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The purpose of this study was to examine exercise preferences of college students (CS), and explore potential gender differences to inform interventions. Participants (N = 187, 18-25 years) completed an online survey. Descriptive statistics were conducted to characterize preferences for exercise type and mode of delivery, followed by X[superscript 2] tests to assess potential gender differences. CS preferred a combination of moderate intensity cardio and strength training. Most CS preferred exercising on their own with guidance from a program. Men preferred intense strength training at higher rates than women (p < 0.001). Findings can inform tailored recruitment messaging and lifestyle interventions for this high-risk population.

Introduction Social jetlag (SJL), the discrepancy in sleep timing between weekdays and weekends, is associated with higher BMI and cardiometabolic risk and is common in young adults. We examined whether chronic SJL impacts weight gain in young adults participating in a weight gain prevention trial. Methods Young adults (n = 599, age 18-35; BMI: 21.0-30.9 kg/m.sup.2) completed assessments at 0, 4, 12, and 24 months. Multilevel mixed growth models were used to examine (1) associations between demographics and longitudinal SJL and (2) longitudinal SJL as a predictor of weight change and cardiometabolic outcomes. SJL was assessed as a continuous and clinically-significant dichotomous (< vs. [greater than or equal to]2 h) variable. Results 38% of participants had clinically-significant SJL at [greater than or equal to] 1 timepoints (Baseline M ± SD = 1.3±0.89). Younger (b=-0.05, p < 0.001), female (b = 0.18, p = 0.037) and Black (compared to White, b = 0.23, p = 0.045) participants were more likely to have greater SJL. Individuals with high SJL ([greater than or equal to] 2 h; between-person effect) were more likely to have greater weight gain over 2 years (b = 0.05, p = 0.028). High SJL did not affect the rate of change in waist circumference or cardiometabolic markers over time. Conclusions High SJL is associated with greater weight gain over time. Reducing SJL may positively impact weight status in young adults., Author(s): Jacqueline F. Hayes [sup.1] [sup.8] , Leah M. Schumacher [sup.1] [sup.8] , Autumn Lanoye [sup.4] [sup.5] , Jessica Gokee LaRose [sup.4] , Deborah F. Tate [sup.2] , Mark A. [...]

Objective: Our objective was to evaluate the feasibility and effectiveness of a school-based hydration initiative in elementary schools. Methods: Hydration initiative included (1) placement of hydration stations, (2) promotional and educational activities during "Water Week," and (3) provision of reusable water bottles. Surveys were administered at baseline and follow-up to assess student beverage intake and perceptions about the school's environmental hydration policies and practices. Water bottle fills were assessed objectively at baseline, post-Water Week, and followup via weekly counts from hydration stations. Results: Water use increased post-Water Week (2.97±2.14), declining to 0.71±0.47 2 weeks later. At follow-up, frequency of soda consumption decreased (-.01 times/day; p < .001), self-reported water refill station use increased (p = .011), and a decrease (-.04 cups/day) in overall daily water intake (p = .043). At follow-up, there was an increase in the percentage of school personnel who reported their school promoted water as the best choice (p = .039). Students and teachers reported positive attitudes towards hydration stations, with some concerns about water bottle use in classrooms. Conclusion: The intervention reduced soda consumption and improved school hydration culture. Results can inform hydration policy and programming efforts for elementary school students. [ABSTRACT FROM AUTHOR]

Abstract Objective: The study assessed perceived health, health behaviors and conditions, and medical care utilization among students of different weight categories. Participants: Participants were college students (n = 37,583) from 58 institutions who responded to a national survey of student health behaviors. Methods: Chi-squared and mixed model analyses were completed. Results: Compared to healthy weight students, those with obesity were less likely to report excellent health and meet dietary and physical activity recommendations, and more likely to have obesity-related chronic conditions and to have attended a medical appointment in the prior 12 months. Students with obesity (84%) and overweight (70%) were more likely to be attempting weight loss compared to students of healthy weight (35%). Conclusions: Students with obesity have poorer health and health behaviors relative to students of healthy weight; students with overweight were in between. Adapting and implementing evidence-based weight management programs within colleges/universities may be beneficial for student health. [ABSTRACT FROM AUTHOR]

Objective: Cardiovascular health (CVH) declines in young adulthood. This study assessed whether weight gain prevention interventions promoted ideal CVH. Methods: Young adults (n = 599; age 18–35 years; BMI: 21.0–30.9 kg/m2) from a randomized controlled trial comparing two weight gain prevention interventions (self‐regulation with large or small changes) and a self‐guided control group completed anthropometric and clinical assessments at baseline and 2 years. CVH was quantified via the American Heart Association's Life's Simple 7 (LS7) number of ideal components met. Results: Both interventions showed significant improvements in the average number of ideal LS7 components met at 2 years compared with control (pre‐ to post‐treatment means; large change: 0.24, small change: 0.34, control: −0.2, p < 0.05). Moreover, a greater percentage of participants in both interventions improved by ≥1 ideal component (large change: 35%, small change: 37%, control: 29%) and a smaller percentage declined by ≥1 ideal component (large change: 16%, small change: 20%, control: 30%) compared with control. For individual LS7 components, the odds of having an ideal BMI and glucose varied by treatment condition at 2 years. Conclusions: Two weight gain prevention interventions led to improvements in ideal CVH at 2 years. Interventions explicitly focused on a broader constellation of LS7 domains might lead to even greater changes in CVH. [ABSTRACT FROM AUTHOR]

Objective: To evaluate the feasibility, acceptability, and preliminary efficacy of a multisystem transition preparation intervention, SHIFT, for young adults (YAs) with type 1 diabetes (T1D).Methods: A single-arm, clinic-based pilot was conducted with 25 YAs with T1D (M age = 18.9 ± 1.0 years; 80% female), their parents (n = 25), and their providers (n = 10). Young adults and parents participated in a 6-month intervention designed to enhance transition readiness and independent diabetes management. Providers viewed a video module highlighting their role preparing YAs for transition and received individualized reports of YA's goals and transition readiness. Intervention feasibility (i.e., recruitment, retention, and engagement) and acceptability (e.g., program satisfaction) were assessed. Assessments of transition readiness, diabetes engagement, hemoglobin A1c (HbA1c), and related psychosocial variables were conducted at baseline, post-intervention (6 m), and follow-up (9 m). Paired t-tests examined 0-6 m and 0-9 m changes in study constructs.Results: SHIFT was feasible, evidenced by recruitment (100% of sample recruited in 4 m), retention (100% at 6 m), and YA session attendance (100%). Program satisfaction was high for YAs, parents, and providers (9.12 ± 1.40, 8.79 ± 1.56, 8.20 ± 1.30, respectively, [out of 10]). Significant improvements (with effect sizes ranging from small to medium) were observed in parent and YA-reported transition readiness at 6 and 9 m (ps<.05) and diabetes engagement at 9 m (ps<.05). Although based on limited data due to COVID-19-related disruptions, a potential reduction in HbA1c was also observed.Conclusion: Findings support the feasibility, acceptability, and preliminary efficacy of SHIFT (although limited by the single arm design and homogeneous sample), and suggest a larger randomized controlled trial is warranted. [ABSTRACT FROM AUTHOR]

Background: Physical inactivity is common in young adult cancer survivors (YACS), but evidence regarding effects of physical activity (PA) interventions among YACS is limited. The IMproving Physical Activity after Cancer Treatment (IMPACT) trial evaluated a theory‐based mobile PA intervention on total PA minutes/week (primary) and secondary outcomes (moderate‐to‐vigorous PA [MVPA], light PA, steps, sedentary behaviors) at 6 months in YACS. Methods: YACS (N = 280) were randomized to an intervention group or self‐help group. All participants received digital tools (activity tracker, smart scale, access to arm‐specific Facebook group) and an individual video chat session. Intervention participants also received a 6‐month program with behavioral lessons, adaptive goal‐setting, tailored feedback, tailored text messages, and Facebook prompts. PA was assessed via accelerometry and questionnaires at baseline and 6 months. Generalized estimating equation analyses tested between‐group differences in changes over time. Results: Of 280 YACS, 251 (90%) completed the 6‐month accelerometry measures. Accelerometer‐measured total PA minutes/week changed from 1974.26 at baseline to 2024.34 at 6 months in the intervention (mean change, 55.14 [95% CI, −40.91 to 151.19]) and from 1814.93 to 1877.68 in the self‐help group (40.94 [95% CI, −62.14 to 144.02]; between‐group p =.84). Increases in MVPA were +24.67 minutes/week (95% CI, 14.77–34.57) in the intervention versus +11.41 minutes/week in the self‐help (95% CI, 1.44–21.38; between‐group p =.07). Conclusion: Although the intervention did not result in significant differences in total PA, the increase in MVPA relative to the self‐help group might be associated with important health benefits. Future research should examine moderators to identify for whom, and under what conditions, the intervention might be effective. ClinicalTrials.gov Identifier: NCT03569605. Plain Language Summary: Physical inactivity is common in young adult cancer survivors. However, few interventions have focused on helping young adult cancer survivors to get more physical activity.The IMproving Physical Activity after Cancer Treatment trial compared a mobile health physical activity intervention with a self‐help group on total amount of physical activity at 6 months in a nationwide sample of young adult cancer survivors.Intervention participants did not improve their total amount of physical activity, but they did increase their moderate‐to‐vigorous intensity physical activity by twice as much as the self‐help participants. This increase in activity may be associated with health benefits. Young adult cancer survivors participating in a mobile health intervention did not significantly increase accelerometer‐measured total physical activity after 6 months and did not differ from self‐help participants who only received digital tools (activity tracker, smart scale, access to a Facebook group). However, the intervention doubled the increase in accelerometer‐measured moderate‐to‐vigorous physical activity relative to the self‐help group, which may be associated with important health benefits. [ABSTRACT FROM AUTHOR]

The purpose of this study was to examine exercise preferences of college students (CS), and explore potential gender differences to inform interventions. Participants (N = 187, 18–25 years) completed an online survey. Descriptive statistics were conducted to characterize preferences for exercise type and mode of delivery, followed by χ2 tests to assess potential gender differences. CS preferred a combination of moderate intensity cardio and strength training. Most CS preferred exercising on their own with guidance from a program. Men preferred intense strength training at higher rates than women (p <.001). Findings can inform tailored recruitment messaging and lifestyle interventions for this high-risk population. [ABSTRACT FROM AUTHOR]

Summary: Background: The optimal role for involving parents in adolescent obesity treatment is unknown. Objective: To demonstrate that two parent approaches within adolescent obesity treatment are distinct, as evidenced by differential parent outcomes, and determine the preliminary efficacy of each approach on adolescent weight loss. Methods: Adolescent/parent dyads (N = 82; mean adolescent age = 13.7 ± 1.2 years) participated in TEENS+, a 4‐month behavioural weight loss treatment. Participants were randomized to: (1) TEENS+parents as coaches (PAC; parent skills training), or (2) TEENS+parent weight loss (PWL; adult behavioural weight loss). Assessments occurred at 0, 4 (post‐treatment), and 7‐months. Within‐ and between‐group repeated measures general linear mixed models examined change in parent weight (∆kg; primary outcome); parenting, feeding, weight control strategies, home environment, and adolescent body mass index (∆BMI; secondary outcomes). Results: PWL parents had greater 4‐month weight losses (∆kg0–4m = −5.14 ± 4.87 kg) compared to PAC (−2.07 ± 3.89 kg; between‐group p < 0.01). Key constructs differed between groups as expected. Both groups yielded significant within‐group adolescent ∆BMI0–4m (PWL: −0.97 ± 1.38 kg/m2 vs. PAC: −0.93 ± 1.42 kg/m2; ps < 0.01); during maintenance, adolescents in PWL had ∆BMI4–7m increases (+0.41 ± 1.07 kg/m2; p = 0.02) while PAC did not (+0.05 ± 1.31 kg/m2; p = 0.82). Conclusion: Parent treatments were distinct in implementation and both yielded significant 4‐month adolescent weight loss. Differential weight patterns were observed during maintenance, favouring PAC, warranting further exploration. [ABSTRACT FROM AUTHOR]