The effectiveness of an mHealth intervention on diabetes risk factors and body composition.

Early identification and lifestyle intervention is beneficial for people with risk for diabetes. The aim of this study was to evaluate the risk of type 2 diabetes (T2D) in healthy overweight or obese women using the FINDRISC score and a twelve-week long mobile app-based lifestyle intervention.Fifty-four subjects were involved and forty-eight were analysed, n = 28 in the intervention group (online group: OG) and n = 20 in the control group (CG). Body composition was assessed using the InBody 720 device and diabetes risk was evaluated with the Finnish Diabetes Risk Questionnaire. The calorie intake and macronutrients were evaluated by a 3-day diary. Group differences and pre- and post-results were analysed using student t-tests by TIBCO Statistica 13.40.14.Significantly decreased body mass index (28.0 ± 2.5 kg m-2 vs 25.8 ± 4.3 kg m-2, P = 0.00), body fat percentage (37.5 ± 6.3% vs 34.1 ± 5.9%, P = 0.03), waist circumference (100.8 ± 7.2 cm vs 94.7 ± 8.2 cm, P = 0.00) and visceral fat (124.0 ± 29.2 cm³ vs 109.0 ± 24.6 cm³, P = 0.04) were found in the OG. By the end of the programme, both groups showed significant decrease in food consumption, daily calorie intake (OG: 2,348.6 ± 348.0 vs 1,483.1 ± 114.4, CG: 2,372.4 ± 464.2 vs 1,654.1 ± 201.3 kcal day-1, P = 0.00), fibre (OG: 19.5 ± 3.7 vs 26.1 ± 3.4, CG: 17.8 ± 3.9 vs 22.0 ± 4.8 g day-1, P = 0.00) and cholesterol consumption (OG: 365.2 ± 58.9 vs 266.2 ± 65.8, CG: 377.4 ± 72.1 vs 269.2 ± 42.7 mg day-1, P = 0.00). OG had a more significant reduction in body mass index (P = 0.03) and body fat percentage (P = 0.04) values at the end of the programme compared to the control group.In this study, it was found that mHealth intervention is a useful and effective method in the Hungarian female population. Further studies are needed to investigate modifications of this intervention to achieve more health-related effects.

Frequency of Breakfast Eating and Obesity Prevalence in Primary School Teachers.

There is a lack of research using objective measures about teachers' physical characteristics and lifestyle. The purpose of the study was to evaluate the relationship between frequency of breakfast consumption and body size, body composition, blood pressure and lifestyle factors in teachers from Hungary. The study analyzed data collected from 99 female primary school teachers (50.6 ± 6.6 year) before the COVID-19 pandemic. Anthropometric and resting blood pressure measurements were taken for each participant. Questionnaires were used to assess lifestyle factors (i.e., physical activity level, smoking status and eating breakfast). The frequency of eating breakfast was classified as rarely or never (0-2 days), some days (3-5 days) and regularly (6-7 days). Sixty-five percent of female teachers consumed breakfast 6-7 days/week, and this regular eating habit was positively associated with a lower risk of obesity (OR 0.29; CI: 0.10-0.80). In our sample, a higher frequency of breakfast consumption was not significantly associated with smoking (OR 2.65; CI: 0.17-1.37), hypertension (OR 0.61; CI: 0.23-1.65) and inactivity (OR 2.80; CI: 0.26-1.84). A beneficial effect of eating breakfast regularly was found on body composition in female teachers. Further studies should focus on the health behaviors of teachers and their relationship with physical activity or diagnosed diseases in urban and rural areas.

Assessment of Dysfunctional Movements and Asymmetries in Children and Adolescents Using the Functional Movement Screen-A Narrative Review.

The Functional Movement Screen (FMS) is a screening tool that identifies dysfunctional movements in seven test items requiring an interplay of cognitive, perceptual, proprioceptive, and motor functions that involve muscular strength/endurance, flexibility, mobility, coordination, and balance. The results of the FMS include an overall composite score, scores on the individual test items, and identification of compensatory movement patterns and left-right asymmetries on 5 bilateral test items. Although there is a plethora of literature on the use of the FMS in adults, there is a growing body of evidence indicating its use in children. The available research in children involves school children and young athletes in at least 20 different sports in over 20 countries and comparisons between pre- and post-pubescent children, and normal weight, overweight, and obese children. Studies that include measures of adiposity and physical activity levels, or report prevalence of asymmetries and dysfunctional movement patterns are not well represented in the children's literature. The purpose of this paper is to synthesize the currently available literature in children and suggest potential uses of the FMS by coaches, physical educators, and other health/fitness professionals, appropriate interpretation of results, and future research in children.

Sex Differences in Dysfunctional Movements and Asymmetries in Young Normal Weight, Overweight, and Obese Children.

This study evaluated overall performance on the functional movement screen (FMS), prevalence of asymmetries and dysfunctional movements, and the relationship between measures of adiposity and the FMS score. Methods: Ninety-four (53 boys; 41 girls) 10-12-year-old children in Hungary and Germany who were participating in daily physical education performed the FMS. The mean FMS score in girls (14.1) was significantly higher than in boys (12.9). Individual test item scores were similar, except girls scored higher on the straight-leg raise. Most children (55% of boys, 68% of girls) presented with at least one asymmetry and 72% of boys and 76% of girls had at least one dysfunctional score. Measures of adiposity were negatively correlated to performance on all test items. Underweight and normal weight children performed significantly better on the FMS than overweight and obese children. Sex differences and the high prevalence of asymmetries and dysfunctional scores should be interpreted with caution since they may be due to dynamic changes in strength, proprioception, balance, and motor control that occur as part of growth and involvement in activities. Nevertheless, the high prevalence of asymmetries and dysfunctional scores indicate that most children have movement limitations.

Hair-based rapid analyses for multiple drugs in forensics and doping: application of dynamic multiple reaction monitoring with LC-MS/MS.

BACKGROUND: Considerable efforts are being extended to develop more effective methods to detect drugs in forensic science for applications such as preventing doping in sport. The aim of this study was to develop a sensitive and accurate method for analytes of forensic and toxicological nature in human hair at sub-pg levels. RESULTS: The hair test covers a range of different classes of drugs and metabolites of forensic and toxicological nature including selected anabolic steroids, cocaine, amphetamines, cannabinoids, opiates, bronchodilators, phencyclidine and ketamine. For extraction purposes, the hair samples were decontaminated using dichloromethane, ground and treated with 1 M sodium hydroxide and neutralised with hydrochloric acid and phosphate buffer and the homogenate was later extracted with hexane using liquid-liquid extraction (LLE). Following extraction from hair samples, drug-screening employed liquid chromatography coupled to tandem mass spectrometric (LC-MS/MS) analysis using dynamic multiple reaction monitoring (DYN-MRM) method using proprietary software. The screening method (for > 200 drugs/metabolites) was calibrated with a tailored drug mixture and was validated for 20 selected drugs for this study. Using standard additions to hair sample extracts, validation was in line with FDA guidance. A Zorbax Eclipse plus C18 (2.1 mm internal diameter × 100 mm length × 1.8 µm particle size) column was used for analysis. Total instrument run time was 8 minutes with no noted matrix interferences. The LOD of compounds ranged between 0.05-0.5 pg/mg of hair. 233 human hair samples were screened using this new method and samples were confirmed positive for 20 different drugs, mainly steroids and drugs of abuse. CONCLUSIONS: This is the first report of the application of this proprietary system to investigate the presence of drugs in human hair samples. The method is selective, sensitive and robust for the screening and confirmation of multiple drugs in a single analysis and has potential as a very useful tool for the analysis of large array of controlled substances and drugs of abuse.

Ten-year cardiovascular risk assessment in university students.

Cardiovascular disease (CVD) is responsible for more than half of all deaths in the European region. The aim of the study was to compare body composition, blood pressure, total cholesterol (TC) and high density lipoprotein cholesterol (HDL-C), family history, activity behaviors, and the 10-year risk of having a heart attack between 166 university students (21.62 ± 2.59 yrs) from Utah (USA) and 198 students (22.11 ± 2.51 yrs) from Hungary. Ninety-two percent of the Hungarian students and 100% of the Utah students had an estimated 10-year Framingham risk score of 1% or less. The high prevalence of low risk was primarily due to the young age of study participants, healthy body composition and non-smoking behavior. Hungarians who had higher 10-year risk of heart attack had significantly higher waist hip ratio (WHR), TC, diastolic blood pressure (DBP) and were smokers compared to those Hungarians with lower risk. The self-reported physical activity levels between the two groups of students were not different. In conclusion the young men and women who participated in this study were, for the most part healthy; however the smoking habits and the lower physical activity of the Hungarian students likely elevated their risk of CVD.

Examining physical activity and inactivity in 9-12 years old children.

Information about children's daily physical activity in Eastern-Europe is essential because of the increasing prevalence in overweight and obesity. Sixty-three children (age=11.16 ± 1.10 years; 33 boys and 30 girls) from two public elementary schools had their physical activity objectively measured using uni-axial accelerometer every 5 seconds for five consecutive days (3 weekdays, 2 weekend days). After data cleaning, 10 children were excluded from database. There were no significant differences in boys' and girls' BMI (17.6 ± 2.2 vs. 17.1 ± 2.4) and BF% (18.0 ± 5.2 vs. 19.4 ± 5.0). Children engaged in more sedentary, light, moderate, and vigorous physical activity and had higher counts per minute during weekdays compared to weekend days. There were no sex differences in moderate to vigorous physical activity (87.6 ± 22.4 vs. 93.5 ± 20.6 min and 53.6 ± 21.3 vs. 59.4 ± 22.0 min) during weekday and weekend days. Data indicated that 96% of the girls and 92% of the boys met the international physical activity guideline for children of 60 minutes of MVPA, on weekdays.

Incongruence in doping related attitudes, beliefs and opinions in the context of discordant behavioural data: in which measure do we trust?

BACKGROUND: Social psychology research on doping and outcome based evaluation of primary anti-doping prevention and intervention programmes have been dominated by self-reports. Having confidence in the validity and reliability of such data is vital. METHODOLOGY/PRINCIPAL FINDINGS: The sample of 82 athletes from 30 sports (52.4% female, mean age: 21.48±2.86 years) was split into quasi-experimental groups based on i) self-admitted previous experience with prohibited performance enhancing drugs (PED) and ii) the presence of at least one prohibited PED in hair covering up to 6 months prior to data collection. Participants responded to questionnaires assessing a range of social cognitive determinants of doping via self-reports; and completed a modified version of the Brief Implicit Association Test (BIAT) assessing implicit attitudes to doping relative to the acceptable nutritional supplements (NS). Social projection regarding NS was used as control. PEDs were detected in hair samples from 10 athletes (12% prevalence), none of whom admitted doping use. This group of 'deniers' was characterised by a dissociation between explicit (verbal declarations) and implicit (BIAT) responding, while convergence was observed in the 'clean' athlete group. This dissociation, if replicated, may act as a cognitive marker of the denier group, with promising applications of the combined explicit-implicit cognitive protocol as a proxy in lieu of biochemical detection methods in social science research. Overall, discrepancies in the relationship between declared doping-related opinion and implicit doping attitudes were observed between the groups, with control measures remaining unaffected. Questionnaire responses showed a pattern consistent with self-reported doping use. CONCLUSIONS/SIGNIFICANCE: Following our preliminary work, this study provides further evidence that both self-reports on behaviour and social cognitive measures could be affected by some form of response bias. This can question the validity of self-reports, with reliability remaining unaffected. Triangulation of various assessment methods is recommended.

Comparison of running performances and prevalence of overweight and obesity in Hungarian and Ukrainian adolescents.

The 20-m shuttle run (20-mSRT) is a widely used field test to estimate peak oxygen consumption (VO2peak) and thus to assess aerobic fitness of adolescents (11). The purpose of this study was to analyse differences in basic anthropometric measurements (stature, body mass, percent body fat, BMI) and in aerobic fitness of Hungarian and Ukrainian adolescent boys and girls. We examined gender differences in maximal speed (km h-1), in peak VO2 (mL kg-1 min-1) and maximal heart rate (HRmax min-1). Two hundred ninety-two Ukrainian (mean age=16.5±0.5) and 374 (mean age=16.5±0.5) Hungarian adolescents volunteered to participate in this study. Differences were analysed using factorial analysis of the variance (ANOVA) and Student's t-test. Statistical significance was set at p<0.05. Hungarian boys and girls were significantly taller, heavier and had higher percent body fat than their Ukrainian counterparts. Altogether 10% of Hungarians and 7% of Ukrainians were classified overweight or obese according to Cole's BMI classification (4). VO2peak of Ukrainians (mean=49.44±5.29 mL kg-1 min-1) were significantly higher than that of Hungarians (mean=41.93±8.40 mL kg-1 min-1). Maximal heart rate also differed significantly (Ukrainians mean=201.12±8.43 min-1 vs. Hungarians mean=185.38±18.38 min-1).In conclusion, aerobic fitness of the Ukrainian adolescents was significantly higher than that of the Hungarians independently of BMI or gender.

Virtue or pretense? Looking behind self-declared innocence in doping.

BACKGROUND: Social science studies of doping practices in sport rely predominantly on self-reports. Studies of psychoactive drug use indicate that self-reporting is characterised by under-reporting. Likewise doping practice is likely to be equally under-reported, if not more so. This calls for more sophisticated methods for such reporting and for independent, objective validation of its results. The aims of this study were: i) to contrast self-reported doping use with objective results from chemical hair analysis and ii) to investigate the influence of the discrepancy on doping attitudes, social projection, descriptive norms and perceived pressure to use doping. METHODOLOGY/PRINCIPAL FINDINGS: A doping attitudes questionnaire was developed and combined with a response latency-based implicit association test and hair sample analysis for key doping substances in 14 athletes selected from a larger sample (N = 82) to form contrast comparison groups. Results indicate that patterns of group differences in social projection, explicit attitude about and perceived pressure to use doping, vary depending on whether the user and non-user groups are defined by self-report or objectively verified through hair analysis. Thus, self-confessed users scored higher on social projection, explicit attitude to doping and perceived pressure. However, when a doping substance was detected in the hair of an athlete who denied doping use, their self-report evidenced extreme social desirability (negative attitude, low projection and low perceived pressure) and contrasted sharply with a more positive estimate of their implicit doping attitude. CONCLUSIONS/SIGNIFICANCE: Hair analysis for performance enhancing substances has shown considerable potential in validating athletes' doping attitude estimations and admissions of use. Results not only confirm the need for improved self-report methodology for future research in socially-sensitive domains but also indicate where the improvements are likely to come from: as chemical validation remains expensive, a more realistic promise for large scale studies and online data collection efforts is held by measures of implicit social cognition.

Physical activity levels of Hungarian children during school recess.

OBJECTIVE: The purpose of this study was to examine physical activity levels and patterns of physical activity across daily school recess periods, and the contribution of recess to daily physical activity. METHOD: Ninety-eight children (61% boys) from three schools in Hungary had their physical activity quantified using uni-axial accelerometry every 5 s for three consecutive school days (Wednesday to Friday). The proportion of time spent in sedentary, light, moderate-to-vigorous, and vigorous physical activity during 5 daily school recess periods was determined using existing age-appropriate cut-points. The relative contribution of recess to daily moderate-to-vigorous physical activity was also determined. Data were collected between May and October 2008. RESULTS: Boys engaged in significantly more light (30.6+/-5.2%; 27.7+/-5.1%), moderate-to-vigorous (24.9+/-8.9%; 17.5+/-5.2%) and vigorous physical activity (7.6+/-4.7%; 4.3+/-2.9%) than girls during recess. Girls (54.8+/-8.1%) engaged in more sedentary activity than boys (44.5+/-10.2%). Physical activity levels were generally similar across multiple recess periods. Recess contributed more moderate-to-vigorous physical activity towards weekday physical activity for boys (13.1%) than girls (10.8%). CONCLUSIONS: Since sedentary activity accounted for the largest proportion of recess, interventions may be needed across all recess periods to promote physical activity during the school day.

Self-rated health, psychosocial functioning, andother dimensions of adolescent health in Centraland Eastern European adolescents

Background and Objectives: Although studied extensively among adults,self-rated health (SRH) has not received the same research attention among adolescents. Ithas been suggested that SRH in adolescents may be a function of adolescents’ overallsense of functioning and may reflect psychosocial functioning more so than in adults. Therating of health as poor by adolescents might be a somatic expression of life distress andmay be connected with risky behaviors. Therefore, the purpose of this study was to investigateself-rated health (SRH) in Central and Eastern European (CEE) adolescents and determineits association with psychosocial functioning and other dimensions of adolescenthealth.Methods: A survey was administered to 3,123 students in 34 secondary schools acrossCEE which included measures of SRH, psychosocial functioning (loneliness, hopelessness,shyness, perceptions of social status, self-rated happiness, and perception of physical (..) (AU)

Cigarette smoking and indicators of psychosocial distress in Southeast Asian and Central-Eastern European adolescents.

The purpose of this study was to examine the association of cigarette smoking and 2 indicators of psychosocial distress (hopelessness and loneliness) among adolescents from 2 distinctly different regions of the world: Central-Eastern Europe (Hungary, Ukraine, Slovakia, Czech Republic, Romania, Poland) and Southeast Asia (Thailand, Taiwan, and the Philippines). Among Southeast Asian boys and girls, smokers had elevated hopelessness in comparison to nonsmokers but among Central-Eastern European students, this relationship was true only for girls and there was no relationship for boys. Across the country samples, there was only association of smoking with loneliness among Southeast Asian girls and Central-Eastern European girls. While Southeast Asian girls who smoked scored higher on loneliness than nonsmokers, the opposite was true among Central-Eastern European girls, with smokers scoring lower on loneliness.

Self-perception of body weight, weight management practices and goals, and other weight-related factors in central and eastern European adolescents.

Self-perception of body weight, management practices and goals, and other weight-related factors were assessed among a sample of 2,566 adolescents from 30 high schools in Hungary, Slovakia, Czech Republic, Romania, Ukraine, and Poland. Students who perceived themselves as much too fat were more likely than those with other weight perceptions to engage in weight management practices to lose weight, have higher body mass index, rate themselves lower on physical attractiveness, and estimate higher percentages of their same-sex friends as trying to lose weight. Similar to other research, boys and girls differed on self-perception of weight and other weight-related factors. Cross-cultural comparisons between central and eastern European adolescents and U.S. adolescents, as well as east and southeast Asian youth are made. Implications for health education practice are discussed.