Orthorectic behavior among students and motivation for physical activity, dietary habits, and restrictive eating.

Introduction: Orthorexia lacks official recognition as an eating disorder; however, orthorexic behaviors, associated with a stringent selection of food, may serve as a predisposing factor to the development of eating disorders. It is characterized by an obsessive preoccupation with healthy eating and strict dietary standards, often prevalent in high-risk groups such as athletes and individuals concerned with their physical appearance. The objective of this study was to evaluate the incidence of orthorexia among students exhibiting varying lifestyles (including dietary habits and levels of physical activity, along with their respective motivational factors). The research involved 600 participants equally distributed between health-related (HRF) and non-health-related (NRF) academic categories, with the majority of participants in the HRF category being women. Methods: Assessments included BMI calculations, dietary evaluation based on Polish standards, categorization of physical activity levels, the EMI-2 questionnaire on motivation to exercise, the DOS test for orthorexia propensity, and the TFEQ-13 questionnaire for eating behavior. Results and discussion: Results showed that primary motivators for physical activity included disease prevention, health maintenance, strength/endurance, and physical appearance. Orthorexia tendencies were prevalent, particularly in the HRF group, linked to lower BMI, better diet quality, higher physical activity levels, and a higher prevalence of restrictive eating. In conclusion, students in health-related fields, driven by a strong health consciousness, are at risk of orthorexia. This emphasizes the need for balanced health education and support. Conclusion: Orthorexic tendencies are associated with distorted perceptions of food portions and calories, underscoring the importance of awareness and intervention.

Assessment of nutritional status and health behaviors in yoga-trained women versus exercisers.

Introduction: Recreational physical activity is becoming more popular due to the increased public awareness about the beneficial effects on health status and quality of life. The aim of the study was to assess the nutritional status and health behaviors of women who regularly practice yoga as a form of physical recreation and to compare them with those who had not practiced before and had just signed up for yoga classes. A total of 143 women took part in this study. Methods: The nutritional status was assessed based on the obtained anthropometric measurements. The following indicators were calculated: Body Mass Index (BMI) and waist-to-hip ratio (WHR), determining the visceral accumulation of fat tissue. Health behaviors were assessed using a standardized five-point scale Health Behavior Inventory (HBI). Results: There were significant differences in the value of the general health behavior index, the sten scale, and the subscale regarding proper eating habits in the study groups compared to women who had not practiced yoga before (control group). Health behaviors indicators, particularly proper eating habits, are significantly higher in women participating regularly in yoga exercises, indicating a higher awareness among yoga practitioners. Conclusion: It can be suggested that yoga participation as a recreational physical activity can be an appropriate option for pursuing healthy habits.

Are Supplements Consumed by Middle-Distance Runners Evidence-Based? A Comparative Study between Level of Competition and Sex.

BACKGROUND: Middle-distance running events have special physiological requirements from a training and competition point of view. Therefore, many athletes choose to take sport supplements (SS) for different reasons. To date, few studies have been carried out that review supplementation patterns in middle-distance running. The aim of the present study is to analyze the consumption of SS in these runners with respect to their level of competition, sex and level of scientific evidence. METHODS: In this descriptive cross-sectional study, data was collected from 106 middle-distance runners using a validated questionnaire. RESULTS: Of the total sample, 85.85% responded that they consumed SS; no statistical difference was found regarding the level of competition or sex of the athletes. With respect to the level of competition, differences were observed in the total consumption of SS (p = 0.012), as well as in that of medical supplements (p = 0.005). Differences were observed between sexes in the consumption of medical supplements (p = 0.002) and group C supplements (p = 0.029). CONCLUSIONS: Higher-level athletes consume SS that have greater scientific evidence. On the other hand, although the most commonly consumed SS have evidence for the performance or health of middle-distance runners, runners should improve both their sources of information and their places of purchase.

Eating disorder risk in adolescent and adult female athletes: the role of body satisfaction, sport type, BMI, level of competition, and training background.

BACKGROUND: Eating disorders negatively influence athletes' health and performance. To achieve a high level of performance and conform to cultural expectations regarding an athletic body type, female athletes often restrict their diets, which can lead to eating disorders. In addition to factors related to the sports environment, adolescent athletes are subject to changes caused by the maturation process. Therefore, the same factors may have different effects on eating disorder risk among adolescent and adult athletes. This study examined the relationship between eating disorder risk, specific aspects of the sports environment (sport type, level of competition [national and international], and training background), and individual aspects (body satisfaction and body mass index) in two groups of athletes: adolescents and adults. METHODS: The sample included 241 highly trained female athletes aged 12-30 years (M = 20.68, SD = 4.45) recruited from different sports clubs in Poland. The subgroup of adolescents consisted of 82 athletes, while the number of adult athletes was 159. The Eating Attitudes Test questionnaire was used to assess the eating disorder risk among the athletes. Body satisfaction was measured using the Feelings and Attitudes Toward Body Scale incorporated into the Body Investment Scale. RESULTS: Eating disorder risk was prevalent among 14.6% of the adolescent and 6.9% of the adult athletes. Significant associations between eating disorder risk and the studied variables were noted only among adolescent athletes. Univariate logistic regression analysis revealed that the occurrence of eating disorder risk was associated with participation in lean non-aesthetic sports (OR = 11.50, 95% CI: 3.58-37.09). Moreover, eating disorder risk was associated with athletes' lower body satisfaction (OR = 0.80, 95% CI: 0.70-0.92). Body mass index was not included in the final regression model. CONCLUSIONS: The study indicated that eating disorder risk in adolescent female athletes was related to sport type and body satisfaction. The findings showed that, in adolescent athletes, eating disorder risk was the most associated with practicing lean non-aesthetic sports. Coaches and athletes should be aware that eating disorder risk increases among individuals with a lower body image.

The level of kinesiophobia in breast cancer women undergoing surgical treatment.

Introduction: Lifestyle-associated factors like physical activity (PA) play an important role in cancer prevention and oncology treatment outcomes. The aim of the study is to investigate the level of kinesiophobia (fear of movement) in breast cancer (BC) patients undergoing surgical treatment depending on socio-demographic variables, lifestyle before cancer diagnosis, stage and type of BC and comorbidities. Methods: We interviewed 285 women (132 patients from Greater Poland Cancer Center - age: 55.7 ± 12.4; BMI: 26.7 ± 4.7 and 153 healthy women from control group - age: 49.0 ± 15.7; BMI: 25.7 ± 4.0) using Polish adaptation of the Tampa Scale of Kinesiophobia (TSK). Results: Research results show that women with BC suffer from kinesiophobia (>37 points) signi!cantly. Approximately 3/4 of the surveyed women with BC did not know the World Health Organization (WHO) recommendations regarding the weekly dose of PA for healthy people and for people with cancer. Before cancer diagnosis more than a half of women (60%) performed PA in accordance with WHO recommendations. 7% less women performed PA during oncology treatment. Almost a half of patients are not physically active during cancer treatment and 1/5 of the respondents declared that they do not know yet if they will be physically active after oncology treatment. The level of kinesiophobia in BC women with comorbidities was the same as in the group of BC women without comorbidities. However, the highest levels of fear of movement have been observed among women with BC suffering also from osteoporosis, obesity and diabetes. In general, higher levels of kinesiophobia were reported among women in less advanced stages of the disease. There were no differences in the level of kinesiophobia depending on the type of BC (hormonally dependent luminal cancers vs. other types). The level of kinesiophobia did not differ between women who were physically active before BC diagnosis and women who were not. In terms of socio- demographic variables, we found one direct association between the level of kinesiophobia (pain) with age - the greater age, the higher level of pain kinesiophobia. Discussion: Research on fear of movement in female oncology requires further research (including also chemotherapy, radiotherapy, immunotherapy and hormonal therapy) and in order to effectively eliminate hypokinetic attitudes at every stage of cancer treatment.

The Role of Social Media in Internalizing Body Knowledge-A Cross-Sectional Study among Women with Different Food Preferences.

Virtual spaces, such as social media, give people a platform to exchange their opinions, experiences, and knowledge. Social media's ubiquitous usefulness has led to people relying, in whole or in part, on the information they learn online. As a result, a person's perception of his or her own body and their self-worth has started to be influenced by what other people think of them and by the information found on social media. Modern people's lifestyle, particularly their eating habits and exercise habits, exhibits a similar tendency. The purpose of this study was to evaluate the relationships occurring between factors related to the use and internalization of body image knowledge contained in social media and the factors shaping self-assessment and self-esteem in women following a vegetarian diet. An authority-validated questionnaire was used to determine the level of use and attitudes of respondents toward social media, e.g., SATAQ and BES. Associations about the potential negative impacts of the knowledge provided by social media on the development of body image and self-esteem were shown. It is interesting to observe that women who practice vegetarianism have less pressure on their appearance. This may be because vegetarianism is a lifestyle that is currently actively promoted online. Education is required on the connection between the use and internalization of social media knowledge and the development of healthy self-esteem and body evaluation.

Recreational Running Motivations among Breast Cancer Survivors.

Lifestyle-associated factors play an important role in prevention of such malignancies as breast cancer (BC), prostate cancer, or colon cancer. Physical activity (PA) before, during, and after diagnosis improves outcomes for BC. People after BC live with numerous side effects and PA has potential to reduce some of them. Unfortunately, few cancer survivors exercise regularly. The aim of this study was to ascertain motivations for running among BC survivors (in comparison with the motivations of healthy women) in order to better manage their attitudes in terms of PA and active lifestyle. A total of 317 Polish women took part in the study: 152 BC women (age 46.49 ± 7.83; BMI 24.78 ± 3.50) and 165 healthy runners (control group (age 36.91 ± 9.68; BMI 23.41 ± 3.94)) using the diagnostic survey method with the Motivation for Marathoners Scale (MOMS) questionnaire. Study results show that healthy runners had higher scores for health orientation, personal goal achievement, and affiliation compared to the group of BC survivors. The scores for weight concern, recognition, psychological coping, life meaning, and self-esteem were lower than those of BC survivors. These results should be included in the management of PA attitudes among BC survivors.

Kinesiophobia among Breast Cancer Survivors One Year after Hospital Treatment.

Breast cancer (BC) is one of the most dangerous health problems affecting women. Lifestyle-associated determinants like physical activity (PA) play an important role in BC treatment outcomes. Studies suggest that oncology patients are insufficiently physically active. One of the potential barriers is kinesiophobia-fear of movement due to expected pain and fatigue. The aim of this cross-sectional study is to investigate the level of kinesiophobia among women one year after BC hospital treatment depending on socio-demographic variables, stage and type of BC, lifestyle, and comorbidities. Polish women after BC (n = 138, age 46.5 ± 9.2, BMI 24.6 ± 4.0) participated in the study and the Tampa Scale of Kinesiophobia (TSK) questionnaire was used in the diagnostic survey. The study results show that women suffer from kinesiophobia after BC. Moreover, every third woman (32.6%) does not practice sport regularly one year after BC treatment. The lifestyle before BC diagnosis impacts the level of kinesiophobia after treatment-women who were not physically active before BC diagnosis declared higher levels than previously active women. The study result shows that a high level of kinesiophobia correlates with a low level of PA among women after BC. Women with obesity and diabetes also declared higher levels of kinesiophobia than women without comorbidities. The type and stage of BC have no influence on the level of kinesiophobia; however, in terms of socio-demographic variables, a direct association between kinesiophobia and age has been found-the greater the age, the higher the level of kinesiophobia. Further research on fear of movement in oncology is required in order to effectively eliminate hypokinetic attitudes in every type of female and male cancer.

Perspectives on Movement and Eating Behaviours in Brazilian Elderly: An Analysis of Clusters Associated with Disease Outcomes.

Aging is a biological process, which is usually associated with health-related problems, which are related to some behaviours, such as those related to movement and eating habits. So, the purpose of the present study was to identify the clustering of behavioural and eating habits related to non-communicable disease in Brazilian elderly, and to estimate the association of these profiles with overweight/obesity, hypertension, and diabetes. This is a cross-sectional based-population study, which sample comes from the VIGITEL 2019 survey. The sample comprised 23,327 subjects (16,295 women), mean age of 71 years. Sociodemographic and anthropometric data (i.e., age, sex, body weight, and body height), health-related information (i.e., eating habits, physical activity and sedentary behaviour, and alcohol consumption), health status and morbidity (diabetes and hypertension) were self-reported. Latent Classes Analysis, and binary logistic regression were performed, considering p<0.05. Results showed that two different classes were identified. Those called as "TV viewer, but no unhealthy diet" presented more chances to have hypertension (OR: 1.213; 95%CI: 1.064-1.382) and diabetes (OR: 1.365; 95%CI: 1.157-1.610), when compared to their peers called as "healthy diet and active". Age, educational level, and sex were associated with hypertension and diabetes. In conclusion, a better health clustered-behaviour was associated with better disease outcomes in Brazilian elderly population.

Polish Adaptation of the Modified Tampa Scale of Kinesiophobia for Fatigue (TSK-F) and the Revision of the Tampa Scale in Terms of Pain for Cancer Patients.

The aim of this study was to create a Polish adaptation of the Tampa Scale of Kinesiophobia considering fatigue, and to verify the usefulness of the scale in the context of pain in cancer patients. The study was conducted at the Breast Cancer Unit, operating at the Greater Poland Cancer Centre, and at the Poznan Centre for Specialist Medical Services in Poznan. After considering the exclusion criteria, 100 people qualified for the interviews for the final study: 50 breast cancer patients and 50 healthy respondents (without cancer). Statistical analysis of the CFA score showed that the chi-square test was not significant (χ2 = 10.243, p = 0.332), indicating an acceptable fit of items across scales. The reliability of the internal consistency of the scales was tested by examining the Cronbach's alpha scores for each question/statement. The mean values for this indicator were 0.74 for the pain-related scale and 0.84 for the fatigue-related scale. Construct validity was confirmed for the scales; AVE for the pain-related scale was 0.64 and for the fatigue-related scale was 0.68. The results suggest the validity of examining kinesiophobia in the context of pain- and fatigue-related mobility anxiety among breast cancer patients in Poland, and that the Tampa Scale of Kinesiophobia can be adapted for different dimensions of the condition. Both versions of the scale demonstrated adequately prepared parametric constructs, and all correlations showed a statistically significant relationship (p < 0.05). The use of the Tampa Scale of Kinesiophobia in oncology patient studies in Poland may ultimately improve rehabilitation programs and enable the development of strategies to assist patients in supporting treatment to reduce movement anxiety.

Health Benefits and Participation Barriers of Different Level Horseback Riders Age-Wise.

Although horseback riding is not specifically mentioned in the recommendations for different age groups regarding the level of physical activity necessary for good health, its practice continues to grow in popularity throughout the world. Despite being a minority discipline, it has some characteristics that make it an opportunity for its participants to be active people, so it is important to understand what are the perceived health benefits and barriers to participation. The aim of the study is to describe and analyze the perceived health benefits and barriers in horseback riding among riders categorized by level and age, in order to promote physical activity through these benefits and to overcome the barriers. An online version of the EBBS (Exercise Benefits/Barriers Scale) was used to analyze benefits and barriers. The sample consisted of 2,651 participants (95.9% women and 4.1% men) in an equestrian event, distributed in four age groups (79.4% up to 25 years, 11.5% between 26 and 35, 7.9% between 36 and 50, and 1.2 older than 50 years). Perceived benefits and participation barriers to horseback riding were analyzed. The factor analysis identified and confirmed five benefit factors and four barrier factors. Benefit factors were significantly correlated among them but barriers were less interrelated. Higher ages were associated to larger benefits and less barrier effects. Benefit and barrier differences were larger between amateur and professional riders, compared to gender differences.

'Ref! Could You Help Me?'-Building a Positive Climate by Referees during Floorball Competitions in Youth Sport.

In creating a positive climate in sport for children and youth, the role of adults is of key importance as their behavior and attitudes determine the experiences and multilateral development of young players. Relatively recently, the importance of the referee in creating a supportive sporting environment has begun to be emphasized. This concerns, in particular, team sports in which the referees interact with players many times and influence the course of the game. The aim of the study was to evaluate the quality of the referee-players' interactions during youth floorball matches in terms of building a positive climate and responsiveness to the players' needs. Another aim of the study was to examine whether the referee's qualifications and players' gender affect the quality of their interactions with the players. The study was conducted among 21 referees officiating matches for girls and boys aged 12-18. Naturalistic and structured observation methods were used in the study. The observation was conducted using a wireless intercom that allows listening to verbal messages directed to the players. Furthermore, the referee's work was recorded using a camera. The results of the statistical tests did not show any significant differences in the assessment of referees between the groups distinguished in terms of the referees' license and players' gender in both examined dimensions. The observations showed that the average rating of building a positive climate by referees during a sporting event measured on a seven-point scale was 'poor' (2.81 pts). The referees were assessed significantly higher on the second dimension (responsiveness to the players' needs), although an overall rating of 3.81 pts means a medium level of interaction quality. The results indicate areas in which referees can improve. They lead to the following conclusions: (i) the contents of training for floorball referees should include problems of pedagogy and developmental psychology; (ii) referees should be equipped with appropriate competencies for building a positive climate during matches and monitoring the players' needs; (iii) referees appointed to officiate children and youth games should be characterized by appropriate predispositions.

Determinants of tourists' length of stay.

This paper aims to identify the determinants of the length of stay (LoS) of international tourists in Norway. The paper reassesses the standard assumption related to tourists' LoS; it refers to the travel industry's current trends, and it postulates a more sustainable approach to analyzing tourists' LoS at the destination level. The paper concludes with a series of recommendations. The data for this study were collected during 153 data collection days and among 5,300 travelers in Norway. The determinants of LoS were analyzed by means of an ordinary least squares (OLS) regression. The results indicate that tourists' LoS is positively related to their age, interests (nature-based tourists), origin (German, Dutch tourists) and mode of travel organization (package tourists). A negative and significant effect on tourists' LoS was found for tourists' interests (urban-based tourists), spending, and origin (home market, long-haul tourists). No significant results were revealed for two covariates, namely, gender and repeat visitation.

Age-Related Differences in Motivation of Recreational Runners, Marathoners, and Ultra-Marathoners.

Aim: This study was aimed to investigate the influence of age on the motivations of various types of runners, namely, marathoners, ultra-marathoners, and non-starters. Methods: A total of 1,537 runners including 380 women (24.7%) and 1,157 men (75.3%) took part in the diagnostic survey and completed the motivations of marathoners' scales questionnaire (MOMS). The effect sizes were estimated. Results: The article presents several statistically significant differences in the impact of age on the motivations of runners in different categories and compares the motivations of marathon runners, ultramarathon runners, and non-starters. The results show that young non-starters decide to run for personal goal achievement, and for both marathon and ultramarathon runners, recognition and competition are important. However, for older people in all groups (non-starters, marathoners, and ultramarathoners), personal goal achievement is of the least importance. Among the oldest runners, the most important motives were self-esteem for non-starters and health orientation for marathoners and ultramarathoners.

Socio-Psychological Functions of Men and Women Triathlon Participation.

Motivations to run marathons have been recognised by many researchers, but few have paid attention to triathletes. Mass triathlon participation is a new trend, which manifests itself as a human need to invoke strong emotions and seek them in difficult sports, as well as to travel to participate in such events. Therefore, the main goal of this study was to recognise the motivations to participate in triathlons among men and women respondents, and to evaluate the differences between them. The empirical research among triathletes (n = 1141) recognised the motives for participation in mass triathlon sporting events in accordance with four types of orientation: social, experience, factual, and result. Most important conclusions resulting from the conducted research indicate that women significantly more often displayed the will to feel unity and integration, as well as the desire to gain recognition in the eyes of others, as compared to men. For men, the desire to feel equal was significantly more important than for women. Both men and women indicated the desire to maintain good physical condition and health, which turned out to be a significant factor. For men, Group B-specifying the experience orientation, was deemed the most important, while for women the most important group of motives was Group D-specifying the result orientation.

Motivation behind running among older adult runners.

BACKGROUND: Recreational running has greatly increased over the last decade, and different research has tried to understand the motivation that leads these amateur athletes to run. However, most research has focused on adult athletes, while the motivation behind older adult athletes has been overlooked. METHODS: The aim of this research was to analyse the motivational aspects of amateur runners aged over 50 years, and to consider the influence that years of practice, type of participation and some socio-demographical variables have on these older adults' motivation behind running. 244 older adult amateur athletes in total completed an online survey with the 56 items contained in the motivation of marathoners scales (MOMS), 108 of whom were female (44%), and 136 were male runners (56%). Athletes were asked about their years' running experience (< 1 year, 1-5 years, 6-10 years, > 10 years), their participation in running events (recreationally, half marathon, marathon, ultramarathon) and age (ranges 50-60, more than 60 years), gender (male, female), family life (whether in a relationship or not), and whether they had children (yes, no). RESULTS: The results showed statistical differences in the nine MOMS dimensions in terms of years' running experience and participation in different running events. Moreover, older adult runners' gender and age subsequently showed statistical differences with five and six motivational factors respectively, while athletes that did not have children were more likely to run regarding competition and showing recognition. Family life did not show any statistical association with any of the dimensions on the scale in this population, while regression analyses showed that, mainly, years' running experience and participation were positively predicted, together with most motivational dimensions, while having children was negatively predicted in some of them. CONCLUSIONS: This study showed that older adult runners' reasons for participating differ from those obtained in previous studies, especially regarding training experience and participation in events. Therefore, the older adult population should be specifically addressed.

Positive Behavior Management: Assessment of Rugby Referees in Children Sport.

During children's sports competitions, the referees play a special role. The referees are expected to be able to identify behavioral problems (of players, coaches, and fans), applying specific techniques to prevent negative behavior of players. Adapting these actions to the specifics of the group or individuals is crucial in providing a safe educational environment that promotes child development. The main objective of this research was to assess the quality of referees' interactions with players in terms of positive behavior management and proficiency during rugby matches of children aged 6-12 years. Twenty-three rugby referees officiating matches organized by the Polish Rugby Union in Poland participated in the study. The research used the Referee-Players' Interaction Assessment Scoring System tool. Additionally, referee-player interactions were recorded with a GoPro 8 camera along with audio from a wireless intercom. The significance of differences between the ratings for each indicator was tested by chi-squared test, while a non-parametric Wilcoxon signed-rank test was used to compare the mean ratings of positive behavior management and proficiency. The Mann-Whitney U-test was used to compare differences between assessments of experienced and inexperienced referees. The observations showed that referees were rated significantly higher in the proficiency dimension than in positive behavior management dimension. Nevertheless, both ratings represent an average level of quality of interactions with the players. The referee's experience did not determine the quality of his or her interactions with the players in the specific dimensions. The following conclusion was drawn from the research: referees should be trained in the methods and techniques for managing player behavior and should act to prevent the occurrence of negative behavior, by presenting clear and understandable expectations to players before the match and using preventive measures.

Are Individual and Environmental Characteristics Associated With Running Performance in Female Runners of Different Age Categories?

The purpose of this study was to identify the individual and environmental predictors associated with performance in female runners of different ages. The sample comprised 440 female Brazilian runners, who answered an online questionnaire, that provided information regarding height, weight, age (categories: "young adult", "adult", "early middle-age", and "older adults"), socioeconomic status, and training characteristics (frequency and volume per week, running pace, race event, and running club participation). Information about environmental variables was obtained from the official institutes and comprised the human development index (HDI), athletics events, athletic tracks, and female homicide. A linear regression model, clustered by state and performed by age groups, was computed. The sample presented a mean running pace of 5:57min/km, and a mean BMI of 23.51kg/m-2. An increase in running pace and volume/week was observed with increasing age. In "young adults", any of the variables were significantly associated with the performance. In "adult" group, only individual characteristics were statistically significantly related with the performance. In "early middle-age", besides BMI (ß=5.72; 95%CI=3.65-7.79) and training volume (ß=-0.67; 95%CI=-1.07 - -0.27), the HDI was associated with the performance (ß=-23.30; 95%CI=-44.11 - -2.49). In older adults, it was found an association between socioeconomic status (ß=-19.47; 95%CI=-32.29 - -6.65), practice time (ß=142.92; 95%CI=89.34-196.50), running event participation (ß=-80.12; 95%CI=-114.35- -45.88), athletic events (ß=33.44; 95%CI=15.16-51.72), and female homicide (ß=-0.11; 95%CI=-0.17 - -0.05) with the performance, highlighting the influence of both individual and environmental characteristics. Information about the role of these constraints, and their relationships, in female runners' performance, can be used to guide the development of projects/strategies aiming to increase their involvement in physical activities and sports practice, through the promotion of a more "friendly environment" to women, and providing support for decision-makers when suggesting/implementing public policies.