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Dr. Brigita Mieziene
Lithuanian Sports University

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0 Social Capital
0 Mediterranean diet
0 Physical fitness
0 self-determined motivation
0 Physical Activity and Health

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Physical Activity and Health
Social Capital
Mediterranean diet
Physical fitness

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Journal article
Published: 07 July 2021 in Sustainability
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The promotion of physical activity in physical education (PE) might be enabled only in the case that PE is attended. Intentional skipping of PE, while widespread, is understudied. The aim of the study is to identify individual and interpersonal correlates as well as their interaction effect on the intentional PE skipping behavior in Lithuanian high school students. This cross-sectional population-based study included 1285 students aged from 14 to 18 years old. Among them, 42.2 were male. PE skipping, sociodemographic, individual and interpersonal indicators were measured. Results revealed that 58.4% of high school students intentionally skip their PE class at least once per week. The main correlates of PE skipping are sedentary behavior and social participation. The main preventive factors are perception of PE usefulness, better self-rated health among direct predictors. Indirectly, social capital played a protective role for PE skipping classes through a more positive perception of PE usefulness. Raising awareness of physical education benefits, providing a rationale for physical education in the social contexts of family and school, in terms of family support and building trust with teachers, strengthening reciprocity at school indirectly prevents students’ PE skipping behaviors.

ACS Style

Brigita Mieziene; Arunas Emeljanovas; Ichiro Kawachi; Laima Gasiuniene; Laura Tumynaite; Dario Novak. Individual and Interpersonal Factors and Their Interaction Predicting the Intentional Physical Education Skipping Behavior among Lithuanian High School Students. Sustainability 2021, 13, 7616 .

AMA Style

Brigita Mieziene, Arunas Emeljanovas, Ichiro Kawachi, Laima Gasiuniene, Laura Tumynaite, Dario Novak. Individual and Interpersonal Factors and Their Interaction Predicting the Intentional Physical Education Skipping Behavior among Lithuanian High School Students. Sustainability. 2021; 13 (14):7616.

Chicago/Turabian Style

Brigita Mieziene; Arunas Emeljanovas; Ichiro Kawachi; Laima Gasiuniene; Laura Tumynaite; Dario Novak. 2021. "Individual and Interpersonal Factors and Their Interaction Predicting the Intentional Physical Education Skipping Behavior among Lithuanian High School Students." Sustainability 13, no. 14: 7616.

Pediatrics
Published: 12 April 2021 in Frontiers in Pediatrics
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Given the low levels of physical activity (PA) in adolescence, there are challenges to increasing students' PA outside of the school setting. Thus, researchers emphasize the supportive role that physical education (PE) teachers can play in PA motivation both in and out of school. The aim of the present study was to examine an expanded trans-contextual model (TCM) model for the transit of teachers' perceived support of students' autonomy in terms of contextual and situational motivation in PE to objectively measured moderate-to-vigorous physical activity (MVPA) in PE across different PE contents as well as to the motivational sequence for, and participation in, subjective MVPA during leisure time. This cross-sectional study involved 283 high school students, of whom 43.9% were boys. The autonomous support students received and other motivational factors and objective measures of MVPA in PE and subjective MVPA in leisure time were measured. The results indicate that support for autonomy was significantly and directly related to needs satisfaction (β = 0.61, p < 0.001) and indirectly to autonomous motivation in PE (β = 0.19, p < 0.001) and leisure time (β = 0.16, p < 0.001), intention in PE (β = 0.03, p < 0.05) and leisure time (β = 0.07, p < 0.001), and leisure time MVPA (β = 0.04, p < 0.001), although not MVPA in PE. Gender was a significant covariate for both MVPA in PE (β = −0.62, p < 0.001) and MVPA in leisure time (β = −0.37, p < 0.001), with higher MVPA in boys than girls. This study filled a gap in the scientific literature by demonstrating the full motivational sequence resulting in actual MVPA in PE classes. It also demonstrated that the main goal of PE of enhancing PA not only in school but also outside of school is working. The main motivator is needs satisfaction based on PE teachers' support.

ACS Style

Brigita Mieziene; Arunas Emeljanovas; Vitalija Putriute; Dario Novak. The Direct and Indirect Relationships Within the Extended Trans-contextual Model for Moderate-to-vigorous Physical Activity. Frontiers in Pediatrics 2021, 9, 1 .

AMA Style

Brigita Mieziene, Arunas Emeljanovas, Vitalija Putriute, Dario Novak. The Direct and Indirect Relationships Within the Extended Trans-contextual Model for Moderate-to-vigorous Physical Activity. Frontiers in Pediatrics. 2021; 9 ():1.

Chicago/Turabian Style

Brigita Mieziene; Arunas Emeljanovas; Vitalija Putriute; Dario Novak. 2021. "The Direct and Indirect Relationships Within the Extended Trans-contextual Model for Moderate-to-vigorous Physical Activity." Frontiers in Pediatrics 9, no. : 1.

Journal article
Published: 20 January 2021 in International Journal of Environmental Research and Public Health
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Background: Across countries, young people are not sufficiently physically active. The evidence confirms that beyond demographic and individual agents, individuals participate within their social and physical environment. The ecological model enables a search for the modifiable factors in specific populations, as it allows consideration of factors affecting individuals’ lives on different levels, as well as considering the interplay of those factors. The aim of this study was to examine the complex interconnections among environmental, social capital and motivational factors at different levels, within an ecological model for high school students’ moderate-to-vigorous physical activity during their leisure time. Methods: This cross-sectional population-based study included 1285 students from 14 to 18 years old, with a mean age of 16.14 ± 1.22. Physical activity, neighborhood physical activity recourses, neighborhood safety, social capital, physical activity motivation and sociodemographic factors were evaluated. Logistic regression, mediation and moderation analyses were performed predicting moderate-to-vigorous physical activity during leisure time. Results: In the final multivariate logistic regression model, greater social participation (OR 1.03 [1.01–1.05]), higher relative autonomy index (OR 1.11 [1.06–1.15]) and male gender (OR 1.71 [1.13–2.57]) directly predicted meeting MVPA recommendations. Any significant moderation effects (p > 0.05) of environmental characteristics were not found for the relationship between social capital, motivational factors and moderate-to-vigorous physical activity. The evidence of positive indirect mediation effects was found in all five models for social capital components as all CIs for its βs do not contain 0, though standardized effect sizes were between 0.02 and 0.07, indicating small effect sizes. Conclusion: These findings provide support for the presence of some direct and indirect pathways from social capital to moderate-to-vigorous physical activity. Future intervention strategies should focus on strengthening physical activity motivation by encouraging the development of social network and social participation as well as family, neighborhood and school social capital within the framework of the ecological model.

ACS Style

Brigita Mieziene; Arunas Emeljanovas; Ilona Tilindiene; Laura Tumynaite; Laima Trinkuniene; Ichiro Kawachi. The Direct and Indirect Relationships of Environmental, Interpersonal and Personal Factors with High School Students Physical Activity: An Ecological Approach. International Journal of Environmental Research and Public Health 2021, 18, 874 .

AMA Style

Brigita Mieziene, Arunas Emeljanovas, Ilona Tilindiene, Laura Tumynaite, Laima Trinkuniene, Ichiro Kawachi. The Direct and Indirect Relationships of Environmental, Interpersonal and Personal Factors with High School Students Physical Activity: An Ecological Approach. International Journal of Environmental Research and Public Health. 2021; 18 (3):874.

Chicago/Turabian Style

Brigita Mieziene; Arunas Emeljanovas; Ilona Tilindiene; Laura Tumynaite; Laima Trinkuniene; Ichiro Kawachi. 2021. "The Direct and Indirect Relationships of Environmental, Interpersonal and Personal Factors with High School Students Physical Activity: An Ecological Approach." International Journal of Environmental Research and Public Health 18, no. 3: 874.

Journal article
Published: 27 January 2020 in International Journal of Environmental Research and Public Health
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The decline in healthy behavior in young people is a concern for public health in general and for country’s defense. The aim of this study is to identify and compare health behaviors and psychological distress between male conscripts enlisted and rejected for military service. This cross-sectional study included 1243 men aged 19–26 years (mean age 22.50 ± 2.43 years). We assessed health behaviors (physical activity, adherence to healthy eating patterns, cigarette smoking, and alcohol consumption) and psychological distress. Among all conscripts, 44.7% were physically inactive, 50.2% had low adherence to healthy nutrition, 9.6% were heavy drinkers, 62.3% were current smokers, and 9.1% had high psychological distress level. Compared with physically inactive conscripts, physically active conscripts were more likely to be enlisted (adjusted odds ratio (OR) = 1.42; 95% confidence interval (CI) 1.11–2.03). Compared with current nonsmokers, current smokers were less likely to be enlisted (OR = 0.58; CI 0.39–0.86). Compared with conscripts with a high distress level, those with a low distress level were almost four times more likely to be enlisted (OR = 0.26; 95% CI 0.12–0.55). Adherence to guidelines for healthy eating and alcohol consumption was not significantly related to enlistment. These findings suggest that health behaviors in male conscripts are unsatisfactory. That is, about half are physically inactive, have a poor diet, and smoke, and nearly one in 10 is a heavy drinker and has a high psychological distress level. The enlisted conscripts were more likely to be sufficiently physically active and less likely to be a current smoker or have a high distress level. Early intervention programs to provide a heathier population of young men for conscription should focus on mental well-being and target health-related behaviors such as physical activity and not smoking. Preferably, these should be implemented as health education programs in schools to help prevent the development of adverse health behaviors among young men. Governmental policies and strategies are required to enable intersectional collaboration and shared responsibility among the education, military and health sectors.

ACS Style

Brigita Mieziene; Arunas Emeljanovas; Vida Janina Cesnaitiene; Daiva Vizbaraite; Renata Zumbakyte-Sermuksniene. Health Behaviors and Psychological Distress Among Conscripts of the Lithuanian Military Service: A Nationally Representative Cross-Sectional Study. International Journal of Environmental Research and Public Health 2020, 17, 783 .

AMA Style

Brigita Mieziene, Arunas Emeljanovas, Vida Janina Cesnaitiene, Daiva Vizbaraite, Renata Zumbakyte-Sermuksniene. Health Behaviors and Psychological Distress Among Conscripts of the Lithuanian Military Service: A Nationally Representative Cross-Sectional Study. International Journal of Environmental Research and Public Health. 2020; 17 (3):783.

Chicago/Turabian Style

Brigita Mieziene; Arunas Emeljanovas; Vida Janina Cesnaitiene; Daiva Vizbaraite; Renata Zumbakyte-Sermuksniene. 2020. "Health Behaviors and Psychological Distress Among Conscripts of the Lithuanian Military Service: A Nationally Representative Cross-Sectional Study." International Journal of Environmental Research and Public Health 17, no. 3: 783.

Journal article
Published: 26 November 2019 in International Journal of Environmental Research and Public Health
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The Global Matrix 3.0 “Report Card” assessment of physical activity was developed to achieve a better understanding of the global variability in child and youth physical activity. Lithuania joined the Global Matrix 3.0. The aim of this article is to summarize the results of the first Lithuanian Report Card, which included 10 indicators, as representative of individual behaviors, sources, and settings of influence indicators, and a health-related characteristic. The grades for each indicator were based on the best available Lithuanian data. The findings showed poor Overall Physical Activity, Active Transportation (C−), and Family and Peers (D). Sedentary behavior was graded C−, and Organized Sport Participation, Community and Environment, and Government were graded C. Physical Fitness and School indicators received the highest grade (C+). The first Lithuanian Report Card on Physical Activity of Children and Youth shows that Lithuanian children and youth have less than satisfactory levels of organized physical activity, active transportation to and from school, community and built environments, and government strategies and investments. The low levels of support from family and peers require more attention from health promoters. There is a gap in the evidence about active play that should be addressed by researchers and policy makers.

ACS Style

Saulius Sukys; Arunas Emeljanovas; Rita Gruodyte-Raciene; Brigita Mieziene; Laima Trinkuniene; Renata Rutkauskaite; Mark Tremblay. Results from Lithuania’s 2018 Report Card on Physical Activity for Children and Youth. International Journal of Environmental Research and Public Health 2019, 16, 4710 .

AMA Style

Saulius Sukys, Arunas Emeljanovas, Rita Gruodyte-Raciene, Brigita Mieziene, Laima Trinkuniene, Renata Rutkauskaite, Mark Tremblay. Results from Lithuania’s 2018 Report Card on Physical Activity for Children and Youth. International Journal of Environmental Research and Public Health. 2019; 16 (23):4710.

Chicago/Turabian Style

Saulius Sukys; Arunas Emeljanovas; Rita Gruodyte-Raciene; Brigita Mieziene; Laima Trinkuniene; Renata Rutkauskaite; Mark Tremblay. 2019. "Results from Lithuania’s 2018 Report Card on Physical Activity for Children and Youth." International Journal of Environmental Research and Public Health 16, no. 23: 4710.

Evaluation study
Published: 14 June 2019 in Nutrients
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The eating habits of adolescents are a serious current public health problem. Scientists call attention to the availability of social resources for enhancing healthy eating behavior. Social capital defines those resources as trust, reciprocity, social participation, integrity, and coherence, and they are supposed to help people achieve their life goals, in general, and health goals, in particular. Our aim is to investigate the relationship between social capital within its different contexts and adherence to a Mediterranean diet (MD) among Lithuanian adolescents. The nationally representative cross-sectional study included 1863 students (906 boys and 957 girls). The KIDMED index questionnaire (Mediterranean Diet Quality Index in children and adolescents) was used to evaluate the adherence to an MD. Family, neighborhood, and school contexts of social capital were assessed using six items indicating family support, neighborhood trust, social control, vertical trust, horizontal trust, and reciprocity at school. Covariates such as gender, physical activity, parental education, and body mass index were also included in the analysis. Descriptive results showed that only 14% of Lithuanian adolescents followed an MD. Linear regression analysis indicated that family support (β = 0.096) and trust in school teachers (β = 0.074) were related to better rates of adherence, especially regarding the consumption of fruits, vegetables, cereals, fish, and the use of olive oil as a main source of fat. More adolescents who perceived family support and trust in their teachers used these products regularly and were less likely to skip breakfast. These findings could be used as a base for further developing nutrition education programs aimed at enhancing support and trust among families and schoolteachers.

ACS Style

Brigita Mieziene; Arunas Emeljanovas; Dario Novak; Ichiro Kawachi. The Relationship between Social Capital within Its Different Contexts and Adherence to a Mediterranean Diet Among Lithuanian Adolescents. Nutrients 2019, 11, 1332 .

AMA Style

Brigita Mieziene, Arunas Emeljanovas, Dario Novak, Ichiro Kawachi. The Relationship between Social Capital within Its Different Contexts and Adherence to a Mediterranean Diet Among Lithuanian Adolescents. Nutrients. 2019; 11 (6):1332.

Chicago/Turabian Style

Brigita Mieziene; Arunas Emeljanovas; Dario Novak; Ichiro Kawachi. 2019. "The Relationship between Social Capital within Its Different Contexts and Adherence to a Mediterranean Diet Among Lithuanian Adolescents." Nutrients 11, no. 6: 1332.

Journal article
Published: 12 November 2018 in Medicina
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Background and objective: Population levels of physical activity are an international concern. The purpose of the present study was to describe and analyse physical activity levels in Lithuanian adolescents. Materials and methods: With this aim in mind, the Physician-based Assessment and Counselling for Exercise (PACE) questionnaire was administered to 5141 adolescents residing in Lithuania, 2502 boys (48.7%) and 2639 girls (51.3%), aged between 11 and 19 years. Results: It was found that adolescents studied met the physical activity guideline, of 60 min of moderate-to-vigorous physical activity a day, on average 3.6 days/week (SD = 2.1). A total of 3426 adolescents (66.6%) were inactive as classified by the PACE questionnaire (at least 1 h of physical activity/day < 5 days/week). In the present sample there were more active (at least 1 h of physical activity/day ≥ 5 days/week) boys (n = 994, 39.7%) than girls (n = 721, 27.3%) (p < 0.001; OR 1.75, 95% CI 1.56 to 1.97), and, on average, boys were more likely to meet daily recommendations of physical activity than girls, 0.7 days more a week (p < 0.001; IRRs 1.21, 95% CI 1.17 to 1.25). According to age, younger adolescents (11–12 years) were significantly more active than older adolescents (13–19 years) and a curvilinear relationship between age and physical activity was observed with significant linear (unstandardized beta (B) = −0.807; standardized beta (β) = −0.796; p < 0.001) and quadratic terms (unstandardized beta (B) = 0.024; standardized beta (β) = 0.704; p < 0.001). Conclusions: It is necessary to increase the level of physical activity in Lithuanian adolescents and intervention programs should be carried out considering these results.

ACS Style

Guillermo Felipe López-Sánchez; Arūnas Emeljanovas; Brigita Miežienė; Arturo Díaz-Suárez; Sheila Sánchez-Castillo; Lin Yang; Justin Roberts; Lee Smith. Levels of Physical Activity in Lithuanian Adolescents. Medicina 2018, 54, 84 .

AMA Style

Guillermo Felipe López-Sánchez, Arūnas Emeljanovas, Brigita Miežienė, Arturo Díaz-Suárez, Sheila Sánchez-Castillo, Lin Yang, Justin Roberts, Lee Smith. Levels of Physical Activity in Lithuanian Adolescents. Medicina. 2018; 54 (5):84.

Chicago/Turabian Style

Guillermo Felipe López-Sánchez; Arūnas Emeljanovas; Brigita Miežienė; Arturo Díaz-Suárez; Sheila Sánchez-Castillo; Lin Yang; Justin Roberts; Lee Smith. 2018. "Levels of Physical Activity in Lithuanian Adolescents." Medicina 54, no. 5: 84.

Journal article
Published: 01 September 2018 in Montenegrin Journal of Sports Science and Medicine
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ACS Style

Dario Novak; Arunas Emeljanovas; Brigita Mieziene; Branislav Antala; Lovro Stefan; Ichiro Kawachi. Is Social Capital Associated with Academic Achievement in Lithuanian High-school Students? A Population-based Study. Montenegrin Journal of Sports Science and Medicine 2018, 7, 29 -35.

AMA Style

Dario Novak, Arunas Emeljanovas, Brigita Mieziene, Branislav Antala, Lovro Stefan, Ichiro Kawachi. Is Social Capital Associated with Academic Achievement in Lithuanian High-school Students? A Population-based Study. Montenegrin Journal of Sports Science and Medicine. 2018; 7 (2):29-35.

Chicago/Turabian Style

Dario Novak; Arunas Emeljanovas; Brigita Mieziene; Branislav Antala; Lovro Stefan; Ichiro Kawachi. 2018. "Is Social Capital Associated with Academic Achievement in Lithuanian High-school Students? A Population-based Study." Montenegrin Journal of Sports Science and Medicine 7, no. 2: 29-35.

Journal article
Published: 01 August 2018 in Anales de Psicología
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El objetivo del estudio fue explorar los efectos de sesiones de ejercicio en video sobre los cambios en las percepciones y actitudes de los estudiantes de educación primaria hacia la actividad física, la autoeficacia física y el conocimiento académico adquirido relacionado con la salud. El estudio incluyó a 181 estudiantes de educación primaria, de primer a cuarto curso, de los cuales 93 (51.4%) constituyeron el grupo experimental y 88 (48.6%) el grupo control (Medad = 8.24; DT = 1.10 años). Los efectos de la intervención mediante sesiones de ejercicio en video fueron medidos mediante la Escala de Actitudes Hacia la Actividad Física, que se administró en el pretest y el postest. El grupo experimental llevó a cabo la intervención mediante las sesiones de ejercicio en vídeo todos los días escolares durante tres meses. Tras la intervención, se encontraron mejoras significativas en el grupo experimental en las percepciones y actitudes de los estudiantes hacia la actividad física, en su autoeficacia física y en el conocimiento académico adquirido relacionado con la salud. En el grupo control no se produjeron mejoras tras el periodo de intervención. El estudio apoya firmemente la efectividad del programa de ejercicios en video.

ACS Style

Arunas Emeljanovas; Brigita Mieziene; Magdalena MoChingMok; Ming-Kai Chin; Vida Janina Cesnaitiene; Natalja Fatkulina; Laima Trinkuniene; Guillermo Felipe López Sánchez; Arturo Díaz Suárez. Efecto de un programa interactivo durante los descansos escolares en las actitudes hacia la actividad física de escolares de primaria. Anales de Psicología 2018, 34, 580 -586.

AMA Style

Arunas Emeljanovas, Brigita Mieziene, Magdalena MoChingMok, Ming-Kai Chin, Vida Janina Cesnaitiene, Natalja Fatkulina, Laima Trinkuniene, Guillermo Felipe López Sánchez, Arturo Díaz Suárez. Efecto de un programa interactivo durante los descansos escolares en las actitudes hacia la actividad física de escolares de primaria. Anales de Psicología. 2018; 34 (3):580-586.

Chicago/Turabian Style

Arunas Emeljanovas; Brigita Mieziene; Magdalena MoChingMok; Ming-Kai Chin; Vida Janina Cesnaitiene; Natalja Fatkulina; Laima Trinkuniene; Guillermo Felipe López Sánchez; Arturo Díaz Suárez. 2018. "Efecto de un programa interactivo durante los descansos escolares en las actitudes hacia la actividad física de escolares de primaria." Anales de Psicología 34, no. 3: 580-586.

Journal article
Published: 01 January 2018 in Global Health Action
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Family support and neighborhood trust are important correlates of self-rated health in adolescents.

ACS Style

Dario Novak; Arunas Emeljanovas; Brigita Mieziene; Lovro Štefan; Ichiro Kawachi. How different contexts of social capital are associated with self-rated health among Lithuanian high-school students. Global Health Action 2018, 11, 1477470 .

AMA Style

Dario Novak, Arunas Emeljanovas, Brigita Mieziene, Lovro Štefan, Ichiro Kawachi. How different contexts of social capital are associated with self-rated health among Lithuanian high-school students. Global Health Action. 2018; 11 (1):1477470.

Chicago/Turabian Style

Dario Novak; Arunas Emeljanovas; Brigita Mieziene; Lovro Štefan; Ichiro Kawachi. 2018. "How different contexts of social capital are associated with self-rated health among Lithuanian high-school students." Global Health Action 11, no. 1: 1477470.

Journal article
Published: 01 November 2017 in Acta Facultatis Educationis Physicae Universitatis Comenianae
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The main purpose of the present study was to determine the associations between socioeconomic status (SES) and lifestyle factors. In this cross-sectional study, participants were 3,072 adolescents from two European countries of Lithuania and Serbia. The dependent variable was SES, while independent variables were gender, adherence to a Mediterranean diet, body-mass index, self-rated health, psychological distress, moderate-to-vigorous physical activity and sedentary behaviour. The associations between dependent and independent variables were analysed by using logistic regression analysis. In univariate model, middle/high SES was associated with higher adherence to a Mediterranean diet (ptrend = 0.003), good self-rated health (OR 1.51; 95 % CI 1.12 to 2.05) and meeting recommendations of moderate-to-vigorous physical activity (OR 2.09; 95 % CI 1.45 to 3.00), yet inversely associated with psychological distress (OR 0.81; 95 % CI 0.66 to 0.99) and sedentary behaviour (OR 0.80; 95 % CI 0.68 to 0.94). No associations were found between SES and bodymass index and gender. In multivariate model, the same associations occurred between middle/high SES and lifestyle factors. In conclusion, special strategies and policies, based on more affordable nutrition and participation in moderate-to-vigorous physical activity, should be implemented within the system.

ACS Style

Dario Novak; Štefan Lovro; Branislav Antala; Arunas Emeljanovas; Brigita Mieziene; Ivana Milanović; Snežana Radisavljević-Janić. The Associations Between Socioeconomic Status and Lifestyle Factors in European Adolescents: A Population-based Study. Acta Facultatis Educationis Physicae Universitatis Comenianae 2017, 57, 111 -124.

AMA Style

Dario Novak, Štefan Lovro, Branislav Antala, Arunas Emeljanovas, Brigita Mieziene, Ivana Milanović, Snežana Radisavljević-Janić. The Associations Between Socioeconomic Status and Lifestyle Factors in European Adolescents: A Population-based Study. Acta Facultatis Educationis Physicae Universitatis Comenianae. 2017; 57 (2):111-124.

Chicago/Turabian Style

Dario Novak; Štefan Lovro; Branislav Antala; Arunas Emeljanovas; Brigita Mieziene; Ivana Milanović; Snežana Radisavljević-Janić. 2017. "The Associations Between Socioeconomic Status and Lifestyle Factors in European Adolescents: A Population-based Study." Acta Facultatis Educationis Physicae Universitatis Comenianae 57, no. 2: 111-124.

Original article
Published: 11 July 2017 in International Journal of Public Health
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The aim of the present study was to investigate self-reported health status and associated factors. In this cross-sectional study, the participants were 6501 adolescents (52% females) aged 14–19 years from three European countries: Croatia, Lithuania and Serbia. Self-rated health was assessed by using one item question: “How would you perceive your health?” The answers were arranged along a 5-point Likert-type scale: (1) very poor, (2) poor, (3) fair, (4) good and (5) excellent. The outcome was binarized as “good” (fair, good and excellent) and “poor” health (very poor and poor). Potential factors associated with self-rated health included demographic (age, gender, socioeconomic status and body-mass index), social (social capital) and lifestyle (physical activity and psychological distress) variables. In both univariate and multivariate models, being older, being a boy, having higher level of family, neighbourhood and school social capital, participating in moderate-to-vigorous physical activity more frequently and having low psychological distress were associated with good self-rated health. Our findings suggest strong associations between social and lifestyle factors and self-rated health. Other explanatory variables will require future research.

ACS Style

Dario Novak; Lovro Štefan; Arunas Emeljanovas; Brigita Mieziene; Ivana Milanović; Snezana Radisavljevic Janic; Ichiro Kawachi. Factors associated with good self-rated health in European adolescents: a population-based cross-sectional study. International Journal of Public Health 2017, 62, 971 -979.

AMA Style

Dario Novak, Lovro Štefan, Arunas Emeljanovas, Brigita Mieziene, Ivana Milanović, Snezana Radisavljevic Janic, Ichiro Kawachi. Factors associated with good self-rated health in European adolescents: a population-based cross-sectional study. International Journal of Public Health. 2017; 62 (9):971-979.

Chicago/Turabian Style

Dario Novak; Lovro Štefan; Arunas Emeljanovas; Brigita Mieziene; Ivana Milanović; Snezana Radisavljevic Janic; Ichiro Kawachi. 2017. "Factors associated with good self-rated health in European adolescents: a population-based cross-sectional study." International Journal of Public Health 62, no. 9: 971-979.

Journal article
Published: 22 February 2017 in Nutrients
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Little is known about the factors which might influence the adherence to a Mediterranean diet in non-Mediterranean European countries. Thus, the main purpose of this study was to determine the associations between socioeconomic, psychological, and physical factors on a Mediterranean diet. In this cross-sectional study, participants were 14–18-year-old adolescents (N = 3071) from two non-Mediterranean countries: Lithuania (N = 1863) and Serbia (N = 1208). The dependent variable was Mediterranean diet, and was assessed with the Mediterranean Diet Quality Index for children and adolescents questionnaire. Independent variables were gender, body-mass index, self-rated health, socioeconomic status, psychological distress, physical activity, and sedentary behavior. The associations between dependent and independent variables were analyzed by using logistic regression. Results showed that higher adherence to a Mediterranean diet was associated with higher self-rated health, socioeconomic status, and physical activity, yet low adherence to a Mediterranean diet was associated with being female, having higher body-mass index, psychological distress, and sedentary behavior. Our findings suggest that future studies need to explore associations between lifestyle habits—especially in target populations, such as primary and secondary school students.

ACS Style

Dario Novak; Lovro Štefan; Rebeka Prosoli; Arunas Emeljanovas; Brigita Mieziene; Ivana Milanović; Snezana Radisavljevic Janic. Mediterranean Diet and Its Correlates among Adolescents in Non-Mediterranean European Countries: A Population-Based Study. Nutrients 2017, 9, 177 .

AMA Style

Dario Novak, Lovro Štefan, Rebeka Prosoli, Arunas Emeljanovas, Brigita Mieziene, Ivana Milanović, Snezana Radisavljevic Janic. Mediterranean Diet and Its Correlates among Adolescents in Non-Mediterranean European Countries: A Population-Based Study. Nutrients. 2017; 9 (2):177.

Chicago/Turabian Style

Dario Novak; Lovro Štefan; Rebeka Prosoli; Arunas Emeljanovas; Brigita Mieziene; Ivana Milanović; Snezana Radisavljevic Janic. 2017. "Mediterranean Diet and Its Correlates among Adolescents in Non-Mediterranean European Countries: A Population-Based Study." Nutrients 9, no. 2: 177.

Journal article
Published: 01 January 2015 in Journal of applied measurement
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ACS Style

Magdalena Mo Ching Mok; Ming Kai Chin; Shihui Chen; Arunas Emeljanovas; Brigita Mieziene; Michal Bronikowski; Ida Laudanska-Krzeminska; Ivana Milanovic; Milan Pasic; Govindasamy Balasekaran; Kia Wang Phua; Daga Makaza. Psychometric Properties of the Attitudes toward Physical Activity Scale: A Rasch Analysis Based on Data From Five Locations. Journal of applied measurement 2015, 16, 1 .

AMA Style

Magdalena Mo Ching Mok, Ming Kai Chin, Shihui Chen, Arunas Emeljanovas, Brigita Mieziene, Michal Bronikowski, Ida Laudanska-Krzeminska, Ivana Milanovic, Milan Pasic, Govindasamy Balasekaran, Kia Wang Phua, Daga Makaza. Psychometric Properties of the Attitudes toward Physical Activity Scale: A Rasch Analysis Based on Data From Five Locations. Journal of applied measurement. 2015; 16 (4):1.

Chicago/Turabian Style

Magdalena Mo Ching Mok; Ming Kai Chin; Shihui Chen; Arunas Emeljanovas; Brigita Mieziene; Michal Bronikowski; Ida Laudanska-Krzeminska; Ivana Milanovic; Milan Pasic; Govindasamy Balasekaran; Kia Wang Phua; Daga Makaza. 2015. "Psychometric Properties of the Attitudes toward Physical Activity Scale: A Rasch Analysis Based on Data From Five Locations." Journal of applied measurement 16, no. 4: 1.