Background: There is a need for a type of physical activity that could address the challenging cycle of physical inactivity, impaired health-related fitness, and type 2 diabetes mellitus (T2DM) conditions. Yoga could be one type of exercise to overcome the barriers to adhere to regular physical activity. The current study aimed to systematically review the effect of yoga on health-related fitness, including cardiorespiratory fitness, muscle strength, body composition, balance, and flexibility, among patients with T2DM. Methods: We systematically searched four databases and two registries (Pubmed, Scopus, Cochrane, Embase, WHO-ITCRP, and Clinicaltrials.gov) in September 2021, following a registered protocol on PROSPERO (CRD42022276225). Study inclusion criteria were T2DM patients with or without complication, yoga intervention as a single component or as a complement compared to other kinds of exercise or an inactive control, health-related fitness, and a randomized, controlled trial or quasi-experimental with control group design. The ROBINS-I tool and ROB 2.0 tool were used to assess the risk of bias in the included studies. A vote-counting analysis and meta-analysis computed using random effects’ models were conducted. Results: A total of 10 records from 3 quasi-experimental and 7 randomized, controlled trials with 815 participants in total were included. The meta-analysis favored yoga groups compared to inactive controls in improving muscle strength by 3.42 (95% confidence interval 2.42 to 4.43), repetitions of chair stand test, and improving cardiorespiratory fitness by 6.6% (95% confidence interval 0.4 to 12.8) improvement of baseline forced vital capacity. The quality of evidence for both outcomes was low. Conclusion: Low-quality evidence favored yoga in improving health-related fitness, particularly muscle strength and cardiorespiratory fitness, among patients with T2DM. Funding: All authors in this systematic review received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.

YouTube has become one of the most popular and frequently accessed platforms by parents to find various sources of learning and entertainment for their children. Developing communication and imagination skills in preschool children can open the door to creativity and problem-solving that will shape how they interact with the world. Parents must play an active role in forming a solid foundation for preschool children’s communication and imagination skills. This study aims to analyze parents’ perspectives on using YouTube on children’s imagination and communication skills. The research method uses the Structural Equation Model. The sample size for this study is 100 parents. The sampling technique used purposive sampling, using the criteria of parents with preschool-aged children and a habit of watching YouTube in Boyolali, Indonesia. The results showed that according to the parent’s perspective, preschool children’s habit of watching YouTube significantly influences their imagination and communication skills. The perspective of parents directly involved in preschool children’s learning process can be a revolutionary tool in shaping communication and imagination skills. Parents who are directly involved in their children’s learning process through YouTube have the power to create immersive and enjoyable learning experiences, bridging the gap between technology and the development of children’s communication skills and imagination in innovative and impactful ways. This research contributes to increasing the understanding of digital media integration in early childhood education and how parents can leverage technology to support the development of essential skills in children.

Fish oil’s neuroprotective effects in ethanol-induced liver injury was investigated through the factor 2 (NRF2)/Kelch-like ECH-associated protein 1 (KEAP1) pathway. Male Wistar rats received a control liquid diet (C) or an ethanol diet (E), with 25% or 57% of fat replaced by fish oil (CF25, CF57, EF25, EF57) for 8 weeks. Compared to the C group, the E group exhibited brain damage, including impaired performance of Y maze and novel object recognition test, increased glial fibrillary acidic protein (GFAP)-positive astrocytes, and ionized calcium-binding adapter molecule 1 (Iba-1)-positive microglia. In the prefrontal cortex, glutathione (GSH) and phosphorylated (p)-NRF2 decreased, catalase activity increased, and nqo1 mRNA declined; hippocampal NRF2 and nqo1 were also downregulated. However, compared to the E group, the EF25 and EF57 groups exhibited restored spatial and memory functions, reduced GFAP and Iba-1 expressions, potentiated β-amyloid (Aβ) clearance, and escalated catalase activity. Furthermore, increases in p-NRF2 and elevated hippocampal nqo1 mRNA expressions in the prefrontal cortex were observed in the EF25 and EF57 groups. In conclusion, fish oil ameliorated deficits in spatial and memory functions, and enhanced Aβ1-42 clearance in the prefrontal cortex and hippocampus of rats with chronic ethanol-induced liver damage by activating the NRF2/KEAP1 pathway.

Migrant workers are increasingly recognised as a nutritionally vulnerable population due to unstable working conditions, disrupted food environments, and limited access to health services. However, global estimates of malnutrition in this group remain fragmented. We aimed to identify the global prevalence of underweight and overweight/obesity among migrant workers and identify key moderating factors. We conducted a systematic review and meta-analysis following PRISMA guidelines. We searched seven databases without restrictions on language, region, or year of publication. Observational studies reporting the prevalence of underweight (body mass index (BMI) < 18.5 kg/m²) or overweight/obesity (BMI ≥ 25 kg/m²) among migrant workers were included. We calculated pooled prevalence estimates using generalised linear mixed models with random effects. We assessed heterogeneity with I² and Cochran's Q statistics. Moderator analyses were conducted using meta-regression and subgroup comparisons. Further, we appraised study quality using the Joanna Briggs Institute tools, and assessed the certainty of the evidence using GRADE. We included 30 studies involving 135 404 migrant workers with a mean age of 32.3 years (standard deviation = 11.1). The pooled prevalence was 4.7% (95% confidence interval (CI) = 3.1, 6.9) for underweight and 43.7% (95% CI = 39.8, 47.6) for overweight/obesity, suggesting a substantial double burden of malnutrition. Underweight was more common among local migrants and in lower-middle-income settings, particularly in South Asia, whereas overweight/obesity was more common among international migrants, especially in high-income countries and in Europe and Central Asia. Moderator analyses identified female proportion, destination country or region, income level, and marital status as significant moderators for both outcomes. Migrant workers experience a substantial double burden of malnutrition, although the pattern varies across migration contexts. Undernutrition remains a concern in lower-income settings, whereas overweight and obesity are more common in high-income settings. Integrating nutrition-sensitive strategies into labour and migration health policies, including healthier food environments, routine nutritional screening, and culturally appropriate interventions, may help reduce health inequalities in this population. INPLASY: 202540030.

Fish oil’s neuroprotective effects in ethanol-induced liver injury was investigated through the factor 2 (NRF2)/Kelch-like ECH-associated protein 1 (KEAP1) pathway. Male Wistar rats received a control liquid diet (C) or the ethanol diet (E), with 25% or 57% of fat replaced by fish oil (CF25, CF57, EF25, EF57) for 8 weeks. Compared to the C group, the E group exhibited brain damage, including impaired performance of Y maze and novel object recognition test, increased glial fibrillary acidic protein (GFAP)-positive astrocytes, and ionized calcium-binding adapter molecule 1 (Iba-1)-positive microglia. In the prefrontal cortex, glutathione (GSH) and phosphorylated (p)-NRF2 decreased, catalase activity increased and nqo1 mRNA declined; hippocampal NRF2 and nqo1 were also downregulated. However, compared to the E group, the EF25 and EF57 groups exhibited restored spatial and memory functions, reduced GFAP and Iba-1 expressions, potentiated β-amyloid (Aβ) clearance, and escalated catalase activity. Furthermore, increases in p-NRF2 and elevated hippocampal nqo1 mRNA expressions in the prefrontal cortex were observed in the EF25 and EF57 groups. In conclusion, fish oil ameliorated deficits in spatial and memory functions, and enhanced Aβ1-42 clearance in the prefrontal cortex and hippocampus of rats with chronic ethanol-induced liver damage by activating the NRF2/KEAP1 pathway.