively). Fracture type, mechanism of injury, and treatment modality in pediatric mandibular fractures are associated with distinct rates and types of adverse outcomes. Large-scale studies characterizing these injuries are critical for guiding physicians in the management of these patients. Risk, III.

Mediterranean lifestyle index and 24-h systolic blood pressure and heart rate in community-dwelling older adults

Specific foods, nutrients, dietary patterns, and physical activity are associated with lower blood pressure (BP) and heart rate (HR), but little is known about the joint effect of lifestyle factors captured in a multidimensional score. We assessed the association of a validated Mediterranean-lifestyle (MEDLIFE) index with 24-h-ambulatory BP and HR in everyday life among community-living older adults. Data were taken from 2,184 individuals (51% females, mean age: 71.4 years) from the Seniors-ENRICA-2 cohort. The MEDLIFE index consisted of 29 items arranged in three blocks: 1) Food consumption; 2) Dietary habits; and 3) Physical activity, rest, and conviviality. A higher MEDLIFE score (0–29 points) represented a better Mediterranean lifestyle adherence. 24-h-ambulatory BP and HR were obtained with validated oscillometric devices. Analyses were performed with linear regression adjusted for the main confounders. The MEDLIFE-highest quintile (vs Q1) was associated with lower nighttime systolic BP (SBP) (-3.17 mmHg [95% CI: -5.25, -1.08]; p-trend = 0.011), greater nocturnal-SBP fall (1.67% [0.51, 2.83]; p-trend = 0.052), and lower HR (-2.04 bpm [daytime], -2.33 bpm [nighttime], and -1.93 bpm [24-h]; all p-trend < 0.001). Results were similar for each of the three blocks of MEDLIFE and by hypertension status (yes/no). Among older adults, higher adherence to MEDLIFE was associated with lower nighttime SBP, greater nocturnal-SBP fall, and lower HR in their everyday life. These results suggest a synergistic BP-related protection from the components of the Mediterranean lifestyle. Future studies should determine whether these results replicate in older adults from other Mediterranean and non-Mediterranean countries.

Clinical and Diagnostic Characteristics of Calcaneal Apophysitis: A Systematic Review and Thematic Analysis.

Calcaneal apophysitis is an overuse injury in pediatric patients that causes heel pain and reduction in function. The aim of this study is to explore this condition and offer medical insight into its presentation and symptomatology, along with current treatment options. We explored PubMed/Medline for studies involving calcaneal apophysitis in pediatric patients. The search included all articles published from database inception until June 1, 2021. We only included articles published in English. Clinical information and demographics extracted from the reported studies were analyzed and assessed. Only 28 studies met our criteria, with a total of 1,362 cases. Of the cases reported, 973 affected boys (71.4%). Presentation was bilateral in 589 cases (43.2%) and unilateral in 433 cases (31.8%). Radiographic imaging was used for the diagnosis of 358 cases (26.3%). All reported treatment modalities were conservative, and these included physical therapy and rest, kinesiotherapy and taping, and orthotic devices. A total of 733 cases (53.7%) reported improved outcomes,32 cases (2.3%) reported no improvement, and the remainder of cases did not report prognostic outcomes (44%). Calcaneal apophysitis is an overuse disease commonly found in the pediatric population. Educating parents and coaches with regard to its symptomatology, etiology, and treatment is essential to diagnose the condition earlier and provide better outcomes.

제주도민의 체육활동 참여 영향 요인

This paper analyzed the data from the ministry of culture, sports, and tourism's national survey on sports for all to discuss the factors affecting jeju residents' participation in sports activities. Data from the national survey on sports for all were extracted from jeju as of 2019, and a total of 223 people (aged 44.92±19.36 years) were used for the analysis, with 111 male and 112 female. The objective accessibility of public sports facilities such as track and field stadiums, soccer fields, baseball fields, tennis courts, gymnasiums, and swimming pools was calculated based on the straight distance and vehicle travel time. As a result of the study, first, there was a positive (+) correlation between demographic characteristics and participation in sports activities. Second, the level of participation in sports activities differed depending on the economic level, subjective health status, subjective physical fitness status, meal and nutrition status, and whether or not sports facilities were recognized. Third, the level of regular participation in sports activities differed depending on subjective health status, subjective physical fitness status, rest and sleep status, meal and nutrition status, and whether or not it was a sports facility. Fourth, the impact of participation in sports activities was found to be related to economic level and sports facility recognition factors. Fifth, the influence of regular participation in sports activities was found to be a factor in the recognition of sports facilities. Taken together, the above results suggest that jeju residents' sports activities are closely related to demographic characteristics and subjective cognitive levels.

Physical education of children and youth as a mandatory component of pedagogical works in Romania in the second half of the 19th - beginning of the 20th century

The authors of the article "Physical education of children and youth as a mandatory component of pedagogical works in Romania in the second half of the 19th - beginning of the 20th century." O. Tsybanyuk, A. Moldovan, and S. Dariіchuk determined that the recognition of physical education as a mandatory component of the educational process for children and youth in the country was proven by the active appearance of thematic training courses, textbooks, and monographs in the studied period. Such were the textbooks of I. Popescu "Pedagogy", the monograph of S. Velovan and I. Popescu "Pedagogy", which paid attention to the influence of systematic gymnastic exercises on the education of order, accuracy and discipline, morality and aesthetics. In addition, an analysis of the characteristics of alternation of physical activity and rest was found. An interesting element was the characteristic of the body of educational articles in the journal "Pedagogical Body for Education and Training". An example was the requirement for teachers to take into account physical activity and rest, the "weight of the school", to be able to diversify it through mobile and folk games. Separate recommendations of P. Pipos regarding the use of food, air, movement-games and gymnastics as means of physical education, as well as methodical instructions for conducting a physical education lesson. In the opinion of the researcher, advice to teachers about the use of well-thought-out, planned exercises and complexes is relevant. It has been proven that, in addition to pedagogical publications, specialized publications appeared during this time – "Considerations about the importance and necessity of gymnastics from a hygienic and social point of view in schools of both sexes, in the army, at different ages of life and as a treatment for various diseases" by Dr. K.I. Istrati, "Physical education" by I. Slavicha, section "Physical education" authored by V. Gidionescu in the work "School hygiene", etc.

Assessment of maternal knowledge of infant movement and nutrition guidelines in Canada: The PREVENT survey study (Physical activity, Rest, Exercise and nutrition Values for Education of New moms with Type 2 diabetes/gestational diabetes)

Infants born to mothers with type 2 diabetes (T2D) and gestational diabetes (GDM) are at an increased risk of being overweight/obese. Modifiable lifestyle factors play a role in prevention of overweight and obesity. In 2017, the Canadian 24 h Movement Guidelines for the Early Years (CMG) were released. Alongside physical activity recommendations, sweetened beverage consumption (SBC) recommendations were also released by the American Academy of Pediatrics in 2017. The objective of this study was to determine the knowledge pregnant women with T2D and GDM have on the CMG and SBC recommendations, and to determine what factors affect this. A survey with questions regarding demographics, socioeconomic variables and the CMG and SBC recommendations was administered to pregnant women at Diabetes in Pregnancy clinics in Calgary, Alberta from July 2019 to January 2020. Surveys were analyzed utilizing the non-parametric Kruskall-Wallis Rank-Sum test, chi-square test and linear regression. A total of 79 respondents with T2D and GDM were collected. Respondents had the highest knowledge of SBC recommendations and the lowest knowledge of CMG recommendations. A bachelor’s or higher degree was associated with significantly higher knowledge scores than a high-school education or less. In conclusion, pregnant women with T2D and GDM in this study had overall poor knowledge of the CMG and SBC recommendations, with less knowledge regarding the CMG. Level of education was found to be associated with knowledge regarding these recommendations. Future programs to improve education around infant and toddler physical activity and SBC recommendations may be beneficial for this patient population.

Sport-related concussion and bodychecking in children and youth: Evaluation, management, and policy implications.

Concussions are a common injury both within and outside sport and recreational settings, and they remain a serious concern for children and youth. Any young person suspected of sustaining a concussion should be medically evaluated as soon as possible, and when the injury occurs during sport, the individual must be removed from play immediately to avoid secondary injury. A brief initial period of physical and cognitive rest is followed by supervised, stepwise return-to-learn and return-to-play protocols. All individuals involved in child and youth sports and recreation must be able to recognize risk for, and signs and symptoms of, concussion. They must also ensure that any participant suspected of sustaining a concussion is properly evaluated and managed by qualified medical personnel. Evolving data and literature have strengthened both our pathophysiological understanding of concussion and guidance for clinical management, especially related to acute care, persistent symptoms, and prevention. This statement also re-examines the relationship between bodychecking in hockey and injury rates, and advocates for a change in policy in youth hockey.

Rest and exercise early after sport-related concussion: a systematic review and meta-analysis

ObjectiveTo synthesise the evidence regarding the risks and benefits of physical activity (PA), prescribed aerobic exercise treatment, rest, cognitive activity and sleep during the first 14 days after sport-related concussion...

D156. Characteristics of Mandibular Fractures in the Pediatric Population

PURPOSE: Mandibular fractures account for up to 48.8% of pediatric facial fractures; however, there are a wide range of available treatment modalities, and few studies describe trends in adverse outcomes of these injuries. This study describes fracture etiology, pattern, management, and treatment outcomes in pediatric mandibular fracture patients. METHODS: A retrospective review was performed of patients under 18 years of age who were evaluated for mandibular fractures at a pediatric level I trauma center between 2006 and 2021. Variables studied included demographics, etiology, medical history, associated facial fractures, other associated injuries, treatments, and outcomes. RESULTS: A total of 530 pediatric patients with 829 mandibular fractures were included in the analysis. Most isolated mandibular fractures were treated with physical therapy (PT) and rest (n=253, 47.7%). Patients with combination fractures, specifically those involving the parasymphysis and angle, were 2.63 times more likely to undergo surgical management compared to patients with a single facial fracture (p<0.0001). Older age (p<0.001), gender (p=0.042), mechanism (p=0.008) and cause of injury (p=0.002), as well as specific fractures (e.g., isolated angle (p=0.001)) were more associated with adverse outcomes. The odds of adverse outcomes were higher for patients treated with CREF or ORIF compared to conservative management (OR=1.8; 95% Cl 1.0-3.2 and OR=2.1; 95% Cl 1.2-3.5, respectively). CONCLUSION: Fracture type, mechanism of injury, and treatment modality in pediatric mandibular fractures are associated with distinct rates and types of adverse outcomes. Large scale studies characterizing these injuries are critical for guiding physicians in the management of these patients.

Evaluating Quality of Website-Derived Concussion Information (P8-1.005)

<h3>Objective:</h3> This investigation employs a variety of objective scoring systems to evaluate online concussion information quality from 2021 &amp; 2022. <h3>Background:</h3> In modern times, concussions are a popular health-related search topic. As most users often stop at the first page of Google, these websites’ quality should be assessed by multiple tools that objectively determine the accuracy and efficacy of information presentation, with resultant scores that should improve as cumulative exposure grows over time. <h3>Design/Methods:</h3> The websites analyzed in this study were identified from the first page of a Google search for “Concussion”, with 2 searches conducted to assess differences over 2021 and 2022. Two independent reviews were conducted using the DISCERN instrument, Health-on-The-Net (HON) Foundation code and certification status, JAMA Benchmarks, Currency, Relevance, Authority, Accuracy, and Purpose (CRAAP) test, reading ease, and treatment content. After rating completion, kappa rater agreement statistics and descriptive statistics on subsequent consensus ratings were calculated. <h3>Results:</h3> Across both years, investigator agreement was strong (&gt;0.7), highlighting rating methodology and reproducibility. Among website categories reviewed in the 2021 analysis, academic/nonprofit/healthcare had the highest mean for all scoring tools (41.33, 6.67, 3.33, 29.33), with the sole exception of treatment content, which was led by commercial websites (3.67). The 2022 analysis conveyed academic/nonprofit/healthcare quality dominance for DISCERN (38.40), HonCode (6), and Treatment (3.20). However, the commercial category had the topmost JAMA benchmark score, and government websites had the greatest CRAAP (26) rating. Among both analyses, treatments like physical rest and cognitive rest were emphasized, with all websites ignoring aerobic and psychosocial/emotional support. <h3>Conclusions:</h3> Across both annual analyses, academic/nonprofit/healthcare websites maintained the highest mean in most scoring systems compared to commercial and government websites, but all categories did not exhibit rating improvement over time. This investigation provides valuable insight into the current quality of online concussion knowledge and opportunities for future improvement to enhance public awareness. <b>Disclosure:</b> Mr. Mehra has received research support from Medical College of Georgia. Mr. Mehra has received personal compensation in the range of $500-$4,999 for serving as a Graduate SGA Humanitarian with Augusta University. Mr. Brody has nothing to disclose. Miss Mehrotra has nothing to disclose. Mr. Sakhalkar has nothing to disclose. Dr. Maugans has nothing to disclose.

Abstract MP08: Association of a Mediterranean Lifestyle With All-Cause and Cause-Specific Mortality: A Prospective Cohort Study From UK Biobank

Background: There is strong evidence that the Mediterranean diet protects from cardiovascular disease (CVD); however, beyond diet, the Mediterranean lifestyle may have synergistic effects through the combination of other health behaviors, such as adequate rest or sociability. While most evidence on this lifestyle pattern comes from Mediterranean countries, little is known about the health effects of a Mediterranean lifestyle in non-Mediterranean populations. Our aim was to examine the association between a Mediterranean lifestyle index (MEDLIFE) and all-cause, (CVD), and cancer mortality in a British population. Methods: We used data from 110,799 individuals free of CVD or cancer, aged 40-69 years, from the UK Biobank cohort, who were followed from 2006-2010 to 2020. The Mediterranean lifestyle was assessed through the validated 26-item MEDLIFE index derived from the lifestyle questionnaire and from 2 or more Oxford WebQ Online 24-hour diet recalls. MEDLIFE comprised three blocks: a) Block 1 (13 items): Mediterranean food consumption, b) Block 2 (7 items): Mediterranean dietary habits, c) Block 3 (6 items): Physical activity, rest, social habits, and conviviality. Mortality was obtained from the death register records. Multivariable-adjusted Cox proportional-hazards regression models were used to analyse associations between MEDLIFE and all-cause, CVD, and cancer mortality. Results: After a mean 9.4-year follow-up, 4,247 deaths were identified. Higher adherence to the MEDLIFE index was associated with lower all-cause and cancer mortality in a dose-response manner. Compared to the first quartile of adherence to the MEDLIFE, the increasingly higher quartiles had a HR (95% CI) of 0.89 (0.81 -0.97), 0.81 (0.74-0.89) and 0.71 (0.65-0.78), p-trend &lt;0.001, for all-cause mortality; and 0.90 (0.80-1.01), 0.83 (0.74-0.93) and 0.72 (0.64-0.82), p -trend &lt;0.001, for cancer mortality. All MEDLIFE blocks were independently associated with lower risk of all-cause and cancer death, and block 3 with lower CVD mortality. Conclusions: A Mediterranean lifestyle was associated to reduced all-cause and cancer-mortality in British middle-aged and older adults; this suggests that adopting a Mediterranean lifestyle adapted to the local characteristics of non-Mediterranean populations is possible and can be part of a healthy lifestyle.

The Effectiveness of Physical Therapy Interventions for Athletes Post-Concussion: A Systematic Review.

Sports-related concussions are the most common cause of head injury in adolescents and young adults. Typical treatment methods for this injury include cognitive and physical rest. Evidence suggests that physical activity and physical therapy interventions can be beneficial to decrease post-concussion symptoms. The aim of this systematic review was to investigate the effectiveness of physical therapy interventions for adolescent and young adult athletes post-concussion. Systematic Review. The following databases were utilized for the search: PubMed, CINAHL, Proquest, MEDLINE, SPORTDiscus, and SCOPUS. The search strategy focused on athletes, concussions, and physical therapy interventions. Data extraction from each article included: Authors, subjects, gender, mean age, age range, specific sport, acute or chronic concussion, first or recurrent concussion, treatments for intervention and control group, and outcomes measured. Eight studies met the inclusion criteria. Six of the eight articles scored seven or higher on the PEDro Scale. Physical therapy intervention(s), such as an aerobic intervention or a multimodal approach, show improvements in time to recovery and reduction of post-concussion symptoms in patients who have had a concussion. Physical activity and physical therapy as early as a couple days following injury, is beneficial at decreasing post-concussion symptoms, allows for earlier return to play, and/or shorter days to recovery, and is considered safe for treating post-concussion symptoms. This systematic review demonstrates that physical therapy interventions including aerobic exercise and multimodal approaches have been found to be beneficial in treating adolescent and young adult athletes post-concussion. Utilizing aerobic or multimodal interventions for this population allows for a quicker symptom recovery and return to sport than traditional treatment of physical and cognitive rest. Future research should investigate the superior intervention for adolescents and young adults with post-concussion syndrome and determine if a single treatment or a multimodal approach is more beneficial.

Using Comic-Based Concussion Discharge Instructions to Address Caregiver Health Literacy in the Emergency Department

IntroductionThis study compared the effectiveness of comic-based with text-based concussion discharge instructions on improving caregiver knowledge. This study also examined the role of social determinants of health on comprehension instructions. MethodsThis was an observational study of the caregivers of pediatric concussion patients. Caregivers' health literacy and demographics related socioeconomic factors were obtained. After the patients’ evaluation in the emergency department, caregivers were given printed comic-based concussion discharge instructions. Caregivers were contacted 3 days later and tested overall knowledge of discharge instructions’ content. These survey results were compared with historical controls who received text-based instructions. ResultsA total of 120 participants were recruited, and 86 participants completed follow-up procedures. When comparing the caregivers’ recall ability with a comic-based vs traditional text-based instructions, caregivers with comic-based content were more likely to accurately recall overall discharge instructions (77.5% vs 44%, P < .001), particularly physical rest and activity restrictions (86.5% vs 63%, P < .001). Caregivers also were less likely to misidentify a red flag symptom (7.5% vs 19%, P < .04). Comic-based instructions did not increase recall of cognitive rest instructions or postconcussive symptoms. When examining demographic factors, caregivers who could not recall 3 postconcussive symptoms were more likely to be Hispanic or Black, less likely to be college educated, and more likely to have low health literacy. DiscussionNovel methods should be explored to adequately prepare caregivers for continuing postconcussive care at home. Discharge instructions must be tailored to address caregivers’ baseline health literacy and how caregivers digest and retain information.

Restorative Effects of Park Visiting on Physiology, Psychology, and Society and the Factors Influencing Park Visiting

Park visits are beneficial for people’s physical and psychological health, as well as for the development of social relationships. This study investigated the degree of recovery of physical, psychological, and social aspects of residents in different types of parks and the influence of socio-demographic factors, personal factors, residential space attributes, and park characteristics on park visitation. The results show that tourists visiting urban parks have higher physiological and social recovery than those visiting suburban parks and that there are significant differences. Physical exercise, rest and relaxation, and spending time with family and children were the three most prevalent factors influencing park visits, while time constraints were the most important reason why residents failed to use parks. Socio demographics, residential spatial attributes, individual variables, and park characteristics explained 13.6%, 16.7%, 4.6%, and 2.9% of the total variance in park visit frequency, respectively. Residential green space, age, children under age seven, time spent in residential green space, willingness to spend time in nature, greenery, maintenance, and amenities were positively associated with park use. Income, education, home price, and distance from home to the park were negatively associated with park use. These findings have implications for park management and for future research.

Parents’/guardians’ experiences with their adolescents’ prolonged recovery from a sport-related concussion

Sport-related concussions (SRCs) occur at alarming rates among adolescents and evidence suggests that adolescents experience more severe and longer-lasting symptoms compared to other age groups. Developmentally, adolescence is a time when youth become less reliant on their parents, establish their personal identity, and rely more on other social support networks (e.g., peers, teammates). However, previous studies show that parents play a prominent role in the recovery process from an SRC, especially in situations where recovery is prolonged. The purpose of this study was to examine the lived experiences of parents/guardians of teens who were recovering from a concussion and whose symptoms were persistent. Participants ( N = 12) were individually interviewed to better understand how they navigated and advocated for their teen during their prolonged recovery. An inductive content analysis revealed eight thematic categories that were interpreted with a developmental lens: (a) difficulties enforcing cognitive and physical rest, (b) concerns about depression and isolation, (c) observing struggles with athletic identity, (d) feelings of frustration, helplessness, and stress, (e) challenges of a hidden injury, (f) decisions about returning to sport, (g) being lied to about symptoms, and (h) offering strategies and practical advice. The themes illustrate how challenging and complicated the recovery process can be for parents of teenagers in particular, which is supported in previous concussion studies and the broader developmental literature. These results reinforce the idea that taking a biopsychosocial approach to care is best in order to adequately support parents/guardians and adolescents during the SRC recovery process.

EFEITO DA INTERVENÇÃO DO EXERCÍCIO E REABILITAÇÃO EM PACIENTES COM DEPRESSÃO

ABSTRACT Introduction: The increase in the number of students experiencing depression severely impacts the physical and mental health of college students. Objective: Explore the effect of an exercise intervention on patients with depression by analyzing its rehabilitation effect. Methods: Physical education combined with extracurricular activities were chosen. The experimental physical education group completed about 45 minutes of low-intensity running, performing physical recovery and rest under teacher guidance. The sport form of extracurricular activity was basketball, twice a week. Physical education combined with extracurricular activities totaled a total of 4 times a week, lasting six weeks. Results: The exercise intervention reduced the participants’ psychological test scores, relieving them of their psychological conditions. The exercise intervention improved somatization factors (obsessive-compulsive, depression, interpersonal, paranoid, anxiety, and negative symptoms). Conclusion: The personalized exercise plan is recommended for students with depression, with the promotion of corresponding physical exercise out of class, aiming to improve students’ psychological state and mental health. Level of evidence II; Therapeutic studies - investigation of treatment outcomes.

Unveiling The Dream: The New Frontiers of Dream Technology and Radical Rest

This article situates the meeting points of dream tech and the radical rest movement, centering on Black creative and community practices to contextualize the emergence of dream tech in academic research labs, tech startups, consumer markets, and artistic incubations. The article describes the rise of the Radical Rest movement, led by Black activists and artists, in response to the need to reclaim sleep and dreams from colonial agendas and capitalist systems of oppression. This movement has developed parallel to the rapid growth of sleep technology, offering new products for sleep-deprived consumers of the global North. The next frontier of this new multibillion-dollar industry is dream neurotech—technology that directly interfaces with the dreaming mind. The article introduces dream tech by unearthing a largely forgotten dream that shaped the trajectory of modern Western science, a trajectory that is contrasted with views about consciousness in sleep espoused by classical Indian philosophers. With this historical and global context for understanding how sleep and dreams are measured and quantified, the article then historicizes racial sleep inequities in the U.S. to frame how systematic oppression continues to have adverse effects on the sleep health of Black Americans. The article examines the aims of commercial dream tech, discerning agendas and assumptions that reverberate with the Cartesian dualism underlying Western scientific views of dreams, selfhood, and consciousness. These views will be complicated by the practices and values of Black activists and artists in the contemporary Radical Rest movement. Their work uplifts physical and emotional rest as a powerful site for healing trauma and resisting the oppressive vectors of white supremacy and capitalism.

Association between a Mediterranean lifestyle and growth differentiation factor 15: The seniors ENRICA-2 cohort

BackgroundGrowth Differentiation Factor 15 (GDF-15) is a marker of inflammation and oxidative stress that has been associated with multiple age-related chronic diseases. Since lifestyle is key for preventing these adverse health outcomes, we examined the association between a Mediterranean lifestyle and GDF-15 serum concentrations in Spanish older adults. MethodsWe used cross-sectional data from 2502 older adults participating in the Seniors ENRICA-2 cohort. Adherence to the Mediterranean lifestyle was assessed with the 27-item MEDLIFE index, divided into three blocks: 1) “Mediterranean food consumption, 2) Mediterranean dietary habits, 3) Physical activity, rest, social habits, and conviviality”. Analyses of the association between the MEFLIFE index and GDF-15 concentrations were performed using multivariable linear regression models adjusting for the main potential confounders. ResultsThe MEDLIFE index was inversely associated with GDF-15. Compared with participants in the lowest quartile of the MEDLIFE score, GDF-15 mean percentage differences (95% CI) were −3.0% (−8.0, 2.3) for the second quartile, −8.7% (−13.0, −4.1) for the third quartile, and −10.1% (−15.0, −4.9) for the fourth quartile (p-trend<0.001). Block 3 of MEDLIFE, and particularly doing sufficient physical activity, adequate sleep duration, and participating in collective sports, was individually linked to lower concentrations of GDF-15. Results remained similar after excluding participants with cardiovascular disease, type 2 diabetes, or obesity. ConclusionsA Mediterranean lifestyle was associated with reduced levels of GDF-15, suggesting that a combination of multiple lifestyles may be an integral approach to reduce chronic inflammation and disease burden in older adults.

Using cardiovascular parameters for determination of person’s gender identity

BACKGROUND: Emotional stress is a significant risk factor for the development of cardiovascular diseases. Prenosological diagnostics of these conditions becomes important. The peculiarities of adaptive reactions are largely determined by individual psychological characteristics of an individual, including gender identity.&#x0D; AIM: Determination of correlation of functional parameters of the cardiovascular system for objectification of psychological criteria for classification of gender identity.&#x0D; MATERIALS AND METHODS: Hemodynamics and heart rate variability were studied in people with different gender identities. A total of 200 volunteers of both sexes were examined in a state of mental and physical rest. 14 parameters of cardiovascular activity were selected to construct discriminant functions: stroke volume of blood flow, cardiac output, cardiac index, stroke index, heart rate, standard deviation of RR intervals, square root of the mean squared difference of successive RR, percentage of RR intervals with a sinus rhythm of the heart, which differ by more than 50 ms, index of vegetative equilibrium, vegetative rhythm index, indicator of the adequacy of regulatory processes, stress index of regulatory systems, indicator of the activity of regulatory systems. The obtained indicators and initial coefficients reflecting the contribution of each parameter to the discrimination of groups were used to calculate discriminant functions.&#x0D; RESULTS: It was found that the graphs reflecting the results of discriminant analysis showed a high degree of accuracy in classifying men (97.6%) and women (96.5%) by gender identity based on objective characteristics of cardiovascular activity. The objectivity of psychological testing with a high probability of predicting the type of gender identity based on the analysis of rheography and rhythmocardiography data is shown.&#x0D; CONCLUSIONS: The use of objective characteristics of cardiovascular activity obtained during rheography and rhythmocardiography made it possible to predict the type of a persons gender identity with high probability.