Physical activity and prevention of mental health complications: An umbrella review.

The potential of physical activity in preventing mental health issues has garnered interest among health professionals. We conducted a systematic umbrella review of evidence supporting the relationship between physical activity and the prevention of mental health complications. Our findings revealed a significant association between higher physical activity levels and reduced risk of depression (OR = 0.77, 95% CI 0.72 - 0.82). This association was consistent across various age groups, sex, and geographical regions. Interestingly, low and moderate-intensity physical activity showed the most significant protective effects against depression (low-intensity: OR = 0.81, 95% CI: 0.75-0.56; moderate-intensity: OR = 0.79, 95% CI: 0.72-0.87). Our analysis also showed significant associations between higher physical activity levels and prevention of anxiety disorders (OR = 0.71, 95% CI: 0.61-0.82). However, the evidence regarding the association between physical activity and psychosis/schizophrenia risk was less clear. These findings underscore the physical activity's potential as a preventative measure against mental health complications, highlighting the importance of promoting physical activity in mental health interventions.

Temporal Trends of Physical Fights and Physical Attacks Among Adolescents Aged 12-15 years From 30 Countries From Africa, Asia, and the Americas.

PURPOSE: There is a scarcity of literature on temporal trends in physical fighting and physical attacks among the global adolescent population. Therefore, we aimed to examine these trends in a nationally representative sample of school-going adolescents aged 12-15 years from 30 countries in Africa, Asia, and the Americas, for which temporal trends of physical fighting and physical attacks are largely unknown. METHODS: Cross-sectional data from the Global School-based Student Health Survey 2003-2017 were analyzed. Self-reported data on past 12-month physical fights and physical attacks were collected. For each survey, the prevalence and 95% confidence interval of physical fights and physical attacks were calculated. Linear regression models were used to examine crude linear trends. RESULTS: Data on 190,493 students aged 12-15 years were analyzed [mean (standard deviation) age 13.7 (1.0) years; 48.9% boys]. The mean prevalence of past 12-month physical fight and physical attack was 36.5% and 37.2%, respectively. Significant decreasing trends in physical fights were observed in 16/30 countries, while significant increasing trends were found in 2/30 countries. For physical attacks, significant decreasing and increasing trends were observed in 13/26 and 1/26 countries, respectively. The remaining countries showed stable trends. DISCUSSION: It is encouraging that decreasing trends in physical fighting and physical attacks were observed across a large number of countries. However, stable trends were also common, while increasing trends also existed, suggesting that global efforts to address adolescent violence are still required.

Temporal trends of carbonated soft-drink consumption among adolescents aged 12-15 years from eighteen countries in Africa, Asia and the Americas.

Carbonated soft-drink consumption is detrimental to multiple facets of adolescent health. However, little is known about temporal trends in carbonated soft-drink consumption among adolescents, particularly in non-Western countries. Therefore, we aimed to examine this trend in representative samples of school-going adolescents from eighteen countries in Africa, Asia and the Americas. Cross-sectional data from the Global School-based Student Health Survey 2009-2017 were analysed. Carbonated soft-drink consumption referred to drinking carbonated soft-drinks at least once per day in the past 30 d. The prevalence of carbonated soft-drink consumption was calculated for each survey, and crude linear trends were assessed by linear regression models. Data on 74 055 students aged 12-15 years were analysed (mean age 13·9 (sd 1·0) years; 49·2 % boys). The overall mean prevalence of carbonated soft-drink consumption was 42·1 %. Of the eighteen countries included in the study, significant decreasing, increasing and stable trends of carbonated soft-drink consumption were observed in seven, two and nine countries, respectively. The most drastic decrease was observed in Kuwait between 2011 (74·4 %) and 2015 (51·7 %). Even in countries with significant decreasing trends, the decrease was rather modest, while some countries with stable trends had very high prevalence across time (e.g. Suriname 80·5 % in 2009 and 79·4 % in 2016). The prevalence of carbonated soft-drink consumption was high in all countries included in the present analysis, despite decreasing trends being observed in some. Public health initiatives to reduce the consumption of carbonated soft-drink consumption among adolescents are urgently required.

Dynapenic Abdominal Obesity Increases Risk for Falls Among Adults Aged ≥50 Years: A Prospective Analysis of the Irish Longitudinal Study on Ageing.

BACKGROUND: There is a scarcity of studies examining the longitudinal relationship between dynapenic abdominal obesity (DAO; ie, impairment in muscle strength and high waist circumference) and future fall risk. Therefore, we aimed to investigate the prospective association between DAO at baseline and falls occurring during 2 years of follow-up in a nationally representative sample of middle-aged and older individuals from Ireland. METHODS: Data from 2 consecutive waves of the Irish Longitudinal Study on Ageing survey were analyzed. Dynapenia was defined as handgrip strength of <26 kg for men and <16 kg for women. Abdominal obesity was defined as a waist circumference of >88 cm for women and >102 cm for men. DAO was assessed at Wave 1 (2009-2011) and was defined as having both dynapenia and abdominal obesity. Falls occurring between Wave 1 and Wave 2 (2012-2013) were self-reported. Multivariable logistic regression analysis was conducted. RESULTS: Data on 5 275 individuals aged ≥50 years were analyzed (mean [standard deviation {SD}] age 63.2 [8.9] years; 48.8% males). After adjustment for potential confounders, compared to no dynapenia and no abdominal obesity at baseline, DAO was significantly associated with 1.47 (95% confidence interval [CI]: 1.14-1.89) times higher odds for falls at 2-year follow-up. Dynapenia alone (odds ratio [OR] = 1.08; 95% CI: 0.84-1.40) and abdominal obesity alone (OR = 1.09; 95% CI: 0.91-1.29) were not significantly associated with falls at follow-up. CONCLUSIONS: DAO increased the risk for falls among middle-aged and older adults in Ireland. Interventions to prevent or reverse DAO may be beneficial for fall reduction.

Temporal Trends in Bullying Victimization Among Adolescents Aged 12-15 Years From 29 Countries: A Global Perspective.

PURPOSE: Bullying victimization among adolescents is a major public health concern. However, multicountry studies investigating temporal trends of bullying victimization among adolescents are scarce, especially from a global perspective. Thus, we aimed to examine the temporal trends of bullying victimization among school-going adolescents between 2003 and 2017 in 29 countries from Africa (n = 5), Asia (n = 18), and the Americas (n = 6). METHODS: Data on 191,228 students aged 12-15 years [mean (standard deviation) age 13.7 (1.0) years; 48.9% boys] who participated in the Global School-based Student Health Survey were analyzed. Bullying victimization was based on self-report and referred to being bullied at least once in the past 30 days. The prevalence (95% confidence interval) of bullying victimization was calculated for each survey. Crude linear trends in bullying victimization were examined by linear regression models. RESULTS: The mean prevalence of bullying victimization across all surveys was 39.4%. There was a large variation in the trends of bullying victimization across countries with a significant increasing and decreasing trend being observed in 6 and 13 countries, respectively. Myanmar, Egypt, and the Philippines showed the sharpest increase. The decrease was modest in most countries which showed a decreasing trend. The remaining countries showed stable trends (n = 10) but some countries such as Seychelles showed consistently high prevalence over time (i.e., ≥ 50%). DISCUSSION: Decreasing trends of bullying victimization were more common than increasing or stable trends in our study including adolescents from 29 countries. However, a high prevalence of bullying was observed in most countries, and thus, further global efforts to combat bullying victimization are necessary.

Association of Fruit and Vegetable Consumption With Mild Cognitive Impairment in Low- and Middle-Income Countries.

BACKGROUND: Inadequate fruit and vegetable intake may be associated with cognitive decline but its association with mild cognitive impairment (MCI; a preclinical stage of dementia) is largely unknown. Therefore, we examined the association of fruit and vegetable consumption with MCI among middle-aged and older adults from low- and middle-income countries (LMICs). METHODS: Cross-sectional, nationally representative data from the WHO Study on global AGEing and adult health were analyzed. MCI was defined using the National Institute on Aging-Alzheimer's Association criteria. Quintiles of vegetable and fruit consumption were created based on the number of servings consumed on a typical day. Multivariable logistic regression analysis was conducted. RESULTS: Data on 32 715 individuals aged ≥50 years were analyzed (mean [standard deviation] age 62.1 [15.6] years; 51.7% females). Greater fruit consumption was dose-dependently associated with lower odds for MCI. For example, the highest quintile (vs lowest) had 47% lower odds for MCI (odds ratio [OR] = 0.53; 95% confidence interval [CI] = 0.43-0.66). For vegetable consumption, compared to the lowest quintile, the second to fourth quintiles had significant 38%-44% lower odds for MCI but there was no significant difference for the highest quintile (OR = 0.82; 95% CI = 0.59-1.15). CONCLUSIONS: Higher fruit and vegetable consumption was associated with lower odds for MCI among middle-aged and older adults from LMICs, but no significant differences were found between the highest and lowest quintiles of vegetable consumption. Future longitudinal studies are required to explore these findings in more depth, and mechanistic studies are required to elucidate on the observed possible U-shaped association between vegetable consumption and MCI.

Attending live sporting events predicts subjective wellbeing and reduces loneliness.

Introduction: This study explored whether attending live sporting events (LSEs) improved subjective wellbeing and loneliness, above and beyond demographic predictors. Methods: Secondary data from 7,249 adults from the Taking Part 2019-20 survey (UK household survey of participation in culture and sport) were analyzed. Multiple linear regressions captured the effect of attending LSEs (yes/no) on wellbeing variables (happiness, anxiety, a sense that life is worthwhile and life satisfaction) and loneliness, with gender, Index of Multiple Deprivation (IMD), age group, health and employment as covariates. Results: For life satisfaction, a sense that life is worthwhile, and loneliness, inclusion of LSE attendance in the model improved model fit significantly, although ΔR2 values were small (ΔR2 = 0.001-0.003). For happiness and anxiety, the inclusion of LSE attendance did not alter model fit. LSE attendance was associated with increased life satisfaction (b = 0.171, p < 0.001), a greater sense of life being worthwhile (b = 0.230, p < 0.001), and reduced loneliness (b = -0.083, p < 0.01). Conclusion: LSE attendance has positive associations with some aspects of subjective wellbeing (life satisfaction and a sense of life being worthwhile) and loneliness, above and beyond demographic predictors. Whilst the variance explained is small, it is comparable to demographic predictors (e.g., being in employment). As even small-sized differences in SWB can have meaningful outcomes (e.g., for mortality), we conclude that LSE attendance may still offer a scalable, accessible and effective means of improving the public's wellbeing and reducing loneliness.

The priming function of in-car audio instruction.

Studies to date have focused on the priming power of visual road signs, but not the priming potential of audio road scene instruction. Here, the relative priming power of visual, audio, and multisensory road scene instructions was assessed. In a lab-based study, participants responded to target road scene turns following visual, audio, or multisensory road turn primes which were congruent or incongruent to the primes in direction, or control primes. All types of instruction (visual, audio, and multisensory) were successful in priming responses to a road scene. Responses to multisensory-primed targets (both audio and visual) were faster than responses to either audio or visual primes alone. Incongruent audio primes did not affect performance negatively in the manner of incongruent visual or multisensory primes. Results suggest that audio instructions have the potential to prime drivers to respond quickly and safely to their road environment. Peak performance will be observed if audio and visual road instruction primes can be timed to co-occur.

Socially Important Faces Are Processed Preferentially to Other Familiar and Unfamiliar Faces in a Priming Task across a Range of Viewpoints.

Using a priming paradigm, we investigate whether socially important faces are processed preferentially compared to other familiar and unfamiliar faces, and whether any such effects are affected by changes in viewpoint. Participants were primed with frontal images of personally familiar, famous or unfamiliar faces, and responded to target images of congruent or incongruent identity, presented in frontal, three quarter or profile views. We report that participants responded significantly faster to socially important faces (a friend's face) compared to other highly familiar (famous) faces or unfamiliar faces. Crucially, responses to famous and unfamiliar faces did not differ. This suggests that, when presented in the context of a socially important stimulus, socially unimportant familiar faces (famous faces) are treated in a similar manner to unfamiliar faces. This effect was not tied to viewpoint, and priming did not affect socially important face processing differently to other faces.

Do I have my attention? Speed of processing advantages for the self-face are not driven by automatic attention capture.

We respond more quickly to our own face than to other faces, but there is debate over whether this is connected to attention-grabbing properties of the self-face. In two experiments, we investigate whether the self-face selectively captures attention, and the attentional conditions under which this might occur. In both experiments, we examined whether different types of face (self, friend, stranger) provide differential levels of distraction when processing self, friend and stranger names. In Experiment 1, an image of a distractor face appeared centrally - inside the focus of attention - behind a target name, with the faces either upright or inverted. In Experiment 2, distractor faces appeared peripherally - outside the focus of attention - in the left or right visual field, or bilaterally. In both experiments, self-name recognition was faster than other name recognition, suggesting a self-referential processing advantage. The presence of the self-face did not cause more distraction in the naming task compared to other types of face, either when presented inside (Experiment 1) or outside (Experiment 2) the focus of attention. Distractor faces had different effects across the two experiments: when presented inside the focus of attention (Experiment 1), self and friend images facilitated self and friend naming, respectively. This was not true for stranger stimuli, suggesting that faces must be robustly represented to facilitate name recognition. When presented outside the focus of attention (Experiment 2), no facilitation occurred. Instead, we report an interesting distraction effect caused by friend faces when processing strangers' names. We interpret this as a "social importance" effect, whereby we may be tuned to pick out and pay attention to familiar friend faces in a crowd. We conclude that any speed of processing advantages observed in the self-face processing literature are not driven by automatic attention capture.

Shared or separate mechanisms for self-face and other-face processing? Evidence from adaptation.

Evidence that self-face recognition is dissociable from general face recognition has important implications both for models of social cognition and for our understanding of face recognition. In two studies, we examine how adaptation affects the perception of personally familiar faces, and we use a visual adaptation paradigm to investigate whether the neural mechanisms underlying the recognition of one's own and other faces are shared or separate. In Study 1 we show that the representation of personally familiar faces is rapidly updated by visual experience with unfamiliar faces, so that the perception of one's own face and a friend's face is altered by a brief period of adaptation to distorted unfamiliar faces. In Study 2, participants adapted to images of their own and a friend's face distorted in opposite directions; the contingent aftereffects we observe are indicative of separate neural populations, but we suggest that these reflect coding of facial identity rather than of the categories "self" and "other."

Categorical perception effects for facial identity in robustly represented familiar and self-faces: the role of configural and featural information.

Categorical perception of robustly represented faces (self, friend) and unfamiliar faces is investigated, and the relative roles of configural and featural information are examined. Participants performed identification and discrimination tasks on morph series containing the self-face and a friend's face (self-Friend 1), two friends' faces (Friend 2-Friend 3), and two unfamiliar faces (Unfamiliar 1-Unfamiliar 2), presented in upright and inverted orientations. For upright faces, categorical perception effects were observed for both familiar morph series but not for the unfamiliar morph series, suggesting that robust representation is a requirement for categorical perception in facial identity. For inverted faces, categorical perception was observed for the self-Friend 1 morph series only. This suggests that categorical perception is tied to configural processing for familiar non-self-faces, but can be observed for self-faces during featural processing-consistent with evidence that self-face representations contain strong configural and featural components. Finally, categorical perception is not enhanced by the presence of the self-face relative to other familiar faces when upright, but shows a trend of being enhanced for self-faces when inverted, adding to the debate on the ways in which robustly represented faces can elicit categorical perception.

Self-face recognition is characterized by "bilateral gain" and by faster, more accurate performance which persists when faces are inverted.

We examine interhemispheric cooperation in the recognition of personally known faces whose long-term familiarity ensures frequent co-activation of face-sensitive areas in the right and left brain. Images of self, friend, and stranger faces were presented for 150 ms in upright and inverted orientations both unilaterally, in the right or left visual field, and bilaterally. Consistent with previous research, we find a bilateral advantage for familiar but not for unfamiliar faces, and we demonstrate that this gain occurs for inverted as well as upright faces. We show that friend faces are recognized more quickly than unfamiliar faces in upright but not in inverted orientations, suggesting that configural processing underlies this particular advantage. Novel to this study is the finding that people are faster and more accurate at recognizing their own face over both stranger and friend faces and that these advantages occur for both upright and inverted faces. These findings are consistent with evidence for a bilateral representation of self-faces.

My face or yours? Event-related potential correlates of self-face processing.

The neural basis of self-recognition is mainly studied using brain-imaging techniques which reveal much about the localization of self-processing in the brain. There are comparatively few studies using EEG which allow us to study the time course of self-recognition. In this study, participants monitored a sequence of images, including 20 distinct images of their own face, a friend's face and a stranger's face articulating different speech sounds, while EEG was recorded from 64 scalp electrodes. Differences in the ERP waveforms were observed very early on, with increased N170 and VPP amplitude to self relative to both friend and stranger measured over posterior and fronto-central sites, respectively. This 'self effect' was also marked at approximately 250ms where P2/N2 amplitude was significantly reduced for self-faces. By comparison, differences between friend and stranger faces did not emerge until 250ms and beyond, where a more conventional 'familiarity effect' was observed. The data also point to a 'less lateralized' representation of self over posterior sites. These findings are consistent with both behavioral and fMRI studies which suggest that self-face processing is 'special' and are discussed with reference to EEG studies of face processing.