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31,456 Article Results

Exploring the role of swimming in enhancing diet-based weight loss programs for athletes

10.11591/ijphs.v14i3.25330
Cherkaoui Sidi Hassan , Mouane Nezha
This study explores the synergistic effects of customized dietary strategies and aerobic exercise, specifically swimming, on achieving weight loss while preserving muscle mass in athletes. The research highlights the importance of a holistic approach to weight management, integrating personalized diet plans with tailored exercise regimens. The study segmented participants into two groups, one following a standard diet for weight maintenance and another adhering to a similar diet augmented by regular swimming sessions aimed at weight loss. Results indicate that the diet-plus-swimming group exhibited significantly greater reductions in weight and body mass index (BMI) compared to the diet-only group, suggesting that incorporating swimming enhances the effectiveness of dietary interventions. These findings emphasize the potential of combining physical activities such as swimming with dietary modifications to achieve optimal weight management outcomes, providing a comprehensive approach to athlete health management. The study also underscores the need for personalized strategies that consider individual characteristics and preferences to support sustainable weight loss and improved health outcomes.
Volume: 14
Issue: 3
Page: 1452-1458
Publish at: 2025-09-01

Prevalence and health literacy on high blood pressure among late adulthood individuals in Northeast Thailand: a cross sectional study

10.11591/ijphs.v14i3.24980
Kittipong Sornlorm , Arunrat Puncha Glingasorn
High blood pressure (HBP) is a leading risk factor for atherosclerotic cardiovascular disease and mortality. This study aimed to identify health literacy and other characteristics associated with HBP among late adults in Thailand. A cross-sectional study was conducted with 1,345 adults aged 35-59 years from Health Centers 7, 8, 9, and 10 in Northeast Thailand. Descriptive statistics and a generalized linear mixed model (GLMM) were used to determine the adjusted odds ratio (Adj. OR) and 95% confidence interval (CI). Results showed a prevalence of HBP at 24.76% (95% CI: 22.52-27.13). Multivariable analysis revealed a significant association between HBP and health literacy in finding health information (Adj. OR = 1.59, 95% CI: 1.28-1.96, p-value<0.001), as well as judging health information (Adj. OR = 1.34, 95% CI: 1.04-1.73, p-value=0.024). Additionally, history of smoking (Adj. OR=2.04, 95% CI: 1.29-3.24, p-value = 0.002), comorbidity (Adj. OR = 2.20, 95% CI: 1.76-2.74, p-value <0.001), physical activity (Adj. OR = 1.67, 95% CI: 1.28-2.16, p-value <0.001), and body mass index (Adj. OR = 2.21, 95% CI: 1.14-4.26, p-value=0.018) were found to be associated with HBP. Poor health literacy increases the risk of HBP. Relevant authorities must evaluate the group context and develop a suitable health literacy model.
Volume: 14
Issue: 3
Page: 1576-1584
Publish at: 2025-09-01

Factors associated with risk scores among stone mortar workers exposed to high noise levels in Lampang province, Thailand

10.11591/ijphs.v14i3.24814
Yuwadee Khunsaard , Arroon Ketsakorn
Noise pollution is an undesirable phenomenon that affects human health and can lead to occupational hearing loss. This study was to assess associations of risk scores from exposure to noise related to their variables from noise exposure among stone mortar workers who exposed to high noise levels during their work in Lampang, Thailand. The study was conducted between August and September 2023. Data collection involved using standardized questionnaires which were developed by researchers and used scientific instruments for noise measurement. The questionnaires contained items related to population characteristics and work information, knowledge, attitude, and practice for preventing noise exposure, noise exposure measurement, and risk scores from exposure to noise. Pearson’s correlation coefficient was used to analyze data. The results showed that seven factors significantly associated with risk scores from exposure to noise while performing their work. Apparently, there were four influential variables which included height of workers, ear symptoms, working hour per day, and noise measurement as tested using multiple regression analysis. Therefore, efforts should be made to manage those variables by drafting policies and creating tools for risk prediction to control the influential variables related to risk level from exposure to noise in the working area.
Volume: 14
Issue: 3
Page: 1394-1403
Publish at: 2025-09-01

Incidence rate and spatial clustering of measles cases in Malaysia, 2018–2022

10.11591/ijphs.v14i3.25223
Mohd Rujhan Hadfi Mat Daud , Nor Azwany Yaacob , Wan Nor Arifin , Jamiatul Aida Md Sani , Wan Abdul Hannan Wan Ibadullah
The distribution of measles varies worldwide. Malaysia has seen fluctuating incidence rates of measles across its districts, highlighting the persistent challenge of measles control despite national vaccination efforts. This study aimed to map the incidence rates of measles and identify hotspots areas of measles in Malaysia between 2018 and 2022. The study utilized secondary data from the Disease Control Division, Ministry of Health Malaysia, and was analyzed through spatial autocorrelation techniques. Choropleth map applied to the incidence rate of measles and Global Moran’s I statistics quantified spatial autocorrelation, supplemented by local indicators of spatial association (LISA) for localized analysis. The measles incidence rate exceeded 500 per million population in Bintulu, Marudi, and Miri, Sarawak in 2018 and in Gua Musang, Kelantan in 2019. There is a downward trend in the incidence rate across the districts in Malaysia. The Global Moran’s I statistic revealed significant positive spatial autocorrelation of measles cases in Malaysia from 2018 to 2022. Districts, specifically in Klang Valley, have been identified as persistent hotspot areas. There is a need for continuous surveillance, adequate vaccination coverage, and supplementary public health measures, especially in identified hotspot areas, in order to achieve measles elimination goals in Malaysia.
Volume: 14
Issue: 3
Page: 1119-1128
Publish at: 2025-09-01

Cross-cultural adaptation, validity, and reliability of the Indonesian version of the Hill-Bone high blood pressure therapy compliance scale

10.11591/ijphs.v14i3.23685
Eldawati Eldawati , Faridah Mohd Said , Nur Syazana Umar
Hypertension is a long-term condition that enables individuals to take an active role in managing their health care— inadequate adherence to medication regimens is a major factor contributing to treatment failure. We translated and updated the Hill-Bone high blood pressure therapy compliance scale for use in Indonesia, where systemic hypertension is becoming increasingly prevalent.  This study aims to evaluate the validity and reliability of the Indonesian version of the Hill-Bone high blood pressure therapy compliance scale. The descriptive cross-sectional research was conducted in East Java, Indonesia, during June and July 2021. For the purpose of selecting 144 persons who had hypertension, a convenience sample was utilized. The Hill-Bone high blood pressure therapy compliance instrument was translated from English into Indonesian using a forward-backward translation method, followed by evaluation by an expert panel and pilot testing. To assess its reliability, the Cronbach's alpha coefficient and item-total correlation were utilized. A Kaiser-Meyer-Olkin (KMO) value of 0.945 confirmed the adequacy of the sample for the study. Additionally, the Bartlett’s test yielded a significant result (X² = 132.41; p < 0.001), supporting the appropriateness of conducting a factor analysis. Using factor analysis, the Hill-Bone high blood pressure therapy compliance scale revealed a single factor with an eigenvalue >1 that explained 42.13% of the total variation. The Cronbach alpha coefficient of the Hill-Bone high blood pressure therapy compliance scale was 0.901. The Hill-Bone high blood pressure therapy compliance instrument has been successfully translated and tailored for the Indonesian population, with consideration of their cultural context. In order to provide an accurate prediction regarding the impact that this intervention would have on patients' adherence, the Hill-Bone high blood pressure therapy compliance scale could be of assistance.
Volume: 14
Issue: 3
Page: 1595-1600
Publish at: 2025-09-01

Improving mental health, sleep, and decision-making skills through mindfulness practice

10.11591/ijphs.v14i3.25011
Moslima Akter , Lutfun Naher , Oli Ahmed
Most of the previous studies on the efficiency of mindfulness to improve mental health states, and sleep quality, have focused on clinical samples. The present study aimed to examine the impact of mindfulness intervention training on mental health (depression, anxiety), sleep quality, life satisfaction, and decision-making skills in non-clinical sample. Using a non equivalent comparison group design, 52 university students were recruited via convenience sampling technique and randomly distributed into two groups – treatment and comparison groups. The treatment group a 30-hour of mindfulness training over one month. Results showed that mindfulness training significantly reduced depressive symptoms and improved sleep quality and life satisfaction in treatment group, although changes in anxiety and decision-making skills were non-significant. These findings contribute to the mindfulness literature and emphasize the importance of mindfulness practice in enhancing mental health and well-being in non-clinical settings.
Volume: 14
Issue: 3
Page: 1611-1619
Publish at: 2025-09-01

Evaluation of the project to develop an information system for promoting community health

10.11591/ijphs.v14i3.25879
Patchana Hengboriboonpong Jaidee , Sirichai Junphum , Supattra Assawamaitree , Nisa Rattanadilok Na Phuket , Nattakarn Sittisaman , Wanasara Chaoniyom
This study aimed to evaluate the Thailand Community Network Appraisal Program (TCNAP) during 2020-2022, utilizing a developmental evaluation framework based on the CIPP model. Data collection employed a mixed methods approach. Methods included in-depth interviews and focus group discussions with 204 representatives from the Healthy Community Strengthening Office under the Thai Health Promotion Foundation (Thai Health), the Research and Development Community Health System Center, the Center of Community Database Management, and the Regional Center of Academic Support for Network Management. Quantitative data were collected through online surveys assessing the effectiveness of the TCNAP project from 376 delegates of the co-creation livable community network. Descriptive statistics were used for quantitative data analysis, while thematic and content analysis were applied for qualitative data. Results indicated that the project network expressed high satisfaction with the database usage, with a mean score of 3.99±0.76. It was observed that 8 out of 10 indicators successfully achieved their objectives. Additionally, the pragmatic utility of information derived from TCNAP was evident in formulating local development plans and garnering external support for enhancing community health and quality of life. This commitment to evidence-based practice is encapsulated by the phrase “Data equals stability.” However, sustaining the implementation of the TCNAP project posed significant challenges. Proposed developmental strategies include organizing knowledge exchange activities, improving data collection tools and formats, and providing budgetary support tailored to the area context. Additionally, enhancing the operational system of TCNAP is crucial to ensure stability, convenience, efficiency, and adaptability for both current and future use.
Volume: 14
Issue: 3
Page: 1468-1478
Publish at: 2025-09-01

Correlation between jet lag syndrome and air travel fatigue

10.11591/ijphs.v14i3.25992
Khaerul Amri , Imelda Avia , Azis Fahruji
Long-distance air travel causes travelers to experience travel fatigue. Jet lag syndrome is one of the factors that exacerbate fatigue from air travel. Fatigue can seriously impact travelers with a history of illness. Health emergencies resulting from travel fatigue can even lead to death. A cross-sectional study was conducted to identify the relationship between jet lag syndrome and air travel fatigue. The 117 people who had traveled in the past year had jet lag syndrome and did not meet the exclusion criteria were selected. The questionnaires used the circadian type inventory and the fatigue scale, and validity and reliability were tested. Multiple logistic regression was performed to determine the variables influencing air travel fatigue. The relationship between jet lag syndrome and air travel fatigue was analyzed using Chi-square analysis. Results of the study identified that 53.8% of respondents experienced severe fatigue, and 54.7% experienced severe jet lag syndrome. Jet lag syndrome correlated with air travel fatigue significantly (p = 0.001). Respondents with severe jet lag syndrome experienced severe fatigue. The findings from this study emphasize that addressing jet lag syndrome is necessary to reduce air travel fatigue for overall health.
Volume: 14
Issue: 3
Page: 1532-1539
Publish at: 2025-09-01

Pediatric cataracts: Epidemiological, etiological, and clinical profiles in Morocco

10.11591/ijphs.v14i3.25851
Soukaina Loulidi , Youssef Elbahi , Samia Boussaa , Mohamed Loukid
Cataracts are a prevalent eye disease in children, particularly in the congenital form. Its occurrence is the primary cause of avoidable blindness and visual impairment. Our study aimed to assess the epidemiological characteristics and spatiotemporal distribution of infantile cataracts in children from the Marrakech-Safi region. A retrospective study was carried out in the Mohammed VI University Hospital. Data collection, carried out between March 25, 2024, and April 26, 2024, was based on a review of the medical records of sick children aged between 0 and 15 years and having undergone surgery between 2019 and 2023. The findings revealed a high rate of cataract in boys (64.7%), with congenital cataract predominating (57.6%), followed by traumatic cataract (41.1%). In 2021, 81 cases of cataracts were reported, with 51.5% of cases being bilateral. Cataract development (42.4%) was attributed to postnatal and infantile factors, with the remaining 42.7% having an unknown etiological. The study revealed a significant association between cataract type and factors such as gender, age, residence area, age at onset of cataract, consanguinity, and family history. Efficient, high-quality care can prevent cataract complications. This can be achieved by implementing health strategies targeting all levels of prevention.
Volume: 14
Issue: 3
Page: 1151-1159
Publish at: 2025-09-01

Gender disparities in knowledge of urban adolescents dating violence: differential item function analysis in rasch model

10.11591/ijphs.v14i3.25938
Suci Musvita Ayu , Liena Sofiana , Yuniar Wardani , Erni Gustina , Moh. Irma Sukarelawan
Adolescent dating violence (ADV) is a global public health problem that has a serious impact on adolescents' physical, psychological, and social development. This study aimed to explore gender disparities in Indonesian adolescents' knowledge of dating violence using the Rasch Model and Differential Item Function Analysis. A total of 250 junior high school students in Yogyakarta, consisting of 107 males and 143 females, participated. The ADV knowledge measurement instrument consisted of 16 previously tested items for validity and reliability. Results showed that female students had a higher level of knowledge than male students, especially in identifying emotional and physical violence. Differential item function (DIF) analysis revealed that two items showed differences in perception based on gender, with female students focusing more on physical violence. In contrast, male students tended to view physical violence as a more common behaviour. This study highlights the importance of more inclusive and gender-sensitive educational programs to increase adolescents' knowledge of different forms of dating violence. The findings provide important insights for the development of interventions that can help prevent dating violence among adolescents.
Volume: 14
Issue: 3
Page: 1338-1346
Publish at: 2025-09-01

How genetic determinism and essentialism relate to health care

10.11591/ijphs.v14i3.25276
Nindiana Choirunisa' , Siti Zubaidah , Hendra Susanto , Chun-Yen Chang
Genetics has become important in various areas of life, especially in healthcare. People can undergo a range of genetic testing to assess their susceptibility to acquiring diseases. Nevertheless, data derived from genetic testing might indicate bias due to genetic determinism and essentialism. This study aimed to provide a comprehensive analysis of the impact of genetic determinism and essentialism on several aspects of healthcare. This study conducted a systematic review approach using the Scopus database and followed the preferred reporting items for systematic reviews and meta analysis (PRISMA) search framework. We initially received 802 publications, then reduced to 49 articles based on inclusion and exclusion criteria, and then content analysis was conducted. Our research showed that determinist bias and genetic essentialism may reduce patient diagnosis, treatment accuracy, and effectiveness. Moreover, biases related to genetic determinism and essentialism may go against healthcare regulations and cause discrimination and other negative clinical outcomes from ethical, social, and legal aspects. To improve this problem, it is essential for laypeople, particularly medical experts, to understand genetic principles related to the development of variances in traits among individuals in a precise and relatable approach.
Volume: 14
Issue: 3
Page: 1499-1514
Publish at: 2025-09-01

Inclusion of children with autism in a mainstreamed school: a case study analysis

10.11591/ijphs.v14i3.25217
Finita Glory Roy , Friggita Johnson
Inclusion of children with autism in mainstream schools is essential for fostering social integration and equitable education; however, significant challenges persist in implementation worldwide. This study investigates inclusion practices for children with autism in a mainstream school, focusing on barriers and enablers in creating an inclusive educational environment. Using a qualitative case study design, data were collected from 16 participants, including one principal, eight teachers, three special educators, and four parents, selected through purposive sampling. Semi-structured interviews, classroom observations, and analysis of school policies and documents provided comprehensive insights, analysed through thematic analysis with triangulation to ensure robustness. Findings revealed critical challenges, such as limited resources, inadequate teacher preparedness, and social stigma, while highlighting effective practices like individualized education plans (IEPs), peer mentoring, and collaborative approaches to IEP development. The study underscores the importance of policy reforms, targeted teacher training, and greater community involvement to support sustainable inclusion. These findings offer actionable recommendations for improving inclusive practices and creating supportive learning environments for children with autism, advancing the broader agenda of inclusive education.
Volume: 14
Issue: 3
Page: 1601-1610
Publish at: 2025-09-01

Design and implementation of Internet of Things-enabled long-range autonomous surveillance bot for LPG leak detection and environmental safety monitoring

10.11591/ijra.v14i3.pp361-369
Rajesh Singh , Anita Gehlot , Rahul Mahala , Vivek Kumar Singh
Liquefied petroleum gas (LPG) accidents pose significant safety risks, requiring continuous monitoring and Internet of Things (IoT) technology to prevent gas leakage and ensure human safety. This work proposes distributed field-oriented IoT gas sensing robots for detecting dangerous flammable gases like Ammonia, Sulphur Dioxide, Nitrogen Dioxide, and Carbon Dioxide. The SnoLURk solution enables cost-effective IoT gas leak detection in indoor and outdoor robots using budget-friendly casings and sensors. The study also discusses a robotic system for gas leak detection, aiming to detect and combat burglary using ZigBee and GSM modules. Cloud support allows Wi-Fi zone residents to receive alerts and send investigators via email, enabling remote data analytics monitoring. The IoT-based Worker's Health Monitoring System improves health and safety practices in industrial environments by monitoring workers' health 24/7. It allows on-site and off-site monitoring, enabling quick intervention and avoiding complications. The system's applications include construction, mining, manufacturing, and healthcare. Future versions may include improved sensors and machine learning.
Volume: 14
Issue: 3
Page: 361-369
Publish at: 2025-09-01

Physical activity interventions for adolescent suicide ideation and behavior: a rapid review

10.11591/ijphs.v14i3.25128
Richard Peter Bailey , Nadia Samsudin , Francis Ries , Janet Ann Fernandez
Physical inactivity, sedentary behavior, and mental health issues have become significant public health challenges. This review aimed to investigate the relationship between physical activity, sedentary behavior, and the risk of suicidal ideation and behaviors during adolescence. A systematic review was conducted following PRISMA guidelines. Studies were sourced from SPORTDiscus, Psychology & Behavioral Sciences Collection, and Google Scholar. The review included English-language peer reviewed articles published between January 2018 and March 2023, focusing on physical activity, sport, and mental health in adolescents aged 10 to 19. Adolescents with low levels of physical activity or high levels of sedentary behavior were at greater risk of suicidal thoughts compared to their more physically active counterparts. Although moderate-to-vigorous physical activity was not directly associated with self-harm or mental health disorders, the overall mental health benefits of physical activity, especially in the context of socially engaging sports, were evident. Some aspects of these associations warrant further investigation. Physical activity and sport offer cost-effective, widely accepted interventions that have significant potential to reduce the risk of suicidal ideation and behaviors among adolescents. Given the devastating impact of suicide on young people, incorporating physical activity into mental health promotion and intervention strategies is crucial.
Volume: 14
Issue: 3
Page: 1221-1231
Publish at: 2025-09-01

LoRa-enabled remote-controlled surveillance robot for monitoring and navigation in disaster response missions

10.11591/ijra.v14i3.pp311-321
Anita Gehlot , Rajesh Singh , Rahul Mahala , Mahim Raj Gupta , Vivek Kumar Singh
Rescue missions must be conducted within a strict timeframe, and the safety of all rescuers and civilians is prioritized. The proposed system aims to design a remote-operated aerial surveillance robot for disaster-affected areas for search and rescue missions. Real-time video transmission and RS-232 long-range communication enable operators to navigate rough environments and monitor data collected in real-time. This powerful tool ensures the protection of human life while collecting accurate and meaningful data. Cloud storage for data and surveillance strengthens the system, preventing part failure and fostering collaboration among users. This is a significant step towards using Internet of Things systems alongside remote-controlled robots in disaster response. The robot's key contribution to disaster management is identifying the environment, addressing issues of no visibility, complicated terrains, and speed. Its modification and expansion capabilities make it useful in armed surveillance, industrial monitoring, and environmental studies, making it an important innovation for many other fields.
Volume: 14
Issue: 3
Page: 311-321
Publish at: 2025-09-01
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