Journal of Preventive Medicine and Public Health

Original Articles

Association of Sedentary Lifestyle With Skeletal Muscle Strength and Mass in US Adolescents: Results From the National Health and Nutrition Examination Survey (2011-2014): Kun-Hee Oh, Jin-Young Min, Kang Seo, Kyoung-Bok Min; J Prev Med Public Health. 2025;58(3):278-288. Published online January 30, 2025; DOI: https://doi.org/10.3961/jpmph.24.614

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Abstract Summary PDF Supplementary Material

Objectives
Excessive sedentary behavior in youth is a major global issue, contributing to the rise in childhood obesity and metabolic diseases. International public health authorities have issued guidelines recommending that children and adolescents limit their daily sedentary time, including screen time. However, to date, no studies have explored the relationship between sedentary behavior as an exposure factor and skeletal muscle strength and mass as outcomes in this population. The present study investigated the association of sedentary behavior with handgrip strength (HGS) and appendicular lean mass (ALM) among United States adolescents.
Methods
A total of 1449 adolescent participants from the National Health and Nutrition Examination Survey (2011-2014) were included. Information on sedentary behavior, specifically daily sedentary time, was obtained through a self-reported questionnaire. Muscular parameters, including HGS and ALM, were measured. To adjust for differences in body size, these parameters were divided by body mass index (BMI) and weight. Linear regression analyses were performed to evaluate the associations between daily sedentary time and each muscular parameter, adjusting for age, sex, ethnicity, annual family income, and moderate-to-vigorous physical activity (MVPA).
Results
The linear regression analyses revealed negative associations between daily sedentary time and all muscular parameters, apart from absolute ALM. These included HGS (β, -0.265; standard error [SE], 0.074; p=0.001), HGS/BMI (β, -0.021; SE, 0.004; p<0.001), HGS/weight (β, -0.008; SE, 0.002; p<0.001), ALM/BMI (β, -0.008; SE, 0.003; p=0.010), and ALM/weight (β, -0.003; SE, 0.001; p=0.005).
Conclusions
After adjusting for MVPA, daily sedentary time was inversely associated with HGS, HGS/BMI, HGS/weight, ALM/BMI, and ALM/weight in United States adolescents.

Summary

Korean summary
소아청소년기의 과도한 좌식 습관은 소아 비만 등의 건강문제를 초래하여 전세계적인 공중보건학적 이슈가 되었고, 이에 따라 다수의 공중보건 관련 가이드라인에서 소아청소년의 일일 좌식 시간을 제한할 것을 권고하고 있다. 미국 국민건강영양조사(NHANES) 자료를 이용하여 15-19세 청소년을 대상으로 일일 좌식 시간과 각 근육 관련 변수(악력, 상대적 악력, 사지골격근량, 상대적 사지골격근량)의 상관관계를 선형 회귀분석을 통해 분석하였으며, 나이, 성별, 인종, 연간 가구 소득, 중-고강도 신체활동을 공변량으로 보정하였다. 미국 청소년에서 중-고강도 신체활동을 보정한 뒤에도, 일일 좌식 시간과 악력, 악력/BMI, 악력/체중, 사지골격근량/BMI, 사지골격근량/체중은 각각 음의 상관관계를 나타내었다.

Key Message
Since excessive sedentary behavior in youth is a global issue, contributing to the childhood obesity, international public health authorities issued guidelines recommending that adolescents limit their daily sedentary time. For eligible study population of U.S. adolescents aged 15-19 year-old of NHANES, linear regression analyses were performed to evaluate the associations between daily sedentary time and each muscular parameter (HGS, relative HGS, ALM, and relative ALM), adjusting for age, sex, ethnicity, annual family income, and moderate-to-vigorous physical activity (MVPA). After adjusting for MVPA, daily sedentary time was inversely associated with HGS, HGS/BMI, HGS/weight, ALM/BMI, and ALM/weight in U.S. adolescents.

Citations

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Teenagers with Obesity at the Gym: Recommendations for Physical Activity, Diet, and Supplementation—A Narrative Review
Agnieszka Kozioł-Kozakowska, Małgorzata Wójcik, Paulina Mazur-Kurach, Dorota Drożdż, Anna Brzęk
Nutrients.2025; 17(11): 1798. CrossRef

Association Between Digital Addiction and Physical Activity in Korean Adults Across Age Groups: An Analysis of Community Health Survey Data: Kyungsin Lee, Inmyung Song; J Prev Med Public Health. 2025;58(3):289-297. Published online January 24, 2025; DOI: https://doi.org/10.3961/jpmph.24.683

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Abstract Summary PDF: Objectives
Extensive research has been conducted on digital addiction, particularly concerning internet, gaming, and smartphone use among adolescents and young adults. However, there is limited information about digital addiction in adults, especially in relation to physical activity (PA). This study investigated the prevalence of digital addiction among Korean adults and explored its association with PA across various age groups.
Methods
Using data from the 2023 Community Health Survey (n=231 752), this study estimated the prevalence of digital addiction, defined as experiencing impaired daily functioning due to excessive internet, gaming, or smartphone use. PA was defined as exercise and regular walking. Multiple logistic regression was conducted to examine the association between PA and digital addiction in the full sample and by age group (<40, 40-59, and ≥60 years).
Results
In 2023, the prevalence of digital addiction among adults was estimated to be 12.0%. Significantly higher odds of digital addiction were observed in younger age groups. Individuals who reported perceived stress or depression were at an increased risk for digital addiction. Conversely, PA was linked to a reduced risk of digital addiction, with odds ratios of 0.96 (p<0.05) for exercise and 0.93 (p<0.001) for regular walking. Notably, regular walking was associated with a reduced risk of digital addiction only in the 40-59 age group.
Conclusions
PA, particularly regular walking, is linked to a lower risk of digital addiction in Korean adults. Encouraging regular walking may help reduce digital addiction among middle-aged adults.; Summary

Korean summary
2023년 지역사회건강조사 자료를 분석한 결과, 한국 19세 이상 성인에서 디지털중독 유병률은 12.0%였으며, 규칙적인 신체활동은 낮은 디지털중독의 위험과 유의한 연관성이 있음을 확인하였다(운동 OR=0.96, p<0.05; 걷기 OR=0.93, p<0.001). 특히 중년층(40~59세)에서 규칙적인 걷기는 디지털중독의 위험 감소와 유의한 관련성을 보였다. 이 결과는 중년층을 대상으로 한 신체활동 증진이 디지털중독의 위험을 낮추는데 기여할 수 있음을 시사한다.

Key Message
Previous studies on digital addiction have focused on adolescents and young adults. We found that regular walking was associated with a lower risk of digital addiction, especially among adults aged 40 to 59 years. Physical activity may lower the risk of digital addiction in this age group.

Church Leaders’ Health Behaviors and Program Implementation in the Faith, Activity, and Nutrition Program in the United States: Kelsey R. Day, Sara Wilcox, Lindsay Decker, John Bernhart, Meghan Baruth, Andrew T. Kaczynski, Christine A. Pellegrini; J Prev Med Public Health. 2025;58(2):146-155. Published online November 13, 2024; DOI: https://doi.org/10.3961/jpmph.24.384

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Abstract Summary PDF: Objectives
Church leaders are important to the success of faith-based health promotion interventions through the role modeling of health behaviors. However, clergy may be at a higher risk of chronic disease than their congregants and their health is understudied. This study examined church leaders’ health-related behaviors, differences in health behaviors by socio-demographic characteristics, and associations between health behaviors and church-level implementation of an ecological intervention.
Methods
Pastors (n=93) and church coordinators (n=92) reported body mass index (BMI), self-rated health, fruit and vegetable consumption (F&V), and physical activity (PA) at baseline and 12 months post-training in the intervention. Church coordinators reported program implementation for their church. Socio-demographic differences and associations between changes in health behaviors and program implementation were tested with regression models. Changes in health-related variables were examined using paired t-tests and McNemar’s test.
Results
Pastors (40.9% women, 41.9% Black/African American) had a mean BMI of 30.0 kg/m²; 23.7% met F&V guidelines and 45.2% met PA guidelines. Black/African American pastors were less likely to meet F&V guidelines and had lower self-rated health than their counterparts. Pastor PA improved over time, but pastor health behaviors were not associated with program implementation. Church coordinators’ (94.6% women, 39.1% Black/African American) mean BMI was 27.8 kg/m²; 27.2% met F&V guidelines and 62.0% met PA guidelines. Black/African American church coordinators had higher BMIs and lower self-rated health than their counterparts. Church coordinator F&V intake improved over time; self-rated health was positively associated with PA program implementation.
Conclusions
This study underscores the need for preventive interventions for church leaders.; Summary

Key Message
This study explored the health behaviors of church leaders, including differences by socio-demographics and changes in church leader health behaviors during the 12-month implementation of a faith-based physical activity and dietary intervention. Most Pastors did not meet fruit and vegetable (F&V) or physical activity (PA) guidelines. Pastor PA improved over time but was unrelated to program implementation. Most church coordinators did not meet F&V guidelines while over half met PA guidelines. Coordinators’ F&V intake improved, over time, and their self-rated health correlated with program implementation. This study underscores the need for preventive interventions for church leaders.

Systematic Review

Effects of Physical and Mind-body Exercise on Sleep Quality in Individuals With Diabetes Mellitus: A Systematic Review and Meta‐analysis: Yohanes Andy Rias, Renny Wulan Apriliyasari, Made Satya Nugraha Gautama, Faizul Hasan, Margareta Teli, Hsiao-Yean Chiu, Ratsiri Thato; J Prev Med Public Health. 2025;58(1):1-10. Published online October 7, 2024; DOI: https://doi.org/10.3961/jpmph.24.354

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Abstract Summary PDF Supplementary Material

Objectives
Physical and mind-body exercises represent distinct intervention strategies that may improve sleep quality by influencing physiological and psychological factors. Nevertheless, their effectiveness in individuals with diabetes is not well-established. This systematic review and meta-analysis aimed to examine the impacts of physical and mind-body exercise interventions on sleep quality in patients with diabetes mellitus.
Methods
Six randomized controlled trials (RCTs) that met the inclusion criteria were identified from PubMed, CINAHL, Embase, Scopus, Web of Science, Cochrane, and Ovid-Medline Library. The effect size for sleep quality was calculated using the standardized mean difference (SMD) with a 95% confidence interval (CI), employing a random-effects model. Heterogeneity and publication bias were also examined, and subgroup, meta-regression, and sensitivity analyses were performed.
Results
Physical and mind-body exercise interventions significantly improved sleep quality, with an SMD of -1.040 (95% CI, -1.686 to -0.394). Subgroup analysis revealed significant differences with respect to the type of intervention (p=0.047), or its duration (p=0.282). Meta-regression analysis indicated that mean hemoglobin A1c level was the only factor to be significantly related to the effect size for sleep quality, demonstrating a negative association (p=0.033). The assessment of publication bias and the sensitivity analysis suggested that the findings were reliable and robust.
Conclusions
Physical and mind-body exercises may serve as effective interventions for patients with diabetes mellitus who experience poor sleep quality. However, to substantiate these findings, additional rigorous RCTs with larger sample sizes, longer follow-up periods, and standardized interventions are required.

Summary

Key Message
This systematic review and meta-analysis reviewed the impact of physical and mind-body exercise interventions on sleep quality in individuals with diabetes mellitus, examining six randomised, controlled trials. The results indicated a notable enhancement in sleep quality. A meta-analysis revealed a negative correlation between haemoglobin A1c levels and improvements in sleep quality. The findings suggest that physical and mind-body exercise are effective methods for improving sleep quality; however, additional rigorous research with larger sample sizes and standardised protocols is necessary.

Citations

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Assessment of Sleep Quality and Its Determinants Among Patients with Type 2 Diabetes Mellitus in Mogadishu, Somalia: A Cross-Sectional Study
Nur Mohamed, Rahma Haji Mohamud, Fadumo Hilowle, Tigad Ali, Yusuf Abdirisak Mohamed, Adan Gabow, Hawa Mohamed, Nor Sidow, Mohamed Sheikh Hassan, Mohamud Waberi
Diabetes, Metabolic Syndrome and Obesity.2025; Volume 18: 1949. CrossRef
Acute and chronic effects of inspiratory muscle training in patients with type 2 diabetes mellitus: a systematic review of randomized controlled trials
Zoé Breuil-Marsal, Clémence Godek, Amandine Lotti, Patrick Feiereisen, Isabela Roque Marçal, Patricia Rehder-Santos, Juliana Cristina Milan-Mattos, Raphael Martins de Abreu
Frontiers in Sports and Active Living.2024;[Epub] CrossRef

Original Articles

Empowering Rural Housewives in Iran: Utilizing the Transtheoretical Model to Increase Physical Activity: Mahboobe Borhani, Zakieh Sadat Hosseini, Najme Shahabodin, Ali Mehri, Mohadese Kiani, Marzieh Abedi; J Prev Med Public Health. 2024;57(2):167-175. Published online January 31, 2024; DOI: https://doi.org/10.3961/jpmph.23.457

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Objectives
Rural housewives are integral to household management and family care, yet their sedentary lifestyles present significant health risks. This study used the transtheoretical model (TTM) to investigate strategies that encourage and maintain regular exercise habits among rural housewives.
Methods
A semi-experimental study was conducted in 2021 with 114 housewives aged 30 to 59 who attended rural health centers in Gorgan, Iran. Participants were randomly assigned to 1 of 2 groups. Data collection involved a validated questionnaire that gathered demographic information and constructs of the TTM. The intervention group participated in a comprehensive educational program, which included four 60-minute sessions. Data were collected again 6 months post-intervention and analyzed using descriptive and inferential statistics in SPSS version 21.
Results
The study encompassed women with an average age of 39.75±6.05 years, the majority of whom had educational levels below a diploma, and over 90% were married. We observed strong correlations between the processes of change, self-efficacy, and decisional balance. At the outset, there were no significant differences in demographics or model structures between the 2 groups. However, 6 months post-intervention, the intervention group exhibited statistically significant differences in the mean scores of model structures, stages of change, and body mass index (<>p<0.05).
Conclusions
This study highlights the importance of physical activity training for rural housewives. The findings suggest that the educational intervention, which utilized the TTM, significantly impacted the participants’ model structures and their stages of change.

Summary

Key Message
The study aimed to investigate strategies for promoting and sustaining regular exercise habits among rural housewives using the transtheoretical model (TTM). A semi-experimental study was conducted with 114 housewives aged 30 to 59 in Iran. The intervention group received a comprehensive educational program, and after 6 months, they exhibited significant differences in model structures, stages of change, and body mass index compared to the control group. These findings underscore the importance of physical activity training for rural housewives and suggest that the educational intervention utilizing the TTM substantially impacted the participants' model structures and stages of change.

Citations

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The impact of training based on the transtheoretical model on increasing physical activity in overweight and obese housewives
Tayebeh Rakhshani, Zahra Jalalpour, Mohsen Jafari, Samira Taravatmanesh, Amirhossein Kamyab, Ali Khani Jeihooni
BMC Women's Health.2025;[Epub] CrossRef
The effect of trans-theoretical model stage-matched intervention on medication adherence in hypertensive patients
Kamran Saeidi, Tina Ghavami, Soodeh Shahsavari, Soraya Siabani, Fatemeh Rajati
Frontiers in Cardiovascular Medicine.2024;[Epub] CrossRef

Impact of Physical Activity on the Association Between Unhealthy Adolescent Behaviors and Anxiety Among Korean Adolescents: A Cross-sectional Study: Hyo-jung Lee, Jeong Pil Choi, Kunhee Oh, Jin-Young Min, Kyoung-Bok Min; J Prev Med Public Health. 2023;56(6):552-562. Published online November 15, 2023; DOI: https://doi.org/10.3961/jpmph.23.313

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Abstract Summary PDF: Objectives
Adolescents who engage in unhealthy behaviors are particularly vulnerable to anxiety. We hypothesized that participation in physical activity could influence the relationship between anxiety and unhealthy behaviors in adolescents. These behaviors include smoking, alcohol consumption, and unsafe sexual activity.
Methods
This study included 50 301 students from the first year of middle school to the third year of high school, all from Korea. The unhealthy adolescent behaviors examined included current alcohol consumption, current smoking, and unsafe sexual behavior. Anxiety levels were assessed using the Generalized Anxiety Disorder-7 questionnaire (GAD-7).
Results
The participants had a mean age of 15.19 years and an average GAD-7 score of 4.23. No significant differences were observed in GAD-7 score among exercising participants when categorized by smoking status (p=0.835) or unsafe sexual behavior (p=0.489). In contrast, participants in the non-exercise group who engaged in these behaviors demonstrated significantly higher GAD-7 scores (p<0.001 and 0.016, respectively). The only significant interaction was found between unsafe sexual behavior and exercise (p=0.009). Based on logistic regression analysis, within the non-exercise group, significant positive associations were observed between current smoking and anxiety (odds ratio [OR], 1.36; 95% confidence interval [CI], 1.18 to 1.57), as well as between unsafe sexual behavior and anxiety (OR, 1.33; 95% CI, 1.02 to 1.73). However, within the exercise group, no significant association was found between anxiety and either smoking or unsafe sexual behavior. Furthermore, no significant interaction was observed between unhealthy behaviors and exercise.
Conclusions
These findings are insufficient to conclude that physical activity influences the relationship between unhealthy behaviors and anxiety.; Summary

Korean summary
이 연구는 신체활동이 한국 청소년들사이에서 불안과 불건강행태간의 관계에 어떠한 영향을 미치는지 조사하였다. 이 연구에서 신체활동을 하지 않는 청소년에서만 흡연 및 불안전한 성행위와 같은 불건강행태와 불안 간의 유의미한 연관성을 보였음에도 불구하고, 이러한 불건강행태와 운동 간에는 같은 방향의 유의미한 상호작용이 관찰되지 않았다. 따라서 이 연구는 신체 활동이 청소년들의 불건강행태와 불안간의 관계에 직접 미치는 영향에 대해 명확하게 결론을 내릴 수 없었다.

Key Message
Among Korean adolescents, this study found that significant associations between unhealthy behaviors such as smoking and unsafe sex, and anxiety were only observed in adolescents who did not engage in physical activity. Despite this, no significant interaction was observed between these unhealthy behaviors and exercise. Contrary to popular belief, this study concludes that the evidence is insufficient to definitively say that physical activity influences the relationship between adolescent unhealthy behaviors and anxiety.

Changes in Adolescent Health Behavior and the Exacerbation of Economic Hardship During the COVID-19 Pandemic: A Cross-sectional Study From the Korea Youth Risk Behavior Survey: Chaeeun Kim, Haeun Lee, Kyunghee Jung-Choi, Hyesook Park; J Prev Med Public Health. 2024;57(1):18-27. Published online November 11, 2023; DOI: https://doi.org/10.3961/jpmph.23.306

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Abstract Summary PDF Supplementary Material

Objectives
This study investigated the association between exacerbated economic hardship during the coronavirus disease 2019 (COVID-19) pandemic and changes in the health behaviors of Korean adolescents.
Methods
We analyzed data from the 2021 Korea Youth Risk Behavior Survey and included 44 908 students (22 823 boys and 22 085 girls) as study subjects. The dependent variables included changes in health behaviors (breakfast habits, physical activity, and alcohol use) that occurred during the COVID-19 pandemic. The aggravation of economic hardship by COVID-19 and the subjective economic status of the family were used as exposure variables. Multiple logistic regression analysis was utilized to calculate the prevalence odds ratios (PORs).
Results
Severe exacerbation of a family’s economic hardship due to COVID-19 was negatively associated with the health behaviors of adolescents, including increased breakfast skipping (POR, 1.85; 95% confidence interval [CI], 1.55 to 2.21 for boys and POR, 1.56; 95% CI, 1.27 to 1.92 for girls) and decreased physical activity (POR, 1.37; 95% CI, 1.19 to 1.57 for boys and POR, 1.38; 95% CI, 1.19 to 1.60 for girls). These negative changes in health behaviors were further amplified when combined with a low subjective family economic status.
Conclusions
The experience of worsening household hardship can lead to negative changes in health behavior among adolescents. It is crucial to implement measures that address the economic challenges that arise from stressful events such as COVID-19 and to strive to improve the lifestyles of adolescents under such circumstances.

Summary

Korean summary
이 연구는 코로나바이러스감염증-19 (COVID-19) 대유행 기간 악화된 가구의 경제적 상황과 청소년의 건강 행태 변화의 관련성을 청소년건강행태조사를 이용하여 분석하였다. 가구의 경제적 상황이 COVID-19로 인해 심각하게 악화된 경우, 청소년 건강 행태의 부정적인 변화와 연관성이 관찰되었다. 가구의 경제적 상황이 악화되는 경험은 청소년들의 건강 행태에 부정적인 변화를 초래할 수 있다. COVID-19와 같은 사회적 사건으로 인해 발생하는 경제적 어려움에 대응하는 조치를 마련하고, 이러한 상황에서 청소년들의 건강 행태를 개선하기 위한 개입이 필요하다.

Key Message
This study investigated the association between exacerbated economic hardship during the coronavirus disease 2019 (COVID-19) pandemic and changes in the health behaviors of Korean adolescents using the 2021 Korea Youth Risk Behavior Survey. Severe exacerbation of a family’s economic hardship due to COVID-19 was negatively associated with the health behaviors of adolescents. The experience of worsening household hardship can lead to negative changes in health behavior among adolescents. It is crucial to implement measures that address the economic challenges that arise from stressful events such as COVID-19 and to strive to improve the lifestyles of adolescents under such circumstances.

Citations

Citations to this article as recorded by

Family Dynamics, Socioeconomic Hardships, and Health Risk Behaviours of Bulgarian Adolescents during the COVID-19 Pandemic
Elitsa Dimitrova, Anna Alexandrova-Karamanova
Children.2024; 11(8): 1016. CrossRef

Special Articles

The Primary Process and Key Concepts of Economic Evaluation in Healthcare: Younhee Kim, Yunjung Kim, Hyeon-Jeong Lee, Seulki Lee, Sun-Young Park, Sung-Hee Oh, Suhyun Jang, Taejin Lee, Jeonghoon Ahn, Sangjin Shin; J Prev Med Public Health. 2022;55(5):415-423. Published online August 24, 2022; DOI: https://doi.org/10.3961/jpmph.22.195

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Abstract Summary PDF

Economic evaluations in the healthcare are used to assess economic efficiency of pharmaceuticals and medical interventions such as diagnoses and medical procedures. This study introduces the main concepts of economic evaluation across its key steps: planning, outcome and cost calculation, modeling, cost-effectiveness results, uncertainty analysis, and decision-making. When planning an economic evaluation, we determine the study population, intervention, comparators, perspectives, time horizon, discount rates, and type of economic evaluation. In healthcare economic evaluations, outcomes include changes in mortality, the survival rate, life years, and quality-adjusted life years, while costs include medical, non-medical, and productivity costs. Model-based economic evaluations, including decision tree and Markov models, are mainly used to calculate the total costs and total effects. In cost-effectiveness or costutility analyses, cost-effectiveness is evaluated using the incremental cost-effectiveness ratio, which is the additional cost per one additional unit of effectiveness gained by an intervention compared with a comparator. All outcomes have uncertainties owing to limited evidence, diverse methodologies, and unexplained variation. Thus, researchers should review these uncertainties and confirm their robustness. We hope to contribute to the establishment and dissemination of economic evaluation methodologies that reflect Korean clinical and research environment and ultimately improve the rationality of healthcare policies.

Summary

Korean summary
보건의료분야에서 경제성 평가는 의약품과 진단검사 및 치료법 등 의료기술에 대한 평가에서 널리 활용되고 있다. 본 연구에서는 경제성 평가절차를 경제성 평가 설계, 결과 산출, 비용산출, 모형 구축 및 분석, 비용-효과성 결과 제시 및 불확실성 평가와 의사 결정 단계로 나누어 주요 개념과 쟁점들을 소개하였다.

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Introduction of Vaccinomics to Develop Personalized Vaccines in Light of Changes in the Usage of Hantaan Virus Vaccine (Hantavax^®) in Korea: Jong-Myon Bae; J Prev Med Public Health. 2019;52(5):277-280. Published online August 7, 2019; DOI: https://doi.org/10.3961/jpmph.19.018

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Abstract Summary PDF Supplementary Material

The Ministry of Food and Drug Safety of Korea made an official announcement in March 2018 that the total number of inoculations of Hantaan virus vaccine (Hantavax^®) would change from 3 to 4. Some aspects of this decision remain controversial. Based on the characteristics of Hantaan virus (HTNV) and its role in the pathogenesis of hemorrhagic fever with renal syndrome, it might be difficult to develop an effective and safe HTNV vaccine through the isolate-inactivate-inject paradigm. With the development of high-throughput ‘omics’ technologies in the 21st century, vaccinomics has been introduced. While the goal of vaccinomics is to develop equations to describe and predict the immune response, it could also serve as a tool for developing new vaccine candidates and individualized approaches to vaccinology. Thus, the possibility of applying the innovative field of vaccinomics to develop a more effective and safer HTNV vaccine should be considered.

Summary

Korean summary
신증후출혈열 (Hemorrhagic fever with renal syndrome, HFRS)를 예방하기 위한 백신들이 여러 가지로 개발 중에 있지만, 한탄 바이러스 (Hantaan virus) 의 병원체 특성과 HFRS의 임상적 특성으로 효과적이고 안전한 백신 개발을 어렵게 하고 있다. 투여할 백신에 대한 ‘면역과정을 이해하고 백신효능을 예측하여’ 백신개발에 활용하는 백신체학의 적용을 적극 강구할 필요가 있다.

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Original Articles

Effects of the Short Foot Exercise With Neuromuscular Electrical Stimulation on Navicular Height in Flexible Flatfoot in Thailand: A Randomized Controlled Trial: Juntip Namsawang, Wichai Eungpinichpong, Ratana Vichiansiri, Somchai Rattanathongkom; J Prev Med Public Health. 2019;52(4):250-257. Published online July 14, 2019; DOI: https://doi.org/10.3961/jpmph.19.072

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Abstract PDF

Objectives
Flatfoot, or low medial longitudinal arch, contributes to back and lower extremity injuries and is caused by weak abductor hallucis (AbdH) muscles. The purpose of this study was to investigate the effects of short foot exercise (SFE) alone or with neuromuscular electrical stimulation (NMES) on navicular height, the cross-sectional area (CSA) of the AbdH muscle, and AbdH muscle activity in flexible flatfoot.
Methods
Thirty-six otherwise healthy people with flexible flatfoot were randomly assigned to a group that received SFE with placebo NMES treatment (the control group) or a group that received both SFE and NMES treatment (the experimental group). Each group received 4 weeks of treatment (SFE alone or SFE with NMES). Navicular height, the CSA of the AbdH muscle, and AbdH muscle activity were assessed before and after the intervention.
Results
No significant differences were found in navicular height or the CSA of the AbdH muscle between the control and experimental groups, while AbdH muscle activity showed a statistically significant difference between the groups (SFE=73.9±11.0% of maximal voluntary isometric contraction [MVIC]; SFE with NMES=81.4±8.3% of MVIC; p<0.05). Moreover, the CSA of the AbdH muscle showed a statistically significant increase after treatment in the SFE with NMES group (pre-treatment=218.6±53.2 mm²; post-treatment=256.9±70.5 mm2; p<0.05).
Conclusions
SFE with NMES was more effective than SFE alone in increasing AbdH muscle activity. Therefore, SFE with NMES should be recommended to correct or prevent abnormalities in people with flexible flatfoot by a physiotherapist or medical care team.

Summary

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The Role of Social Support and the Neighborhood Environment on Physical Activity in Low-income, Mexican-American Women in South Texas: Jennifer J. Salinas, Marisol McDaniel, Deborah Parra-Medina; J Prev Med Public Health. 2018;51(5):234-241. Published online July 25, 2018; DOI: https://doi.org/10.3961/jpmph.18.052

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Abstract PDF

Objectives
To determine the relationships between physical activity (PA), the neighborhood environment support for PA, and social support for PA among Mexican-American women living in South Texas. The Enlace study was a randomized controlled trial that tested the effectiveness of a promotora-led PA intervention among low-income Mexican origin women (n=614) living in colonias.
Methods
The dependent measures included accelerometer-measured average moderate to vigorous physical activity (MVPA) and sedentary breaks and the Community Health Activities Model Program for Seniors PA 41-item questionnaire. The independent measures included the Physical Activity and Neighborhood Environment Scale (PANES) and the 13-item Physical Activity Social Support (PASS) scale.
Results
Enlace participants were on average 40.4 (standard deviation, 10.3) years old, born in Mexico (86.1%), and uninsured (83.1%). Adjusted linear regression results indicated that each 1-point increment in the PANES overall score was associated with 0.050 (p<0.001) unit increase in sedentary break and a −0.043 (p=0.001) unit decrease in sedentary break duration. Both PANES (β=0.296; p=0.002) and PASS scores (β=0.076; p<0.001) were associated with weekly average self-reported MVPA. Interaction effects were observed between PASS scores and accelerometer-measured frequency of sedentary breaks and sedentary time duration.
Conclusions
The findings of this study indicate that the relationships between PA and built environment and social support are measure-dependent and suggest that reducing sedentary time in this population may require a closer assessment of social support for PA.

Summary

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High Level Physical Activity and Prevalence of Cardiovascular Disease Using the Korea National Health and Nutrition Examination Survey Data, 2007-2013: Kyounghoon Park, Byung-Joo Park; J Prev Med Public Health. 2017;50(5):320-327. Published online September 5, 2017; DOI: https://doi.org/10.3961/jpmph.17.073

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Abstract PDF

Objectives
The purpose of our study was to evaluate the association between the intensity of physical activity (PA) and prevalence of cardiovascular disease (CVD) using Korean representative data. Methods: We analyzed 39 804 participant data from the Korea National Health and Nutrition Examination Survey, 2007-2013. Exposure variable was three levels of PA (low, medium, and high) in a week, and outcome variable was prevalence of CVD based on patient self-recognition and doctor’s diagnosis. Complex logistic regression analysis was performed to evaluate the relationship between level of PA and CVD adjusted by body mass index, hypertension, hypercholesterolemia, diabetes mellitus, stress recognition, household income, smoking, and current drinking. The indices of association w ere estimated as crude prevalence odds ratio (POR), adjusted POR, and their 95% confidence interval (CI). All statistical analyzes were performed using complex sample analysis procedure of the SPSS version 23.0. Results: When all variables were adjusted, only high level PA in women showed a significant association with stroke (adjusted POR by patient’s self-recognition, 0.57; 95% CI, 0.32 to 0.99, adjusted POR by doctor’s diagnosis, 0.55; 95% CI, 0.34 to 0.87) and CVD (adjusted POR by doctor’s diagnosis, 0.68; 95% CI, 0.48 to 0.96). Conclusions: High level PA in women has a significant reverse association with prevalence of stroke and CVD in Korea. Further study for elucidating the mechanism will be needed.

Summary

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Role of regular physical activity in modifying cardiovascular disease risk factors among elderly Korean women
Seunghui Baek, Youngmee Kim, Lorraine S. Evangelista
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Special Article

Strategies for Appropriate Patient-centered Care to Decrease the Nationwide Cost of Cancers in Korea: Jong-Myon Bae; J Prev Med Public Health. 2017;50(4):217-227. Published online June 16, 2017; DOI: https://doi.org/10.3961/jpmph.17.069

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Abstract PDF Supplementary Material

In terms of years of life lost to premature mortality, cancer imposes the highest burden in Korea. In order to reduce the burden of cancer, the Korean government has implemented cancer control programs aiming to reduce cancer incidence, to increase survival rates, and to decrease cancer mortality. However, these programs may paradoxically increase the cost burden. For examples, a cancer screening program for early detection could bring about over-diagnosis and over-treatment, and supplying medical services in a paternalistic manner could lead to defensive medicine or futile care. As a practical measure to reduce the cost burden of cancer, appropriate cancer care should be established. Ensuring appropriateness requires patient-doctor communication to ensure that utility values are shared and that autonomous decisions are made regarding medical services. Thus, strategies for reducing the cost burden of cancer through ensuring appropriate patient-centered care include introducing value-based medicine, conducting cost-utility studies, and developing patient decision aids.

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Original Article

Meeting Recommended Levels of Physical Activity in Relation to Preventive Health Behavior and Health Status Among Adults: Peter D. Hart, Gabriel Benavidez, James Erickson; J Prev Med Public Health. 2017;50(1):10-17. Published online December 19, 2016; DOI: https://doi.org/10.3961/jpmph.16.080

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Abstract PDF

Objectives
The purpose of this study was to examine the relationship of meeting the recommended levels of physical activity (PA) with health status and preventive health behavior in adults.
Methods
A total of 5630 adults 18 years of age or older were included in this study. PA was assessed using a series of questions that categorized activities based on their metabolic equivalent values and then categorized individuals based on the reported frequency and duration of such activities. Participants reporting 150 minutes or more of moderate-intensity PA per week were considered to have met the PA guidelines. Multiple logistic regression was used to model the relationships between meeting PA guidelines and health status and preventive health behavior, while controlling for confounding variables.
Results
Overall, 53.9% (95% confidence interval [CI], 51.9 to 55.9%) of adults reported meeting the recommended levels of PA. Among adults with good general health, 56.9% (95% CI, 54.7 to 59.1%) reported meeting the recommended levels of PA versus 43.1% (95% CI, 40.9 to 45.3%) who did not. Adults who met the PA guidelines were significantly more likely not to report high cholesterol, diabetes, chronic obstructive pulmonary disease, arthritis, asthma, depression, or overweight. Furthermore, adults meeting the PA guidelines were significantly more likely to report having health insurance, consuming fruits daily, consuming vegetables daily, and not being a current cigarette smoker.
Conclusions
In this study, we found meeting the current guidelines for PA to have a protective relationship with both health status and health behavior in adults. Health promotion programs should focus on strategies that help individuals meet the current guidelines of at least 150 minutes per week of moderate-intensity PA.

Summary

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Special Article

Exercise and Physical Activity in Mental Disorders: Clinical and Experimental Evidence: Elisabeth Zschucke, Katharina Gaudlitz, Andreas Ströhle; J Prev Med Public Health. 2013;46(Suppl 1):S12-S21. Published online January 30, 2013; DOI: https://doi.org/10.3961/jpmph.2013.46.S.S12

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Abstract PDF

Several epidemiological studies have shown that exercise (EX) and physical activity (PA) can prevent or delay the onset of different mental disorders, and have therapeutic benefits when used as sole or adjunct treatment in mental disorders. This review summarizes studies that used EX interventions in patients with anxiety, affective, eating, and substance use disorders, as well as schizophrenia and dementia/mild cognitive impairment. Despite several decades of clinical evidence with EX interventions, controlled studies are sparse in most disorder groups. Preliminary evidence suggests that PA/EX can induce improvements in physical, subjective and disorder-specific clinical outcomes. Potential mechanisms of action are discussed, as well as implications for psychiatric research and practice.

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Terence A. Moriarty, Christine Mermier, Len Kravitz, Ann Gibson, Nicholas Beltz, Micah Zuhl
Frontiers in Psychology.2019;[Epub] CrossRef
Voluntary physical exercise protects against behavioral and endocrine reactivity to social and environmental stressors in the prairie vole
W. Tang Watanasriyakul, Joshua Wardwell, Neal McNeal, Rachel Schultz, Matthew Woodbury, Ashley Dagner, Miranda Cox, Angela J. Grippo
Social Neuroscience.2018; 13(5): 602. CrossRef
Mitochondrial Targeted Therapies: Where Do We Stand in Mental Disorders?
Dorit Ben-Shachar, Hila M. Ene
Biological Psychiatry.2018; 83(9): 770. CrossRef
‘The world is best experienced at 18 mph’. The psychological wellbeing effects of cycling in the countryside: an Interpretative Phenomenological Analysis
Oliver F. Glackin, James T. Beale
Qualitative Research in Sport, Exercise and Health.2018; 10(1): 32. CrossRef
Executive function and other cognitive deficits are distal risk factors of generalized anxiety disorder 9 years later
Nur Hani Zainal, Michelle G. Newman
Psychological Medicine.2018; 48(12): 2045. CrossRef
Effects of physical activity on the symptoms of Tourette syndrome: A systematic review
David D. Kim, Darren E.R. Warburton, Nana Wu, Alasdair M. Barr, William G. Honer, Ric M. Procyshyn
European Psychiatry.2018; 48(1): 13. CrossRef
Cotinine: A Therapy for Memory Extinction in Post-traumatic Stress Disorder
Cristhian Mendoza, George E. Barreto, Alexandre Iarkov, Vadim V. Tarasov, Gjumrakch Aliev, Valentina Echeverria
Molecular Neurobiology.2018; 55(8): 6700. CrossRef
Mental health practitioners’ reported barriers to prescription of exercise for mental health consumers
Kirsten Way, Lee Kannis-Dymand, Michele Lastella, Geoff P. Lovell
Mental Health and Physical Activity.2018; 14: 52. CrossRef
Effects of virtual reality exercise for Korean adults with schizophrenia in a closed ward
Garam Jo, Brenda Rossow-Kimball, Gwitaek Park, Yongho Lee
Journal of Exercise Rehabilitation.2018; 14(1): 39. CrossRef
Quality of Publicly Available Physical Activity Apps: Review and Content Analysis
Paulina Bondaronek, Ghadah Alkhaldi, April Slee, Fiona L Hamilton, Elizabeth Murray
JMIR mHealth and uHealth.2018; 6(3): e53. CrossRef
Haemorrhoid care in mental health nursing practice
Rachel Allen, Kim Goddard, Anne Pegram
British Journal of Mental Health Nursing.2018; 7(2): 92. CrossRef
Identifying Objective Physiological Markers and Modifiable Behaviors for Self-Reported Stress and Mental Health Status Using Wearable Sensors and Mobile Phones: Observational Study
Akane Sano, Sara Taylor, Andrew W McHill, Andrew JK Phillips, Laura K Barger, Elizabeth Klerman, Rosalind Picard
Journal of Medical Internet Research.2018; 20(6): e210. CrossRef
The influence of dietary patterns and stressful life events on psychological problems in a large sample of Iranian industrial employees: Structural equations modeling approach
Maryam Yazdi, Hamidreza Roohafza, Awat Feizi, Katayoon Rabiei, Nizal Sarafzadegan
Journal of Affective Disorders.2018; 236: 140. CrossRef
In inpatient substance use disorder treatment in Switzerland, exercise programmes are implemented but not evaluated – A missed opportunity for improving treatment
Flora Colledge, Serge Brand, Uwe Pühse, Edith Holsboer-Trachsler, Markus Gerber
Mental Health and Physical Activity.2018; 15: 7. CrossRef
Psychiatric In-Patients Are More Likely to Meet Recommended Levels of Health-Enhancing Physical Activity If They Engage in Exercise and Sport Therapy Programs
Janine Ehrbar, Serge Brand, Flora Colledge, Lars Donath, Stephan T. Egger, Martin Hatzinger, Edith Holsboer-Trachsler, Christian Imboden, Nina Schweinfurth, Stefan Vetter, Markus Gerber
Frontiers in Psychiatry.2018;[Epub] CrossRef
Changes in sedentary time are associated with changes in mental wellbeing over 1 year in young adults
Laura D. Ellingson, Jacob D. Meyer, Robin P. Shook, Philip M. Dixon, Gregory A. Hand, Michael D. Wirth, Amanda E. Paluch, Stephanie Burgess, James R. Hebert, Steven N. Blair
Preventive Medicine Reports.2018; 11: 274. CrossRef
Physical Exercise Enhances Neuroplasticity and Delays Alzheimer’s Disease
Tzu-Wei Lin, Sheng-Feng Tsai, Yu-Min Kuo
Brain Plasticity.2018; 4(1): 95. CrossRef
Exercise and mental health: a complex and challenging relationship
Gary Cooney
The Lancet Psychiatry.2018; 5(9): 692. CrossRef
The Mitochondrion as Potential Interface in Early-Life Stress Brain Programming
Anke Hoffmann, Dietmar Spengler
Frontiers in Behavioral Neuroscience.2018;[Epub] CrossRef
Anaerobic Exercise Training in the Therapy of Substance Use Disorders: A Systematic Review
Flora Colledge, Markus Gerber, Uwe Pühse, Sebastian Ludyga
Frontiers in Psychiatry.2018;[Epub] CrossRef
Trunk Movement Quantification of Adult with and without Mental Disability during Gardening Task Using Wireless Tri-Axial Accelerometer
Nugrahaning Sani Dewi, Masakazu Komatsuzaki, Yuriko Yamakawa, Hiromi Takahashi, Saori Shibanuma, Takeshi Yasue, Tsuyoshi Okayama, Atsushi Toyoda
Japanese Journal of Farm Work Research.2018; 53(4): 164. CrossRef
Pratique de l’activité physique et psychiatrie
L. Kern, C. Fayollet
EMC - Psychiatrie.2018; 34(1): 1. CrossRef
Community Gardens as Health Promoters: Effects on Mental and Physical Stress Levels in Adults with and without Mental Disabilities
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Sustainability.2017; 9(1): 63. CrossRef
Affective outcomes during and after high-intensity exercise in outdoor green and indoor gym settings
Toby Louis Turner, Clare Stevinson
International Journal of Environmental Health Research.2017; 27(2): 106. CrossRef
Physical activity in outpatients with mental disorders: status, measurement and social cognitive determinants of health behavior change
Moritz B. Petzold, Sophie Bischoff, Janina Rogoll, Jens Plag, Christina Terán, Ralf Brand, Andreas Ströhle
European Archives of Psychiatry and Clinical Neuroscience.2017; 267(7): 639. CrossRef
A pilot randomized trial of exercise as adjunct therapy in a heroin-assisted treatment setting
Flora Colledge, Marc Vogel, Kenneth Dürsteler-Macfarland, Jonas Strom, Susanne Schoen, Uwe Pühse, Markus Gerber
Journal of Substance Abuse Treatment.2017; 76: 49. CrossRef
Diet choice patterns in rodents depend on novelty of the diet, exercise, species, and sex
Tiffany Yang, Wei-Jie Xu, Haley York, Nu-Chu Liang
Physiology & Behavior.2017; 176: 149. CrossRef
‘Join The Walk?’: Short-term and follow-up effects of a 10-week walking intervention in patients with a mental disorder
Jari Vanroy, Jan Seghers, An Bogaerts, Anne Wijtzes, Filip Boen
Mental Health and Physical Activity.2017; 12: 73. CrossRef
The ethics of exercise in eating disorders: Can an ethical principles approach guide the next generation of research and clinical practice?
Brian Cook, Lisa Leininger
Journal of Sport and Health Science.2017; 6(3): 295. CrossRef
Necessity of Physical Therapy in the Field of Psychiatry
Yusuke ISHIBASHI, Muneyoshi NISHIDA, Kazumasa YAMADA
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“Active Team” a social and gamified app-based physical activity intervention: randomised controlled trial study protocol
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BMC Public Health.2017;[Epub] CrossRef
Psychische Erkrankungen bei Leistungssportlern
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Participation in and Satisfaction With an Exercise Program for Inpatient Mental Health Consumers
Robert Stanton, Trish Donohue, Michelle Garnon, Brenda Happell
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Association between actigraphy-derived physical activity and cognitive performance in patients with schizophrenia
L.-J. Chen, A. Steptoe, M.-S. Chung, P.-W. Ku
Psychological Medicine.2016; 46(11): 2375. CrossRef
Exercise in Eating Disorders Treatment
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Robert Stanton, Peter Reaburn, Brenda Happell
Journal of Nervous & Mental Disease.2016; 204(9): 658. CrossRef
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Claire V. Burley, Damian M. Bailey, Christopher J. Marley, Samuel J. E. Lucas
Experimental Physiology.2016; 101(9): 1178. CrossRef
Implementing evidence-based physical activity interventions for people with mental illness: an Australian perspective
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Australasian Psychiatry.2016; 24(1): 49. CrossRef
REVISÃO SISTEMÁTICA SOBRE SÍNDROME DE BURNOUT E ATIVIDADE FISICA EM PROFESORES
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Rôle du yoga adapté dans le traitement thérapeutique de l’anorexie mentale
Anne-Laure Moscone, Pascale Leconte, Christine Le Scanff
Corps.2016; N° 13(1): 187. CrossRef
Lactate Transport and Signaling in the Brain: Potential Therapeutic Targets and Roles in Body—Brain Interaction
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Journal of Cerebral Blood Flow & Metabolism.2015; 35(2): 176. CrossRef
AEROBIC EXERCISE TRAINING FACILITATES THE EFFECTIVENESS OF COGNITIVE BEHAVIORAL THERAPY IN PANIC DISORDER
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Depression and Anxiety.2015; 32(3): 221. CrossRef
The interactive role of exercise and sleep on veteran recovery from symptoms of PTSD
Kimberly A. Babson, Adrienne J. Heinz, Gil Ramirez, Melissa Puckett, Jessica G. Irons, Marcel O. Bonn-Miller, Steven H. Woodward
Mental Health and Physical Activity.2015; 8: 15. CrossRef
Wheel running decreases palatable diet preference in Sprague–Dawley rats
Laura Moody, Joy Liang, Pique P. Choi, Timothy H. Moran, Nu-Chu Liang
Physiology & Behavior.2015; 150: 53. CrossRef
Barriers to exercise prescription and participation in people with mental illness: the perspectives of nurses working in mental health
R. Stanton, P. Reaburn, B. Happell
Journal of Psychiatric and Mental Health Nursing.2015; 22(6): 440. CrossRef
Physical exercise and acute restraint stress differentially modulate hippocampal brain‐derived neurotrophic factor transcripts and epigenetic mechanisms in mice
Alessandro Ieraci, Alessandra Mallei, Laura Musazzi, Maurizio Popoli
Hippocampus.2015; 25(11): 1380. CrossRef
A call to action: exercise as treatment for patients with mental illness
Robert Stanton, Simon Rosenbaum, Megan Kalucy, Peter Reaburn, Brenda Happell
Australian Journal of Primary Health.2015; 21(2): 120. CrossRef
The Effects of an Integrated Health Care Program on the Physical, Psychosocial, and Spiritual Health of People with Mental Disorder in Community
Gwang Ha Jung, Young Ran Chin
Journal of Korean Academy of Community Health Nursing.2015; 26(2): 69. CrossRef
An Investigation into the Effects of Different Types of Exercise on the Maintenance of Approach Motivation Levels
J.A.S. Lowenstein, K. Wright, A. Taylor, N.J. Moberly
Mental Health and Physical Activity.2015;[Epub] CrossRef
Prevalence and temporal trends of physical activity counselling in primary health care in Germany from 1997–1999 to 2008–2011
Lars Gabrys, Susanne Jordan, Martin Schlaud
International Journal of Behavioral Nutrition and Physical Activity.2015;[Epub] CrossRef
Benefits of Exercise for the Quality of Life of Drug-Dependent Patients
Jorge Giménez-Meseguer, Juan Tortosa-Martínez, María de los Remedios Fernández-Valenciano
Journal of Psychoactive Drugs.2015; 47(5): 409. CrossRef
Examining the Relationship between Exercise and Psychological Stress among the Rural Population
Jung-Woo Oh, Hyun-Jin Kwon, Sang-Hwa Lee, Jung-Jun Lim, Bo-Youl Choi, Mi-Kyung Kim, Yeon-Soo Kim
The Korean Journal of Sports Medicine.2015; 33(2): 126. CrossRef
Common psychiatric symptoms among public school teachers in Palmas, Tocantins, Brazil. An observational cross-sectional study
Leonardo Baldaçara, Álvaro Ferreira Silva, José Gerley Díaz Castro, Gessi de Carvalho Araújo Santos
Sao Paulo Medical Journal.2015; 133(5): 435. CrossRef
Sex differences in exercise and drug addiction: A mini review of animal studies
Yuehui Zhou, Chenglin Zhou, Rena Li
Journal of Sport and Health Science.2014; 3(3): 163. CrossRef
Current and Emergent Treatments for Symptoms and Neurocognitive Impairment in Schizophrenia
Daniel C. Javitt
Current Treatment Options in Psychiatry.2014; 1(2): 107. CrossRef
Exercise for methamphetamine dependence: Rationale, design, and methodology
Larissa J. Mooney, Christopher Cooper, Edythe D. London, Joy Chudzynski, Brett Dolezal, Daniel Dickerson, Mary-Lynn Brecht, Jose Peñate, Richard A. Rawson
Contemporary Clinical Trials.2014; 37(1): 139. CrossRef
Effects of a group physical activity program on physical fitness and quality of life in individuals with schizophrenia
Eluana Gomes, Tânia Bastos, Michel Probst, José Carlos Ribeiro, Gustavo Silva, Rui Corredeira
Mental Health and Physical Activity.2014; 7(3): 155. CrossRef
Prevention of common mental disorders
Carl D’Arcy, Xiangfei Meng
Current Opinion in Psychiatry.2014; 27(4): 294. CrossRef
Increase of circulating BDNF levels and its relation to improvement of physical fitness following 12 weeks of combined exercise in chronic patients with schizophrenia: A pilot study
Hee-jae Kim, Bong-kil Song, Byunghun So, On Lee, Wook Song, Yeonsoo Kim
Psychiatry Research.2014; 220(3): 792. CrossRef
Psychische Erkrankungen bei Leistungssportlern
Karsten Henkel, Frank Schneider
Sports Orthopaedics and Traumatology Sport-Orthopädie - Sport-Traumatologie.2014; 30(4): 339. CrossRef
Anorexie mentale, activité physique et nutrition : quelles potentialisations ?
Melissa Rizk, Laurence Kern, Nathalie Godart, Jean-Claude Melchior
Nutrition Clinique et Métabolisme.2014; 28(4): 287. CrossRef
Psychodynamische Psychotherapie, Lebensstil und Prävention
Matthias Michal, Claudia Subic-Wrana, Manfred E. Beutel
Zeitschrift für Psychosomatische Medizin und Psychotherapie.2014; 60(4): 350. CrossRef
Cardiorespiratory Optimal Point: A Submaximal Exercise Variable to Assess Panic Disorder Patients
Plínio Santos Ramos, Aline Sardinha, Antonio Egidio Nardi, Claudio Gil Soares de Araújo, John Calvert
PLoS ONE.2014; 9(8): e104932. CrossRef
Clinical Roundup: Selected Treatment Options for Anxiety

Alternative and Complementary Therapies.2013; 19(6): 337. CrossRef
The glia doctrine: Addressing the role of glial cells in healthy brain ageing
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Mechanisms of Ageing and Development.2013; 134(10): 449. CrossRef
Physical Activity for Health: Evidence, Theory, and Practice
Jin-Jong Chen, Yunhwan Lee
Journal of Preventive Medicine & Public Health.2013; 46(Suppl 1): S1. CrossRef

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