This cross-sectional study aimed to characterize the lifestyle habits, anxiety levels and basic psychological needs (BPN), in Portuguese adults during the Coronavirus Disease 2019 (COVID-19) pandemic, including a comparison between genders and age groups. In total, 1404 adults (36.4 ± 11.7 years; 69.6% female) answered sociodemographic data and three instruments: the International Physical Activity Questionnaire, the Basic Need General Satisfaction Scale and the State-Trait Anxiety Inventory. Males revealed higher values for the total energy expenditure (z = −2.26; p = 0.024; ${\eta }^2$ = 0.004) and for the level of satisfaction of competence (z = −2.62; p = 0.009; ${\eta }^2$ = 0.005). Females showed higher scores for the anxiety state (z = −7.87; p ≤ 0.001; ${\eta }^2$ = 0.044) and anxiety trait (z = −6.49; p ≤ 0.001; ${\eta }^2$ = 0.030). Regarding age, higher values for the anxiety trait (p ≤ 0.001; ${\eta }_H^2$ = 0.030) were found in the 18–34 years-old group compared to all the other age groups, also presenting significantly higher values of total energy expenditure (χ² = 13.93; p = 0.008; ${\eta }_H^2$ = 0.007) when compared to the 35–44 years-old group. Significant differences were observed between the 18–34 years-old group and the other age groups for the satisfaction of competence (χ² = 40.97; p ≤ 0.001; ${\eta }_H^2$ = 0.026), except for the >65 years-old group. Strategies for promoting well-being during periods of social isolation should consider the role of psychological dimensions and lifestyle habits according to the gender or age group.

Background: Body image seems to be a determining factor in the behavior and satisfaction of the basic psychological needs of exercise practitioners in gyms and fitness centers, and may influence motivation, interpersonal behavior, and eating behavior. This review aims to examine possible patterns between the variables under study in a gym/fitness context, specifically considering if body image perception has a determinant factor. Methods: Web of Science, PubMed, SCOPUS, and Psycnet were consulted and only data published between 2007 and 2021 were considered in the present review. After an initial search of 1373 records, a total of 6 were considered eligible for a detailed analysis after checking for the inclusion and exclusion criteria. Results: There is a positive relationship between body image dissatisfaction and less self-determined forms of motivation, as well as the adoption of less healthy eating behaviors. Younger participants have higher levels of body image dissatisfaction and unhealthy eating behaviors. Conclusions: Body image dissatisfaction leads to less self-determined forms of motivation for exercise in the context of gyms and fitness centers. On the other hand, a negative perception of body image can also lead to sustained patterns of less regulated forms of exercise and less healthy eating behaviors.

The aim of this review was to explore the contribution of physical activity and exercise in the control and reduction of modifiable factors of arterial hypertension in telemedicine programs, assuming a multidisciplinary perspective. Searches were carried out following the PRISMA guidelines (Preferred Reporting Items for Systematic Reviews and Meta-analyses), and the research question defined using the PICOS approach (Population, Intervention, Comparator, Outcomes, Study design). The search strategy applied the following terms: blood pressure OR hypertension AND exercise OR physical activity AND telemedicine. The initial search identified 2190 records, but only 19 studies were considered eligible after checking for the inclusion and exclusion criteria. The following training variables were generally included: heart rate and heart rate reserve, respiratory rate, rate of perceived exertion and oxygen consumption, but no resistance training variables were found. The significant improvements on blood pressure parameters of participants diagnosed with hypertension tended to be transient. The exercise prescription was commonly based on general instructions and recommendations for exercise and hypertension. On the other hand, most of the studies including patients in cardiac rehabilitation programs used a personalized training program based on a baseline assessment, particularly following a cardiopulmonary exercise test. The inclusion of exercise professionals in multidisciplinary teams could provide a more person-oriented approach and the long-term maintenance of a healthy lifestyle.

Grounded in Self-Determination Theory (SDT), this study tested the hypothesis that body image perception delineates distinct motivational pathways, linking the perceived interpersonal style of exercise professionals to basic psychological needs, motivation quality, and long-term exercise persistence intentions. A sample of 821 regular exercisers was divided into two groups based on body image: “Satisfied” (n = 276) and “Dissatisfied due to Overweight” (n = 545). Participants completed validated measures of perceived interpersonal behaviors (supportive/thwarting), basic psychological need satisfaction/frustration, motivational regulation, and exercise persistence intention. A clear divergent pattern emerged, strongly supporting the main hypothesis. The “Satisfied” group reported a positive pathway: perceiving more need-supportive behaviors from instructors was associated with greater satisfaction of autonomy, competence, and relatedness, which in turn correlated with more self-determined motivation and stronger persistence intentions. Conversely, the “Dissatisfied” group reported a negative pathway: perceiving more need-thwarting behaviors was associated with greater need frustration, which correlated with more non-self-determined motivation and weaker persistence intentions. Measurement invariance confirmed these pathways are comparable across groups. The findings highlight that body image perception is a key correlate of distinct motivational experiences in exercise settings. Crucially, they underscore the significant association between the professional’s perceived interpersonal style and these pathways. Fostering need-supportive environments that enhance autonomy, competence, and relatedness is associated with more adaptive motivation and adherence, offering a valuable framework for practitioners aiming to support clients, particularly those with body image concerns.

The World Health Organization declared the COVID-19 pandemic an international public health emergency in January 2020, and, soon thereafter, a worldwide adoption of quarantine and physical isolation measures restricted regular practitioners of indoor group physical exercise from many of their usual practices. Some, with exercise dependence (ED), may have experienced exercise withdrawal symptoms that triggered unhealthy anxiety levels. In February 2021, during Portugal’s second COVID-19 lockdown, we characterized and compared ED and anxiety levels among different groups of indoor exercise practitioners (cross trainers [CG], bodybuilders [BG] and gym practitioners [GG]). In this cross-sectional study, we recruited 234 adult participants through the internet. To assess participants’ ED and anxiety levels, we used Portuguese versions of the ED Scale-21 (EDS-21) and the State-Trait Anxiety Inventory (STAI-State; STAI-Trait). ED symptoms were evident in all participant subgroups, and we found no gender differences in ED. Anxiety was higher among women than men in CG and GG groups, and there were significant differences in ED between groups such that BG practitioners showed higher ED than GG and CG practitioners (small effect size). Bodybuilders reported most ED behavior, followed by CG and regular gym exercisers, but on some criteria BG and CG groups had similar ED levels. Our results are in line with prior ED prevalence reports conducted before COVID-19 restrictions among regular GG, but these are the first data to report a higher ED prevalence among BG and CG, relative to GG.

Background/Objectives: While body dissatisfaction is frequently studied as an outcome of physical activity, less is known about how pre-existing body image perceptions shape the quality of behavioral regulation. Grounded in Self-Determination Theory, this study aimed to investigate the associations of different perceived body image discrepancy profiles with autonomous and controlled motivation for both exercise and eating, and to explore the interaction effects between these profiles and sex. Methods: The sample comprised 939 regular gym exercisers (32.99 ± 11.90 years; 55.1% female). Using the Stunkard Figure Rating Scale, participants were categorized into four discrepancy profiles: desire to increase, satisfied, mild desire to reduce, and moderate/severe desire to reduce. Data were analyzed using Two-Way ANOVAs. Results: The Satisfied group reported the highest autonomous and lowest controlled motivation across both domains (main effects: p < 0.001, η²_p = 0.019–0.046). A significant body image × sex interaction emerged for controlled eating motivation (F(3, 931) = 6.22, p < 0.001, η²_p = 0.020). Females exhibited a “U-shaped” curve, demonstrating low controlled eating motivation when satisfied (M = 1.65) but elevated levels at extremes (desire to increase: M = 2.50; moderate/severe desire to reduce: M = 2.39). Males maintained stable controlled eating motivation across all discrepancy profiles (M = 2.06–2.30). Although these main and interaction effects were statistically significant, all observed multivariate effect sizes were small (η²_p = 0.012–0.046). Conclusions: Perceived body image discrepancy acts as a significant antecedent of motivational quality. The absence of a perceptual gap is linked to highly adaptive, autonomous behavioral regulation. Furthermore, the distinct sex-based patterns in controlled eating motivation underscore the necessity for health and exercise professionals to adopt tailored, sex-specific strategies when addressing body image concerns.