Physical activity is widely recognised as an important component of children’s physical, psychological, and social well-being, which is closely associated with their overall quality of life. However, empirical evidence regarding this relationship among elementary school students in Indonesia remains limited. This study aimed to examine the association between physical activity and quality of life among elementary school students. A quantitative cross-sectional correlational design was employed, involving 159 students from a public elementary school. Physical activity was measured using the Physical Activity Questionnaire for Older Children (PAQ-C), while quality of life was assessed using the Elementary School Students’ Quality of Life (ESQoL) scale, comprising six domains. Data analysis included reliability testing, descriptive statistics, normality testing, Spearman correlation, partial correlation, and multiple regression analyses controlling for grade level and gender. Both instruments demonstrated acceptable internal consistency (PAQ-C α = 0.853; ESQoL α = 0.783). Results indicated a positive and statistically significant association between physical activity and overall quality of life (r = 0.254; p < 0.01), which remained significant after controlling for demographic variables. Regression analyses further revealed that physical activity was significantly associated with school functioning and peer relationships domains, but not with other domains. These findings indicate that physical activity is positively associated with specific aspects of elementary school students’ quality of life, although causal inferences cannot be drawn due to the cross-sectional design.
Physical fitness is an important marker of health from a young age, yet it has been little studied in adolescents with intellectual disability (ID) in the Democratic Republic of Congo. This study aimed to compare physical fitness, physical activity levels, and sedentary behaviors between adolescents with and without ID. A cross-sectional analytical design was used with 569 adolescents divided into two groups: 303 with ID (13.54 ± 1.07 years; 180 boys, 123 girls) and 266 without ID (13.54 ± 1.10 years; 142 boys, 124 girls). Data were collected over a three-month period from November 2022 to February 2023. Physical fitness was assessed using the Eurofit test battery, including grip strength, explosive strength, seated trunk flexion, and the 20-meter shuttle run. Anthropometric measurements were also taken, and physical activity and sedentary behavior were assessed using the CAPAS-Q 8–18 questionnaire. Adolescents with ID showed significantly lower physical activity level and higher sedentary behavior than their peers without ID (p < .001). They also performed worse on grip strength, explosive strength, and cardiorespiratory endurance tests (d = -0.77 to -1.23 for boys; d = -0.77 to -1.73 for girls; p < .001). Findings highlight disparities and support the need for further longitudinal and intervention research.
Sports tourism, combining leisure travel with spectating or participating in sporting activities, is a rapidly growing industry with substantial economic, social, and cultural impacts. Vojvodina, an autonomous province in northern Serbia, offers significant potential for the development of sports tourism, however, it faces challenges such as limited strategic coordination and underutilized resources. This paper examines two projects that are a part of the Europe DEPART (DEveloPment of a sustAinable spoRts Tourism in Europe) initiative and demonstrate sustainable approaches to sports tourism in Serbia: the Tour de Fruška and EuroVelo6 Danube Bicycle Route in Serbia. Both projects highlight the importance of connecting natural and cultural assets, fostering healthy lifestyles, and promoting environmentally and socially sustainable tourism practices. The paper concludes that building on these successes can help Vojvodina enhance its sports tourism offerings, strengthen stakeholder cooperation, and support long-term regional development.
Physical activity is generally associated with better psychological well-being, yet the role of sedentary behavior as a distinct contributor to perceived stress remains insufficiently understood. This study aimed to examine the associations of total physical activity and sedentary behavior with perceived stress and its components in a cross-sectional sample. A total of 40 adults (24 females) participated in the study. Perceived stress was assessed using the 10-item Perceived Stress Scale (PSS-10), including total score and subcomponents of helplessness and self-efficacy. Physical activity and sedentary behavior were assessed using the International Physical Activity Questionnaire (IPAQ-SF). Multiple linear regression analyses were conducted to examine associations between physical activity indicators and perceived stress outcomes, adjusting for sex and age. Sedentary behavior was positively associated with total perceived stress (B = 0.35, 95% CI [0.08, 0.62], p = .018) and perceived helplessness (B = 0.41 [0.14, 0.68], p = .005), but not with self-efficacy (B = −0.01 [−0.34, 0.32], p = .941). Total physical activity was not significantly associated with any perceived stress outcome (all p ≥ .556), suggesting that sitting time, rather than overall activity volume, was more consistently related to perceived stress. Sedentary behavior appears to be more strongly related to perceived stress than total physical activity. Interventions targeting stress regulation may benefit from focusing not only on increasing physical activity but also on reducing prolonged sitting.
The aim of this study was to investigate the independent associations of cardiorespiratory fitness (CRF) with glycemic control parameters in individuals with type 2 diabetes mellitus (T2DM). A total of 44 individuals with T2DM (age: 52.20 ± 9.02 years; T2DM duration: 5.39 ± 4.65 years; baseline glycated hemoglobin (HbA1C): 7.05 ± 0.78%) participated in this study. Following blood analysis, anthropometric assessments, and resting blood pressure measurements, participants performed the Six-Minute Walk Test (6MWT) to estimate peak oxygen uptake (VO₂peak). The main findings indicated that relative VO₂peak was significantly and inversely associated with HbA1C in the unadjusted model (B = -0.12, p = 0.03), explaining 10.7% of the variance. However, this association was attenuated and became non-significant after adjusting for age, T2DM duration, and body mass index (BMI). Neither relative nor absolute VO₂peak was significantly associated with fasting blood glucose (B = -0.41, p = 0.42 and B = -0.13, p = 0.20, respectively). Age emerged as the only independent predictor of FBG (B = 0.07, p = 0.04). These results suggest that the association between CRF and long-term glucose regulation in this population is complex and heavily influenced by demographic and anthropometric factors, highlighting the need for a multifactorial approach in clinical assessments.
The expectations of modern sports tourists, athletes, and recreationists are increasingly focused on integrated contents and perspectives that are related to the concept of sustainability. Such a development trend requires that research directions be directed towards the contexts of this interdisciplinary approach. This study focuses on the development of sustainable sports tourism, aiming to assess the current state of sports tourism in Vojvodina through a SWOT analysis and to examine stakeholder perspectives via interviews. This is a cross-sectional study, which comprises SWOT analysis, and semi-structured interviews (N = 30). Results discover that region of Vojvodina has potential for tourism development. However, due to poor implementation of strategies, disorganization and limited resources, it has not yet reached its potential. These obstacles could be overcome through stronger brand differentiation and strategic management, while emphasizing the advantages of this region, such as the preserved nature, multiculturalism, authentic food and sustainable principles.
Although it is crucial to know the motivation underlying engaging in various activities, including physical ones, there is no Serbian version of a questionnaire for assessing motivation for exercise. The aim of this study is to evaluate the internal consistency reliability of the Serbian version of the EMI-2 questionnaire (Markland & Ingledew, 1997) in the fitness population. The research sample consisted of 1087 participants who exercise in fitness centers in the territory of the Banja Luka region. The integrated measuring instrument is made up of two parts: the first, self-created part of the questionnaire was used to describe the participants, and the second, standardised EMI-2 questionnaire was used to evaluate motivation for exercise. Descriptive statistics were used to describe the participants and the subscales. The Cronbach's alpha test was used to test the reliability of the EMI-2 scales, and Pearson correlation was used among the EMI-2 subscales. The results indicate a good reliability of the subscales in the range 0.606-0.850 and an overall reliability of 0.932. Pearson's correlation coefficient indicates a statistically significant correlation between the subscales except for Social Recognition with Positive Health and Nimbleness. The Serbian version of the EMI-2 has satisfactory internal consistency reliability and interrelatedness of the subscales.
The COVID-19 pandemic, which emerged in early 2020, caused widespread disruptions to youth sport, including curriculum-based physical activity, organized sports, and active transportation. This study investigated the impact of repeated lockdowns on organized youth sport participation, physical fitness, skill development, and psychosocial well-being in Slovenia. An online survey was conducted between November and December 2021 with 116 coaches of U13–U19 athletes across multiple sports disciplines. Descriptive statistics and non-parametric analyses were employed to examine participation trends, training adaptations, and perceived athlete outcomes. Following the first lockdown, 14.6% of athletes dropped out, while 6.5% of teams reported increased membership. After the summer break, participation rebounded, and the second lockdown had a smaller impact, indicating partial resilience in youth sport engagement. Training frequency and modality were substantially affected, with 20% of coaches not implementing remote sessions and fewer than half conducting post-lockdown fitness assessments. Coaches reported declines in general physical fitness (71%) and sport-specific skills (70%), heterogeneous changes in body mass, and reduced self-confidence and motivation in over 50% of athletes, whereas team spirit remained relatively stable. A significant association between perceived changes in body mass and motivation highlighted the role of physical self-concept in supporting engagement. These findings demonstrate that prolonged interruptions to organized youth sport have multidimensional effects on physical, technical, and psychosocial development. Future research should explore long-term consequences, identify effective mitigation strategies, and consider sport-specific, age, and gender-related factors to enhance resilience in youth sports systems under exceptional circumstances.
Introduction: Adolescent idiopathic scoliosis (AIS) is a three-dimensional spinal deformity characterized by lateral curvature, vertebral rotation, and sagittal imbalance. It affects 2–4% of adolescents, predominantly females (7:1 ratio). Progressive deformity can cause respiratory dysfunction, chronic pain, and psychosocial distress. Developing effective conservative treatments remains a major challenge in orthopedic rehabilitation. This study aimed to evaluate the effectiveness of combined Schroth therapy and 3D-Chêneau bracing in managing AIS, focusing on sagittal alignment, postural control, and functional improvement. Material and Methods: A prospective quasi-experimental study was conducted with 60 adolescents (mean age 13.3 ± 1.6 years) diagnosed with AIS (Cobb angle 20°–47°). The intervention consisted of two phases: an intensive 3-week supervised Schroth exercise program (21 sessions) followed by continued home exercises combined with a custom 3D-modified Chêneau brace. Assessments were performed at baseline, 4 weeks, 3 months, and 6 months. Primary outcomes included sagittal balance (mm) and sagittal index (mm), evaluated by standardized plumb-line analysis. Results: After six months, significant improvements were observed in sagittal alignment (p < 0.001). Sagittal balance increased toward the physiological reference (~20 mm), indicating improved postural symmetry and trunk stability. Sagittal index values reflected curve-specific and localization-dependent adaptations, particularly in thoracic deformities. Conclusion: Combined Schroth therapy and 3D-modified Chêneau bracing effectively enhanced sagittal spinal alignment in adolescents with AIS. This integrated conservative approach demonstrated measurable improvements in physiological balance and postural organization, supporting its role as a functional, noninvasive intervention for AIS management.
This study investigates the potential benefits of Pulsed Electromagnetic Field (PEMF) therapy for recovery following a fatiguing exercise protocol in recreational athletes. Despite growing interest in PEMF therapy for athletic recovery, few studies have evaluated its effects across a wide range of performance and recovery measures, particularly among recreationally active individuals. This study is the first-ever investigation to examine the effects of PEMF therapy on recovery from fatiguing exercise across multiple performance outcomes, including maximal strength, power, vertical jump height, and muscle soreness, in a sample of recreationally active college-aged individuals. Thirty participants (mean age: 23.7 ± 3.7 years; 19 males, 11 females) were randomly assigned to one of three recovery conditions: PEMF therapy (n=10), placebo (n=10), or control (n=10). The fatigue protocol used in this study was the Yo-Yo Intermittent Recovery Test Level 1 (YYIRT1), designed to induce neuromuscular fatigue. Recovery was assessed through quantitative measures of performance (peak power, peak cadence, vertical jump, and isometric strength) and qualitative measures of muscle soreness. No statistically significant differences were observed between the recovery groups in terms of performance outcomes. However, PEMF therapy did show trends toward improved recovery, particularly in peak power at 24-, 48-, and 72-hours post-exercise, and was the only group to show consistent reductions in muscle soreness. These findings underscore the need for further research in this area and suggest that PEMF therapy may offer marginal recovery benefits, particularly for perceived recovery and power restoration. This study addresses a crucial gap in the scientific literature by providing empirical evidence on the efficacy of PEMF therapy for recreational athletes, suggesting potential applications in non-elite athletic populations, though further research is required to confirm its mechanisms and long-term effects.
Female reproductive hormones such as progesterone and estrogen play an important role in the body as they orchestrate functions of numerous cells including skeletal muscle cells. Onset of menses marks the beginning of reproductive life, whereas menopause marks its cessation. We distinguish three phases of the 28-day menstrual cycle namely follicular, ovulatory and luteal phases. The follicular phase is characterised by marked increases in estrogen, which triggers ovulation. During this phase, estrogen peaks, whereas progesterone levels are low. Following ovulation, the luteal phase commences marked by high progesterone levels and reduced estrogen. Indeed, these periodic fluctuations in reproductive hormones may affect rates of muscle protein synthesis and hence hinder sought adaptations such as skeletal muscle hypertrophy in female athletes. With the introduction of hormonal contraceptives, female athletes were able to have ameliorate the negative effects of the menstrual cycle by reducing menstrual cramping and bleeding. Hormonal contraceptives are constituted of a single or multiple synthetic hormones namely estrogen and progestin. Nevertheless, the impact of hormonal contraceptives on skeletal muscle hypertrophy remains elusive. In this review, we aim to present the potential implications of hormonal contraceptives on skeletal muscle hypertrophy.
This study examines user satisfaction with the upgraded eSavezi sports information system of the Provincial Secretariat for Sports and Youth, Autonomous Province of Vojvodina (APV). The 2024–2025 upgrade introduced advanced search, multi-format data export, faster processing, expanded cloud storage, a universal cost management module, standardized financial planning, program consolidation, and centralized document upload. A cross-sectional survey was conducted from May 5–20, 2025, with 257 provincial sports association administrators (~12% coverage). Data were collected via an online five-point Likert scale questionnaire and analyzed using IBM SPSS Statistics.Results indicate high satisfaction with all features, particularly data export, storage capacity, and administrator support. All eight hypotheses were confirmed, demonstrating the system’s contribution to operational efficiency, transparency, and digital transformation in sports administration.
Recently, entrepreneurship has become increasingly attractive to sports and physical education students. As a result, many students recognize entrepreneurship as an opportunity for career development and the achievement of professional goals. This study examines the entrepreneurial preparedness of sports and physical education students, revealing significant gaps in essential business skills despite high entrepreneurial interest. The findings highlight the need for enhanced educational programs to better equip graduates for successful entrepreneurial endeavors. Based on previous research, to analyze the readiness and understanding of entrepreneurship among students, assess their entrepreneurial capabilities, and evaluate their level of competence in running their own business. The following academic databases were used for literature search: Scopus (158 sources) and Web of Science (104 sources). A total of 262 references were found. After removing duplicates, 234 references remained. The following inclusion criteria were applied: 1. Articles published since 2010; 2. Studies written in English; 3. Research focused on the topic of entrepreneurship in sports and student entrepreneurship. The results of this study indicate that entrepreneurship in sports faces significant challenges, including limited employment opportunities and a lack of essential entrepreneurial skills among students. These challenges hinder the development of successful entrepreneurial initiatives in the sports sector, as students often lack adequate training in the areas of starting and managing a business. Moreover, the job market in sports offers relatively few employment opportunities, further complicating students' ability to find jobs or start their own entrepreneurial projects in this specialized field.
Patients with Parkinson's Disease (PD) experience motor and non-motor symptoms that decrease their quality of life. The non-pharmacological management of PD is imperative to improve the quality of life for patients with the disease. Non-pharmacological management options such as exercise, medical, and surgical interventions can improve function and independence in patients with PD. Many non-pharmacological management options target specific symptoms commonly associated with PD. The Knowledge Attitude Practice (KAP) model was adapted to develop a questionnaire that assesses patient and practitioner knowledge of non-pharmacological management options for PD. The questionnaire consisted of 11 questions. To assess the relationship between sociodemographic variables and patient and practitioner knowledge of non-pharmacological management options likelihood-ratio chi-squared, Spearman's correlation, simple logistic regression, and multiple logistic regression analyses were performed on the collected data. Six hundred and forty-one participants completed the questionnaire. For patients (n = 492) and practitioners (n = 149), the most widely known non-pharmacological management option was regular exercise, and the least-known was subthalamotomy. Compared to patients, practitioners were more likely to have knowledge of most non-pharmacological management options (OR 1.73 - 7.36). Higher education level (OR 3.10 - 10.96), younger age (OR 0.09 - 0.32), geographical location (North America OR 0.05 - 0.49, Europe OR 2.24), employment status (OR 4.81 - 12.02), and sex (OR 0.59) had a significant relationship with patient and practitioner knowledge of non-pharmacological management options. Practitioners were more likely to have knowledge of most non-pharmacological management options for PD compared to patients. Several sociodemographic variables impacted one's ability to identify non-pharmacological management options in both populations. Increasing patient and practitioner knowledge of non-pharmacological management options could improve the care and quality of life of patients with PD.
This systematic review analyses the existing research on service quality in football academies, focusing on its impact on user satisfaction and loyalty. Several factors can influence user satisfaction in football academies. Some of them are: academy infrastructure, quality of training, expert and professional staff, location and environment of the academy, status and reputation of the academy, levels of competition, as well as prospects in terms of career progression and career management in youth football. All of these factors contribute to better service and directly influence the increase in user satisfaction and loyalty, i.e., future members of the academy. For this reason, it is necessary to analyse the existing research on this topic to understand the measurement of service quality and the impact it has on the value and satisfaction of athletes. This systematic review aims to investigate service quality and to analyze the current state and factors that influence quality in the management of football academies. For this research, the electronic databases Web of Science, Scopus, and Google Scholar were searched to find relevant articles on this topic. The following inclusion criteria were applied during the search: only topics related to service quality, scientific papers covering the field of management, papers written in English, papers published from 2009 to the present, and full-text papers available. The results of the selected studies for this research showed that service quality is a key factor in achieving a high level of user loyalty towards a football academy.
This scoping review investigates the effects of Pilates exercise interventions on health and quality of life of older adult women. Through a comprehensive examination of existing literature, this review identified key areas where Pilates has shown to significantly benefit physical capabilities such as strength, balance, and flexibility, alongside mental health improvements, including reduced symptoms of depression and anxiety, and enhanced sleep quality. Thus, this scoping review emphasizes a possible role of Pilates in addressing age-related physical and psychosocial challenges, and suggests it as suitable low-impact exercise for promoting healthy aging. Despite the methodological heterogeneity among studies, the overall evidence suggests that Pilates may be a valuable component of geriatric healthcare strategies. The findings advocate for further research to expand the evidence and further guiding healthcare professionals in integrating Pilates into exercise prescriptions for older adult women.
Vascular entrapment syndromes of the lower extremities represent a diagnostic challenge in athletes, with emerging evidence suggesting sport-specific presentations. This study aimed to characterize and compare patterns of vascular compression, anatomical variants, and hemodynamic consequences across different sporting disciplines. We conducted a retrospective analysis of 210 athletes with confirmed vascular entrapment syndrome from a 10-year cohort (2014-2023). Athletes were categorized as long-distance runners (n=87), cyclists (n=71), triathletes (n=24), soccer players (n=19), and other sports (n=9). All participants underwent standardized clinical assessment and vascular imaging during provocative maneuvers. Multivariable analyses and latent class analysis were performed to identify independent predictors and distinct phenotypes. Sport-specific patterns of vascular compression were identified. Long-distance runners exhibited highest compression during plantarflexion (85.7±8.6%), predominantly with Type III gastrocnemius variants (60.9%). Cyclists demonstrated highest compression during knee extension (79.2±11.4%), with predominant Type II variants (49.3%). Soccer players exhibited primarily Type I variants (57.9%) with lower compression severity. Latent class analysis identified three distinct phenotypes: "runner phenotype" (43.8%), "cyclist phenotype" (37.1%), and "low compression phenotype" (19.0%), each with characteristic anatomical, hemodynamic, and clinical features. Sport category remained an independent predictor of compression severity after adjusting for potential confounders (p<0.001). Vascular entrapment syndrome manifests with distinct sport-specific patterns reflecting the interplay between anatomical predisposition and functional demands. The identification of sport-specific phenotypes provides a framework for tailored diagnostic approaches and management strategies. Recognition of these characteristics may enhance diagnostic accuracy, inform individualized treatment, and improve outcomes for affected athletes across diverse sporting disciplines.
Aging is a gradual and irreversible process that involves changes in tissues and body functions over time. The level of daily activities of elderly persons decreases with aging, although it is well known that physical activity (PA) is important for successful aging. This study's objective was to determine the influence of PA level on health-related quality of life (HRQoL) and life satisfaction (LS) among community-dwelling older adults. A cross-sectional study was carried out, with 263 questionnaires (PASE, WHOQOL-OLD, and LISAT9) completed and returned. Each WHOQOL-OLD and LISAT9 domain was analyzed using an independent t-test to determine differences in HRQoL and LS between groups. However, the relationship between PA level and HRQoL and LS domains was investigated using the Pearson correlation coefficient among Physically active and Physically inactive older adults. Older adults who reported being more physically active attributed higher scores to the sensory ability, autonomy, past, present, and feature and intimacy domains, and presented significantly higher overall HRQoL. In addition, the results indicated higher scores for the Ability to manage self-care (AMS), leisure satisfaction (LS), Vocational situation (VS), financial satisfaction (FS), Sexual life (SL), and Partner relation (PR) domains and significantly higher overall LS among physically active older adults. In contrast, there were no significant correlations between PA level and HRQoL and LS domains. The results indicate that increases in the levels of PA can contribute to improvements in HRQoL and LS of older adults.
Physician quality of life is a critical factor influencing overall health, wellness, occupational stress, and burnout. Exercise has been demonstrated to enhance quality of life through multiple mechanisms, positively impacting physical, psychological, and social health domains. The objective of this study was to examine the exercise habits of emergency medicine physicians and their association with quality of life. A quantitative, non-experimental, cross-sectional design was employed to study 103 attending emergency medicine physicians. Participants completed an online questionnaire comprising the International Physical Activity Questionnaire (IPAQ) and the World Health Organization Quality of Life BREF (WHOQOL-BREF) survey to assess physical activity levels and quality of life, respectively. There was no significant difference between compliance with moderate and vigorous physical activity and quality of life across domains. However, strength training compliance was statistically significant (p = 0.041) and correlated with improved physical health and quality of life scores. Quality of life among this cohort was slightly elevated in the physical health domain but lower in psychological, social, and environmental health domains compared to population averages. Furthermore, age and the number of hours worked per week were not statistically different in any quality of life domains. Exercise compliance among emergency physicians showed no statistically significant impact on quality of life, except for strength training, which was found to significantly enhance the physical health domain of quality of life.
Lumbar disc herniation, a growing condition, significantly impacts work productivity, mental health, and quality of life. It alters functional movement patterns and causes improper compensatory body positioning, leading to muscle dysfunction. Physical exercise is a key treatment for chronic cases. This case study examined a 37-year-old male with moderate triple lumbar disc herniation and degenerative disc changes at L3-L4, L4-L5, and L5-S1. The subject followed a 10-week home-based exercise program performed 4 to 5 times weekly for 45 minutes per session. The program consisted of variations of body-weight exercises, supplemented with additional equipment, and progressively increased in intensity and volume, targeting hip joint mobility and strengthening of deep back, abdominal, and thigh muscles. Initial and final assessments included the Pain Detect test, the Short Form Health Survey-36 on quality of life, Manual Muscle Testing (MMT), Functional Movement Screen (FMS), and body composition analysis. Questionnaires indicated significant pain reduction and improvements in physical condition and psychosocial well-being. MMT improved from 4 to 5, FMS from 2 to 3, and body composition showed positive changes: weight (+1.5%), body water (+3.4%), skeletal muscle (+2.8%), and body fat (-6.6%). The subject reported substantial pain reduction, improved physical condition and psychosocial well-being, as well as enhanced muscle strength, functional movement patterns, and body composition. This case study highlights the program’s effectiveness in treating lumbar disc herniation and enhancing quality of life. Additionally, the program is suitable for preventing lumbar disc herniation and improving overall quality of life in the broader population.
