Articles: adolescent.
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Preventive medicine · Feb 2025
Review Meta AnalysisSchool-based environment and physical activity in adolescents: A systematic review and meta-analysis.
This study aimed to evaluate the effectiveness of school environmental factors in promoting adolescents' physical activity. ⋯ This meta-analysis demonstrates the role of school environment in promoting adolescents' physical activity. School social environmental factors, including school-offered daily physical education, school-organized extracurricular physical activities, encouragement to use sports resources, and outdoor obstacle courses, are particularly effective in enhancing adolescents' physical activity. Among school physical environmental factors, the number of physical activity facilities was found to be a key factor in promoting adolescents' physical activity.
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Injuries and violence are among the most prominent public health problems in the world. As well as being a leading cause of mortality - particularly among children and young adults - many of the millions of non-fatal injuries result in life-long disabilities and health consequences. The aim of this study was to estimate the prevalence of unintentional injuries and violence, and their associated factors among high school students. ⋯ This study demonstrated that the prevalence of unintentional injuries and violence among high school students is a major public health problem in Turkey. This study results can have important implications for school administration, parents, and policymakers alike to plan appropriate anti-violence strategies and interventions.
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About one in five adolescents undergoing major surgery develops chronic post-surgical pain (CPSP). Various risk and resilience factors for recovery and CPSP have been identified, including parental processes. However, research commonly relies on nomothetic data, while the psychometric properties of diaries assessing pediatric post-surgical recovery in everyday life are understudied. Therefore, this study aimed to evaluate the preliminary reliability, validity, and variability of diary data in adolescents, and their parents, after spinal fusion surgery. ⋯ The results provide the first evidence for the psychometric properties, with regard to reliability, validity and variability, for diary measures to monitor processes of post-surgical recovery in everyday life in adolescents undergoing spinal fusion surgery. However, replication is suggested, for refinement and further validation, with particular attention to variability and evaluation of sensitivity to change.
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Menstrual pain is associated with deficits in central pain processing, yet neuroimaging studies to date have all been limited by focusing on group comparisons of adult women with vs without menstrual pain. This study aimed to investigate the role of the triple network model (TNM) of brain networks in adolescent girls with varied menstrual pain severity ratings. One hundred participants (ages 13-19 years) completed a 6-min resting state functional magnetic resonance imaging (fMRI) scan and rated menstrual pain severity, menstrual pain interference, and cumulative menstrual pain exposure. ⋯ In addition, menstrual pain interference was positively associated with connectivity within the left CEN, whereas connectivity both within the right CEN and between the right CEN and cortical areas outside the network (including the insula) were negatively associated with menstrual pain interference. Cumulative menstrual pain exposure shared a strong negative association with connectivity between the default mode network and other widespread regions associated with large-scale brain networks. These findings support a key role for the involvement of TNM brain networks in menstrual pain characteristics and suggest that alterations in pain processing exist in adolescents with varying levels of menstrual pain.