Self-care Research Articles

Realizacja edukacji zdrowotnej w szkołach podstawowych i ponadpodstawowych z perspektywy doświadczeń i oceny studentów

Health education is an essential component of health promotion, constituting a process through which individuals and communities learn to prioritize and maintain their own and others’ health. Furthermore, it constitutes a pedagogical and didactic process conducted at all levels of education. It is unfortunate that, given that health education is integrated into other teaching subjects in Poland, there may be considerable doubt as to its reliable implementation and effectiveness. This article presents the findings of a study conducted among students regarding their experiences and perceptions of the implementation of health education at the primary and secondary school levels. The findings of the research demonstrate that health education was implemented in only 30% of cases at both levels of education. Furthermore, the content of these instances was limited to traditional topics related to a healthy lifestyle, without consideration of the numerous other factors that contribute to human health. Consequently, there is a pressing need to introduce health education as a separate subject, taking into account the socio-cultural and environmental contexts.

The Influence of Maternal Lifestyle Factors on Human Breast Milk Microbial Composition: A Narrative Review

Human breast milk (HBM) is considered the gold standard for infant nutrition due to its optimal nutrient profile and complex composition of cellular and non-cellular components. Breastfeeding positively influences the newborn’s gut microbiota and health, reducing the risk of conditions like gastrointestinal infections and chronic diseases (e.g., allergies, asthma, diabetes, and obesity). Research has revealed that HBM contains beneficial microbes that aid gut microbiota maturation through mechanisms like antimicrobial production and pathogen exclusion. The HBM microbiota composition can be affected by several factors, including gestational age, delivery mode, medical treatments, lactation stage, as well as maternal lifestyle habits (e.g., diet, physical activity, sleep quality, smoking, alcohol consumption, stress level). Particularly, lifestyle factors can play a significant role in shaping the HBM microbiota by directly modulating the microbial composition or influencing the maternal gut microbiota and influencing the HBM microbes through the enteromammary pathway. This narrative review of current findings summarized how maternal lifestyle influences HBM microbiota. While the influence of maternal diet on HBM microbiota is well-documented, indicating that dietary patterns, especially those rich in plant-based proteins and complex carbohydrates, can positively influence HBM microbiota, the impact of other lifestyle factors is poorly investigated. Maintaining a healthy lifestyle during pregnancy and breastfeeding is crucial for the health of both mother and baby. Understanding how maternal lifestyle factors influence microbial colonization of HBM, along with their interactions and impact, is key to developing new strategies that support the beneficial maturation of the infant’s gut microbiota.

Review of alternative medicine (AM) treatments for diabetes

In the US, diabetes is a signification public health issue. It is one of the leading causes of death and number one cause of kidney failure. Even with increased awareness and medical advances, the diabetic trends with the US adult population are not very encouraging. The number of diabetes cases in the US the last twenty years has more than doubled and out of the 37.3 million adults in the US with diabetes, 20% of them don’t even know that they have it.1 Diabetes is a chronic disease with no available cure, medical practitioners and researchers have focused on controlling it with through medicine and lifestyle changes. Diet, exercise and healthy lifestyle are the most important factors on managing diabetes. There are several Alternative Medicine (AM) treatments that are available to manage diabetes today. Diet, exercise, herbs and supplements, yoga and meditation are some of the available AM treatments for diabetes. Herbs and supplements do not come under the purview of the U.S. Food and Drug Administration (FDA) because they are not classified as medicines. Moreover, there are not enough definitive research that proves the efficiency and efficacy of AM treatments. In this paper, I have described AM treatments available today and their impact on diabetes management.

Effect of Diet and Dietary Patterns on the Progression of Multiple Sclerosis: A Review

The link between diet and the progression of Multiple Sclerosis (MS) is a topic of growing interest and investigation within the medical community. This review explored the mechanisms through which dietary interventions can impact the course of MS and shape the clinical outcomes and quality of life of individuals with the disease. By synthesizing current knowledge from clinical studies and observational research, the review aimed to provide insights into the role of diet in managing MS. A comprehensive literature search was conducted, focusing on the effect of diet and dietary patterns on the progression of MS. Key findings indicated that individuals with higher diet quality exhibit reduced disability levels and lower symptom severity, emphasizing the importance of maintaining a healthy diet and adopting a holistic, healthy lifestyle in managing MS. The review also delved into the potential impact of macronutrients, vitamins, and minerals on the progression of MS, highlighting the importance of adequate nutrient intake for optimal health outcomes. Additionally, the study explored the association between dietary intake variations and the severity of MS, suggesting that further investigation is needed to understand the potential implications of nutrient deficiencies in MS patients. Overall, the review serves as a valuable resource for healthcare professionals and individuals living with MS, providing evidence-based dietary approaches that may help optimize health outcomes and mitigate the burden of the disease. It also calls for future research directions in the critical area of dietary management of MS to enhance our understanding and improve patient care.

An Overview of Health-Promoting Programs and Healthy Lifestyles for Adolescents and Young People: A Scoping Review.

The health of children, adolescents, and young adults is a primary global concern. In 2021, there were 2.1 million deaths among children and adolescents. Injuries, violence, communicable diseases, nutritional deficiencies, substance use, non-communicable diseases, and mental health disorders are among the leading causes of death in this age group. Background/objectives: This scoping review aims to identify and describe health promotion and healthy lifestyle programs developed worldwide targeting adolescents and young adults. Methods: A total of 106 programs were included, of which 8 were selected through scientific databases and 98 through other research methods (e.g., government websites and other online sources). Results: The results show that Europe, North America, New Zealand, and the United States of America are the continents and countries with the highest number of programs. Most programs originated before 2020 and are aimed at children, adolescents, and young adults. Mental health, substance and non-substance dependencies, and sexual and reproductive health were the most frequent areas among the available youth programs. Most programs do not mention evaluating or monitoring the services provided. Conclusions: This work allows for a deeper understanding of the programs available for adolescents and young adults, providing an overview of their characteristics. Moreover, it emphasizes the importance of increasing the number of available programs, especially in countries with higher morbidity and mortality rates among the young population. The programs must be based on population studies to better meet their needs. Lastly, programs should become sustainable and integrated into national public policies, accompanied by ongoing training, supervision, and intervision of professionals working in these contexts.

Nurse-related behavioural determinants associated with healthy eating support provided by Dutch community nurses: a cross-sectional study

BackgroundCommunity nurses (CNs) play an important role in supporting healthy lifestyles, including healthy eating behaviour of patients. However, many CNs do not incorporate healthy eating support in their daily routines to the fullest extent possible. This study aimed to explore (1) the associations between nurse-related behavioural determinants and self-reported healthy eating support practices of Dutch CNs and (2) CNs’ need for additional knowledge.MethodsIn this cross-sectional survey design, 244 Dutch CNs completed an online, self-administered questionnaire in October-November 2021. The 60 questionnaire items were related to CNs’ characteristics, nurse-related determinants, healthy eating support practices (observing problems, having a conversation about patients’ dietary behaviour, motivating patients to eat and drink healthier and supporting patients in goal setting) and the need for additional knowledge. The items on determinants and practices used a 5-point Likert scale. Adjusted prevalence ratios (PRadjusted) with 95% confidence intervals (95%CIs) were obtained for the associations between determinants and practices, using adjusted Poisson regression with robust variance estimations.ResultsMore CNs practiced observing problems (75%) and having a conversation (70%) than did motivating patients (45%) and supporting goal setting (28%) at least often. A more positive attitude (PRadjusted 1.8; 95%CI 1.5–2.2), greater self-efficacy (PRadjusted 1.3; 95%CI 1.1–1.5), greater motivation (PRadjusted 1.5; 95%CI 1.3–1.7) and better abilities (PRadjusted 1.4; 95%CI 1.2–1.6) were associated with a greater prevalence of supporting healthy eating at least often (vs. never to sometimes). Barriers were not associated with healthy eating support (PRadjusted 1.1; 95%CI 1.0-1.2). CNs especially desired more knowledge on diet in relation to cancer, gastrointestinal diseases, severe psychiatric diseases and dementia; methods for motivating patients to start and for supporting patients to sustain healthy eating; and dealing with patient autonomy.ConclusionsThis study suggests that nurse-related behavioural determinants such as attitude, self-efficacy, motivation and ability should be addressed to improve CNs’ competences in healthy eating support. In addition, based on self-reported need for additional knowledge, it is recommended to pay attention to evidence-based behaviour change techniques, dealing with patient autonomy, and diet in relation to cancer, gastrointestinal diseases, severe psychiatric diseases and dementia.Reporting methodThe STROBE Statement was followed for reporting.

Physical (in)activity and screen-based media use of adolescents with juvenile idiopathic arthritis over time - data from a German inception cohort

BackgroundRegular physical activity (PA) has been proven to help prevent non-communicable diseases and is beneficial for disease management in chronically ill populations. Physical inactivity and recreational screen-based media (SBM) use are related to poor health outcomes and common among youth. This study aimed to (1) investigate PA levels and recreational SBM use of adolescents with JIA over time and (2) compare these behaviours with those of their peers.MethodsData from JIA patients and their peers enrolled in the inception cohort study ICON at 11 German centers were analyzed. Individuals aged 13 and over were followed prospectively with questionnaires concerning PA level, recreational SBM use, and health-related quality of life (HRQoL) at a two-year interval. Group by time interactions were analyzed using linear mixed models.ResultsData of 214 patients (mean age at first documentation 14.4 ± 0.9 years, female 63%) and 141 peers could be considered. At first documentation, patients were less physically active compared to their peers (p < 0.001). In contrast to their peers, patients’ PA levels increased over time (OR 3.69; 95% CI: 1.01–13.50, p = 0.048). Mean screen time did not differ significantly between patients and peers (first documentation: 3.5 h vs. 3.0 h, p = 0.556; follow-up: 3.6 h vs. 3.3 h, p = 0. 969). During the observation period, male patients reported higher PA levels than female patients, but also higher screen time levels. While low socioeconomic status (SES) (OR 14.40; 95%-CI: 2.84–73.15) and higher cJADAS-10 score (OR 1.31; 95%-CI: 1.03–1.66) increased the likelihood for high SBM use (≥ 4.5 h/d), higher PedsQL psychosocial health score (OR 0.93; 95%-CI: 0.88–0.99) was associated with a decreased likelihood.ConclusionsAdolescents with JIA become more physically active over the disease course and achieve comparable levels of PA and recreational screen time to their peers. However, the vast majority appear to be insufficiently physically active. Future interventions to promote healthy lifestyles should include gender and SES as important determinants to reach most vulnerable groups.

Research on the Interactive Effects of Parenting Advertising Under the Sustainable Development Goals (SDGS)

Objective: The objective of this study is to investigate the different effects of advertising interactive experiences, and explore effective advertising interactive methods, to provide effective parenting advertising training for abusive parents. Theoretical Framework: Refers to the multi-sensory advertising interaction model based on the studies before, such as the AIEDA tourism advertising effects model, schema congruence theory, and a spiral brand experience concept. Method: This study conducted the distinct "Systematic Literature Review Synthesis Process", a stand-alone literature review typology that helps make sense of a chosen body of current literature and helps determine the theoretical framework at the early stages of research ideation. Results and Discussion: The results revealed that visual, auditory, and multi-sensory interactions all have different elements and characteristics and could cause different levels of attention, memory, and emotions for audiences. Research Implications: The results are expected to guide the development of a theoretical framework for combining advertising and user experience interaction. Originality/Value: The research helps to identify interactive sensory experience characteristics in advertisements, guide the effective dissemination of parenting public service advertisements, and create a happier family atmosphere for children, to promote SDG 3 on ensuring healthy lifestyles and promoting the well-being of people of all ages.

Assessment of Knowledge, Attitudes, and Practices towards Sexual and Reproductive Health among Secondary School Students in Kicukiro District, Rwanda

Sexual and reproductive health (SRH) is intricately connected to a variety of factors, including cultural norms, psychological influences, and individual experiences. This study explores the experiences of late adolescents regarding SRH, focusing on their knowledge, attitudes, and practices in Kicukiro District, Rwanda. Despite government efforts to educate youth on SRH, many secondary school students remain vulnerable to issues like unplanned pregnancies and sexually transmitted infections (STIs). To evaluate the knowledge, attitudes, and practices regarding sexual and reproductive health among secondary school students in Kicukiro District, Rwanda. The study targeted secondary school students from two schools: Groupe Scolaire Saint Vincent Pillotie Gikondo (urban) and EFOTEK (rural). Using Fisher’s formula, a sample size of 423 respondents was determined through stratified random sampling. Data were collected via structured questionnaires and analyzed using SPSS and descriptive statistics, including frequency, percentages, means, and standard deviations. The findings revealed that 88% of students were aware of puberty and pregnancy processes, while 78.7% were knowledgeable about contraceptive methods, particularly condoms and oral contraceptives. Positive attitudes towards SRH were noted, with a mean score of 4.00 for pre-marital relationships, but significant misconceptions existed, such as 11% of respondents lacking knowledge on HIV protection. The overall mean for practices related to SRH was 3.98 for seeking medical check-ups, indicating a willingness to engage with health services. However, practices promoting healthy lifestyles received a lower mean of 3.25, suggesting areas needing improvement. The study highlights the need for enhanced sexual and reproductive health education among secondary school students in Kicukiro District. While students demonstrate good knowledge and positive attitudes toward SRH, targeted interventions are necessary to address misconceptions and promote healthier practices, particularly in areas related to lifestyle and open communication.

Association of Body Mass Index (BMI) with Diet, Physical Activity, and Lifestyle among Undergraduate Dental Students in a Private Dental College in Bangladesh

Background: Obesity can lead to severe health problems and elevate the risk of diseases such as hypertension, dyslipidemia and diabetes due to metabolic changes. Undergraduate dental students often struggle to maintain a healthy lifestyle and eating habits due to academic pressures. BMI, a standard obesity measure, is simple to calculate and assess nutritional status, helping to identify and prevent obesity-related diseases in at-risk individuals. Method: A cross-sectional study was performed among 253 students of Sapporo Dental College, a private dental college in Uttara, Dhaka, Bangladesh, to reveal the prevalence of overweight and obesity according to BMI and its association with dietary habits, physical activities, and lifestyles among them. Data was collected using a self-written, anonymous, semi-structured questionnaire using the convenient sampling technique between July 2023 and September 2023. Result: Among the 253 participants, females (n = 190, 75.10%) are more than males (n = 63, 25%). The prevalence of normal weight, underweight, overweight, and obesity among the participants was 132 (37.93%), 31 (8.91%), 56 (16.09%), and 129 (37.07%), respectively, based on BMI. 84% of obese students were taken 1 meal from outside per day (p values &lt; 0.05). 52% obese students did not engage in any form of physical activity on a weekly basis (p value 0.03). 55.5% obese students slept for &lt; 6 hours every night (p-value 0.04). Conclusion: Early modifications of lifestyle improve health. Annual screenings help to prevent obesity. Fitness and diet programs can reduce dental students' chronic disease risk. Study participants are future physicians. Thus, dental students should be physically active and aware of their eating and sleep habits to reduce obesity, which might influence patients' outlooks. Update Dent. Coll. j: 2024; 14(2):15-20

Healthy Lifestyle, Metabolic Signature, and Risk of Cardiovascular Diseases: A Population-Based Study.

Although healthy lifestyle has been linked with a reduced risk of cardiovascular diseases (CVDs), the potential metabolic mechanism underlying this association remains unknown. We included 161,018 CVD-free participants from the UK Biobank. Elastic net regression was utilized to generate a healthy lifestyle-related metabolic signature. The Cox proportional hazards model was applied to investigate associations of lifestyle-related metabolic signature with incident CVDs, and mediation analysis was conducted to evaluate the potential mediating role of metabolic profile on the healthy lifestyle-CVD association. Mendelian randomization (MR) analysis was conducted to detect the causality. During 13 years of follow-up, 17,030 participants developed incident CVDs. A healthy lifestyle-related metabolic signature comprising 123 metabolites was established, and it was inversely associated with CVDs. The hazard ratio (HR) was 0.83 (95% confidence interval [CI]: 0.81, 0.84) for CVD, 0.83 (95% CI: 0.81, 0.84) for ischemic heart disease (IHD), 0.86 (95% CI: 0.83, 0.90) for stroke, 0.86 (95% CI: 0.82, 0.89) for myocardial infarction (MI), and 0.75 (95% CI: 0.72, 0.77) for heart failure (HF) per standard deviation increase in the metabolic signature. The metabolic signature accounted for 20% of the association between healthy lifestyle score and CVD. Moreover, MR showed a potential causal association between the metabolic signature and stroke. Our study revealed a potential link between a healthy lifestyle, metabolic signatures, and CVD. This connection suggests that identifying an individual's metabolic status and implementing lifestyle modifications may provide novel insights into the prevention of CVD.

Pendidikan dan Promosi Kesehatan Tentang Masalah Hipertensi dan Pola Hidup Bersih Sehat Pada Masyarakat

The purpose of public health promotion is to initiate good habits and behaviors so that public health can improve as early as possible. This study aims to determine the public response to health promotion and education around hypertension and a clean and healthy lifestyle. The technique used is the literature review methodology. Several previous studies have used other methodologies. Presentation materials about hypertension and its risk factors, such as power point files, LCDs, and projector screens, are some of the tools used in health promotion initiatives to avoid hypertension. Blood pressure checks and counseling are usually the first steps in the health promotion process to adopt a clean and healthy lifestyle (PHBS), which is then followed by conversations and question and answer sessions. With this, the researcher concludes that health education and promotion in the community are continuously needed. Many people are not yet aware of the need to carry out health education and socialization, on an ongoing basis, so this is not only done by educational institutions. Moreover, education and promotion about the problem of hypertension and a clean and healthy lifestyle in the community is an obligation of all parties and cross-sectoral, which is not only the community as an object. However, the community is also the subject of the importance of health so that it is continuously maintained periodically.

The use of alternative protein sources in quail diets: A review

The growth of the Earth’s population and people’s striving for healthy life style lead to an increase in the global demand for protein food. Quails are a valuable source of protein, which is thought to reduce the risk of obesity and cardiovascular diseases. Inclusion of alternative protein sources into the composition of feeds for quails is an answer to ecological problems associated with the use of traditional protein sources. Plants, insects, algae and mushrooms are among alternative protein sources that are mentioned most frequently in scientific studies. The aim of this review is analysis of scientific literature dedicated to the use of plants, insects, algae and mushrooms as alternative protein sources in feedstuff for quails. Plant sources of protein, such as soya and maize, are successfully used in feedstuff production. However, studies have shown that addition of other sources, including by-products of crop husbandry, will allow increasing sustainability and reducing the dependence of the industry on traditional raw materials. Flour from black soldier fly (Hermetia illucens) larvae is the promising and most widely studied source of protein among insects and can positively affect productivity and health of quails. Among algae, it is necessary to mention spirulina (Spirulina platensis and Arthrospira platensis). Upon addition of 4% of the spirullina powder, productivity parameters in poultry increased. Mushrooms are described as a promising protein source in feedstuff that is also capable of ensuring an increase in productivity and quality of poultry meat. Today, however, there are few studies on this subject. It is recommended to focus further studies of the application of alternative protein sources in quail diets on questions of safety of their use and more detailed analysis of economic feasibility.

Formation of a healthy lifestyle of high school students using the «Fitness Mix» means

The article analyzes the importance of developing a healthy lifestyle among high school girls and the role of the "Fitness Mix" methodology in this process. The study explores the use of "Fitness Mix" as an innovative tool for enhancing physical activity levels, improving performance, and promoting overall health among adolescents. It emphasizes how combining different types of physical activities, such as aerobics, strength training, and stretching, can be integrated into physical education classes to achieve comprehensive results. In addition to physical exercises, the article highlights the importance of the theoretical component, which includes principles of healthy eating, regular sleep and rest routines, prevention of harmful habits, and maintaining mental health. Special attention is given to the analysis of scientific research and practical examples that confirm the effectiveness of using fitness technologies in schools. Alternatives to traditional modular physical education programs are discussed, broadening the opportunities for educating and developing adolescents. The study emphasizes the need to consider individual student characteristics when designing exercise programs, ensuring optimal results and maintaining motivation for regular physical activity. The article also provides recommendations for educators and trainers on implementing «Fitness Mix» into the school curriculum to promote the development of sustainable healthy lifestyle habits among youth. A range of examples is analyzed regarding the combination of different types of physical activity, specifically aerobics, strength exercises, stretching, etc., with an additional focus on important aspects such as healthy eating principles, sleep and rest routines, prevention of harmful habits, and mental health preservation. The importance of considering the individual characteristics of students when designing exercise programs is underscored.

Cultural Perspectives on the Sustainable Use and Added Value of Plant-Based Food Dyes—A Case Study from Bulgaria

Raised personal health awareness and social environmental responsibility put pressure on the agri-food industry to adopt more sustainable ways of production, including the use of more natural ingredients, reducing waste, conservation and the regeneration of resources and energy. Plant-based colorants are ecologically friendly alternatives to artificial food dyes, especially with regards to the current reports on the adverse effects of some of the latter on human health. Various plants are traditionally used by many cultures to obtain vivid food coloration; however, the knowledge and means to produce them becomes less and less accessible to urbanized societies, and affordable organic alternatives are not always available on the market. An online questionnaire was performed to explore the awareness on plant-based dyes and pro-environmental attitudes of Bulgarian customers through the lens of Orthodox Easter eggs dyeing and the obtaining of plant dyes. From a total of 294 adult participants, only 5% reported a strict preference for natural dyes, while more than half of them (54%) were found to use natural and artificial ones concomitantly or switching between both. Of 45 plant taxa used for egg coloration, 12 were most frequently cited with many new additions of imported plants. Most of the used plant-based dyes were common fruits, spices, herbal infusions and even food waste like onion peels and avocado pits that were readily available from home gardens, markets and food shops. Additionally, we made a review of the scientific literature regarding their antioxidant and antimicrobial activity against food spoilage bacteria and foodborne pathogens isolated from eggs. All frequently used taxa were reported to exhibit antibacterial activities against Gram-positive and Gram-negative bacteria and possess antioxidant activity due to the presence of various polyphenols, essential oils and other compounds. Grape and red wine, roselle and stinging nettle are the species with the most diverse antibacterial activity, effective against 15 out of the 16 bacterial species of spoilage and foodbourn microorganisms included in our focus. The antimicrobial activities, however, were found mostly tested against bacterial strains in vitro, and further studies are needed to confirm their potential antibacterial activity when applied to Easter/boiled eggs or other food products. Our findings suggest that traditional cultural practices, as a multifaceted and engaging phenomenon, have the potential to promote environmental responsibility and a healthy lifestyle using both contemporary and traditional knowledge.

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.

Various Dimensions of Personal and Professional Work Life Balance of Employees in Power Industry in India

In today’s organized sector, work- life balance assumes a critical importance as this facilitates the development of a productive work culture and minimization of tensions between work and other aspects of people lives. There are three key components that are needed to achieve a healthy lifestyle, namely paid work, unpaid work and personal time. Bringing a balance between all these there is the optimum one can accomplish. Power is among the most critical components of infrastructure, crucial for the economic growth and welfare of nations. The existence and development of adequate power infrastructure is essential for sustained growth of the Indian economy. The fundamental principle of India power industry has been to provide universal access to affordable power in a sustainable way. The purpose of this study is to highlight the necessity of adopting work-life balance in a power sector. The paper examines different elements of work-life balance especially with reference to employees working in power sectors.

Regulatory and legal principles of management of sports schools for children and youth

The activities of sports schools for children and youth play a key role in shaping the physical culture of young people, promoting a healthy lifestyle, and preparing future professional athletes. The successful functioning of these schools relies on appropriate legal frameworks that outline the operational rules, requirements for educational processes, funding, and management of facilities. there is a pressing need to analyze the current legal framework governing the management of sports school for children and youth. Considering the constant changes in the legislation and the growing requirements for the quality of sports institutions, there is a pressing need to analyze the current legal framework governing the management of sports schools for children and youth. The purpose of this article is to analyze the regulatory and legal principles of managing the activities of sports schools for children and youth in Ukraine. The key legislative acts regulating the organizational, financial, and legal aspects of the functioning of sports schools for children and youth have been analyzed, including the Constitution of Ukraine, the Law ‘On Physical Culture and Sports,’ and the orders of the Ministry of Education and Science and the Ministry of Youth and Sports. This resolution provides a comprehensive framework for the operation of sports schools for children and youth as well as defines the forms of ownership, legal foundations of their activities, funding procedures, and requirements for athlete training. Particular attention is given to the state social standard in physical culture and sports, which sets requirements for the quality of services, infrastructure, and athlete training. The mechanisms of management that contribute to increasing the efficiency of sports schools for children and youth are highlighted.

Nutritional diagnoses in people with type 2 diabetes: association with metabolic, anthropometric, and dietary parameters.

Nutritional diagnosis involves identifying a nutritional problem, its cause, and the signs that indicate it to guide appropriate treatment. Few studies report on the most prevalent nutritional diagnoses in people living with type 2 diabetes (T2D). To define nutritional diagnoses across different domains and their association with metabolic, anthropometric, and dietary parameters in individuals with T2D. A personalized nutritional intervention was conducted using the Nutrition Care Process (NCP) model, which encompasses assessment, diagnosis, intervention, and evaluation, utilizing standardized terminology from the Nutrition Care Process Terminology (NCPT). Two dietitians, trained and standardized in applying the NCP and NCPT, performed patient assessments and established the diagnoses. Patients over 18 years old with a diagnosis of T2D for less than 5 years were included. Data from 2,050 patients were analyzed, of whom 55.3% were women, and 44.7% were men, with a median age of 57 and 54 years, respectively. The most prevalent nutritional diagnosis was excessive energy and carbohydrate intake. Diagnoses were distributed across domains: Intake (55.9%), Behavioral/Environmental (32.7%), Clinical (10.2%), and 1.2% without nutritional diagnosis. Significant intergroup differences were observed in anthropometric variables such as BMI, waist circumference, and body fat percentage (p < 0.05). HbA1c and glucose levels were significantly higher in the Intake and Behavioral groups (p < 0.001). Albumin/creatinine ratio (ACR) was higher in the ingestion group (p = 0.007). Caloric and carbohydrate intake were higher in the ingestion group, while protein and fat intake were higher in the clinical and behavioral groups (p < 0.001). Nutritional diagnoses in the intake domain, followed by behavioral/ environmental and clinical domains, are highly prevalent in people with T2D and are associated with worse metabolic control, higher BMI, and increased energy and carbohydrate intake. Timely identification of issues in these domains can support targeted nutritional therapy to improve disease management and promote a healthy lifestyle. https://clinicaltrials.gov/study/NCT02836808?term=caipadi&rank=2, Identifier (NCT02836808).

Mediterranean Diet-Based Sustainable Healthy Diet and Multicomponent Training Combined Intervention Effect on Body Composition, Anthropometry, and Physical Fitness in Healthy Aging

Background: Diet and exercise interventions have been associated with improved body composition and physical fitness. However, evidence regarding their combined effects in older adults is scarce. This study aimed to investigate the impact of a combined 12-week Mediterranean diet-based sustainable healthy diet (SHD) and multicomponent training (MT) intervention on body composition, anthropometry, and physical fitness in older adults. Methods: Diet intervention groups received a weekly SHD food supply and four sessions, including a SHD culinary practical workshop. The exercise program included MT 50 min group session, three times a week, on non-consecutive days. Body composition and physical fitness variables were assessed through dual X-ray absorptiometry, anthropometric measurements, and senior fitness tests. Repeated measures ANOVA, with terms for group, time, and interaction, was performed. Results: Our results showed that a combined intervention significantly lowered BMI and total fat. Also, significant differences between assessments in all physical fitness tests, except for aerobic endurance, were observed. Adjusted models show significant differences in BMI (p = 0.049) and WHR (p = 0.037) between groups and in total fat (p = 0.030) for the interaction term. Body strength (p &lt; 0.001), balance tests (p &lt; 0.001), and aerobic endurance (p = 0.005) had significant differences amongst groups. Considering the interaction term, differences were observed for upper body strength (p = 0.046) and flexibility tests (p = 0.004 sit and reach, p = 0.048 back scratch). Conclusions: Our intervention study demonstrates the potential of implementing healthy lifestyle and sustainable models to promote healthy and active aging.