Regular Exercise Research Articles

Rising Mental Health Issues from Remote Work Challenges in South Korea Amid COVID-19

Abstract The COVID-19 pandemic significantly increased remote work, raising concerns about its impact on mental health. This study assessed the relationship between the challenges of remote work during the pandemic and mental health outcomes such as anxiety, depression, and sleep disorders. An online survey was conducted among South Korean adults, with data from 507 participants analyzed using the Generalized Anxiety Disorder 7-Item Scale (GAD-7), the Patient Health Questionnaire-9 (PHQ-9), and the Insomnia Severity Index (ISI). Results indicated that participants in the ‘difficult’ remote work category experienced higher rates of anxiety (26.6%), sleep disorders (37.3%), and depressive symptoms (38.4%) compared to the ‘non-difficult’ category (14.1% anxiety, 24.8% sleep disorder, and 24.8% depressive symptoms), with all differences statistically significant (p ≤ 0.005). Logistic regression models adjusted for demographics and socio-economic factors revealed increased odds of mental health issues in the ‘difficult’ group (ORs ranging from 2.241 to 3.210). Sub-group analysis highlighted significant disparities, particularly among blue-collar workers and men. The findings underscore the need for organizational strategies to mitigate the mental health challenges of remote work. Interventions should include improving technological infrastructure, enhancing workspace ergonomics, and fostering robust communication channels to replace in-person interactions. Additionally, policies should address the differential impacts observed between genders and industries, tailoring support to diverse needs. On a personal level, promoting regular indoor exercise could help workers manage stress and enhance their well-being in remote work settings. This study calls for a comprehensive approach to managing the complex impacts of remote work on mental health. Key messages • This study calls for a comprehensive approach to managing the complex impacts of remote work on mental health. • The findings underscore the need for organizational strategies to mitigate the mental health challenges of remote work.

Impact of Phase III cardiac telerehabilitation on cardiorrespiratory fitness, safety and adherence in patients with ischemic heart disease

Abstract Background and Purpose Cardiac rehabilitation program (CRP) is an interdisciplinary intervention aimed to improve exercise tolerance, promote the reintegration of patients with heart disease into their normal lives, and reduce the rate of long-term complications and mortality. Of the three phases, Phase II is responsible for achieving sufficient and safe gains to guarantee adaptation, but it is in Phase III where the long-term beneficial effects and self-management will be achieved. Nevertheless, only 30% - 60% of patients report continuing regular exercise during this stage, adherence rates are heterogeneous, and the diversity of results sustained over time is wide. Therefore, cardiac telerehabilitation (CTR) emerged as an affordable tool to achieve closer and safer surveillance at Phase III. The aim of the study is to evaluate the impact of CTR on exercise tolerance, safety and phase III adherence in patients with ischemic heart disease (IHD) Methods Quasi-experimental study that follows Phase II, in which patients with IHD were assigned to virtual sessions at 1st, 3rd, 6th and 12th months, In each session, they were questioned about adherence to training, exercise tolerance, symptoms, outcomes and control of cardiovascular risk factors (CVRF). The percentage of moderate in relation to vigorous physical activity was also evaluated. After one year they underwent a cardiopulmonary exercise test to analyze comparisons in cardiorespiratory fitness (CRFit) and control of CRF between the end of Phase II and the annual follow-up of Phase III. Results At one year of Phase III follow-up, a significant gain in VO2p and maintenance of the other variables associated with fitness such as oxygen pulse (OP2) and VE/VCO2 slope were evident, with a reduction in weight and diastolic blood pressure. There was a significant gain in CRF measured by VO2p and METs-load in those patients who maintained adherence to CTR Phase III (p=0.0001, see figure), with more improvement in those with attendance>50% (2 or more virtual sessions; p=0.008 and p=0.004 , respectively). A directly proportional correlation was observed between the percentage of attendance and the percentage of vigorous physical activity (p<0.01, Pearson r=0.46, CI 0.16-0.68). A positive and significant correlation was observed between the percentage of attendance at CTR Phase III and the number of METs-load (p<0.05, Pearson r=0.36, CI 0.05-0.61), as well as positive and significant correlation with the amount of VO2p (p<0.01, Pearson r=0.50, CI 0.21-0.70) at the end of Phase III. No cardiovascular adverse events were reported. Conclusion CTR strategy in Phase III is safe, effective and has high adherence rates among patients in our population, achieving control of CVRF, maintaining levels of METs-load and obtaining even greater increases in VO2p at one year of follow-up compared to those obtained at the end of Phase II.

Pager Explosion in Beirut: An Unprecedented Event.

On September 17, 2024, at 15:30 local time, thousands of pagers used by members of a specific party group detonated across Lebanon. As a result of the explosions, 2800 were wounded and 12 lost their lives. Almost two-thirds of the injuries were in the face, eyes, or hands. The Lebanese American University Medical Center received 38 injured and admitted 36 patients, 13 of them to the Intensive care unit. A total of 33 patients needed surgeries. All medical and nursing staff were deployed. The health care workers faced major challenges that night: the severity of the injuries and the unprecedented types of injuries with the same pattern, and the urgent need for ophthalmology and orthopedics within the hospital and across the country. Learning from the Pager Explosion, each hospital should perform assessments of their disaster response plan, develop trainings, and conduct regular exercises in preparation for future disasters.

The Effects of Competition on Exercise Intensity and the User Experience of Exercise during Virtual Reality Bicycling for Young Adults.

Regular moderate-vigorous intensity exercise is recommended for adults as it can improve longevity and reduce health risks associated with a sedentary lifestyle. However, there are barriers to achieving intense exercise that may be addressed using virtual reality (VR) as a tool to promote exercise intensity and adherence, particularly through visual feedback and competition. The purpose of this work is to compare visual feedback and competition within fully immersive VR to enhance exercise intensity and user experience of exercise for young adults; and to describe and compare visual attention during each of the conditions. Young adults (21-34 years old) bicycled in three 5 min VR conditions (visual feedback, self-competition, and competition against others). Exercise intensity (cycling cadence and % of maximum heart rate) and visual attention (derived from a wearable eye tracking sensor) were measured continuously. User experience was measured by an intrinsic motivation questionnaire, perceived effort, and participant preference. A repeated-measures ANOVA with paired t-test post hoc tests was conducted to detect differences between conditions. Participants exercised at a higher intensity and had higher intrinsic motivation in the two competitive conditions compared to visual feedback. Further, participants preferred the competitive conditions and only reached a vigorous exercise intensity during self-competition. Visual exploration was higher in visual feedback compared to self-competition. For young adults bicycling in VR, competition promoted higher exercise intensity and motivation compared to visual feedback.

Health-Promoting Behaviors, Physical Self-Efficacy, Exercise Adherence, and Sports Commitment Among Older Adults Who Participate in Sports Activities.

The Republic of Korea is progressively becoming a super-aged society, emphasizing the need for regular physical activity among older adults because it has physical, psychological, and social benefits. Recently, increasing depression and suicide rates have been reported among older adults living alone. However, research that considers older adults' living situations is limited. Therefore, this study aimed to analyze the relationship between health-promoting behaviors (HPB), physical self-efficacy (PSE), exercise adherence, and sports commitment among older adults aged ≥ 65 years who participated in sports activities and investigate the influence of their living situation. The participants were 452 individuals aged ≥ 65 who lived in the metropolitan areas of Chungcheong-do, Jeolla-do, and Gwangju Provinces, Republic of Korea, and who regularly participated in sports activities (men = 283, women = 169). This study was conducted from January to May 2024. Data were collected using a structured and validated questionnaire, and the collected data were analyzed using descriptive statistics, correlation analysis, structural equation modeling, and multi-group analysis. Structural equation modeling showed that the research model was appropriate, and all five paths showed statistical significance. The identity of the model was verified in the multi-group analysis, but path coefficients differed between older adults living alone and those living with family members. HPB significantly affected PSE, exercise adherence, and sports commitment among both groups of older adults. However, the impact of PSE on exercise adherence and sports commitment was not statistically significant among older adults living alone. The results highlight the need to consider older adults' living situations when establishing regular physical activity. Efforts should also be made to promote regular exercise participation among older adults living alone.

Immune system benefits of pulmonary rehabilitation in chronic obstructive pulmonary disease.

Chronic obstructive pulmonary disease (COPD) is a respiratory disease characterized by pulmonary and systemic inflammation. Inflammatory mediators show relationships with shortness of breath, exercise intolerance and health related quality of life. Pulmonary rehabilitation (PR), a comprehensive education and exercise training programme, is the most effective therapy for COPD and is associated with reduced exacerbation and hospitalization rates and increased survival. Exercise training, the primary physiological intervention within PR, is known to exert a beneficial anti-inflammatory effect in health and chronic diseases. The question of this review article is whether exercise training can also make such a beneficial anti-inflammatory effect in COPD. Experimental studies using smoke exposure mice models suggest that the response of the immune system to exercise training is favourably anti-inflammatory. However, the evidence about the response of most known inflammatory mediators (C-reactive protein, tumour necrosis factor α, interleukin 6, interleukin 10) to exercise training in COPD patients is inconsistent, making it difficult to conclude whether regular exercise training has an anti-inflammatory effect in COPD. It is also unclear whether COPD patients with more persistent inflammation are a subgroup that would benefit more from hypothesized immunomodulatory effects of exercise training (i.e., personalized treatment). Nevertheless, it seems that PR combined with maintenance exercise training (i.e., lifestyle change) might be more beneficial in controlling inflammation and slowing disease progress in COPD patients, specifically in those with early stages of disease.

Importance of Sports Activity for the Better Mental Health of the Indian Student

Physical activity, beyond its well-documented benefits for physical health, plays a crucial role in enhancing mental well-being. Research suggests that individuals with sedentary lifestyles exhibit higher morbidity rates and increased healthcare expenditures. In response to these challenges, exercise therapy is often recommended as an effective intervention for maintaining mental health. Empirical studies have consistently established a positive connotation between physical activity and various mental health outcomes. Notably, nonclinical investigations highlight that regular exercise significantly enhances self-concept and body image. This review aims to summarize current physiological and psychological mechanisms by which exercise contributes to mental well-being. One of the primary physiological pathways involved is the regulation of the hypothalamus-pituitary-adrenal (HPA) axis, which plays a serious role in stress reply. While exercise has been shown to alleviate indications of depression and anxiety, its effects appear to be more pronounced in clinical populations than in the general public. Multiple theoretical models have been projected to explicate the relationship between physical fitness and mental health.

Improvement of the Immunity System Through Sports: Novel Regulatory Mechanisms for Hypertension.

Hypertension and its resulting target organ damage is a complex process associated with a range of physiological and molecular factors, including immune regulation. The profound effects of exercise on normal immune system function and the development and progression of hypertension are well known. This review aims to create new avenues for preventing and treating hypertension and its associated target organ damage. This narrative review emphasizes the role of exercise training in the prevention/treatment of hypertension development through immune response modulation and presents current perspectives on the available scientific evidence. Several studies have shown that exercise regulates hypertension by altering immune cells, which is partly attributable to the anti-inflammatory effects of exercise training. Regular exercise modifies immune modulation and could represent a new mechanism for regulating hypertension. Although the utilization of exercise training and the immune system in conjunction for treating and preventing hypertension is still in its early stages, current scientific literature indicates numerous potential physiological links between exercise training, the immune system, and hypertension.

Assessing institutional pediatric airway emergency readiness: key components and practices.

This contemporary review aims to outline the key components and protocols for assessing emergency readiness in institutional pediatric airway management. Emphasis is placed on identifying essential elements that ensure preparedness and effective response in pediatric airway emergencies within healthcare institutions. Recent studies highlight several critical components of pediatric airway emergency readiness: dedicated pediatric airway teams, availability of specialized pediatric airway equipment, and simulation-based training to enhance the skills of healthcare providers. Additionally, interdisciplinary team coordination and regular drills have been shown to improve readiness and outcomes in pediatric airway emergencies. Effective emergency readiness in pediatric airway management requires a multifaceted approach. Key components include availability of appropriate and accessible equipment, adherence to standardized protocols, and ongoing education and training. Regular simulation exercises and interprofessional collaboration are essential for maintaining high levels of preparedness. Implementing these strategies can significantly improve the quality of care and patient outcomes in pediatric airway emergencies. Level 3.

Relationship between changes in lifestyle and sleep duration due to the spread of coronavirus disease (COVID-19) in older adults: A cross-sectional study

Objectives In response to the spread of COVID-19, a state of emergency was declared on April 7, 2020. People were asked to stay at home unless necessary, and studies conducted in Japan and other countries have investigated the impact of these restrictions on the lives and health of older adults. While some studies have focused on sleep, a crucial aspect of the health of older adults, little is known about the relationship between sleep and various lifestyle changes experienced by older adults in Japan during the COVID-19 pandemic. Herein, we aimed to investigate the factors associated with changes in sleep duration among older adults before and after the spread of COVID-19.Methods A random sample of 1,808 men and women aged 65-84 years who lived in Fukushima City, Fukushima Prefecture, Japan was selected. A self-administered anonymous survey was mailed to the participants. Logistic regression analysis was used to identify the factors associated with decreased sleep duration compared to the COVID-19 pre-pandemic. Factors such as basic attributes, lifestyle changes compared with that during pre-pandemic period, stress levels, and involvement with the community were considered in the analysis.Results Of the 1,808 distributed surveys, 1,305 were returned (response rate: 72.2%). After excluding participants with missing data (n＝108), 1,197 responses were included in the final analysis (valid response rate: 66.2%). Among these, 155 participants (12.9%) reported decreased sleep duration. Decreased "social activities/connectedness" (odds ratio [OR]: 2.55, 95% confidence interval [CI]: 1.54-4.22), reduced "average duration of exercise on exercise days" (OR: 2.69, 95% CI: 1.38-5.24), and self-reported "stress in the past month" (OR: 2.41, 95% CI: 1.43-4.06) were significantly associated with decreased sleep duration.Conclusion The spread of COVID-19 was associated with decreased sleep duration among older adults. This decrease was linked to reduced social activity and participation, decreased exercise, and increased stress. To mitigate these effects, maintaining social participation and activities, scheduling regular and manageable exercise routines, and implementing effective stress management strategies while adhering to infection control practices are important.

Outpatient exercise training for chronic lung disease - for whom, how and why?

There is a legal entitlement to participate in outpatient exercise groups in accordance with the German Social Code (Book IX) which regulates and facilitates prescriptions for patients with chronic respiratory diseases. A medical examination with specific inclusion and exclusion criteria prior to admission to an exercise group ensures safe participation.Traditional outpatient exercise groups are conducted in face-to-face groups for 60 to 90 minutes, once a week, with structured warm-up, main and cool-down phases. In addition, since the coronavirus pandemic, the introduction of online exercise groups via videoconferencing has enabled flexible participation (even without a prescription). To date, more than 11,000 German patients have participated in online exercise groups since 2021.Scientific evidence confirms the significant benefits of regular exercise, such as improved physical performance and reduced breathlessness. The psychosocial benefits and the promotion of self-efficacy are additionally supported by the supervision of a specialized trainer. Regular exercise (e.g. in outpatient exercise groups) is an inexpensive and very effective form of therapy to improve the quality of life of people with chronic respiratory diseases.

Factors Promoting Physical Activity and Physical Development in Early Childhood

This research explored factors promoting physical activity and development in early childhood in urban and rural areas. A sample of 488 urban and 387 rural students was selected through random sampling. Data was collected and analyzed using descriptive statistics and the chi-square test. The findings revealed that urban schools have more environmental factors promoting physical activity than rural schools. Urban students had better physical development scores than those in rural areas. The study also found that school location correlates with students' physical development in the form of good hygiene habits, consuming nutritious food and clean water, regular exercise, good body coordination, and good hand-eye coordination.

EFFECTS AND APPLICATIONS OF CRYOEXPOSURE ASSOCIATED WITH HIGH INTENSITY ELECTROMAGNETIC FIELD IN HEALTH AND AESTHETICS

Obesity has emerged as a global epidemic and represents a major risk factor for numerous chronic diseases, such as type 2 diabetes, cardiovascular disease, and cancer. Although adopting a healthy diet and regular exercise remain the cornerstones of weight management, recent research has revealed that cold exposure and associated muscle contractions can substantially contribute to weight loss. This article presents a comprehensive review of the physiological mechanisms that link cold exposure to weight loss, with a particular focus on the induction of browning and irisin production through pulsed electromagnetic field (PEMF) muscle stimulation technology, which uses alternating magnetic fields based on the law of electromagnetic induction to stimulate supramaximal muscle contractions with high magnetic flux density. The growing concern and interest in physical fitness, not only from an athletic but also aesthetic point of view, has driven the search for new methods and technologies that can aid in gaining muscle mass and tone. Recent studies have reported that 81% of respondents expressed dissatisfaction with their body image, even though 56% had a normal body mass index. Pulsed electromagnetic field (PEMF) muscle stimulation technology employs alternating magnetic fields based on the law of electromagnetic induction to induce supramaximal muscle contractions. PEMF generates impulses independent of brain function and at a frequency that does not allow muscle relaxation, thus characterizing tetanic contractions. Electrical currents and electromagnetism have long been used in physical therapy and rehabilitation, primarily for muscle strengthening. However, PEMF technology has emerged as a more effective and less invasive alternative for the patient, primarily intended for toning and strengthening muscle groups. In this study, we performed a comprehensive review of all available scientific articles indexed in PubMed and Web of Science over the past 20 years on this technology and its effects on skeletal muscle. We discuss the scientific evidence available from clinical studies and analyze the effects and possible mechanisms of action on muscle contraction.

Exercise Addiction Inventory-3 (EAI-3): Psychometric properties of the Hungarian version

Background and aims: The Exercise Addiction Inventory (EAI), based on the components model addictions, is a 6-item instrument used to assess the risk of exercise addiction (REA). Its revised version (EAI-R) was published in 2019 but only differed from the original scale in the response rating range (using a 6-point rather than 5-point Likert scale). In 2023, the EAI-3 was released with two new items (guilt when missing training and exercising despite injury). We aimed to test the validity and reliability of the Hungarian EAI-3 (EAI-3-HU). Methods: We tested 507 regular exercisers (Mage = 38.7 years, SD age = 10.63 years, range age: 18–78 years; 62.7% females) who completed the EAI-3-HU, the obsessive passion subscale of the Passion Scale, and exercise habits questions on the online Qualtrics research platform during autumn/winter 2023–2024. Results: Confirmatory factor analysis resulted in a good model fit for the two factor EAI-3-HU (CFI = .96; TLI = .94; RMSEA = .07; SRMR = .04). However, the covariance between the latent factors was .97, indicating that they measure an identical concept. Thus, a single-factor solution was appropriate (CFI = .96; TLI = .94; RMSEA = .07; SRMR = .04). Testing measurement invariance revealed the partial scalar invariance across genders. The internal reliability of the scale was good (Cronbach’s α = .81). The scale had good convergent validity with obsessive passion (r = .72), and discriminant validity based on exercise frequency as well as exercise intensity (p < .001). Conclusion: The 8-item single factor EAI-3-HU adequately assesses the Hungarian samples’ REA. Nevertheless, it should be kept in perspective that the revised tool, like its predecessors, only assesses a level of ‘risk’, which does not imply morbidity, thus it has no clinical diagnostic value.

Clinical characteristics and genetic analysis of mental retardation disorder with TRIO gene variant

Objective: To summarize the clinical and genetic characteristics of mental retardation disorder (MRD) with TRIO gene variant in children. Methods: Case series study. The data of 9 children with TRIO gene variants were collected retrospectively from August 2019 to March 2024 in Department of Neurology, Beijing Children's Hospital, Capital Medical University and Department of Pediatrics, the Third Affiliated Hospital of Zhengzhou University. The data included gender, age, intellectual and motor development, appearance, seizures, neuroimaging and genetic results. The clinical features and genotype-phenotype correlations were summarized. Results: Of the 9 children, 6 boys and 3 girls, 4 MRD63 children presented with moderate to severe developmental delays accompanied by macrocephaly; 5 MRD44 children had mild to moderate developmental delays with microcephaly. A total of 5 children had dysmorphic facial features (flat occiput, thick eyebrows, unibrow, large ears, short fingers, pale skin, yellow hair, and strabismus), 2 children experienced seizures (1 child with myoclonic seizure and 1 with absence seizure), 4 children had feeding difficulties, 1 child had congenital cataracts, 1 child had congenital heart disease, 1 child had recurrent infections, and 1 child had tiger-striped changes in the fundus examination. TRIO gene variants carried by the 9 children were all de novo, involving 8 variant sites, including 7 missense variants and 1 frameshift variant, c.3232C>T/p.R1078W (2 cases), c.3920A>G/p.Y1307C, c.4112A>T/p.H1371L, c.4283G>T/p.R1428L, c.4394A>G/p.N1465S, c.6041T>C/p.I2014T, c.6821G>A/p.R2274H, c.7027delC/p.Q2343Sfs*70. Among them, 2 sites are located in the Spectrin domain, 4 sites are in the GEFD1 domain, 2 sites are in the GEFD2 domain, and 1 site (frameshift variant) is in the PH2-SH3 domain. The individual with frameshift variant exhibit absence seizures, mild developmental delay, and the mildest phenotype. The child with myoclonic seizures was treated with valproic acid and levetiracetam for seizure control, while the child with absence epilepsy was treated with valproic acid and lamotrigine for seizure control. All 9 children underwent regular rehabilitation exercises, making slow progress. Conclusions: TRIO gene related MRD is characterized by varying degrees of developmental delay, and often accompanied by macrocephaly or microcephaly, dysmorphic facial features, and with or without seizures. The main variant types are missense variants, which are mostly concentrated in the Spectran domain and GEFD domain. p. R1078W may be a relative hotspot variant. The phenotype caused by the frameshift variant is relatively milder.

Regular Exercise Training Induces More Changes on Intestinal Glucose Uptake from Blood and Microbiota Composition in Leaner Compared to Heavier Individuals in Monozygotic Twins Discordant for BMI

Background/Objectives: Obesity impairs intestinal glucose uptake (GU) (intestinal uptake of circulating glucose from blood) and alters gut microbiome. Exercise improves intestinal insulin-stimulated GU and alters microbiome. Genetics influence the risk of obesity and gut microbiome. However, the role of genetics on the effects of exercise on intestinal GU and microbiome is unclear. Methods: Twelve monozygotic twin pairs discordant for BMI (age 40.4 ± 4.5 years, BMI heavier 36.7 ± 6.0, leaner 29.1 ± 5.7, 8 female pairs) performed a six-month-long training intervention. Small intestine and colonic insulin-stimulated GU was studied using [18F]FDG-PET and microbiota from fecal samples with 16s rRNA. Results: Ten pairs completed the intervention. At baseline, heavier twins had lower small intestine and colonic GU (p < 0.05). Response to exercise differed between twins (p = 0.05), with leaner twins increasing colonic GU. Alpha and beta diversity did not differ at baseline. During the intervention, beta diversity changed significantly, most prominently at the mid-point (p < 0.01). Beta diversity changes were only significant in the leaner twins when the twin groups were analyzed separately. Exercise was associated with changes at the phylum level, mainly at the mid-point (pFDR < 0.05); at the genus level, several microbes increased, such as Lactobacillus and Sellimonas (pFDR < 0.05). In type 1 analyses, many genera changes were associated with exercise, and fewer, such as Lactobacillus, were also associated with dietary sugar consumption (p < 0.05). Conclusions: Obesity impairs insulin-stimulated intestinal GU independent of genetics. Though both twin groups exhibited some microbiota changes, most changes in insulin-stimulated colon GU and microbiota were significant in the leaner twins.

OPTIMAL PHYSICAL ACTIVITY FOR MAINTAINING HEALTHY SKELETAL MUSCLE FUNCTIONING IN ADULT ATHLETES WITH T1DM

The article analyzes various types of physical activity to find the best option for maintaining healthy skeletal muscle function in adult athletes with type 1 diabetes mellitus. Regular exercise is shown to effectively normalize their condition, while muscle training improves glucose absorption without insulin, significantly increasing muscle sensitivity both during and after exercise. The study highlights that proper blood sugar control and avoiding hypoglycemia or hyperglycemia during structured physical activity are crucial for managing insulin-dependent athletes. Exercise effects vary based on the sport, intensity, and individual factors influenced by external and internal conditions. The research stresses setting realistic goals for athletes with T1DM to ensure positive outcomes, focusing on avoiding stress. The study also explores physiological responses to different exercises and offers individual or group training recommendations that balance muscle training, condition management, socialization, and a normal lifestyle.

Sexuality in Older Adults: Comprehensive Strategies for Clinicians and Patient-Centered Care.

Healthcare providers play a crucial role in promoting sexual health among older adults, an important yet often neglected aspect of aging well. Although sexuality evolves beyond the reproductive years, it remains a meaningful part of life for many. Despite the natural decline in sexual activity with age, numerous older adults continue to value and engage in fulfilling sexual relationships. Unfortunately, targeted interventions to support later-life sexuality are lacking, creating gaps in care. Sexuality in older adults is influenced by biological, psychological, and social factors. Clinicians should include comprehensive sexual health assessments, including STI screenings, as part of routine care. Providing age-appropriate sexual education and resources helps promote lifelong sexual wellness. Open communication between healthcare providers and patients is vital for addressing sexual concerns, often left unspoken due to stigma or discomfort. Additionally, adopting lifestyle medicine principles-such as balanced nutrition, regular exercise, stress management, and social connection-can enhance sexual health and overall well-being. Specialized training for healthcare professionals on the unique aspects of older adult sexuality is essential to bridge knowledge gaps. A holistic, evidence-based approach will empower providers to better support the evolving sexual health needs of older adults, improving their quality of life.

Innovative methods of teaching the discipline "Gymnastics with teaching methods"

Gymnastics as a discipline in a modern higher education institution plays an important role in the physical and comprehensive development of students. It covers not only physical exercises, but also has pedagogical, social and educational value. Gymnastics contributes to the education of students in a conscious attitude to their health, physical activity and a healthy lifestyle. It also forms habits of regular physical exercises, which is an important factor in the prevention of various diseases. Innovative technologies can be introduced into the process of teaching gymnastics to improve the quality of teaching. This includes the use of video analysis, digital tools for monitoring physical fitness, and special programs for correcting exercise technique. Different forms of gymnastics can be taught at universities: sports, artistic, recreational, acrobatic. This gives students the opportunity to choose a direction according to their interests and level of training. Thus, gymnastics in a modern higher education institution is an integral part of the physical, professional and personal development of students, helping them not only to strengthen their health, but also to acquire important skills for later life.

Does the volume of physical exercise influence sleep quality in patients with fibromyalgia?

To investigate the association between the volume of exercise and the quality of sleep in patients with fibromyalgia. This is a cross-sectional study carried out from 2010 to 2019 in patients over 18 years old from the research project at a university in Brazil. Instruments related to sociodemographic and clinical characteristics, physical exercise, and the Pittsburgh Sleep Quality Index (PSQI) were applied. Participants were classified as inactive, insufficiently active, or active. In the statistical analysis, the Kruskal-Wallis and Mann-Whitney U tests were used. Binary logistic and multinomial regression were also performed. The majority of participants were physically inactive and had poor sleep quality; 68.3% with poor sleep quality were inactive. In the analysis of the difference between the three groups, sleep latency (time it takes to fall asleep) (p=0.00) and total PSQI (p=0.04) were significantly different. When the analysis was performed between active and inactive individuals, significant differences were found in sleep latency (p=0.02), daytime dysfunction (difficulties in performing daytime tasks due to poor sleep quality) (p=0.02), and the total PSQI (p=0.02). Binary logistic regression with crude analysis showed that inactive participants are 4.3 times more likely to have poor sleep quality when compared to active participants (odds ratio = 4.311; 95% confidence interval 1.338-13.888; p=0.014). Multinomial regression analysis showed that being physically active can be a protective factor. There is a high prevalence of sleep disorders and insufficient practice of physical exercise among patients with fibromyalgia. It is suggested that regular physical exercise may be related to sleep quality, and more active participants have fewer sleep disorders, with exercise being a protective factor.