Pub Date : 2025-12-11DOI: 10.1016/j.ypmed.2025.108487
Hannah Cowan, Stacie May, Eunice Park-Lee, Michael D Sawdey
The publisher regrets that this article has been temporarily removed. A replacement will appear as soon as possible in which the reason for the removal of the article will be specified, or the article will be reinstated. The full Elsevier Policy on Article Withdrawal can be found at https://www.elsevier.com/about/policies-and-standards/article-withdrawal.
{"title":"TEMPORARY REMOVAL: Characteristics associated with device type used among middle school and high school students who currently used E-cigarettes in the U.S., 2023.","authors":"Hannah Cowan, Stacie May, Eunice Park-Lee, Michael D Sawdey","doi":"10.1016/j.ypmed.2025.108487","DOIUrl":"10.1016/j.ypmed.2025.108487","url":null,"abstract":"<p><p>The publisher regrets that this article has been temporarily removed. A replacement will appear as soon as possible in which the reason for the removal of the article will be specified, or the article will be reinstated. The full Elsevier Policy on Article Withdrawal can be found at https://www.elsevier.com/about/policies-and-standards/article-withdrawal.</p>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":" ","pages":"108487"},"PeriodicalIF":3.2,"publicationDate":"2025-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145752077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-11DOI: 10.1016/j.ypmed.2025.108486
Brandon J. Restrepo
Objective
To examine the associations between regular nutritional awareness and dietary choices and weight status among U.S. adults, while accounting for unobserved household- or individual-level factors that are fixed over time.
Methods
Using 2009–2011 and 2015 data on U.S. adults from the 1997 National Longitudinal Survey of Youth, pooled ordinary least squares (OLS) and fixed-effects (FE) models controlling for time-constant household- or individual-level unobserved heterogeneity were used to assess the relationships between regular nutritional awareness and dietary behaviors and weight status.
Results
Pooled OLS estimations showed statistically significant associations between regular nutritional awareness and dietary choices and weight status. Individual FE estimations attenuated these associations, making the association with weight status insignificant, but still significant for certain dietary behaviors. Controlling for permanent individual-level unobserved factors, U.S. adults with regular nutritional awareness ate less at fast-food restaurants, skipped fewer meals, drank fewer sugary beverages, controlled calories more often, and ate more fruits and vegetables.
Conclusions
Accounting for unobserved heterogeneity, such as stable food preferences and tastes, is important when evaluating the complex nexus of nutritional awareness, dietary choices, and weight status. Policies and programs promoting nutritional awareness among U.S. adults may improve certain dietary behaviors, though broader approaches may be needed to improve weight status.
{"title":"Nutritional awareness, dietary choices, and weight status","authors":"Brandon J. Restrepo","doi":"10.1016/j.ypmed.2025.108486","DOIUrl":"10.1016/j.ypmed.2025.108486","url":null,"abstract":"<div><h3>Objective</h3><div>To examine the associations between regular nutritional awareness and dietary choices and weight status among U.S. adults, while accounting for unobserved household- or individual-level factors that are fixed over time.</div></div><div><h3>Methods</h3><div>Using 2009–2011 and 2015 data on U.S. adults from the 1997 National Longitudinal Survey of Youth, pooled ordinary least squares (OLS) and fixed-effects (FE) models controlling for time-constant household- or individual-level unobserved heterogeneity were used to assess the relationships between regular nutritional awareness and dietary behaviors and weight status.</div></div><div><h3>Results</h3><div>Pooled OLS estimations showed statistically significant associations between regular nutritional awareness and dietary choices and weight status. Individual FE estimations attenuated these associations, making the association with weight status insignificant, but still significant for certain dietary behaviors. Controlling for permanent individual-level unobserved factors, U.S. adults with regular nutritional awareness ate less at fast-food restaurants, skipped fewer meals, drank fewer sugary beverages, controlled calories more often, and ate more fruits and vegetables.</div></div><div><h3>Conclusions</h3><div>Accounting for unobserved heterogeneity, such as stable food preferences and tastes, is important when evaluating the complex nexus of nutritional awareness, dietary choices, and weight status. Policies and programs promoting nutritional awareness among U.S. adults may improve certain dietary behaviors, though broader approaches may be needed to improve weight status.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"203 ","pages":"Article 108486"},"PeriodicalIF":3.2,"publicationDate":"2025-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145738112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-08DOI: 10.1016/j.ypmed.2025.108485
Sung In H. Kim-Vences , Justin Nguyen , Jacqueline M. Hirth , Kyle P. Suen , Colleen A. Keough , Roger Zoorob , Alicia A. Kowalchuk
Objective
The January 2023 repeal of the X-waiver aimed to reduce regulatory barriers to buprenorphine prescribing and enhance patient access to medications for opioid use disorder (MOUD). Its impact on prescribing by non-addiction-trained physicians, the integration of MOUD training into residency programs, and the role of mandated training on clinical practice remain unclear.
Methods
A 2024 online survey assessed physicians' awareness of the X-waiver repeal, exposure to MOUD training, and changes in buprenorphine prescribing. Multivariable logistic regression evaluated the independent effect of MOUD training and whether mandatory versus voluntary formats influenced prescribing behavior.
Results
Among 959 physicians (42.7 % residents), 88.9 % endorsed the importance of treating patients with MOUD; yet 18.2 % were unaware of the repeal, and 16.8 % reported no MOUD training. Only 25.5 % of non-waivered physicians had initiated prescribing. Residents (28.8 % vs. 20.3 % among attendings; p = 0.02) and physicians in psychiatry (37.2 %), emergency medicine (36.8 %), and family medicine (32.8 %) were more likely to prescribe (p < 0.01). These differences were largely attenuated by MOUD training, which showed the strongest association with prescribing regardless of format.
Conclusions
MOUD training, whether mandatory or voluntary, was significantly associated with buprenorphine prescribing. Standardizing training across specialties and institutions may improve buprenorphine uptake.
{"title":"Training in medications for opioid use disorder and buprenorphine prescribing in the post X-waiver era: Insights from a nationwide, multispecialty survey","authors":"Sung In H. Kim-Vences , Justin Nguyen , Jacqueline M. Hirth , Kyle P. Suen , Colleen A. Keough , Roger Zoorob , Alicia A. Kowalchuk","doi":"10.1016/j.ypmed.2025.108485","DOIUrl":"10.1016/j.ypmed.2025.108485","url":null,"abstract":"<div><h3>Objective</h3><div>The January 2023 repeal of the X-waiver aimed to reduce regulatory barriers to buprenorphine prescribing and enhance patient access to medications for opioid use disorder (MOUD). Its impact on prescribing by non-addiction-trained physicians, the integration of MOUD training into residency programs, and the role of mandated training on clinical practice remain unclear.</div></div><div><h3>Methods</h3><div>A 2024 online survey assessed physicians' awareness of the X-waiver repeal, exposure to MOUD training, and changes in buprenorphine prescribing. Multivariable logistic regression evaluated the independent effect of MOUD training and whether mandatory versus voluntary formats influenced prescribing behavior.</div></div><div><h3>Results</h3><div>Among 959 physicians (42.7 % residents), 88.9 % endorsed the importance of treating patients with MOUD; yet 18.2 % were unaware of the repeal, and 16.8 % reported no MOUD training. Only 25.5 % of non-waivered physicians had initiated prescribing. Residents (28.8 % vs. 20.3 % among attendings; <em>p</em> = 0.02) and physicians in psychiatry (37.2 %), emergency medicine (36.8 %), and family medicine (32.8 %) were more likely to prescribe (<em>p</em> < 0.01). These differences were largely attenuated by MOUD training, which showed the strongest association with prescribing regardless of format.</div></div><div><h3>Conclusions</h3><div>MOUD training, whether mandatory or voluntary, was significantly associated with buprenorphine prescribing. Standardizing training across specialties and institutions may improve buprenorphine uptake.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"203 ","pages":"Article 108485"},"PeriodicalIF":3.2,"publicationDate":"2025-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145725493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-06DOI: 10.1016/j.ypmed.2025.108477
Dennis Miezah , Elizabeth Helena Fraser , Ling Shi , Laura Hayman
Objective
To examine the methodological rigor and psychometric reporting of self-report physical activity (SRPA) instruments for adults, focusing on their initial validation studies.
Methods
A systematic literature review, guided by PRISMA, was conducted to identify SRPA instruments reporting initial validation of psychometric development from 1985 to July 2025. Five databases including PubMed, PsycINFO, Cumulative Index of Nursing and Allied Health, PsycTests, and Web of Science were searched. The International Centre for Allied Health Evidence (iCAHE) Ready Reckoner was used to appraise instrument psychometric properties.
Results
Nine SRPA instruments were identified and evaluated. The International Physical Activity Questionnaire Short Form and Rapid Assessment of Physical Activity demonstrated the highest methodological rigor, with strong validity, ease of use, and broad applicability. The 7-Day Physical Activity Recall and Physical Activity Scale for the Elderly had good psychometric support but were more burdensome to administer. Common limitations included incomplete reporting of reliability and dimensionality.
Conclusion
The SRPA instruments vary in quality and feasibility. Selection should align with study objectives, population characteristics, and the specific psychometric strengths and limitations identified in each instrument.
目的：探讨成人身体活动自我报告（SRPA）量表的方法学严谨性和心理测量报告性，重点介绍其初步验证研究。方法：在PRISMA的指导下，对1985年至2025年7月报告心理测量发展初步验证的SRPA仪器进行系统文献综述。检索PubMed、PsycINFO、Cumulative Index of Nursing and Allied Health、PsycTests和Web of Science 5个数据库。使用国际联合健康证据中心（iCAHE） Ready Reckoner来评估仪器的心理测量特性。结果：鉴定并评价了9种SRPA器械。《国际体育活动问卷简表与体育活动快速评估》在方法上的严谨性最高，具有很强的效度、易用性和广泛的适用性。老年人7天体力活动回忆和体力活动量表具有良好的心理支持，但管理负担较重。常见的限制包括不完整的可靠性和维度报告。结论：SRPA仪器的质量和可行性参差不齐。选择应与研究目标、人群特征以及每种工具中确定的特定心理测量优势和局限性相一致。
{"title":"Self-report physical activity instruments for United States adults: A systematic review of initial validation studies","authors":"Dennis Miezah , Elizabeth Helena Fraser , Ling Shi , Laura Hayman","doi":"10.1016/j.ypmed.2025.108477","DOIUrl":"10.1016/j.ypmed.2025.108477","url":null,"abstract":"<div><h3>Objective</h3><div>To examine the methodological rigor and psychometric reporting of self-report physical activity (SRPA) instruments for adults, focusing on their initial validation studies.</div></div><div><h3>Methods</h3><div>A systematic literature review, guided by PRISMA, was conducted to identify SRPA instruments reporting initial validation of psychometric development from 1985 to July 2025. Five databases including PubMed, PsycINFO, Cumulative Index of Nursing and Allied Health, PsycTests, and Web of Science were searched. The International Centre for Allied Health Evidence (iCAHE) Ready Reckoner was used to appraise instrument psychometric properties.</div></div><div><h3>Results</h3><div>Nine SRPA instruments were identified and evaluated. The International Physical Activity Questionnaire Short Form and Rapid Assessment of Physical Activity demonstrated the highest methodological rigor, with strong validity, ease of use, and broad applicability. The 7-Day Physical Activity Recall and Physical Activity Scale for the Elderly had good psychometric support but were more burdensome to administer. Common limitations included incomplete reporting of reliability and dimensionality.</div></div><div><h3>Conclusion</h3><div>The SRPA instruments vary in quality and feasibility. Selection should align with study objectives, population characteristics, and the specific psychometric strengths and limitations identified in each instrument.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"203 ","pages":"Article 108477"},"PeriodicalIF":3.2,"publicationDate":"2025-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145709051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-30DOI: 10.1016/j.ypmed.2025.108476
Kelcie Miller , Brooklyn Fraser , Seana Gall , Terence Dwyer , Alison Venn , Verity Cleland
Objective
Adolescent leisure-time physical activity (LTPA) is associated with favourable cardiometabolic health, yet the influence of specific LTPA types and longer-term outcomes remains unclear. This study investigated whether adolescent participation in specific LTPA types is associated with cardiometabolic health in mid-adulthood.
Methods
Data were obtained from the Childhood Determinants of Adult Health study, an Australian cohort spanning childhood to mid-adulthood. LTPA at age 15–19 years was retrospectively assessed in 2004–2006 using the Historical Leisure Activity Questionnaire, with activities grouped into 16 categories. Cardiometabolic measures (waist circumference, blood pressure, glucose, triglycerides, and HDL cholesterol) were collected at age 36–49 years (2014–2019). Metabolic syndrome (MetS) and a continuous MetS score were derived.
Results
Analyses included 1232 participants. In males, adolescent football and weight training were associated with a lower risk of MetS in mid-adulthood, while action sports were linked to higher risk. Among females, action sports and running were associated with better cardiometabolic profiles in midlife, whereas martial arts were associated with poorer outcomes.
Conclusions
Associations between adolescent LTPA and mid-adult cardiometabolic health varied by activity type and sex. Findings suggest specific adolescent activities may better promote cardiometabolic health into mid-adulthood, yet further research is required to understand the underlying mechanisms.
{"title":"Adolescent leisure-time physical activity types and cardiometabolic health in mid-adulthood: Findings from an Australian cohort","authors":"Kelcie Miller , Brooklyn Fraser , Seana Gall , Terence Dwyer , Alison Venn , Verity Cleland","doi":"10.1016/j.ypmed.2025.108476","DOIUrl":"10.1016/j.ypmed.2025.108476","url":null,"abstract":"<div><h3>Objective</h3><div>Adolescent leisure-time physical activity (LTPA) is associated with favourable cardiometabolic health, yet the influence of specific LTPA types and longer-term outcomes remains unclear. This study investigated whether adolescent participation in specific LTPA types is associated with cardiometabolic health in mid-adulthood.</div></div><div><h3>Methods</h3><div>Data were obtained from the Childhood Determinants of Adult Health study, an Australian cohort spanning childhood to mid-adulthood. LTPA at age 15–19 years was retrospectively assessed in 2004–2006 using the Historical Leisure Activity Questionnaire, with activities grouped into 16 categories. Cardiometabolic measures (waist circumference, blood pressure, glucose, triglycerides, and HDL cholesterol) were collected at age 36–49 years (2014–2019). Metabolic syndrome (MetS) and a continuous MetS score were derived.</div></div><div><h3>Results</h3><div>Analyses included 1232 participants. In males, adolescent football and weight training were associated with a lower risk of MetS in mid-adulthood, while action sports were linked to higher risk. Among females, action sports and running were associated with better cardiometabolic profiles in midlife, whereas martial arts were associated with poorer outcomes.</div></div><div><h3>Conclusions</h3><div>Associations between adolescent LTPA and mid-adult cardiometabolic health varied by activity type and sex. Findings suggest specific adolescent activities may better promote cardiometabolic health into mid-adulthood, yet further research is required to understand the underlying mechanisms.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"203 ","pages":"Article 108476"},"PeriodicalIF":3.2,"publicationDate":"2025-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145645932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-26DOI: 10.1016/j.ypmed.2025.108471
Deanivea Mendes Felix , Vishnu Jaisree Mohandas , Otávio Amaral de Andrade Leão , Fernando Vinholes Siqueira , Pedro Curi Hallal
Objective
This study primarily aims to analyze changes in physical activity after the COVID-19 pandemic in Brazil and their association with post-COVID symptoms. We also examined associations between sociodemographic variables (sex, region, wealth quintile, education, age, and race/ethnicity) and physical activity.
Methods
Using data from the 2024 Brazilian national survey EPICOVID 2.0, with 33,250 participants, we analyzed self-reported changes in physical activity during the pandemic. To test associations between four categories (“Never Practiced” as reference category, “Decreased”, “Maintained”, or “Increased”) and 14 post-COVID symptoms, we used adjusted Logistic regression models. Establishing a threshold of p < 0.004, after Bonferroni correction.
Results
The “Maintained” physical activity group had a significantly lower proportion of tiredness, Odds Ratio [95 % CI] = 0.57[0.39, 0.83], and joint pain, OR [95 % CI] = 0.61 [0.44, 0.84]. Even though not statistically significant, the “Decreased” activity group showed higher odds of some post-COVID symptoms.
Conclusion
Compared to the reference group, participants who maintained some level of physical activity during the pandemic have lower odds of presenting some post-COVID symptoms. Results highlight the importance of sustained engagement in physical activity and the need for targeted interventions to promote equitable access.
{"title":"Physical activity and post-COVID symptoms: Findings from the EPICOVID 2.0 survey in Brazil","authors":"Deanivea Mendes Felix , Vishnu Jaisree Mohandas , Otávio Amaral de Andrade Leão , Fernando Vinholes Siqueira , Pedro Curi Hallal","doi":"10.1016/j.ypmed.2025.108471","DOIUrl":"10.1016/j.ypmed.2025.108471","url":null,"abstract":"<div><h3>Objective</h3><div>This study primarily aims to analyze changes in physical activity after the COVID-19 pandemic in Brazil and their association with post-COVID symptoms. We also examined associations between sociodemographic variables (sex, region, wealth quintile, education, age, and race/ethnicity) and physical activity.</div></div><div><h3>Methods</h3><div>Using data from the 2024 Brazilian national survey EPICOVID 2.0, with 33,250 participants, we analyzed self-reported changes in physical activity during the pandemic. To test associations between four categories (“Never Practiced” as reference category, “Decreased”, “Maintained”, or “Increased”) and 14 post-COVID symptoms, we used adjusted Logistic regression models. Establishing a threshold of <em>p</em> < 0.004, after Bonferroni correction.</div></div><div><h3>Results</h3><div>The “Maintained” physical activity group had a significantly lower proportion of tiredness, Odds Ratio [95 % CI] = 0.57[0.39, 0.83], and joint pain, OR [95 % CI] = 0.61 [0.44, 0.84]. Even though not statistically significant, the “Decreased” activity group showed higher odds of some post-COVID symptoms.</div></div><div><h3>Conclusion</h3><div>Compared to the reference group, participants who maintained some level of physical activity during the pandemic have lower odds of presenting some post-COVID symptoms. Results highlight the importance of sustained engagement in physical activity and the need for targeted interventions to promote equitable access.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"203 ","pages":"Article 108471"},"PeriodicalIF":3.2,"publicationDate":"2025-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145637939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-25DOI: 10.1016/j.ypmed.2025.108475
Lana Vanderlee , Christine M. White , David Hammond , Erin Hobin
Objective
To determine if nutritional information on an alcohol container influenced consumer perceptions of product healthiness, and whether the effect of information differed by display format.
Methods
Online randomized controlled trial among adults in Canada sampled from a commercial panel (analytical sample n = 3880) in November/December 2024. Participants were randomized to view a wine product in one of four conditions: (1) control (no label), (2) Nutrition Facts table (NFT), (3) textual nutrition information, (4) Alcohol Facts table, and were asked “How healthy would it be to drink this wine regularly?” (7-point Likert-type item, very unhealthy to very healthy). Logistic regression compared the likelihood of rating the product as “a little healthy/healthy/very healthy” between conditions.
Results
Compared to the control (16.5 %), those in the NFT condition had higher odds of rating the product as “a little healthy/healthy/very healthy” (28.3 %, AOR = 1.97, 95 %CI,1.57,2.47), as did those in the textual nutrition information condition (23.8 %, AOR = 1.60, 95 %CI,1.27,2.02). There were no differences between the control condition and the Alcohol Facts table condition (18.8 %).
Conclusions
Nutritional information on alcohol products may lead consumers to falsely believe products are ‘healthier’. Label design and features that make alcohol products distinct from non-alcoholic food and beverages may reduce unintended impacts.
{"title":"The impact of nutrition information labels on alcohol containers in Canada: an online randomized trial","authors":"Lana Vanderlee , Christine M. White , David Hammond , Erin Hobin","doi":"10.1016/j.ypmed.2025.108475","DOIUrl":"10.1016/j.ypmed.2025.108475","url":null,"abstract":"<div><h3>Objective</h3><div>To determine if nutritional information on an alcohol container influenced consumer perceptions of product healthiness, and whether the effect of information differed by display format.</div></div><div><h3>Methods</h3><div>Online randomized controlled trial among adults in Canada sampled from a commercial panel (analytical sample <em>n</em> = 3880) in November/December 2024. Participants were randomized to view a wine product in one of four conditions: (1) control (no label), (2) Nutrition Facts table (NFT), (3) textual nutrition information, (4) Alcohol Facts table, and were asked “How healthy would it be to drink this wine regularly?” (7-point Likert-type item, very unhealthy to very healthy). Logistic regression compared the likelihood of rating the product as “a little healthy/healthy/very healthy” between conditions.</div></div><div><h3>Results</h3><div>Compared to the control (16.5 %), those in the NFT condition had higher odds of rating the product as “a little healthy/healthy/very healthy” (28.3 %, AOR = 1.97, 95 %CI,1.57,2.47), as did those in the textual nutrition information condition (23.8 %, AOR = 1.60, 95 %CI,1.27,2.02). There were no differences between the control condition and the Alcohol Facts table condition (18.8 %).</div></div><div><h3>Conclusions</h3><div>Nutritional information on alcohol products may lead consumers to falsely believe products are ‘healthier’. Label design and features that make alcohol products distinct from non-alcoholic food and beverages may reduce unintended impacts.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"202 ","pages":"Article 108475"},"PeriodicalIF":3.2,"publicationDate":"2025-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145637960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-25DOI: 10.1016/j.ypmed.2025.108473
Zilin Xu, Shuting Li, Hui Chu, Kun Zhou
Objectives
The kindergarten outdoor environment is considered a key factor influencing children's moderate-to-vigorous physical activity (MVPA). However, existing findings remain inconsistent, with varying criteria and no synthesis.
Methods
Associations came from studies employing two common measurement methods: accelerometry and direct observation. Fixed- or random-effects models were applied to calculate pooled correlation coefficients. A systematic search of six databases for studies published 2000–2024 identified 17 articles, and 9 met the inclusion criteria for meta-analysis. All outdoor environmental factors were standardized and categorized using validated observational systems, enabling consistent evaluation of their associations with children's MVPA and facilitating data integration across methods.
Results
Open spaces, natural elements, and “ball and object play” were moderately positively associated with children's MVPA. Fixed equipment showed weak positive association, while sedentary environments showed very weak negative association. Direct observation appeared slightly more sensitive than accelerometry in detecting these associations.
Conclusions
Open spaces, natural elements, and “ball and object play” are associated with higher levels of children's MVPA, while sedentary environments are linked to reduced activity. These findings highlight the importance of designing kindergarten outdoor environments that promote children's physical activity and healthy development. Future studies should consider the influence of measurement tool differences on results.
{"title":"The association between outdoor environmental factors in kindergartens and children's moderate-to-vigorous physical activity: A systematic review and meta-analysis","authors":"Zilin Xu, Shuting Li, Hui Chu, Kun Zhou","doi":"10.1016/j.ypmed.2025.108473","DOIUrl":"10.1016/j.ypmed.2025.108473","url":null,"abstract":"<div><h3>Objectives</h3><div>The kindergarten outdoor environment is considered a key factor influencing children's moderate-to-vigorous physical activity (MVPA). However, existing findings remain inconsistent, with varying criteria and no synthesis.</div></div><div><h3>Methods</h3><div>Associations came from studies employing two common measurement methods: accelerometry and direct observation. Fixed- or random-effects models were applied to calculate pooled correlation coefficients. A systematic search of six databases for studies published 2000–2024 identified 17 articles, and 9 met the inclusion criteria for meta-analysis. All outdoor environmental factors were standardized and categorized using validated observational systems, enabling consistent evaluation of their associations with children's MVPA and facilitating data integration across methods.</div></div><div><h3>Results</h3><div>Open spaces, natural elements, and “ball and object play” were moderately positively associated with children's MVPA. Fixed equipment showed weak positive association, while sedentary environments showed very weak negative association. Direct observation appeared slightly more sensitive than accelerometry in detecting these associations.</div></div><div><h3>Conclusions</h3><div>Open spaces, natural elements, and “ball and object play” are associated with higher levels of children's MVPA, while sedentary environments are linked to reduced activity. These findings highlight the importance of designing kindergarten outdoor environments that promote children's physical activity and healthy development. Future studies should consider the influence of measurement tool differences on results.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"202 ","pages":"Article 108473"},"PeriodicalIF":3.2,"publicationDate":"2025-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145620085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-25DOI: 10.1016/j.ypmed.2025.108474
Juyeon Lee , Ye-Jee Kim , Bo Ram Yang
Objective
This study investigated the association between weekend catch-up sleep (WCS) and systemic inflammation, as indicated by serum white blood cell (WBC) counts.
Methods
A cross-sectional study of 22,143 participants from the Korea National Health and Nutrition Examination Survey (2016–2018, and 2021) categorized into no-WCS (<1 h), moderate WCS (1 to <3 h), and extended WCS (≥3 h). WBC counts were divided into quartiles, and polytomous logistic regression was used to assess associations between WCS and WBC counts. Stratified analyses considered age, sex, body mass index (BMI), sleep duration, and bedtime inconsistency.
Results
Extended WCS was modestly associated with higher WBC counts, particularly in adults aged 20–39 years (odds ratio [OR] = 1.42, 95 % confidence interval [CI]: 1.08, 1.87), 40–64 years (OR = 1.54, 95 % CI: 1.19, 1.99), males (OR = 1.56, 95 %e CI: 1.21, 2.01), individuals with BMI < 25 kg/m2 (OR = 1.45, 95 % CI: 1.21, 1.76), and those with irregular bedtimes (OR = 1.78, 95 % CI: 1.34, 2.37). Moderate WCS was inversely associated with higher BMI (OR = 0.79, 95 % CI: 0.64, 0.97). Significant interactions were observed by age, sex, BMI, and bedtime inconsistency.
Conclusions
Extended WCS was associated with elevated systemic inflammation in specific subgroups. Maintaining regular and moderate sleep patterns may help mitigate low-grade inflammation.
{"title":"Association between weekend catch-up sleep and white blood cell count among Korean adults: A population-based cross-sectional study","authors":"Juyeon Lee , Ye-Jee Kim , Bo Ram Yang","doi":"10.1016/j.ypmed.2025.108474","DOIUrl":"10.1016/j.ypmed.2025.108474","url":null,"abstract":"<div><h3>Objective</h3><div>This study investigated the association between weekend catch-up sleep (WCS) and systemic inflammation, as indicated by serum white blood cell (WBC) counts.</div></div><div><h3>Methods</h3><div>A cross-sectional study of 22,143 participants from the Korea National Health and Nutrition Examination Survey (2016–2018, and 2021) categorized into no-WCS (<1 h), moderate WCS (1 to <3 h), and extended WCS (≥3 h). WBC counts were divided into quartiles, and polytomous logistic regression was used to assess associations between WCS and WBC counts. Stratified analyses considered age, sex, body mass index (BMI), sleep duration, and bedtime inconsistency.</div></div><div><h3>Results</h3><div>Extended WCS was modestly associated with higher WBC counts, particularly in adults aged 20–39 years (odds ratio [OR] = 1.42, 95 % confidence interval [CI]: 1.08, 1.87), 40–64 years (OR = 1.54, 95 % CI: 1.19, 1.99), males (OR = 1.56, 95 %e CI: 1.21, 2.01), individuals with BMI < 25 kg/m<sup>2</sup> (OR = 1.45, 95 % CI: 1.21, 1.76), and those with irregular bedtimes (OR = 1.78, 95 % CI: 1.34, 2.37). Moderate WCS was inversely associated with higher BMI (OR = 0.79, 95 % CI: 0.64, 0.97). Significant interactions were observed by age, sex, BMI, and bedtime inconsistency.</div></div><div><h3>Conclusions</h3><div>Extended WCS was associated with elevated systemic inflammation in specific subgroups. Maintaining regular and moderate sleep patterns may help mitigate low-grade inflammation.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"202 ","pages":"Article 108474"},"PeriodicalIF":3.2,"publicationDate":"2025-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145620083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-22DOI: 10.1016/j.ypmed.2025.108470
Mary A. Gerend , Lucille J. Wilkinson , Chandler Pendleton , Angelina R. Sutin , Janet E. Shepherd
Objective
Little research has investigated whether people's experiences with weight-related discrimination serve as a barrier to cancer screening. This study examined the association between weight discrimination and receipt of up to date (UTD) cervical and breast cancer screening in a demographically diverse sample of US women with representation across the body mass index (BMI) spectrum.
Methods
In 2021, women aged 25–64 years completed an online survey. Multivariable logistic regression assessed the association between perceived weight discrimination (as measured by the Stigmatizing Situations Survey-Brief) and self-reported cervical (N = 909) and breast cancer screening (N = 442), in Black and White women, adjusting for BMI and demographic characteristics.
Results
Among White women, more frequent exposure to weight discrimination was associated with significantly lower odds of UTD cervical cancer screening, AOR = 0.78; 95 % CI = 0.62, 0.97, and breast cancer screening, AOR = 0.53, 95 % CI = 0.36, 0.78; for each unit increase on the weight discrimination scale, the odds of screening decreased by approximately 25–50 %. In contrast, weight discrimination was not significantly associated with either type of screening among Black women.
Conclusions
Previous experiences with weight discrimination may deter some women from seeking routine cancer screening. Strategies for mitigating the harmful consequences of weight-related discrimination in health care settings are needed.
目的：很少有研究调查人们的体重相关歧视经历是否会成为癌症筛查的障碍。本研究调查了体重歧视与接受最新（UTD）宫颈癌和乳腺癌筛查之间的关系，研究对象是人口统计学上不同的美国女性，她们的身体质量指数（BMI）各不相同。方法：2021年，年龄在25-64岁 的女性完成在线调查。多变量逻辑回归评估了黑人和白人女性感知体重歧视（通过污名化情况调查简报测量）与自我报告的宫颈癌（N = 909）和乳腺癌筛查（N = 442）之间的关联，调整了BMI和人口统计学特征。结果：在白人女性中，更频繁地暴露于体重歧视与UTD宫颈癌筛查的几率显著降低相关，AOR = 0.78；95 % CI = 0.62,0.97，乳腺癌筛查，AOR = 0.53,95 % CI = 0.36,0.78；体重歧视量表上每增加一个单位，筛查的几率就下降大约25-50 %。相比之下，在黑人女性中，体重歧视与两种筛查方式都没有显著关联。结论：以往体重歧视的经历可能会阻止一些女性寻求常规的癌症筛查。需要制定战略，减轻保健环境中与体重有关的歧视的有害后果。
{"title":"Weight discrimination and up-to-date breast and cervical cancer screening in US women","authors":"Mary A. Gerend , Lucille J. Wilkinson , Chandler Pendleton , Angelina R. Sutin , Janet E. Shepherd","doi":"10.1016/j.ypmed.2025.108470","DOIUrl":"10.1016/j.ypmed.2025.108470","url":null,"abstract":"<div><h3>Objective</h3><div>Little research has investigated whether people's experiences with weight-related discrimination serve as a barrier to cancer screening. This study examined the association between weight discrimination and receipt of up to date (UTD) cervical and breast cancer screening in a demographically diverse sample of US women with representation across the body mass index (BMI) spectrum.</div></div><div><h3>Methods</h3><div>In 2021, women aged 25–64 years completed an online survey. Multivariable logistic regression assessed the association between perceived weight discrimination (as measured by the Stigmatizing Situations Survey-Brief) and self-reported cervical (<em>N</em> = 909) and breast cancer screening (<em>N</em> = 442), in Black and White women, adjusting for BMI and demographic characteristics.</div></div><div><h3>Results</h3><div>Among White women, more frequent exposure to weight discrimination was associated with significantly lower odds of UTD cervical cancer screening, AOR = 0.78; 95 % CI = 0.62, 0.97, and breast cancer screening, AOR = 0.53, 95 % CI = 0.36, 0.78; for each unit increase on the weight discrimination scale, the odds of screening decreased by approximately 25–50 %. In contrast, weight discrimination was not significantly associated with either type of screening among Black women.</div></div><div><h3>Conclusions</h3><div>Previous experiences with weight discrimination may deter some women from seeking routine cancer screening. Strategies for mitigating the harmful consequences of weight-related discrimination in health care settings are needed.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"202 ","pages":"Article 108470"},"PeriodicalIF":3.2,"publicationDate":"2025-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145595913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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