Attila Szabo
8719927800
Publications - 31
One-year update on physical activity and smartphone addiction in university students: A systematic review of novel research
Publication Name: Preventive Medicine Reports
Publication Date: 2025-09-01
Volume: 57
Issue: Unknown
Page Range: Unknown
Description:
Objectives: Smartphone addiction is a growing health concern, especially among university students. This updated review expands our 2024 review by synthesizing recent empirical findings on the relationship between physical activity and smartphone addiction among university students. Methods: Following PRISMA guidelines, a thorough search was conducted in PubMed, SSRN, Oxford Research Archive, JSTOR, and Google Scholar. The quality of studies was evaluated with the Mixed Methods Appraisal Tool. Results: Sixteen studies published between January 1, 2024, and March 31, 2025, met the inclusion criteria: 14 cross-sectional, one randomized controlled trial, and one longitudinal. All emerged from Asia. Most found an inverse relationship between physical activity and smartphone addiction. Experimental and longitudinal studies indicated that structured physical activity could reduce smartphone addiction symptoms over time. However, the predominantly correlational designs warrant cautious interpretation. Still, the directionally consistent average effect size was moderate to large (Cohen's d = ≈ −0.62), highlighting physical activity's protective role. Conclusions: Regular physical activity may prevent or reduce smartphone addiction in university students. However, future studies should employ longitudinal designs, use objective measures, and incorporate qualitative validation. This review reinforces our earlier findings and supports the considerable inverse relationship between physical activity and smartphone addiction.
Open Access: Yes
An Assessment of Motor Skills in Infants at Risk of Atypical Psychomotor Development Using the Vojta Method
Publication Name: Children
Publication Date: 2025-08-01
Volume: 12
Issue: 8
Page Range: Unknown
Description:
Background: Some neonates are assessed for the risk of atypical psychomotor development at birth and are referred for reflex locomotion therapy using the Vojta method. Aim: The aim of this study was to analyze the relationships between spontaneous motor activity (SMA), ideal movement patterns (IMPs), central coordination disorders (CCDs), vital signs at birth, involuntary reflexes, and postural asymmetry in infants. Methods: This study involved 90 female and 107 male subjects in the age interval of 1–16 months (4.15 ± 2.18). Their psychomotor development was assessed using the Vojta method. Age-appropriate involuntary reflexes were evaluated, and both parameters were correlated with perinatal risk factors. Results: Males scored significantly higher than females (difference of −0.7, p = 0.022) in the SMA test. In both genders, SMA (p < 0.001 in both genders) and IMP scores improved significantly with age. In male infants, higher CCD scores were associated with significantly lower SMA and IMP scores (p = 0.017 and p < 0.001, respectively). Significantly higher CCD scores were noted in female subjects with the Moro reflex and postural asymmetry (p = 0.003 and p = 0.002, respectively). In males, the Moro reflex was significantly correlated with the Vojta reaction (p = 0.012) and the Collis vertical suspension reflex (p < 0.001). Conclusions: Vital signs at birth, including birth weight, Apgar score, and type of delivery, can predict motor development disorders but do not clearly differentiate infants that require neurodevelopmental therapy.
Open Access: Yes
Five-day ski camp could enhance postural stability in young adults: A quasi-experimental study
Publication Name: Physiological Reports
Publication Date: 2025-08-01
Volume: 13
Issue: 16
Page Range: Unknown
Description:
This study investigated whether a 5-day ski camp could improve postural stability in young adults. It was hypothesized that skiing would reduce postural sway. In this quasi-experimental design, 43 undergraduate students who participated in a 5-day ski camp (approximately 20 h of skiing) were compared to 35 peers who did not attend. Postural stability was assessed using the modified Clinical Test of Sensory Integration and Balance protocol of the Balance Tracking System, which evaluates sway under four standing conditions: eyes open or closed, and on stable or unstable surfaces. Quade nonparametric ANCOVAs were used to compare percentage change scores between groups, controlling for age. No significant group differences emerged for standard, proprioceptive, or vestibular postural stability (p > 0.05). However, a statistically significant group effect was found for visual postural stability (p = 0.006), with improvement observed only in females (p = 0.003), not in males (p = 0.961). A 5-day ski camp significantly enhanced visual postural stability in females but did not affect males or other postural domains. These findings suggest a potential sex-specific adaptation to skiing and highlight the need for further research into the mechanisms underlying balance improvement.
Open Access: Yes
DOI: 10.14814/phy2.70501
Genetic Factors of Elite Wrestling Status: A Multi-Ethnic Comparative Study
Attila Szabo
Celal Bulgay
Ayumu Kozuma
Hirofumi Zempo
Mika Saito
Minoru Deguchi
Hiroki Homma
Shingo Matsumoto
Hasan H. Kazan
Ildus I. Ahmetov
Mehmet A. Ergun
Ryutaro Matsumoto
Anıl Kasakolu
Türker Bıyıklı
Giyasettin Baydaş
Ekaterina A. Semenova
Andrey K. Larin
Nikolay A. Kulemin
Edward V. Generozov
Takanobu Okamoto
Koichi Nakazato
Naoki Kikuchi
Seyrani Koncagul
Publication Name: Genes
Publication Date: 2025-08-01
Volume: 16
Issue: 8
Page Range: Unknown
Description:
Background: In recent years, comprehensive analyses using a genome-wide association study (GWAS) have been conducted to identify genetic factors related to athletic performance. In this study, we investigated the association between genetic variants and elite wrestling status across multiple ethnic groups using a genome-wide genotyping approach. Methods: This study included 168 elite wrestlers (64 Japanese, 67 Turkish, and 36 Russian), all of whom had competed in international tournaments, including the Olympic Games. Control groups consisted of 306 Japanese, 137 Turkish, and 173 Russian individuals without elite athletic backgrounds. We performed a GWAS comparing allele frequencies of single-nucleotide polymorphisms (SNPs) between elite wrestlers and controls in each ethnic cohort. Cross-population analysis comprised (1) identifying SNPs with nominal significance (p < 0.05) in all three groups, then (2) meta-analyzing overlapped SNPs to assess effect consistency and combined significance. Finally, we investigated whether the most significant SNPs were associated with gene expression in skeletal muscle in 23 physically active men. Results: The GWAS identified 328,388 (Japanese), 23,932 (Turkish), and 30,385 (Russian) SNPs reaching nominal significance. Meta-analysis revealed that the ATP2A3 rs6502758 and UNC5C rs265061 polymorphisms were associated (p < 0.0001) with elite wrestling status across all three populations. Both variants are located in intronic regions and influence the expression of their respective genes in skeletal muscle. Conclusions: This is the first study to investigate gene polymorphisms associated with elite wrestling status in a multi-ethnic cohort. ATP2A3 rs6502758 and UNC5C rs265061 polymorphisms may represent important genetic factors associated with achieving an elite status in wrestling, irrespective of ethnicity.
Open Access: Yes
Work addiction among managers: a battery of demands and resources approach
Publication Name: Cogent Psychology
Publication Date: 2025-07-30
Volume: 12
Issue: 1
Page Range: Unknown
Description:
Work addiction negatively impacts health and well-being, yet little research has focused on managers, whose excessive work involvement can affect entire organizations. This study examined psychological predictors of work addiction and differences between work-addicted and non-addicted managers. Two hundred managers were assessed via the Qualtrics research platform, with work addiction classified using the Bergen Work Addiction Scale. We analyzed 11 psychological measures: exhaustion, disengagement, stress, obsessive and harmonious passion, well-being, work-family and family-work conflict, perceived physical and mental health, and sleep quality. Logistic regression significantly predicted group membership (p < 0.001), explaining 39.7%–57.0% of the variance and correctly classifying 84.5% of cases. Multivariate analysis of variance showed significant differences across all measures except one between the two groups. Work-addicted managers also showed poorer physical and mental health, and lower sleep quality. The prevalence of work addiction was high (29%) in this sample, highlighting the need for targeted interventions. As the first study to identify multiple psychological predictors of work addiction in managers, the findings may be valuable for organizations concerned with occupational mental health. However, cross-national replication is necessary before generalizing results. Recognizing the psychological toll of work addiction can help policymakers develop effective, sustainable interventions.
Open Access: Yes
The Efficacy of the Sensorimotor Training Program on Sensorimotor Development, Auditory and Visual Skills of Schoolchildren Aged 5–8 Years
Publication Name: Child and Youth Care Forum
Publication Date: 2025-04-01
Volume: 54
Issue: 2
Page Range: 323-352
Description:
Background: Around 800 million young children worldwide have cognitive-developmental limitations due to issues related to biological, environmental, and psychosocial factors. These problems lead to educational challenges, limited skill development, and higher unemployment rates. Therefore, timely interventions addressing the underlying problems in institutional settings are critically important. Objective: The authors created the “Sensorimotor Training Program” (STP) as a critical intervention to develop skills essential for starting school. This experimental study aimed to investigate the impact of the STP in an institutional setting, targeting the specific auditory and visual skills crucial for kindergarten and primary school learning. Methods: The STP comprises 120 training sessions focused on sensorimotor maturation. Seven hundred and seventy-two children aged 5–8 participated in the study, with 704 in the experimental and 68 in the control group, each containing a relatively balanced ratio of boys to girls. The study spanned six to eight months, with three to five weekly sessions. Results: The intervention resulted in significant improvements in sensorimotor development in the experimental compared to the control group [p <.001, effect size (d) =.483; auditory skills r =.605 p <.001, d =.366; visual skills r =.542, p <.001, d =.294]. The intervention group also improved compared to its baseline measurements. Conclusion: These results show that implementing the STP in school settings can improve sensorimotor development, impacting auditory and visual skills in children aged 5–8. These intervention-based improvements are above and beyond biological maturation.
Open Access: Yes
Relationship between primitive reflexes, functional fitness, handgrip strength, and physical activity in older adults aged 65 and over
Publication Name: Physiological Reports
Publication Date: 2025-04-01
Volume: 13
Issue: 7
Page Range: Unknown
Description:
The reemergence of primitive reflexes (PRs) in older adults is associated with dementia and cognitive impairment. Recent experimental work suggests gentle sensorimotor exercises may halt or reverse PR's inverse development. These findings question whether physical activity (PA) is negatively related to PRs. This study aimed to test this relationship in 52 older adults aged 66 and over who were volunteers from seven Hungarian nursing homes. They were tested individually using the Senior Test, hand-grip strength, 13 PRs, and PA levels using the Global Physical Activity Questionnaire. Apart from upper and lower body flexibility, all functional fitness indices and PA were negatively related to the number of PRs. A bootstrapped multiple hierarchical linear regression revealed that only PA was a statistically significant predictor (p < 0.001) of the PRs, accounting for 41% of the variance. This study is the first to demonstrate a robust negative relationship between PA and PRs and a weak negative association with hand-grip strength and four elements of functionality in older adults. The implications of the results could be significant for developing interventions to prevent or delay PRs' inverse development, which is associated with adverse mental health in older adults.
Open Access: Yes
DOI: 10.14814/phy2.70229
The Biopsychosocial Health Model Differentiates Long-Term Exercisers From Non-Exercisers: A Cross-Sectional Study
Publication Name: Health Science Reports
Publication Date: 2025-02-01
Volume: 8
Issue: 2
Page Range: Unknown
Description:
Background and Aims: The biopsychosocial (BPS) model considers that health and behavioral outcomes result from the interaction of biological, psychological, and social factors. Regular exercise is an essential component of modern-day healthy living. All three factors in the BPS model are related to long-term exercise. Therefore, this cross-sectional study aimed to compare adults exercising regularly for at least 3 years with their non-exercising counterparts on perceived health and stress (antagonistic, biopsychological), life satisfaction (psychological), and perceived income (psychosocial) while controlling for age, gender, and education level. Methods: Participants were 461 Hungarian volunteers (74.83% female) aged 18−73 years. There were 274 regular exercisers and 187 non-exercisers. They completed the study on the Qualtrics research platform. Results: A statistically significant (p < 0.001) multivariate analysis of covariance revealed that long-term exercisers scored lower on perceived stress and higher on perceived health, income, and life satisfaction than non-exercising adults. Consequently, the three factors of the BPS model differentiated the groups. Still, the effect sizes were relatively small. Finally, perceived stress was a statistically significant (p < 0.001) mediator of life satisfaction. Conclusion: These findings support the idea that long-term exercise behavior can be studied via the BPS model and the role of stress in life satisfaction. The results have practical implications for promoting a healthy and satisfactory life targeting multi-level development through exercise based on the BPS model.
Open Access: Yes
DOI: 10.1002/hsr2.70476
Positive and Negative Expectations Associated with Coffee and Energy Drinks: Implications for Placebo–Nocebo Research in Sports
Publication Name: Nutrients
Publication Date: 2025-02-01
Volume: 17
Issue: 4
Page Range: Unknown
Description:
Background: Nutritional expectations have been shown to influence exercise performance via placebo and nocebo effects. The present study aimed to evaluate performance-enhancement expectations for coffee and energy drinks using the Stanford Expectations of Treatment Scale. Methods: A total of 402 participants (48.5% male) with an average exercise history of 4.53 years, engaging in average physical activity 3.91 times per week, were included in the study. Data collection was conducted through the Qualtrics platform. Results: Participants exhibited significantly higher positive expectations for coffee compared to energy drinks (p = 0.002), whereas negative expectations were more pronounced for energy drinks than for coffee (p < 0.001). Males and individuals engaging in anaerobic exercise expressed more positive expectations for energy drinks than females and those participating in aerobic or mixed exercise regimens. Additionally, high-frequency exercisers (≥4 sessions per week) reported greater positive expectations for both beverages and fewer negative expectations for coffee than low-frequency exercisers (≤3 sessions per week). Correlational analyses revealed weak but significant associations between expectations and variables such as exercise history, frequency, intensity, and age. Conclusions: The findings suggest that coffee is perceived as a more effective performance enhancer and exhibits greater placebo-inducing potential than energy drinks, which may elicit stronger nocebo effects. These group-specific perceptions should be considered by trainers, coaches, and researchers when addressing placebo–nocebo mechanisms in the context of sports and exercise.
Open Access: Yes
DOI: 10.3390/nu17040628
Genome-Wide Association Study of Exercise Addiction Among Elite Wrestlers
Publication Name: Brain Sciences
Publication Date: 2025-02-01
Volume: 15
Issue: 2
Page Range: Unknown
Description:
Background: Exercise addiction, marked by an inability to control exercise and associated with distress that clinically impairs daily activities, is a significant but underrecognized issue in physical activity and health. While its physiological, psychological, and behavioral aspects have been studied, the genetic basis of exercise addiction remains poorly understood, requiring further investigation. The present study conducted a genome-wide association study of exercise addiction among elite Turkish wrestlers. Methods: The sample comprised 67 male wrestlers (34 freestyle wrestlers and 33 Greco-Roman wrestlers). Exercise addiction was assessed using the Exercise Addiction Scale. Whole-genome genotyping was performed using DNA microarray. Results: Using a genome-wide approach (p < 1.0 × 10−⁵), we identified six suggestively significant single-nucleotide polymorphisms (SNPs) associated with exercise addiction status. Of these, the high-addiction alleles of five SNPs (PRDM10 rs74345126, near PTPRU rs72652685, HADHB rs6745226, XIRP2 rs17614860, and near GAREM2 rs1025542) have previously been associated with an increased risk of mental health disorders such as anxiety and depression or higher levels of physical activity. We also examined potential associations between the genetic markers previously linked to addiction-related traits such as obsessive–compulsive disorder and cigarette smoking, and personality traits linked to negative emotions including neuroticism. Using this candidate gene approach (p < 0.05), we identified three additional SNPs associated with exercise addiction in the same direction of association (DEFB135 rs4841662, BCL11A rs7599488, and CSRNP3 rs1551336). Conclusions: The present study provides preliminary evidence for the genetic basis of exercise addiction, highlighting specific SNPs that may play a role in the development of this condition among elite wrestlers.
Open Access: Yes
Do regular exercise, gender, and age influence smartphone addiction? Analyzing screen time and smartphone deprivation symptoms
Publication Name: Frontiers in Psychology
Publication Date: 2025-01-01
Volume: 16
Issue: Unknown
Page Range: Unknown
Description:
Background: Headless smartphone use, known as smartphone addiction (SA), is associated with mental health issues and behavioral dependencies. While physical activity (PA) has been suggested as a protective factor, research remains inconclusive. The present study examines whether regular exercise influences SA, smartphone deprivation, and daily smartphone screen time while assessing gender and age as risk factors. Methods: This cross-sectional study with 701 participants (392 exercisers, 309 non-exercisers) assessed SA with the Smartphone Application-Based Addiction Scale (SABAS) and deprivation feelings with the Hungarian Smartphone Withdrawal Symptom Scale (HSWSS). Daily smartphone use was self-reported. Multivariate analysis of covariance examined the effects of exercise status, gender, and age on SA-related variables. Results: Exercise status did not significantly affect SA, deprivation feelings, or screen time (p > 0.05). However, the correlation between SA and smartphone screen time was stronger (p < 0.05) in non-exercisers (r = 0.407) than in exercisers (r = 0.274). Gender and age were significant predictors: females reported higher SA and usage, and younger age was associated with greater SA, deprivation symptoms, and more screen time. Conclusion: While exercise may not reduce SA, exercisers exhibit a weaker link between SA and smartphone use, suggesting less problematic usage, possibly due to more utilitarian (e.g., sports-related) rather than hedonic use. Females report higher SA, feelings of deprivation, and screen time than males, while age correlates with increased SA, feelings of deprivation, and screen time. Future research should examine psychosocial mechanisms and diverse smartphone usage patterns in addiction in connection with exercise behavior.
Open Access: Yes
What makes CrossFit exercise unique? Addiction, passion, or motivation?
Publication Name: Sport Sciences for Health
Publication Date: 2025-09-01
Volume: 21
Issue: 3
Page Range: 2167-2183
Description:
Background: CrossFit is one of the fastest-growing exercise regimens worldwide. Around 4 million people practice CrossFit in over 100 countries. This high-intensity training is performed with passion, often involving pain for gain, which sets CrossFit apart from most traditional exercises. Aims: Based on this premise, we aimed to test the hypothesis that the risk of exercise addiction (REA), obsessive passion (OP), harmonious passion (HP), and internal motivational regulations are greater in CrossFit than in other exercises. Methods: This study employed a between-participants research design, adopting a survey-based, cross-sectional approach. The study involved 507 participants (62.7% male), comprising 238 practicing CrossFit enthusiasts and 269 mixed exercisers classified as controls. Results: CrossFit practitioners scored significantly higher than controls on REA (Cohen’s d = 0.18) and both OP (d = 0.30) and HP (d = 0.32), but not motivational regulations. The effect sizes were small. However, after controlling for OP and HP, the group differences in REA vanished. The prevalence of “high” REA was 25.2% in the CrossFit group compared to 13.4% in the controls (p < 0.001). However, after controlling for OP and HP in a binary logistic regression, the group differences disappeared again. At the same time, OP (odds ratio [OR] = 0.795) and HP (OR = 0.653) remained statistically significant predictors in the model. Two group-by-gender interactions suggested that women in CrossFit had greater intrinsic-effective regulation and introjected regulation than controls. In comparison, men in CrossFit exhibited lesser introjected regulation compared to controls. Conclusion: The findings suggest that passion is what distinguishes CrossFit from other exercises, but gender-related differences may also exist at motivational levels.
Open Access: Yes
Body Mass and Aerobic Capacity are Robust Predictors of the 2000m Ergometer Rowing Performance: A Laboratory Study
Publication Name: International Journal of Kinesiology and Sports Science
Publication Date: 2025-01-01
Volume: 13
Issue: 2
Page Range: 78-85
Description:
Purpose: Predicting performance in sports competitions is a popular topic in research. However, only a few studies exist in rowing sports, which suggest that some anthropometric and performance indices might predict performance in various situations. Methods: This work expands past research by examining the effects of five anthropometric measures, such as body mass index (BMI), height, weight, fat, and muscle, and three performance indicators, such as aerobic capacity, maximum speed, and force, while also considering the training history of 38 elite rowers (Mag e = 16.89 ± 1.85, range 14.7 to 22.6 years, 61% males) participating in a national championship. Results: Apart from BMI, all measures correlated statistically significantly with the 2000m rowing time. A bootstrapped forward multiple regression yielded the best model with only two predictors (R2 =.995), aerobic capacity and body mass, accounting for 99.5% variance in the 2000m rowing time. Conclusions: While the results support previous findings, such robust prediction has not been reported in the literature. We conjecture that the differences from other past works rest with the high-pressure 2000m performance preceding a national championship. If these findings could be replicated, their practical implication is substantial in preparatory training for rowing contests.
Open Access: Yes
Relationships Between Body Attitude, Loneliness, Problematic Smartphone Use, and Associated Feelings of Deprivation
Publication Name: Journal of Technology in Behavioral Science
Publication Date: 2025-01-01
Volume: Unknown
Issue: Unknown
Page Range: Unknown
Description:
Problematic smartphone use (PSU) is an increasing global concern, particularly among young people, and emotional factors can play a crucial role in PSU. This study investigated the relationships between loneliness, body attitudes, PSU, and smartphone deprivation (withdrawal) feelings using a structural equation modeling (SEM) approach. A total of 697 Hungarian participants (74.8% female, Mage = 23.51 ± 7.26) completed the Smartphone Application-Based Addiction Scale, the Loneliness Scale, the Body Attitude Test, the Smartphone Withdrawal Symptom Scale, and demographic questions. The results revealed that loneliness was positively related to PSU and smartphone deprivation, with body attitude mediating these relationships. Age was a protective factor since older individuals reported less PSU and feelings of deprivation. While an alternative non-mediated model yielded a comparable fit, the mediated model provided a more thorough perspective. Overall, the findings suggest a potentially vicious cycle in which loneliness, negative body attitude, and PSU reinforce one another, with feelings of smartphone deprivation further exacerbating PSU. This cycle not only deepens psychological distress but also underscores the urgent need for targeted interventions to enhance body image and social well-being as a means of mitigating PSU. Given the broader implications, further empirical research, particularly cross-cultural validation, is essential to ensure the findings apply across diverse populations and inform globally relevant strategies.
Open Access: Yes
Association between hand grip strength and exercise addiction among high-level athletes: differences by sport category and sex in elite athletes
Publication Name: Frontiers in Psychology
Publication Date: 2025-01-01
Volume: 16
Issue: Unknown
Page Range: Unknown
Description:
Introduction: Handgrip strength (HGS) is a key indicator of upper-body strength and overall physical fitness. While its links to health and sports performance have been widely studied, its relationship with the risk of exercise addiction (REA) remains unclear. Thus, the present study examines the relationship between HGS and REA across various sports disciplines, sexes, and national contexts, aiming to deepen our understanding of their intricate interplay. Methods: Using a cross-sectional research design, data were collected from 1,211 high-level athletes from Türkiye (n = 656) and Hungary (n = 555), spanning a wide range of competitive sports. The measures involved demographic questions, the Exercise Addiction Inventory to assess REA, and HGS assessments. Results: We found significant negative correlations between HGS and REA among Turkish female athletes competing in racquet and water sports (p < 0.05). In contrast, significant positive correlations emerged in team sports played with hands and target-based sports (p < 0.05). Statistically significant HGS-REA correlations were also observed among Turkish male athletes participating in gymnastics and esthetic sports (p < 0.05). Among Hungarian athletes, a significant HGS-REA correlation was found in male racquet sports athletes and female athletes engaged in combat sports (p < 0.05). Regardless of sports discipline, a statistically significant positive correlation was observed exclusively among Turkish female athletes (p < 0.05). Conclusion: The present study reveals that the correlations between HGS and the risk of REA may vary depending on country, sex, and type of sport. The findings indicate that HGS may be either positively or negatively associated with REA in specific sports disciplines.
Open Access: Yes
Psychometric Validation of the Modified, Short Version of the Problematic Pornography Consumption Scale in Serbian
Publication Name: Sexual Health and Compulsivity
Publication Date: 2025-01-01
Volume: 32
Issue: 2
Page Range: 105-128
Description:
Pornography is used worldwide, and 3% of individuals may experience problematic pornography use (PPU, i.e. poorly controlled use resulting in significant distress and negative consequences). Therefore, instruments gauging PPU are needed in nation-specific languages. This study aimed to validate a modified version of the Problematic Pornography Consumption Scale-6 (PPCS-6) in the Serbian language among 1413 adults (52.9% males) aged from 18 to 54 (Mag e = 24.96, SD = 4.46). Exploratory factor analysis on the sample’s random half yielded a single factor explaining 43% of the total variance. Confirmatory factor analysis on the sample’s other half revealed an acceptable model fit. Internal consistency (Cronbach’s alpha) was acceptable. The scale exhibited configural and partial metric invariance across genders and convergent validity. Latent profile analysis identified that 8.1% of the participants were at risk of experiencing PPU. In comparison, this value was 9.6% based on a calculated cutoff score (≥ 19) with acceptable values (.69 and.96) of sensitivity and specificity. To conclude, the Serbian modified version of the PPCS-6 appears to be a valid and reliable scale for screening PPU.
Open Access: Yes
Changes in primitive reflexes in older adults and their relationship to mental health indices: An experimental investigation
Publication Name: Experimental Gerontology
Publication Date: 2024-10-15
Volume: 196
Issue: Unknown
Page Range: Unknown
Description:
The reemergence of primitive reflexes (PRs) in older age is related to cognitive impairment. Currently, there are no means to prevent or slow their reappearance, but research evidence exists for their control in children. Therefore, this experiment investigated whether a 16-week special sensorimotor exercise program could benefit older adults and whether the intervention-induced changes (if any) may be associated with various indices of mental health. Of 115 adults over 60, 95 completed the study (mean age = 76.37 ± SD = 7.04 years, 22 % men). The experimental group (n = 38) showed an almost threefold decline in PRs compared to controls. In contrast, the control group (n = 57) exhibited a nearly threefold increase in PRs compared to the intervention group. Cognitive function increased in the experimental but not in the control group. Changes in PRs over the 16-week intervention were positively related to negative mental health indices (hopelessness and perceived stress) and negatively related to well-being. These findings suggest that the here-presented mild sensorimotor exercises could affect older adults' reemerging PRs and that changes in PRs are associated with mental health benefits. These results may open new research avenues toward preventing cognitive and psychological decline in older adults.
Open Access: Yes
Analysis of the Laboratory and In-Competition Characteristics of Adolescent Motocross (MX) Riders: An In Situ Case Study
Publication Name: Applied Sciences Switzerland
Publication Date: 2024-09-01
Volume: 14
Issue: 18
Page Range: Unknown
Description:
Motocross is one of the most popular high-speed motorcycle races, which takes place on a naturally closed track with significant challenges. This study aimed to characterize anthropometric, circulatory, and lower and upper limb muscle properties based on laboratory and race-recorded characteristics. Male competitors (n = 3) aged 14 years (MX) were included in the study. All three boys have national and international experience. Metabolic characteristics (ventilation, oxygen consumption, and carbon dioxide production) and heart rate (HR) were measured in the laboratory while HR and speed were measured while racing. No significant difference was found between the three competitors in terms of HR during the race. In terms of number of sprints (No. sprint) and maximum speed (Speedmax), we found the most successful runner (highest finisher) to have the most sprints and maximum speed. Comparing the metabolic characteristics, it was found that racing was between the respiratory breakpoint (VT1 ) and the respiratory compensation point (RCP), but, in several cases, crossed the anaerobic threshold. While motocross riders are exposed to extreme conditions and high physical demands, in motorsport, victories depend not only on the athlete’s physical abilities but also on several factors such as driving technique, mental effort, equipment efficiency and resistance, race strategy, and team competence.
Open Access: Yes
DOI: 10.3390/app14188232
Placebo and nocebo interventions impact perceived but not actual proprioceptive accuracy
Publication Name: Plos One
Publication Date: 2024-08-01
Volume: 19
Issue: 8
Page Range: Unknown
Description:
Changes in performance caused by positive and negative expectations (i.e., placebo and nocebo responses) were found to play an important role in many aspects of motor performance. This study aimed to test the impact of placebo/nocebo responses and the assumed moderating role of dispositional optimism and anxiety on proprioceptive accuracy, an essential aspect of motor functions. 78 undergraduate university students completed questionnaires assessing dispositional optimism, state anxiety, and motivation to cooperate, then were randomly assigned to three experimental groups. A sham subliminal electric stimulation was applied with claimed positive (placebo group, n = 26), negative (nocebo group, n = 26) or neutral (control group, n = 26) impact on proprioceptive accuracy. Proprioceptive accuracy was measured with active and passive versions of the Joint Position Reproduction task before and after the intervention. Expected and perceived changes in performance were also assessed; changes in state anxiety, optimism, and motivation to cooperate were used as control variables (covariates). Mixed analyses of variance indicated that the experimental manipulation did not affect actual proprioceptive accuracy but impacted expected and perceived performance. Adding the covariates to the models did not substantially change the results. Further, no significant association emerged between actual and perceived change in performance in the active test, and only a weak correlation was found in the passive test. Expected performance did not predict actual performance but predicted perceived performance in both tasks. The results suggest that only perceived (subjective) aspects of proprioceptive accuracy are susceptible to placebo and nocebo interventions.
Open Access: Yes
Placebo and Nocebo Effects on Sports and Exercise Performance: A Systematic Literature Review Update
Publication Name: Nutrients
Publication Date: 2024-07-01
Volume: 16
Issue: 13
Page Range: Unknown
Description:
Sports performance could be affected by placebo and nocebo effects. The last literature review on placebo and nocebo effects on sports and exercise performance was published in 2019. In the past five years, several new studies have been published. This review aimed to update the previous synthesis and evaluate the results of new studies focusing on placebo or nocebo interventions in sports and exercise by determining the form and magnitude of their effect. Hence, we searched for empirical studies published from 2019 until the end of May 2024 indexed in PubMed, Medline, Web of Science, EBSCO, and Google Scholar databases. The search yielded 20 eligible studies with control or baseline-control conditions, focusing on nutritional, mechanical, and other mixed ergogenic aids. They yielded small to large placebo effects (Cohen’s d) for nutritional (d = 0.86), mechanical (d = 0.38), cream and gel (d = 0.05), and open-label placebo (d = 0.16) interventions. The pooled effect size for placebo effects was moderate to large (d = 0.67), larger than in the earlier review, suggesting that placebo effects can improve motor performance even more than previously reported. However, based on five measures from three studies, the nocebo effects were almost twice as large (d = 1.20). Accordingly, the current findings support and expand the last review in the field by yielding additional support for placebo and nocebo effects in sports and exercise.
Open Access: Yes
DOI: 10.3390/nu16131975
Chasing a Phantom Dysfunction: A Position Paper on Current Methods in Exercise Addiction Research
Publication Name: International Journal of Mental Health and Addiction
Publication Date: 2024-01-01
Volume: Unknown
Issue: Unknown
Page Range: Unknown
Description:
Exercise addiction has been investigated for almost half a decade in well over 1000 published papers. Studies adopt different terminologies like exercise addiction, overexercise, exercise dependence, compulsive exercise, obligatory exercise, and the like to refer to the same concept while creating conceptual confusion and rendering cross-study comparability challenging. The paradox is that fewer than ten research articles cover cases of clinical significance, yielding an extremely high ratio of publications to problematic cases. While there is evidence that significantly more clinically attention-meriting cases might exist, they surface in clinical practice rather than research settings. It is also peculiar that scholars search for a common path or shared etiology for exercise addiction, while each case, like those in substance use disorder, is unique, as also predicted by clinical models. Furthermore, the survey method uses scales yielding risk scores without diagnostic value. Most research in this direction, therefore, seems to be futile. Thus, it is not surprising that more than 10 years ago, the panel editing the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) found insufficient evidence for exercise addiction being a mental dysfunction. As a result, exercise addiction has no clinical diagnostic criteria. This position paper aims to identify conceptual and methodological research barriers that hinder progress in this field, ultimately calling for a paradigm shift toward more productive research. In conclusion, the position of this paper is that most currently used research methodologies on exercise addiction are unsatisfactory and, consequently, a paradigm shift is urgently needed.
Open Access: Yes
Psychometric Properties of the Italian Tendency to Avoid Physical Activity and Sport Scale Relationship to Weight Stigma and Body Esteem
Publication Name: Stigma and Health
Publication Date: 2024-01-01
Volume: Unknown
Issue: Unknown
Page Range: Unknown
Description:
Physical inactivity is a growing problem that contributes to a range of negative health consequences, such as psychological and physical issues and weight gain. Recent evidence suggests that the tendency to avoid physical activity is associated with weight stigma and low (body-related) self-esteem. New cross-culturally validated psychometric scales for assessing nonparticipation in physical activity could help researchers and practitioners better understand the psychosocial factors contributing to avoidance of physical activity and for the more efficient promotion of an active lifestyle. The objective of the present study was to evaluate the psychometric properties of the Italian Tendency to Avoid Physical Activity and Sport Scale (TAPAS) by conducting a confirmatory factor analysis and calculating the scale’s internal consistency and convergent/ discriminant validity. An Italian sample (N = 235; 57.4% females, Mage = 35.17 years; SD = ±10.83) participated in an online survey. The measures included the TAPAS, Rosenberg Self-Esteem Scale, Depression Anxiety Stress Scale–21, Weight Self-Stigma Questionnaire, Body Esteem Scale, and Exercise Addiction Inventory–Revised. The results of the confirmatory factor analysis supported a first-order one-factor scale, and the TAPAS showed good internal consistency. Additionally, the TAPAS was positively associated with body mass index, weight stigma, anxiety, stress, and depression; it was negatively associated with self-esteem and body self-esteem. The results suggest that the TAPAS is a psychometrically reliable and valid measure for assessing the tendency to avoid physical activity and sport among Italian-speaking individuals. The study also expands the knowledge of psychosocial factors involved in avoiding sports and participation in physical activity.
Open Access: Yes
DOI: 10.1037/sah0000579
Can automatic reactions mirror exercise dependence?
Publication Name: International Journal of Sport and Exercise Psychology
Publication Date: 2024-01-01
Volume: Unknown
Issue: Unknown
Page Range: Unknown
Description:
While physical activity (PA) has numerous health benefits, in rare cases it can become addictive and lead to adverse health effects. Automatic reactions to addiction-related cues are a hallmark of addiction, however, their association with exercise dependence (ED) remains unknown. This research examined the links between ED and automatic reactions to PA-related cues in physically active individuals with low-to-moderate levels of ED through two studies. Study 1 (N = 65) used a dot-probe task with eye-tracking to assess the association between attentional bias toward PA and ED scores measured by the Exercise Dependence Scale-Revised. Study 2 (N = 125) used a manikin task and a single-category implicit association test to examine the association of approach-avoidance tendencies and implicit affective attitudes toward PA with ED scores. Results revealed ED scores were positively associated with behavioral indicators of attentional bias (i.e., reaction times), but not with eye-tracking indicators (i.e., first-gaze localization, gaze duration). Similarly, ED scores were unrelated to approach-avoidance tendencies or implicit affective attitudes toward PA. Therefore, our research provides limited evidence supporting the hypothesis that automatic reactions to PA may reflect a “signature” of ED. Our findings do not robustly support the link between automatic processes and ED, raising questions about whether the psychological mechanisms involved in ED might differ from those observed in other addictive behaviors where automatic processes are key. However, due to our sample's low-to-moderate levels of ED, definitive conclusions cannot be drawn. Further research with individuals exhibiting addiction-related dependence, personalized stimuli, and neurophysiological methods is needed.
Open Access: Yes
Prevalence of the Risk of Exercise Addiction Based on a New Classification: A Cross-Sectional Study in 15 Countries
Bhavya Chhabra
Attila Szabo
Umberto Granziol
Thomas Zandonai
Emilio Landolfi
Marco Solmi
Liye Zou
Peiying Yang
Mia Beck Lichtenstein
Oliver Stoll
Mark D. Griffiths
Takayuki Akimoto
Abril Cantù-Berrueto
Angelica Larios
Ricardo de la Vega Marcos
Merve Alpay
Merve Denizci Nazlıgül
Mustafa Yildirim
Mike Trott
Robert M. Portman
Aleksei Y. Egorov
Publication Name: International Journal of Mental Health and Addiction
Publication Date: 2024-01-01
Volume: Unknown
Issue: Unknown
Page Range: Unknown
Description:
Exercise addiction is widely studied, but an official clinical diagnosis does not exist for this behavioral addiction. Earlier research using various screening instruments examined the absolute scale values while investigating the disorder. The Exercise Addiction Inventory-3 (EAI-3) was recently developed with two subscales, one denoting health-relevant exercise and the other addictive tendencies. The latter has different cutoff values for leisure exercisers and elite athletes. Therefore, the present 15-country study (n = 3,760) used the EAI-3 to classify the risk of exercise addiction (REA), but only if the participant reported having had a negative exercise-related experience. Based on this classification, the prevalence of REA was 9.5% in the sample. No sex differences, and few cross-national differences were found. However, collectivist countries reported greater REA in various exercise contexts than individualist countries. Moreover, the REA among athletes was (i) twice as high as leisure exercisers, (ii) higher in organized than self-planned exercises, irrespective of athletic status, and (iii) higher among those who exercised for skill/mastery reasons than for health and social reasons, again irrespective of athletic status. Eating disorders were more frequent among REA-affected individuals than in the rest of the sample. These results do not align with recent theoretical arguments claiming that exercise addiction is unlikely to be fostered in organized sports. The present study questions the current research framework for understanding exercise addiction and offers a new alternative to segregate self-harming exercise from passionate overindulgence in athletic life.
Open Access: Yes
Does self-esteem mediate the relationship between stress and exercise addiction?
Publication Name: Psychology Hub
Publication Date: 2024-01-01
Volume: 41
Issue: 3
Page Range: 23-30
Description:
Background: The risk of exercise addiction is generally associated with high levels of stress and low self-esteem. Previous studies have revealed a significant association between stress, risk of exercise addiction, and self-esteem. However, the mediating effect of the latter was not examined. Aims: Based on the Interactional Model of Exercise Addiction, we hypothesized that stress might influence the risk of exercise addiction through the mediating role of self-esteem. Method: This cross-sectional study used a convenience sample of 200 Italian exercisers aged 18 to 69 (M = 35; SD = 4.05; 62% females). Participants completed demographic and exercise habits-related questions, the revised Exercise Addiction Inventory, Stress subscale of DASS-21, and the Rosenberg’s Self-Esteem Scale in an online survey. Results: A positive association was found between stress and the risk of exercise addiction. However, a negative association emerged between stress and self-esteem. Furthermore, self-esteem was also related negatively to the risk of exercise addiction. Notably, self-esteem partially mediated the association between stress and the risk of exercise addiction. Conclusions: Self-esteem plays a role in the stress and exercise addiction relationship. Overall, the results contribute to a better understanding of the complex set of mechanisms that underlie the effects of stress on exercise addiction.
Open Access: Yes
The impact of neurolinguistic programming on anxiety, self-confidence, self-esteem, and performance in non-elite finswimmers
Publication Name: Complementary Therapies in Medicine
Publication Date: 2025-10-01
Volume: 93
Issue: Unknown
Page Range: Unknown
Description:
Background: Few studies have addressed mental health in finswimmers. Objective: This study examines the effect of NLP used as mental training on the finswimmers’ anxiety, self-confidence, self-esteem, and swimming records. Methods: The NLP intervention lasted two months. The study involved thirty young finswimmers (mean age M = 15.53, SD = 1.024), divided equally into two groups: the experimental and the control group. We carried out a pre- and post-test research design and conducted a follow-up test. We used two questionnaires, the French version of the CSAI-2R and the French version of the PSPP, along with semi-structured interviews for all three tests. Results: In the post-intervention test, the experimental group significantly decreased their cognitive anxiety (β = −3.47, p < .001) and somatic anxiety (β = −2.20, p = .001). Significantly increased their self-confidence (β = 2.07, p < .001), their global self-esteem (β = 1.93, p = .002), and their physical self-worth (β = 2.13, p = .004). The same parameters, except for the global self-esteem, also recorded significant change in the follow-up test, p < .005. Time effect did not show significance in the body attractiveness, physical strength, physical conditioning, and sport competence. Furthermore, outcomes showed notable between-subject variability in the mental skills, suggesting substantial variability in baseline parameter levels between individuals. Consequently, the finswimmers enhanced their swimming records. Conclusions: NLP showed a powerful impact in optimizing finswimmers’ mental health and, accordingly, their athletic performance. Besides, the technique showed relatively durable effectiveness. Coaches can reinforce the effect through ongoing NLP training.
Open Access: Yes
Psychometric Analyses of the Italian 8-Item, 9-Item, and 12-Item Versions of the Depression, Stress and Anxiety Scale
Publication Name: Evaluation and the Health Professions
Publication Date: 2025-01-01
Volume: Unknown
Issue: Unknown
Page Range: Unknown
Description:
The present study aimed to validate the Italian 8-item, 9-item, and 12-item versions of the Depression, Anxiety and Stress Scale-21 (DASS-21), addressing the need for shorter yet psychometrically robust measures. Two studies were conducted with different samples. In Study 1 (n = 541), confirmatory factor analysis (CFA) and reliability testing of the short-form versions of the DASS were performed, and their convergent validity with life satisfaction and mental well-being was examined. Study 2 (n = 321) extended this validation by reassessing factor structure, reliability, and convergent validity using constructs associated with psychological distress, including positive and negative affect, self-esteem, and perceived stress. Results demonstrated that all short-form versions retained the three-factor structure of the original DASS-21, with overall sufficient fit indices, especially the 9-item model. Reliability metrics confirmed internal consistency (all Cronbach’s alpha and McDonald’s omega ≥0.70). Convergent validity analyses indicated strong correlations between the short-form versions of DASS-21 (min = 0.675, max = 0.956) and associated psychological constructs, aligning with theoretical expectations. The scales captured the relationships between psychological distress, positive and negative affect, perceived stress, mental well-being, self-esteem, and life satisfaction. Findings suggest that the Italian versions of the DASS-8, DASS-9, and DASS-12 provide feasible and reliable alternatives to the DASS-21 for assessing depression, anxiety, and stress, supporting their usefulness in clinical and research contexts, particularly in circumstances in which brevity is essential.
Open Access: Yes
Exercise Addiction: a Thematic Analysis of Self-Reported Cases for Clinical Insight and Prevention
Publication Name: International Journal of Mental Health and Addiction
Publication Date: 2025-01-01
Volume: Unknown
Issue: Unknown
Page Range: Unknown
Description:
Exercise addiction (EA) is a potentially harmful behavioral disorder that remains clinically undefined, with research often relying on symptom-based models that overlook subjective experiences. This study reviewed 63 self-reported EA cases using Braun and Clarke’s thematic analysis to identify recurring experiential patterns that may go beyond the component model of addictions (CMA). Nine themes emerged: loss of control, diverse exercise engagement, identity fusion, emotional coping, social disconnection, health denial, gender disparity, compulsive quantification, and severe physical consequences. The findings provide ecologically valid insights into the psychological and social dynamics of EA. Some themes partially overlapped with the CMA, but also with obsessive passion and self-determination, highlighting the limitations of current research frameworks and the need for more inductive, person-centered approaches. The results have practical implications for prevention, early detection, and intervention strategies and contribute to the ongoing effort to establish clinical diagnosis criteria for EA.
Open Access: Yes
COVID-19 Alters Respiratory Function Associations in High-Level Athletes
Publication Name: Medicina Lithuania
Publication Date: 2025-09-01
Volume: 61
Issue: 9
Page Range: Unknown
Description:
Background and Objectives: Coronavirus disease 2019 (COVID-19) has affected multiple physiological systems, including respiratory function, which is critical for athletic performance. Although alterations in pulmonary dynamics have been observed in high-level athletes recovering from COVID-19, the effects on respiratory function remain unclear. In this context, the present study aimed to examine the impact of COVID-19 on the interrelationships among respiratory function parameters in high-level athletes. Materials and Methods: Sixty-eight high-level athletes participated in the present study, including 34 with a history of COVID-19 and 34 controls without prior infection. Respiratory function and respiratory muscle strength were assessed using a digital spirometer (Pony FX, Cosmed, Italy). Key variables included Forced Vital Capacity (FVC), Peak Expiratory Flow (PEF), Maximum Voluntary Ventilation (MVV), Forced Expiratory Volume in one second (FEV1 ), and Maximum Inspiratory/Expiratory Pressure (MIP/MEP). Results: High-level athletes with prior COVID-19 infection exhibited significant differences in the correlations (p < 0.05) between FVC and PEF, FVC and MVV, FEV1 and FEV1 /FVC, and MIP and MVV compared to controls. Conclusions: These findings suggest that COVID-19 can disrupt the interrelationships among respiratory function parameters in high-level athletes, highlighting the need for further longitudinal investigations.
Open Access: Yes
The ACTN3 R577X Nonsense Allele Is Underrepresented in Professional Volleyball Players and Associated with an Increased Risk of Muscle Injury in Female Players
Publication Name: Genes
Publication Date: 2025-09-01
Volume: 16
Issue: 9
Page Range: Unknown
Description:
Background: Muscle injuries pose a significant challenge in sports, leading to decreased performance and shortened career longevity. Individuals homozygous for the nonsense X allele of the ACTN3 rs1815739 (R577X) polymorphism, characterized by a complete absence of α-actinin-3, have been associated with reduced power performance and may have an increased injury risk. This study aimed to investigate the association between the ACTN3 R577X polymorphism and both volleyball player status and the risk of non-contact musculoskeletal injuries in female volleyball players. Methods: The study included 5382 Turkish and Russian subjects of European descent (187 professional volleyball players and 5195 controls), of whom 50 female players provided injury data. Sport-related injury information was obtained from medical records maintained by team physicians and physiotherapists. Results: A pooled analysis of the two cohorts demonstrated that the frequency of the ACTN3 X allele was significantly lower in volleyball players than in controls, with an odds ratio of 0.763 (95% CI: 0.61–0.95, p = 0.02). In the pre-specified recessive contrast (XX vs. RR + RX) among 50 players, exact methods indicated higher injury odds for the XX genotype (OR = 7.87, 95% CI: 0.94–374.58; p = 0.0366), which was classified as borderline/exploratory. Penalized (Firth) regression produced estimates of a similar magnitude after adjustment for age and playing position (adjusted OR = 5.92, 95% CI: 1.12–60.98), although confidence intervals remained wide. Conclusions: The ACTN3 X allele is underrepresented in professional volleyball players, and it is associated with an increased risk of muscle injury in female players.
Open Access: Yes
Quantifying the relationship between physical performance and mental wellbeing in older adults: a field study
Publication Name: Frontiers in Aging
Publication Date: 2025-01-01
Volume: 6
Issue: Unknown
Page Range: Unknown
Description:
Introduction: Although the relationship between functionality, as reflected in physical performance (PHP), and mental health in older adults has been researched, its strength remains unclear. Methods: This field study aimed to determine the strength of this relationship in adults aged 60 and above using seven PHP indices and six psychological measures. We individually tested 114 older adults. Objective measures included six PHP indices consisting of the Senior Test and handgrip strength. Subjective measures included resilience, wellbeing, happiness, perceived stress, hopelessness, and life satisfaction. Results: Structural equation modeling (SEM) revealed two latent constructs: PHP and mental wellbeing (MWB): robust fit (MLR): X2 (75) = 136.28, p < 0.001; CFI = 0.967; TLI = 0.960; RMSEA = 0.066 (90% CI [0.000, 0.128]); SRMR = 0.088. The latent partial correlation between PHP and MWB (adjusted for Age) was φ = 0.46, indicating ∼21% shared variance. The correlation between the two latent factors was moderate (r = 0.46), suggesting that other unassessed factors might account for the relationship. Discussion: Based on objective PHP and subjective MWB measures, these results suggest a modest connection, with the two latent constructs sharing ∼1/5 of their variances. Consequently, further research is needed to identify other factors affecting the studied relationship in older adults. These cross-sectional findings, suggesting a moderate association, should be interpreted with caution. Still, they support recommending physical activity as one component of broader, multi-domain strategies to support the wellbeing of older adults.
Open Access: Yes
