FANUT - Artigos publicados em periódicos

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Effects of thigh and leg rotation on sagittal knee angle during static assessmen
(2025) Rosa, Bruna Nichele da; Wagner Neto, Edgar Santiago; Noll, Matias; Loss, Jefferson Fagundes; Candotti, Cláudia Tarragô
Background: The femur and tibia can suffer changes in rotation, mainly in the orthostatic position, causing errors in measurements when two-dimensional instruments are utilized. Objectives: To test the effects of thigh and leg rotation on sagittal knee angle measurement. Methods: A physical model simulating the right lower limb was constructed using two wooden rafters and a plastic protractor between the rafters. The thigh rotation and leg rotation were measured, ranging from 50◦ of internal rotation to 50◦ of external rotation. The sagittal knee angle was measured using the three-dimensional kinematics via three protocols (femoral condyle angle, head of fibula angle, and four points angle) with points marked on the model corresponding to the greater trochanter of the femur, lateral condyle of the femur, head of the fibula, and lateral malleolus. Results: During the internal rotation of the thigh and leg, the sagittal knee angle increased (varying from 3.1◦ to 6.3◦ for thing, and 0.9◦ to 3.6◦ for leg), whereas it decreased during the external rotation of the thigh and leg (varying from −5.2◦ to −7.8◦ for thing, and 0.1◦ to −5.5◦ for leg). Conclusions: Thigh rotation and leg rotation affect sagittal knee measurement and can lead to erroneous assessments if not considered.
Knee pain in adults from the northeast of São Paulo, Brazil: prevalence, risk factors, and impact on quality of life
(2025) Vitta, Alberto de; Maciel, Nicoly Machado; Simeão, Sandra Fiorelli de Almeida Penteado; Noll, Matias
Introduction: The existing literature describes several risk factors associated with knee pain, including personal, psychological, and work-related factors, among others. Furthermore, several studies have shown the negative impact of knee pain on quality of life; however, there is a lack of knowledge about knee pain in Latin American populations. Objective: This study aims to investigate the prevalence, risk factors, and impact on the quality of life of knee pain in Brazilian adults. Methods: This cross-sectional study was based on a population survey with 600 individuals interviewed using questionnaires including a) sociodemographic and labor aspects; b) physical activity level (IPAC questionnaire); c) musculoskeletal symptoms (Nordic questionnaire); and d) quality of life (SF-36). Results: The prevalence of knee pain was 25.6% (95% confidence interval: 22.3–29.3%), and it was associated with being >60 years old, black ethnicity, mean or low income, overweight, depression, gastrointestinal and renal diseases, and persons who performed occupations requiring repetitive movements, sitting while using a computer, and standing. All individuals with knee pain demonstrated significantly greater risks for summaries of the physical components. Conclusion: Knee pain is associated with socioeconomic variables, work aspects, and lifestyle factors and impacts the quality of life.
Effects of energy drinks on mental health and academic performance of university students: a systematic review and meta-analysis protocol
(2026) Batista, Danyla Rafaela Oliveira; Silva, Kaio Vinicius Custodio da; Torres, Miguel Matos; Costa, Woska Pires da; Monfort Pañego, Manuel; Silva, Priscilla Rayanne e; Noll, Matias
Objectives Energy drink (ED) consumption is frequently observed among higher education students and is often associated with increased concentration and academic performance. However, the purported benefits are not fully supported by scientific evidence. This protocol details methods for a systematic review and meta-analysis to evaluate the effects of ED on university students’ mental health and academic performance. Methods The PECO framework will guide the search strategy, and the protocol will follow the PRISMA-P 2015, PRESS 2015, and PRISMA-S guidelines. The searches will be conducted in the following databases: Web of Science, Scopus, Ovid, PubMed, Embase, FSTA, CINAHL, and SPORTDiscus. The GRADE recommendations and the Downs and Black scale will assess study quality and bias. All statistical analyses will be conducted using Comprehensive Meta-analysis software. We will use Cochran’s Q with p < 0.05 to indicate significant heterogeneity and I² to quantify heterogeneity between studies. The Trim and Fill technique and Egger’s regression test will be applied to evaluate the funnel plot that will be generated. Results Carrying out the systematic review proposed by this protocol will provide evidence on the short-, medium-, and long-term effects of ED use on academic performance and mental health among higher education students. Conclusion A deeper understanding of ED consumption among higher education students can inform the development of evidence-based educational and public health policies to promote student well-being and mitigate associated health risks.
Interventions on barriers to the participation of adolescents in physical activity: a systematic review
(2025) Terra , Lauryane Fonseca; Rezende, Leonardo Mateus Teixeira de; Silva, Regina Márcia Ferreira; Costa, Woska Pires da; Miñana-Signes, Vicente; Noll, Matias; Silva, Priscilla Rayanne e
This review aimed to assess the effectiveness of interventions used to minimize barriers to participation in physical activity (PA) among adolescents. This systematic literature review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 guidelines. Searches were conducted across five databases: PubMed, SPORTDiscus, Embase, Scopus, andWeb of Science. Thirty-four studies evaluated interventions to overcome barriers to participation in PA, with a focus on lack of motivation, encouragement, and support, as well as intrapersonal, interpersonal, and environmental barriers. Most interventions were conducted in developed countries, with an emphasis on girls, reflecting efforts to address health inequities. The interventions, conducted in schools, included workshops, training programs, lectures, goal setting, and practical activities, lasting from four weeks to four years. Twenty-seven studies (79.4%) reported positive impacts on PA participation, particularly in interventions addressing psychosocial, psychological, and behavioral barriers. The most effective interventions combined theory (through educational approaches) and practice (practical PA activities). These findings contribute to understanding barriers leading to physical inactivity and provide insights for developing or replicating initiatives to improve PA levels among adolescents.
Concurrent validity of three photogrammetric methods for assessing knee alignment in sagittal plane
(2025) Rosa, Bruna Nichele da; Giendruczak, Paula Andryelly Gomes; Frantz, Marina Ziegler; Noll, Matias; Candotti, Cláudia Tarragô
Background: Evidence supporting the validity of photogrammetry for assessing body segment alignment remains limited, with most studies focusing on spinal evaluation. Thus, there is a lack of robust research examining its use for other body segments such as the lower limbs. Objective: This study aimed to evaluate the concurrent validity of three photogrammetric methods for measuring knee alignment in the sagittal plane with and without corrections for potential rotational deviations in the participant’s thigh and leg. Methods: A total of 21 adults underwent sequential evaluations involving panoramic radiography of the lower limbs and photogrammetry at a private radiology clinic. Photogrammetric analysis involved identifying the following anatomical landmarks: the greater trochanter of the femur (GTF), the lateral condyle of the femur (LCF), the head of the fibula (HF), and lateral malleolus (LM). Three photogrammetric methods were employed: (1) the condylar angle (CA) defined by the GTF, LCF, and LM points; (2) the fibula head angle (FHA) defined by the GTF, HF, and LM points; and (3) the four-point angle (4PA) incorporating the GTF, LCF, HF, and LM. Concurrent validity was assessed using correlation analysis, agreement with radiographic measurements, and the root mean square error (RMSE). Each photogrammetric method was tested using raw (CA, FHA, and 4PA) and corrected (CAcorr, FHAcorr, and 4PAcorr) values, accounting for thigh and/or leg rotational deviations. Results: Correcting for thigh and leg rotations significantly improved the validity metrics for all methods. The best performance was observed with the corrected condylar angle (CAcorr: r = 0.746; adjusted r2 = 0.533; RMSE = 2.9◦) and the corrected four-point angle (4PAcorr: r = 0.733; adjusted r2 = 0.513; RMSE = 3.0◦); however, the measurements presented proportional errors, possible due the method of assessment of rotations. Conclusions: The findings validate the evaluated photogrammetric methods for assessing sagittal knee alignment. Accounting for thigh and leg rotational deviations is critical for achieving accurate measurements, raising the need of accurate tools for measuring rotational changes in the lower limbs to avoid errors.
Administrative professionals’ quality of life in educational institutions: a systematic review
(2026) Pereira, Nicolli Godoi; Silva, Regina Márcia Ferreira; Costa, Woska Pires da; Costa, Milka Barbosa; Oliveira, Isabela Fernanda Rodrigues de; Vitta, Alberto de; Fernandes, Michele da Silva Valadão; Abusamra, Valeria; Silva, Priscilla Rayanne e; Noll, Matias
Objective Quality of life (QoL) is influenced by several factors and impacts the health and performance of workers. This systematic review aimed to synthesize the available evidence on the QoL of administrative professionals in educational institutions. Methods A systematic search was conducted in Web of Science, Scopus, MEDLINE/ PubMed, CINAHL, and LILACS, with no language or date restrictions. Eligible studies were peer-reviewed articles using quantitative, qualitative, or mixed methods (crosssectional, cohort, case-control, or clinical trials) involving administrative professionals from secondary or higher education institutions. Study selection followed PRISMA 2020 and a registered protocol. Two independent reviewers screened and extracted data, with a third resolving disagreements. Methodological quality was assessed using the GRADE and Downs and Black checklist. Results Of 6,929 records, three studies met the criteria, including 600 administrative professionals from Australia, Portugal, and Italy. All were cross-sectional and used validated QoL instruments (SF-36, EUROHIS-QOL 8-Index, VR-12). QoL was significantly associated with presenteeism, sleep quality, family dynamics, and social support. Despite heterogeneity, all studies were rated high quality with low risk of bias. A metaanalysis was not feasible; a narrative synthesis was performed. Conclusions The findings of this systematic review can significantly contribute to promoting a healthy work environment for administrative professionals—especially in the education sector—regardless of whether they work onsite or remotely.
Educação profissional e ensino médio integrado: considerações a partir da Base Nacional Comum Curricular
(2025) Cardoso, Luiz Mário Lopes; Souza, Heloisia Carneiro de; Cardoso, Flávio Manoel Coelho Borges; Lima, Emmanuela Ferreira de; Noll, Matias
This text aims to analyze the new Reform of High School Education (RHSE) and the proposals inherent to the education of young people in Integrated High School Education (IHSE). The study was carried out through bibliographies available in three databases, chosen for the scope of scientific productions in their collections. The results indicate that the educational itineraries, the curricular composition by competencies, the single curriculum, and the arbitrary selection of knowledge, present in the RHSE, can impact the IHSE and the integral education.
Back health in health education: reflections on musculoskeletal fitness
(2025) Monfort Pañego, Manuel; Miñana-Signes, Vicente; Noll, Matias
Resumen Este documento refuerza la importancia de la actividad física y los hábitos de vida activos para mejorar la salud y prevenir enfermedades crónicas. Si bien el papel de la actividad física en la prevención de enfermedades cardiovasculares, obesidad y problemas de salud mental está bien investigado, esta nota destaca un área infrarepresentada: la salud musculoesquelética, en particular la salud de la espalda. Los trastornos musculoesqueléticos, especialmente el dolor lumbar, son la principal causa de discapacidad a nivel mundial. A pesar de esto, la investigación sobre los problemas musculoesqueléticos sigue siendo insuficiente en comparación con otros problemas de salud. Esta reflexión exige más estudios e intervenciones educativas para promover la salud musculoesquelética, abogando por un enfoque holístico que integre el bienestar físico, psicológico y social. Actividades como el yoga, el pilates y el thai chi, que enfatizan la conciencia corporal y el control postural, se sugieren como estrategias efectivas para mantener la salud musculoesquelética.
Prevalence and factors associated with back pain among education workers in Brazil: a longitudinal study
(2025) Nogueira, Suelen Marçal; Monteiro , Luís Fernando; Mendonça, Carolina Rodrigues; Oliveira, Isabela Fernanda Rodrigues de; Monfort Pañego, Anelise Sonza Manuel; Silva, Priscilla Rayanne e; Noll, Matias
This study aimed to longitudinally assess the prevalence of back pain and associated factors in education workers of the Federal Network for Professional and Technological Education in Brazil. This longitudinal epidemiological study was conducted in two stages, with data collected in 2022 and again in 2023, for a sample population of education workers from 38 Brazilian federal institutes. Sociodemographic data as well as data of the back pain assessment performed using the Back Pain and Body Posture Evaluation Instrument questionnaire were collected. Data on the assessment of quality of life and mental health, obtained using the World Health Organization Quality of Life-Bref and Depression Anxiety Stress Scale-21 instruments, respectively, were also collected. Generalized estimating equations were used in a Poisson regression model. Overall, 600 employees from all regions of Brazil were assessed. In 2022, the prevalence of back pain was 80.8%, and it dropped to 78.2% in 2023. The factors associated with a major risk of pain were mainly female sex (relative risk [RR], 1.15; 95% confidence interval [CI], 1.07–1.24), lack of regular physical activity (RR, 1.10; 95% CI, 1.04–1.17), and low quality of life, especially in the psychological domain (RR, 1.13; 95% CI, 1.02–1.27). The results indicate a high prevalence of back pain in education workers of the Federal Network for Professional and Technological Education in Brazil. A survey of associated factors can support a biopsychosocial approach to the problem, with the possibility of preventive actions aimed at reducing the development of pain in education workers, as well as improving their quality of life and occupational health.
Food, quality of life and mental health: a cross-sectional study with federal education workers
(2025) Jesus, José Igor Ferreira Santos; Monfort Pañego, Manuel; Santos, Gabriel Victor Alves; Monteiro, Yasmin Carla; Nogueira, Suelen Marçal; Silva, Priscilla Rayanne e; Noll, Matias
Background: The consumption of ultra-processed foods (UPFs) represents an important public health challenge, especially among education workers, whose intense routine can negatively impact eating habits. This study aimed to analyze the factors associated with the regular consumption of UPF among employees of the Federal Network of Professional, Scientific and Technological Education (RFEPCT) in Brazil. Methods: This was a crosssectional study, with a quantitative approach, carried out with 1563 education workers. Validated instruments on eating habits (PeNSE), mental health (DASS-21) and quality of life (WHOQOL-bref) were used. The regular consumption of UPF was defined as intake on ≥5 days in the last seven days. The association between the regular consumption of UPF and sociodemographic, occupational, behavioral, mental health and quality of life variables was assessed by Poisson regression with robust variance, generating adjusted prevalence ratios (PRadj) and respective 95% confidence intervals. Results: The regular consumption of UPF was associated mainly with female gender, a lower age group, Southeast and Midwest regions, dissatisfaction with sleep and the body, physical inactivity and poor sleep quality. In addition, the findings suggested a significant relationship between the worst stress scores and soft drinks (PRadj: 2.11; CI: 1.43–3.13), anxiety and soft drinks (PRadj: 1.83; CI: 1.24–2.70) and depression and industrialized/ultra-processed salty foods (PRadj: 2.43; CI: 1.82–3.26). The same was observed in the scores for the worst perception of quality of life, where there was a prevalence of up to 2.32 in the psychological domain and the consumption of industrialized/ultra-processed salty foods. Conclusions: The findings indicate that multiple interrelated factors—individual, psychosocial and occupational—are associated with the consumption of UPF among education workers. These results reinforce the importance of institutional policies that integrate actions to promote dietary health, mental health care and improved working conditions in the education sector.
Scientific output of undergraduate research supervisors: the role of sex-related, academic career, and subject areas in a Brazilian public institution
(2025) Costa, Woska Pires da; Walker, Angélica Ferreira Melo ; Miñana-Signes, Vicente; Monfort Pañego, Manuel ; Silva, Priscilla Rayanne e ; Noll, Matias
Introduction: This research explores how various characteristics influence supervisors’ research output and engagement. It focuses on undergraduate research (UR) programs at a Brazilian federal educational institution. The study examines academic curricula, including the number of publications and the impact of their productions, and looks for possible academic inequalities. Accordingly, it analyzes the influence of sex-related, academic path, and subject areas on the productivity of UR supervisors in this institution. Methods: A case study approach was employed, utilizing quantitative methods for data collection. Data was collected on diverse variables, such as education, academic trajectory, publications, patents, and supervisory roles, by examining the administrative records and the data registered in the Lattes Curriculum platform. Descriptive and inferential statistics, including non-parametric tests and correlation analyses, were employed for data analysis, offering insights into the characteristics and contributions of UR supervisors at the undergraduate level. Results: The study included 307 supervisors (59.0% of men), primarily in the Agrarian Sciences (51.5%), aged 37–46 years, and holding doctorate degrees (78.8%). Notably, supervisors in the Agrarian Sciences area had the highest mean experience in UR supervision (51.5%). Statistical analyses revealed significant differences among supervisors based on their research area and between supervisory activities, more prominently in research outputs and impact measures (p < 0.001) for master’s studies supervisions. On average, supervisors had 2.19 articles per year, with higher productivity in the Health Sciences followed by the Biological Sciences field. A positive difference (18.0%) in supervisor participation was found between males and females, with men having a higher rate (14.7%), consistent with previous studies. Conclusion: The investigation emphasizes addressing sex disparities and promoting scientific research to enhance academic output indicators through public policies. This analysis provides valuable insights for fostering public policies directed toward educational institutions. Ethics and disclosure: The Research Ethics Committee approved the study, ensuring the confidentiality of participant data and compliance with ethical standards.
Ensino médio integrado no Brasil: uma possibilidade para superar a dualidade histórica da educação profissional e tecnológica
(2025) Cardoso, Luiz Mário Lopes; Souza, Heloisia Carneiro de; Cardoso, Flávio Manoel Coelho Borges; Noll, Matias
This paper aims to analyse the historical process of duality in Brazilian professional education. It also aims to evaluate the proposal for Integrated High School (IHS), as a teaching modality that seeks to overcome this historical fragmentation. The manuscript was prepared using bibliographies researched in two databases, chosen to meet the proposed objectives and because of the rigour of the scientific productions in their collections. The results show that with the implementation of IHS, vocational education has advanced considerably in the quest for general student formation. Thus, this teaching modality has become a real possibility of overcoming the historical duality of professional education.
Lay-out for assessing dynamic posture: tradução, adaptação cultural e validação psicométrica em pré-adolescentes portugueses
(2025) Matos, Maria João; Festas, Constança; Barreiras, Catarina; Almeida, Sofia; Noll, Matias
Background: Questionnaires assessing postural habits and body posture generally do not allow for the evaluation of dynamic postures or the measurement of how postural knowledge is transferred to movement execution. This limitation can be overcome when dynamic posture is captured on film. Objective: To translate, culturally adapt, and psychometrically evaluate the Layout for Assessing Dynamic Posture (LADy) for use with Portuguese preadolescents. Methodology: A methodological study involving translation, cross-cultural adaptation, and psychometric testing was conducted, including an assessment of the inter-rater reproducibility of the instrument. Results: Fifty-nine preadolescents from a school cluster in northern Portugal participated. Inter-rater reproducibility across items ranged from minimal to excellent (k = 0.04–1). Of the nine dynamic postures and 53 assessment items in the original LADy, eight postures and 38 items were retained in the Portuguese version. Conclusion: The LADy-PT is a valid and reproducible instrument for assessing dynamic posture in preadolescents within a school context, provided that its application guidelines are followed.
Back pain and body posture evaluation instrument: validation of the questionnaire for portuguese pre-adolescents
(2025) Matos, Maria João; Festas, Constança; Barreiras, Catarina; Almeida, Sofia; Noll, Matias
Background: Knowledge of pre-adolescents’ postural habits and back pain profiles is essential for school health teams to develop systematized intervention strategies. Objective: To perform the psychometric validation of the Back Pain and Body Posture Evaluation Instrument (BackPEI) for Portuguese pre-adolescents. Methodology: A methodological study was conducted for the instrument’s linguistic adaptation, pretest, and psychometric evaluation. This evaluation took place in two phases, using a test-retest design to assess the instrument’s reliability. Results: A total of 115 pre-adolescents participated in the study (M = 11.5 years). Questions 2.5 and 2.3 obtained the lowest (k = 0.072) and highest (k = 0.693) levels of agreement, respectively. For question 2.23 (pain intensity), no difference was found between the test (M = 3.54; SD = 1.98) and the retest (M = 3.54; SD = 1.33; p = 0.959), with the answers showing a strong correlation (ICC = 0.719). Conclusion: The European Portuguese version of the BackPEI retained the original 21 items, with the addition of two items suggested by the experts and proved to be a reliable tool for assessing postural habits and back pain in Portuguese pre-adolescents.
Ultra-processed food consumption, mental health, and quality of life in adults: a systematic review protocol
(2026) Jesus, José Igor Ferreira Santos; Costa, Milka Barbosa; Santos, Gabriel Victor Alves; Silva, Kaio Vinícius Custódio da; Nogueira, Suelen Marçal; Monfort Pañego, Manuel; Silva, Priscilla Rayanne e; Noll, Matias
Background and Aims: The consumption of ultra‐processed foods is linked to an increase in chronic noncommunicable diseases and risk of mortality. Adverse effects on health have a direct impact on quality of life, compromising general wellbeing. Thus, with this systematic review protocol, we aimed to review the literature on the association of high consumption of ultra‐processed foods with quality of life and mental health in adults and quantify it through meta‐analysis. Methods: This protocol is based on PRISMA‐P and has been registered on PROSPERO (CRD42024599909). The CINAHL, EMBASE, FSTA, LILACS, Scopus, Ovid, PsycNET, PubMed, and Web of Science databases will be searched. This strategy uses the MeSH terms and their variations. The search was limited to original peer‐reviewed articles with no language restrictions. Two reviewers independently read and extracted data. Methodological quality and risk of bias will be assessed using the GRADE, CASP, and Downs and Black methods. Results: This protocol describes how the results of the systematic review will be organized, detailing the procedures for study selection, inclusion, and data analysis. Conclusions: It is hoped that it will offer a consolidated and up‐to‐date view of the impact of ultra‐processed foods on the quality of life and mental health.
Prevalence and associated factors with back pain among public servants in the federal education system in Brazil
(2026) Monteiro, Luís Fernando; Mendonça, Carolina Rodrigues de; Pereira, Nicolli Godoi; Oliveira, Isabel Fernanda Rodrigues de; Vitta, Alberto de; Miñana-Signes, Vicente; Silva, Priscilla Rayanne e; Noll, Matias
Backgroung: knowing and understanding aspects related to back pain can significantly improve the health and well-being of workers, reduce absenteeism, particularly among education public servants, and guide public policies. Objective: to assess the overall prevalence of back pain and identify associated factors with it among public servants in the Federal Network of Professional, Scientific, and Technological Education (FNPSTE) in Brazil. Methods: we conducted a cross-sectional study of 1,563 Brazilian public servants from all regions of Brazil. The data were collected in 2022. The independent variables included demographic, socioeconomic, behavioral, quality of life, and health data. The dependent variable was the occurrence of back pain in the past three months, as assessed using the BackPEI questionnaire. Poisson regression-adjusted multivariate analysis was performed. Results: the overall prevalence of back pain was 79.4%, affecting 79.1% of teaching staff and 82.6% of education technical-administrative public servants. Back pain was more prevalent in women (84.9%) and individuals who remained seated for long periods at the computer (83.7% - more than 6 hours per day). Women experienced more pain four or more times a week (p < 0.001), and this pain limited their ability to perform activities (p < 0.001). Additionally, women experienced a higher prevalence of moderate pain than did men (p < 0.001). The presence of pain was associated with reading or studying in bed (p = 0.002) and with poor quality of life in both the physical (p = 0.034) and psychological (p = 0.013) domains. Conclusion: the results indicate a high prevalence of back pain among FNPSTE public servants in Brazil, particularly in women, and an association between back pain, behavioral variables, and reduced quality of life.
Researchers' mental health and quality of life: a protocol for systematic review and meta-analysis
(2026) Azevedo, Lavine Jordane Queiroz de; Sousa, Marcos de Moraes; Costa, Murilo Marques; Cordeiro, Lavínia Leal; Torres, Miguel Matos; Nogueira, Suelen Marçal; Silva, Priscilla Rayanne e; Noll, Matias
Background and Aims: Although several previous studies have examined the determinants of research productivity, the conditions under which researchers achieve high performance remain poorly understood. This protocol aims to lay the groundwork for a systematic review and meta‐analysis of the factors associated with researchers' mental health (RMH) and quality of life (RQoL) across public and private institutions, to provide future evidence to inform targeted policies. Methods: The protocol is registered with PROSPERO (CRD42025635600) following PRISMA‐P 2015 guidelines. Seven databases will be searched (CINAHL, LILACS, MEDLINE/PubMed, Scopus, Web of Science, EMBASE, and PsycArticles) for observational studies. Two independent reviewers will screen titles/abstracts and full texts, with discrepancies resolved by a third reviewer. Methodological quality (GRADE), risk of bias (Downs and Black scale), and interrater reliability (Cohen's κ) will be assessed. Descriptive synthesis and meta‐analysis (when appropriate) will explore subgroup analyses by sex/gender, academic role, and geographic region. Heterogeneity will be assessed using Cochran's Q and I2 statistics. Results: This is a study protocol, therefore no results are available at this stage. The review will systematically synthesize the available evidence on the association between RQoL and RMH and, where possible, provides combined effect estimates through meta‐analysis. Conclusion: The systematic review and meta‐analysis will highlight challenges in the academic environment and provide evidence to inform the development of more sustainable working conditions.
Quality of life in university professors: association with components of spirituality and professional achievement
(2026) Borges, Cezimar Correia; Maciel, Renata Custódio; Lemes, Uitarany do Prado; Noll, Matias; Barbosa, Maria Alves; Porto, Celmo Celeno; Santos, Patrícia Roberta dos; Lucchetti, Giancarlo; Silva, Weder Alves da
Background: University professors face considerable workload pressures and professional demands that can negatively affect their quality of life (QoL). Positive emotions associated with spirituality and religiousness (S/R) have been linked to enhanced QoL in various populations; however, limited research has explored this relationship among university professors. Objective: To examine the association between spirituality/religiousness and quality of life among university professors, identifying the most influential spiritual facets and relevant sociodemographic predictors. Methods: This cross-sectional study included 213 professors from a public university in Goiás, Brazil. Participants completed the WHOQOL-BREF (QoL) and WHOQOL-SRPB (S/R) instruments, both validated for the Brazilian population. Results: Seven of the eight S/R facets showed significant positive correlations (p ≤ 0.01) with QoL domains. The strongest associations were observed in the psychological domain, particularly for hope and optimism (r = 0.67), spiritual strength (r = 0.62), and faith (r = 0.59). Regression analyses indicated that these facets were the strongest independent predictors of overall QoL (R2 = 0.28). Professional and sociodemographic factors such as academic degree, job satisfaction, professional recognition, and income were also associated with higher QoL, while holding multiple employment contracts was inversely related to it. Conclusion: Higher levels of S/R were positively associated with QoL among university professors. These findings highlight the potential value of integrating spirituality-based activities into university wellness programs as effective strategies to promote well-being and help faculty manage occupational demands.
Excessive screen time on posture, musculoskeletal pain, and quality of life in generation Z adolescents: a cross-sectional study with comparison between the sexes
(2026) Nascimento, Gabriella Lavarda do; Cardoso, Aline Silveira; Claudino, Gabriely Vitória; Rangel, Giovanna da Silva; Noll, Matias; Faquin, Aline; Sonza, Anelise
Objectives: Excessive use of electronic devices can cause postural changes, pain, and negatively impact generation Z adolescents’ quality of life (QoL). The goals of this study were to evaluate and compare between sexes the static posture postural self-perception, screen time, musculoskeletal pain, and QoL in generation Z adolescents. Methods: Cross-sectional study with adolescents. Postural analysis was conducted using the Software SAPo, self-reported posture, back pain, and screen time were assessed with the BackPei-CA, and QoL was evaluated using the Kidscreen-27 questionnaire. Statistical analyses included t-test or Mann– Whitney U test, Spearman’s correlation, and adjusted logistic regression, with correction for multiple comparisons (p≤0.05). Results: 408 adolescents were included (204 of each sex), with a mean age of 14.58 ± 1.98 years (males) and 14.56 ± 1.84 years (females). Postural assessment revealed head anteriorization and pelvic misalignment, with females showing greater head and pelvic angular deviations. No significant associations were found between cell phone use and cervical or pelvic alignment. Cell phones/tablets were the most frequently used devices, with higher daily use among females. Musculoskeletal pain was highly prevalent, particularly in the cervical and lumbar regions, and more frequent in females; however, cell phone use was not independently associated with musculoskeletal pain after adjustment. The total sample of adolescents has a good QoL. Conclusions: Adolescents, especially females, showed head anteriorization and pelvic misalignments, high screen time, and self-perceived inadequate postural habits.Musculoskeletal pain was frequent andmore prevalent among females, despite good quality of life. Screen time alone was not associated with postural changes or pain, indicating a multifactorial etiology.
Inequalities in the community food environment around Brazilian households with children under 5 years from a national survey in Brazil
(2025) Castro, Inês Rugani Ribeiro de; Schincaglia, Raquel Machado; Leite, Maria Alvim; Lacerda, Elisa Maria de Aquino; Costa, Paula Normando dos Reis; Reis, Neilane Bertoni dos; Kac, Gilberto
This study characterizes the community food environment around households in Brazil with children < 5 years of age and analyzes its association with socioeconomic and demographic stratifiers. Data from 12,524 households from the Brazilian National Survey on Child Nutrition (ENANI-2019) were used. The community food environment was assessed through the perception of mothers or caregivers using three indicators: fruit and vegetable score (FV-S), ultra-processed foods score (UPF-S), and community food environment healthiness score (CFEH-S), all ranging from 0–10 points, categorized as low (worse), medium, and high (better). Unadjusted and adjusted multinomial logistic regression analyses were conducted to determine the independent associations between macro-region, household location, race/skin color, level of education of the mother or caregiver, and basic sanitation, and FV-S, UPF-S, and CFEH-S. The frequency of low and high categories was 21.8% and 64.1% for FV-S, 74.3% and 7.7% for UPF-S, and 34.1% and 9.8% for CFEH-S. Adjusted regressions showed that the North macro-region had the worst scenario for FV-S and CFEH-S. For UPF-S, the Northeast and South regions had the worst scenarios. Despite worse FV-S, rural households had better UPF-S and CFEH-S. Households with 0 or 1 basic sanitation service (sewage system, potable water, or garbage collection) had worse FV-S scores; those with 1 service had the worst CFEH-S scenario. We found that macro-region, place of residence, and access to sanitation services are associated with the healthiness of the community food environment around households with children < 5 years in Brazil.

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