(1) Background: International students with sufficient health literacy are better equipped to respond to public health emergencies and reduce any unintentional harm that may occur during such events. This study aims to assess the current status of health literacy among international students and investigate the factors that influence health literacy. (2) Methods: A cross-sectional study was conducted in Tokyo on international university students using a questionnaire consisting of the Communicative and Critical Health Literacy and eHealth Literacy Scales. The study analyzed 205 valid responses. Descriptive statistics were utilized to assess the level of health literacy, and linear regression was used to identify the association of socio-demographic characteristics and disease status with health and e-health literacy. (3) Results: Health literacy and e-health literacy were low in 48.29% and 47.29% of international students, respectively. The mean scores of CCHL items ranged from 3.13 to 3.26, while the mean scores of eHEALS items ranged from 3.33 to 3.49. Both health literacy and e-health literacy were better with unmarried status (p = 0.015), and e-health literacy was worse with higher age (p = 0.007). (4) Conclusions: Overall, international students’ health literacy and e-health literacy were at intermediate levels, with considerable room for improvement, and affected by certain student attributes.

Background/Objective: The rising prevalence of Type 2 Diabetes Mellitus (T2DM), coupled with sedentary behavior and an increase in obesity rates in South Asian countries, calls for effective management strategies. We aimed to assess the efficacy of lifestyle interventions on glycemic control among adults with T2DM in South Asian countries. Methods: A systematic review and meta-analysis of randomized controlled trials (RCTs) were conducted to assess the effectiveness of lifestyle interventions on glycemic control in adults diagnosed with T2DM in South Asia. We conducted a comprehensive search in CINAHL, Embase, PubMed, Cochrane Library, Web of Science (WoS), and Scopus to identify related studies published from 2000 to 13 June 2024. We assessed the risk of bias using the ROB 2.0 tool and calculated the pooled mean differences in HbA1c and FBG levels under a random-effects model. We conducted subgroup and leave-one-out sensitivity analyses to assess and explore sources of heterogeneity. PROSPERO Registration: CRD42024552286. Results: We included 16 RCTs with a total of 1499 participants. Lifestyle interventions reduced HbA1c levels by 0.86% (95% CI: −1.30 to −0.42, p < 0.01) and FBG levels by 22.49 mg/dL (95% CI: −32.88 to −12.10, p < 0.01). We observed substantial heterogeneity (I² = 98% for HbA1c and I² = 87% for FBG). Subgroup analyses indicated larger HbA1c reductions in long-term (−1.44%) than short-term trials (−0.62%), and greater FBG decreases in long-term (−23.7 mg/dL) versus short-term studies (−22.5 mg/dL). Physical activity interventions had the largest improvements (HbA1c −0.99%; FBG −26.1 mg/dL), followed by dietary (HbA1c −0.59%; FBG −15.8 mg/dL) and combined programs (HbA1c −0.55%). Participants aged >50 years achieved greater glycemic improvements (HbA1c −0.92%; FBG −24.0 mg/dL) compared to younger adults (HbA1c −0.60%; FBG −21.3 mg/dL). Despite high heterogeneity, sensitivity analyses confirmed the robustness of the overall findings. Conclusions: Lifestyle modifications yielded a clinically significant reduction in HbA1c and FBG in adults with T2DM in South Asia. Although heterogeneity of the included studies was substantial, the direction of the effects was uniformly consistent across subgroups. To further validate these findings and assess their long-term effects, large-scale and standardized RCTs conducted for longer durations are necessary.

Background: As societies worldwide experience rapid aging, maintaining psychological well-being in later life is increasingly important. In Japan, where spirituality often takes noninstitutional forms, the concept of spiritual health remains underexplored. Purpose in Life (PIL), a core component of spiritual health, has been shown to predict well-being and healthy aging, yet its correlates remain unexplored in rural Japanese populations. This study aimed to assess PIL levels and examine its sociodemographic, social and health-related correlates among older adults living in Shimane Prefecture, a super-aged region in Japan. Methods: A cross-sectional survey (May–August 2024) included 308 adults aged ≥65 years. The 20-item PIL scale categorized respondents into low, moderate, and high PIL. Group differences were examined with chi-square/Fisher tests; unadjusted associations were used with ordered logistic regression. Multivariable analyses used a generalized (partial) proportional-odds model, adjusted for age and sex, with results reported as odds ratios and 95% CIs. Results: 42.9% of participants were classified as high PIL and 18.8% as low. Volunteering showed threshold-specific effects: it was unrelated to moderate PIL levels but was associated with approximately 2.4-times higher odds of high PIL (95% CI 1.32–4.38, p = 0.004). University education showed a trend-level association with higher PIL after controlling for false discovery rate (aOR 3.16, 95% CI 1.28–7.82, p = 0.013). The worse self-rated health was associated with lower PIL after adjustment. Conclusions: Subjective health and psychosocial engagement are key correlates of PIL in rural older adults. Culturally sensitive interventions may help promote purpose and well-being in aging populations.

The geriatric syndrome known as frailty is characterized by diminished physiological reserves and heightened susceptibility to unfavorable health consequences. As the world’s population ages, it is crucial to detect frailty early and accurately in order to reduce hazards, including falls, hospitalization, and death. In particular, functional tests are frequently used to evaluate physical frailty. However, current evaluation techniques are limited in their scalability and are prone to inconsistency due to their heavy reliance on subjective interpretation and manual observation. In this paper, we provide a completely automated, impartial, and comprehensive frailty assessment system that employs computer vision techniques for assessing physical frailty tests. Machine learning models have been specifically designed to analyze each clinical test. In order to extract significant features, our system analyzes the depth and joint coordinate data for important physical performance tests such as the Walking Speed Test, Timed Up and Go (TUG) Test, Functional Reach Test, Seated Forward Bend Test, Standing on One Leg Test, and Grip Strength Test. The proposed system offers a comprehensive system with consistent measurements, intelligent decision-making, and real-time feedback, in contrast to current systems, which lack real-time analysis and standardization. Strong model accuracy and conformity to clinical benchmarks are demonstrated by the experimental outcomes. The proposed system can be considered a scalable and useful tool for frailty screening in clinical and distant care settings by eliminating observer dependency and improving accessibility.

This study aimed to assess the post-retirement psychological health and life satisfaction among senior citizens. The current empirical research measures the effect of job classification on the mental well-being of retirees using the multivariate analysis approach. Multi-item standardized inventories make up the dependent variable, while an extensive number of job categories make up the independent variable. The findings demonstrate that the predictor variable significantly affects psychological health, comprising three outcome variables: perceptions of ageing, life satisfaction, and self-esteem. The data was collected employing stratified random sampling from 312 senior respondents (62% response rate). The Brief Ageing Perceptions (B-APQ) Scale measured ageing perceptions, the Satisfaction with Life Scale rated overall satisfaction, and the Rosenberg Self-Esteem Scale examined self-esteem. The results show that retirees in lower-level employment groups have comparatively less satisfaction, likely due to limited financial resources and insufficient pensions. Conversely, many respondents' expertise and advanced technical and educational credentials go untapped due to a lack of regulations for knowledge-sharing positions. The recommendation includes a comprehensive governmental and private plan to enhance the elderly's well-being, sense of purpose and belonging, thereby enriching society through their creativity and experience. By addressing these gaps, the study can be utilized by the government, policy-makers, parliamentarians, and donor organizations to develop efficient social welfare initiatives for the satisfied and well-adjusted life of the elderly in Pakistan.