{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T19:57:17Z","timestamp":1783972637331,"version":"3.55.0"},"reference-count":93,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T00:00:00Z","timestamp":1769990400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"University of Zadar","award":["IP-UNIZD2025-27040"],"award-info":[{"award-number":["IP-UNIZD2025-27040"]}]},{"name":"the European Union\u2014NextGenerationEU"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Background\/Objectives: Healthy lifestyle behaviors are major contributors to overall health and disease prevention. This cross-sectional study aimed to assess attitude toward a healthy lifestyle and its associations with lifestyle behaviors, body mass index (BMI), excess body weight, sociodemographic characteristics, and self-rated health in adults. Methods: The Attitudes toward a Healthy Lifestyle Questionnaire was administered to 570 Croatian adults between November and December 2025. Multiple linear and binary logistic regression models were used to examine associations between lifestyle behaviors (number of daily meals, sitting time, sleep duration), smoking and e-cigarette use, alcohol consumption, BMI, self-rated health, and attitude toward a healthy lifestyle. Results: The median attitude toward a healthy lifestyle score was 52.0 (IQR = 10), corresponding to 62% of the maximum possible score. A more positive attitude toward a healthy lifestyle was associated with a higher number of daily meals (\u03b2 = 0.16, p = 0.001), longer sleep duration (\u03b2 = 0.17, p &lt; 0.001), lower sitting time (\u03b2 = \u22120.11, p = 0.010), and lower BMI (\u03b2 = \u22120.24, p &lt; 0.001). Smoking was negatively associated with attitude toward a healthy lifestyle (\u03b2 = \u22120.18; p &lt; 0.001), while e-cigarette use was associated with fewer daily meals (\u03b2 = \u22120.10; p = 0.025). Longer sleep duration increased the odds of excellent self-rated health (OR = 1.31, p = 0.014), and a more positive attitude toward a healthy lifestyle was associated with lower odds of excess body weight (OR = 0.92, p &lt; 0.001). Conclusions: Attitude toward a healthy lifestyle is significantly associated with lifestyle behaviors, BMI, excess body weight, and self-rated health, highlighting the importance of psychological factors in promoting sustainable healthy lifestyles.<\/jats:p>","DOI":"10.3390\/nu18030500","type":"journal-article","created":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T15:38:12Z","timestamp":1770046692000},"page":"500","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Association Between Attitude Toward a Healthy Lifestyle, Lifestyle Behaviors, Sociodemographic Characteristics, and Body Mass Index: A Cross-Sectional Study"],"prefix":"10.3390","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6200-0426","authenticated-orcid":false,"given":"Marija","family":"Ljubi\u010di\u0107","sequence":"first","affiliation":[{"name":"Department of Health Studies, University of Zadar, Splitska 1, 23000 Zadar, Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4435-8472","authenticated-orcid":false,"given":"Tamara","family":"Sori\u0107","sequence":"additional","affiliation":[{"name":"Psychiatric Hospital Ugljan, Oto\u010dkih Dragovoljaca 42, 23275 Ugljan, Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4829-1543","authenticated-orcid":false,"given":"Ivana","family":"Gusar","sequence":"additional","affiliation":[{"name":"Department of Health Studies, University of Zadar, Splitska 1, 23000 Zadar, Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Donata","family":"Vidakovi\u0107 Samar\u017eija","sequence":"additional","affiliation":[{"name":"Department of Teacher and Preschool Teacher Education, University of Zadar, Franje Tu\u0111mana 24i, 23000 Zadar, Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gordana","family":"Ivkovi\u0107","sequence":"additional","affiliation":[{"name":"Centre for Gymnastics and Student Sports, University of Zadar, Trg Kneza Vi\u0161eslava 9, 23000 Zadar, Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana","family":"Pejdo","sequence":"additional","affiliation":[{"name":"Department of Geography, University of Zadar, Franje Tu\u0111mana 24i, 23000 Zadar, Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jelena","family":"Vu\u010dak Lon\u010dar","sequence":"additional","affiliation":[{"name":"Department of Health Studies, University of Zadar, Splitska 1, 23000 Zadar, Croatia"},{"name":"Endocrinology Department, General Hospital Zadar, Bo\u017ee Peri\u010di\u0107a 5, 23000 Zadar, Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mira","family":"Klarin","sequence":"additional","affiliation":[{"name":"Department of Teacher and Preschool Teacher Education, University of Zadar, Franje Tu\u0111mana 24i, 23000 Zadar, Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nita","family":"\u0160ari\u0107","sequence":"additional","affiliation":[{"name":"Agricultural, Food and Veterinary School Stanko O\u017eani\u0107, Franje Tu\u0111mana 24\/h, 23000 Zadar, Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ivana","family":"Kol\u010di\u0107","sequence":"additional","affiliation":[{"name":"Andrija Stampar Teaching Institute of Public Health, Mirogojska 16, 10000 Zagreb, Croatia"},{"name":"School of Medicine, University of Split, \u0160oltanska 2A, 21000 Split, Croatia"},{"name":"Croatian Lifestyle Medicine Association, Nova cesta 136, 10000 Zagreb, Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,2,2]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"88","DOI":"10.34172\/hpp.2023.11","article-title":"FANTASTIC Lifestyle Questionnaire from 1983 until 2022: A Review","volume":"13","author":"Batista","year":"2023","journal-title":"Health Promot. Perspect."},{"key":"ref_2","unstructured":"World Health Organization (2025, December 08). Everyday Actions for Better Health\u2014WHO Recommendations, Available online: https:\/\/www.who.int\/europe\/news-room\/fact-sheets\/item\/everyday-actions-for-better-health-who-recommendations."},{"key":"ref_3","unstructured":"World Health Organization (2025, December 08). The Global Status Report on Physical Activity 2022, Available online: https:\/\/www.who.int\/teams\/health-promotion\/physical-activity\/global-status-report-on-physical-activity-2022."},{"key":"ref_4","unstructured":"OECD\/European Observatory on Health Systems and Policies (2021). Croatia: Country Health Profile 2021, State of Health in the EU, OECD Publishing."},{"key":"ref_5","unstructured":"World Health Organization (1999). Healthy Living: What Is a Healthy Lifestyle?."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"e32697","DOI":"10.1016\/j.heliyon.2024.e32697","article-title":"Lifestyle Can Be Anything If Not Defined. A Review of Understanding and Use of the Lifestyle Concept in Sustainability Studies","volume":"10","author":"Schwarzinger","year":"2024","journal-title":"Heliyon"},{"key":"ref_7","first-page":"217","article-title":"Lifestyle Factors and Mental Health","volume":"31","author":"Zaman","year":"2019","journal-title":"Psychiatr. Danub."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1016\/j.puhe.2016.03.030","article-title":"Why Is Changing Health-Related Behaviour so Difficult?","volume":"136","author":"Kelly","year":"2016","journal-title":"Public Health"},{"key":"ref_9","doi-asserted-by":"crossref","unstructured":"Oster, H., and Chaves, I. (2023). Effects of Healthy Lifestyles on Chronic Diseases: Diet, Sleep and Exercise. Nutrients, 15.","DOI":"10.3390\/nu15214627"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"102832","DOI":"10.1016\/j.conb.2023.102832","article-title":"The Epigenome under Pressure: On Regulatory Adaptation to Chronic Stress in the Brain","volume":"84","author":"Carullo","year":"2024","journal-title":"Curr. Opin. Neurobiol."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1530\/JOE-21-0155","article-title":"The Links between Sleep Duration, Obesity and Type 2 Diabetes Mellitus","volume":"252","author":"Antza","year":"2021","journal-title":"J. Endocrinol."},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Hong, S., Lee, D.-B., Yoon, D.-W., Yoo, S.-L., and Kim, J. (2025). The Effect of Sleep Disruption on Cardiometabolic Health. Life, 15.","DOI":"10.3390\/life15010060"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.orcp.2019.12.002","article-title":"Skipping Breakfast Is Associated with Overweight and Obesity: A Systematic Review and Meta-Analysis","volume":"14","author":"Ma","year":"2020","journal-title":"Obes. Res. Clin. Pract."},{"key":"ref_14","unstructured":"Boushey, C., Ard, J., Bazzano, L., Heymsfield, S., Mayer-Davis, E., Sabat\u00e9, J., Snetselaar, L., Van Horn, L., Schneeman, B., and English, L.K. (2025, December 08). What Is the Relationship between Dietary Patterns Consumed and Growth, Size, Body Composition, and\/or Risk of Overweight or Obesity?, Dietary Patterns and Growth, Size, Body Composition, and\/or Risk of Overweight or Obesity: A Systematic Review, Available online: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK577625\/."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"100925","DOI":"10.1136\/gpsych-2022-100925","article-title":"Social Relationship Satisfaction and Accumulation of Chronic Conditions and Multimorbidity: A National Cohort of Australian Women","volume":"36","author":"Xu","year":"2023","journal-title":"Gen. Psychiatry"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1016\/j.ypmed.2018.09.003","article-title":"Cross-Sectional Associations between Multiple Lifestyle Behaviours and Excellent Well-Being in Australian Adults","volume":"116","author":"Haapasalo","year":"2018","journal-title":"Prev. Med."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"847","DOI":"10.1016\/j.numecd.2018.04.002","article-title":"Association between Eating Time Interval and Frequency with Ideal Cardiovascular Health: Results from a Random Sample Czech Urban Population","volume":"28","author":"Maugeri","year":"2018","journal-title":"Nutr. Metab. Cardiovasc. Dis."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1093\/bmb\/ldx022","article-title":"The Contribution of Genetics and Environment to Obesity","volume":"123","author":"Albuquerque","year":"2017","journal-title":"Br. Med. Bull."},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Ljubi\u010di\u0107, M., Matek Sari\u0107, M., Sori\u0107, T., Sari\u0107, A., Klarin, I., D\u017eelalija, B., Medi\u0107, A., Dilber, I., Rumbak, I., and Ranilovi\u0107, J. (2025). The Interplay between Body Mass Index, Motivation for Food Consumption, and Noncommunicable Diseases in the European Population: A Cross-Sectional Study. PLoS ONE, 20.","DOI":"10.1371\/journal.pone.0322454"},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"Fernandez, M.L. (2021). Lifestyle Factors and Genetic Variants Associated to Health Disparities in the Hispanic Population. Nutrients, 13.","DOI":"10.3390\/nu13072189"},{"key":"ref_21","unstructured":"World Health Organization (2026, January 18). Determinants of Health, Available online: https:\/\/www.who.int\/news-room\/questions-and-answers\/item\/determinants-of-health."},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Chai, X., Tan, Y., and Dong, Y. (2024). An Investigation into Social Determinants of Health Lifestyles of Canadians: A Nationwide Cross-Sectional Study on Smoking, Physical Activity, and Alcohol Consumption. BMC Public Health, 24.","DOI":"10.1186\/s12889-024-19427-4"},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Guerra, F., Stringhini, S., Vollenweider, P., Waeber, G., and Marques-Vidal, P. (2015). Socio-Demographic and Behavioural Determinants of Weight Gain in the Swiss Population. BMC Public Health, 15.","DOI":"10.1186\/s12889-015-1451-9"},{"key":"ref_24","doi-asserted-by":"crossref","unstructured":"Sialino, L.D., Picavet, H.S.J., Wijnhoven, H.A.H., Loyen, A., Verschuren, W.M.M., Visser, M., Schaap, L.S., and van Oostrom, S.H. (2022). Exploring the Difference between Men and Women in Physical Functioning: How Do Sociodemographic, Lifestyle- and Health-Related Determinants Contribute?. BMC Geriatr., 22.","DOI":"10.1186\/s12877-022-03216-y"},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Shirzadi, S., Borzu, Z.A., Jahanfar, S., Alvani, S., Balouchi, M., Gerow, H.J., Zarvekanloo, S., and Seraj, F. (2025). A Comparative Study of Healthy Lifestyle Behaviors and Related Factors among Iranian Male and Female Adolescents: A Cross-Sectional Study. BMC Public Health, 25.","DOI":"10.1186\/s12889-025-21688-6"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"312","DOI":"10.1186\/s12967-025-06311-x","article-title":"Gender Differences in Eating Habits and Sports Preferences across Age Groups: A Cross-Sectional Study","volume":"23","author":"Gorini","year":"2025","journal-title":"J. Transl. Med."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"1214","DOI":"10.1177\/14034948221075427","article-title":"Lifestyle Factors and Obesity in Young Adults\u2014Changes in the 2000s in Finland","volume":"50","author":"Koponen","year":"2022","journal-title":"Scand. J. Public Health"},{"key":"ref_28","doi-asserted-by":"crossref","unstructured":"Wong, M.Y.C., Ou, K., Chung, P.K., Wong, M.Y.C., Ou, K., and Chung, P.K. (2022). Healthy Lifestyle Behavior, Goal Setting, and Personality among Older Adults: A Synthesis of Literature Reviews and Interviews. Geriatrics, 7.","DOI":"10.3390\/geriatrics7060131"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"728","DOI":"10.1007\/BF03028621","article-title":"Patterns of Healthy Lifestyle and Positive Health Attitudes in Older Europeans","volume":"12","author":"Roszkowski","year":"2008","journal-title":"J. Nutr. Health Aging"},{"key":"ref_30","first-page":"237","article-title":"The Influence of Healthy Lifestyle Attitude, Subjective Norm, and Perceived Behavioural Control on Healthy Lifestyle Behaviour among Married Individuals in Malaysia: Exploring the Mediating Role of Healthy Lifestyle Intention","volume":"13","author":"Maryam","year":"2023","journal-title":"Int. J. Acad. Res. Bus. Soc. Sci."},{"key":"ref_31","doi-asserted-by":"crossref","unstructured":"Yao, H., Wang, X., Wu, X., Liu, Y., Chen, Y., Li, L., Chen, J., and Wang, Z. (2024). Sex Differences in Association of Healthy Eating Pattern with All-Cause Mortality and Cardiovascular Mortality. BMC Public Health, 24.","DOI":"10.1186\/s12889-024-19883-y"},{"key":"ref_32","doi-asserted-by":"crossref","unstructured":"Bj\u00f8rnerud Korslund, S., Hansen, B.H., and Bj\u00f8rkkj\u00e6r, T. (2023). Association between Sociodemographic Determinants and Health Behaviors, and Clustering of Health Risk Behaviors among 28,047 Adults: A Cross-Sectional Study among Adults from the General Norwegian Population. BMC Public Health, 23.","DOI":"10.1186\/s12889-023-15435-y"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"104709","DOI":"10.1016\/j.psyneuen.2020.104709","article-title":"Awakening Cortisol Indicators, Advanced Glycation End Products, Stress Perception, Depression and Anxiety in Parents of Children with Chronic Conditions","volume":"117","year":"2020","journal-title":"Psychoneuroendocrinology"},{"key":"ref_34","first-page":"1481","article-title":"Sleep Quality and Evening Salivary Cortisol Levels in Association with the Psychological Resources of Parents of Children with Developmental Disorders and Type 1 Diabetes","volume":"55","year":"2024","journal-title":"J. Autism Dev. Disord."},{"key":"ref_35","doi-asserted-by":"crossref","unstructured":"Ljubi\u010di\u0107, M., Delin, S., and Kol\u010di\u0107, I. (2022). Family and Individual Quality of Life in Parents of Children with Developmental Disorders and Diabetes Type 1. J. Clin. Med., 11.","DOI":"10.3390\/jcm11102861"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1146\/annurev-psych-020821-011744","article-title":"Attitudes, Habits, and Behavior Change","volume":"73","author":"Verplanken","year":"2022","journal-title":"Annu. Rev. Psychol."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1016\/j.amjmed.2022.10.019","article-title":"Understanding Health Attitudes and Behavior","volume":"136","author":"Fava","year":"2023","journal-title":"Am. J. Med."},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"Kebede, T., Taddese, Z., and Girma, A. (2022). Knowledge, Attitude and Practices of Lifestyle Modification and Associated Factors among Hypertensive Patients on-Treatment Follow up at Yekatit 12 General Hospital in the Largest City of East Africa: A Prospective Cross-Sectional Study. PLoS ONE, 17.","DOI":"10.1371\/journal.pone.0262780"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"15598276251319262","DOI":"10.1177\/15598276251319262","article-title":"Lifestyle Attitudes and Habits in a Case Series of Patients With Cancer and Metabolic Syndrome","volume":"19","author":"Siu","year":"2025","journal-title":"Am. J. Lifestyle Med."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1016\/S0140-6736(25)02219-6","article-title":"Deaths Potentially Averted by Small Changes in Physical Activity and Sedentary Time: An Individual Participant Data Meta-Analysis of Prospective Cohort Studies","volume":"407","author":"Ekelund","year":"2026","journal-title":"Lancet"},{"key":"ref_41","doi-asserted-by":"crossref","unstructured":"Ljubi\u010di\u0107, M., Matek Sari\u0107, M., Klarin, I., Rumbak, I., Coli\u0107 Bari\u0107, I., Ranilovi\u0107, J., D\u017eelalija, B., Sari\u0107, A., Naki\u0107, D., and Djekic, I. (2023). Emotions and Food Consumption: Emotional Eating Behavior in a European Population. Foods, 12.","DOI":"10.3390\/foods12040872"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"105018","DOI":"10.1016\/j.jff.2022.105018","article-title":"Motivation for Health Behaviour: A Predictor of Adherence to Balanced and Healthy Food across Different Coastal Mediterranean Countries","volume":"91","author":"Klarin","year":"2022","journal-title":"J. Funct. Foods"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"352","DOI":"10.5964\/ejop.v16i3.3107","article-title":"The Theory of Planned Behavior: Selected Recent Advances and Applications","volume":"16","author":"Bosnjak","year":"2020","journal-title":"Eur. J. Psychol."},{"key":"ref_44","unstructured":"Alyafei, A., and Easton-Carr, R. (2024). The Health Belief Model of Behavior Change. StatPearls, StatPearls Publishing LLC."},{"key":"ref_45","unstructured":"Raosoft, Inc (2025, December 08). Sample Size Calculator by Raosoft, Inc. Available online: http:\/\/www.raosoft.com\/samplesize.html."},{"key":"ref_46","unstructured":"Zierle-Ghosh, A., and Jan, A. (2023). Physiology, Body Mass Index. StatPearls."},{"key":"ref_47","doi-asserted-by":"crossref","unstructured":"Fayyaz, K., Bataineh, M.F., Ali, H.I., Al-Nawaiseh, A.M., Al-Rifai\u2019, R.H., and Shahbaz, H.M. (2024). Validity of Measured vs. Self-Reported Weight and Height and Practical Considerations for Enhancing Reliability in Clinical and Epidemiological Studies: A Systematic Review. Nutrients, 16.","DOI":"10.3390\/nu16111704"},{"key":"ref_48","unstructured":"World Health Organization (2026, January 21). Body Mass Index (BMI), Available online: https:\/\/www.who.int\/data\/gho\/data\/themes\/topics\/topic-details\/GHO\/body-mass-index."},{"key":"ref_49","doi-asserted-by":"crossref","unstructured":"Bombak, A.E. (2013). Self-Rated Health and Public Health: A Critical Perspective. Front. Public Health, 1.","DOI":"10.3389\/fpubh.2013.00015"},{"key":"ref_50","doi-asserted-by":"crossref","unstructured":"Bazyar, M., Kakaei, H., Azadi, H., Jalilian, M., Mansournia, M.A., Malekan, K., and Pakzad, R. (2024). Self-Rated Health Status and Associated Factors in Ilam, West of Iran: Results of a Population-Based Cross-Sectional Study. Front. Public Health, 12.","DOI":"10.3389\/fpubh.2024.1435687"},{"key":"ref_51","doi-asserted-by":"crossref","unstructured":"Hamplova, D., Klusacek, J., and Mracek, T. (2022). Assessment of Self-Rated Health: The Relative Importance of Physiological, Mental, and Socioeconomic Factors. PLoS ONE, 17.","DOI":"10.1371\/journal.pone.0267115"},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1002\/nur.20147","article-title":"The Content Validity Index: Are You Sure You Know What\u2019s Being Reported? Critique and Recommendations","volume":"29","author":"Polit","year":"2006","journal-title":"Res. Nurs. Health"},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"740","DOI":"10.1177\/15598276241274114","article-title":"Moving Beyond Raising Awareness: Addressing Barriers","volume":"18","author":"Hendel","year":"2024","journal-title":"Am. J. Lifestyle Med."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1186\/s12966-023-01424-2","article-title":"Barriers and Facilitators to Diet, Physical Activity and Lifestyle Behavior Intervention Adherence: A Qualitative Systematic Review of the Literature","volume":"20","author":"Deslippe","year":"2023","journal-title":"Int. J. Behav. Nutr. Phys. Act."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"5106","DOI":"10.18203\/2394-6040.ijcmph20213822","article-title":"Knowledge, Attitude and Practices Pertaining to Healthy Lifestyle in Prevention and Control of Chronic Diseases: A Rapid Review","volume":"8","author":"Naaz","year":"2021","journal-title":"Int. J. Community Med. Public Health"},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"1437","DOI":"10.1111\/1467-9566.13309","article-title":"Body Mass Index Is Just a Number: Conflating Riskiness and Unhealthiness in Discourse on Body Size","volume":"43","author":"Gutin","year":"2021","journal-title":"Sociol. Health Illn."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1016\/j.arcped.2021.11.001","article-title":"Predicting the Effect of Healthy Lifestyle Belief on Attitude toward Nutrition, Exercise, Physical Activity, and Weight-Related Self-Efficacy in Turkish Adolescents","volume":"29","author":"Ayar","year":"2022","journal-title":"Arch. Pediatr."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"1761","DOI":"10.2147\/CIA.S325008","article-title":"Anorexia of Aging: Metabolic Changes and Biomarker Discovery","volume":"17","author":"Picca","year":"2022","journal-title":"Clin. Interv. Aging"},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"e158451","DOI":"10.1172\/JCI158451","article-title":"Metabolic Changes in Aging Humans: Current Evidence and Therapeutic Strategies","volume":"132","author":"Palmer","year":"2022","journal-title":"J. Clin. Investig."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"82","DOI":"10.11606\/s1518-8787.2019053001067","article-title":"Quality of Sleep, Health and Well-Being in a Population-Based Study","volume":"53","author":"Barros","year":"2019","journal-title":"Rev. Saude Publica"},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"15027","DOI":"10.1038\/s41598-018-33195-3","article-title":"Circadian Monitoring as an Aging Predictor","volume":"8","author":"Madrid","year":"2018","journal-title":"Sci. Rep."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"101451","DOI":"10.1016\/j.smrv.2021.101451","article-title":"Sleep Duration and Metabolic Syndrome: An Updated Systematic Review and Meta-Analysis","volume":"59","author":"Xie","year":"2021","journal-title":"Sleep Med. Rev."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"7633","DOI":"10.12659\/MSM.907582","article-title":"Relationship Between Sitting Time, Physical Activity, and Metabolic Syndrome Among Adults Depending on Body Mass Index (BMI)","volume":"24","author":"Suliga","year":"2018","journal-title":"Med. Sci. Monit."},{"key":"ref_64","doi-asserted-by":"crossref","unstructured":"Alkhulaifi, F., and Darkoh, C. (2022). Meal Timing, Meal Frequency and Metabolic Syndrome. Nutrients, 14.","DOI":"10.20944\/preprints202203.0294.v1"},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"1744","DOI":"10.1080\/07420528.2025.2577859","article-title":"Effects of Time Restricted Feeding on Sleep: A Systematic Review and Meta-Analysis","volume":"42","author":"Lima","year":"2025","journal-title":"Chronobiol. Int."},{"key":"ref_66","doi-asserted-by":"crossref","unstructured":"Yan, L.M., Li, H.J., Fan, Q., Xue, Y.D., and Wang, T. (2024). Chronobiological Perspectives: Association between Meal Timing and Sleep Quality. PLoS ONE, 19.","DOI":"10.1371\/journal.pone.0308172"},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"938","DOI":"10.3945\/an.116.012336","article-title":"Effects of Diet on Sleep Quality","volume":"7","author":"Mikic","year":"2016","journal-title":"Adv. Nutr."},{"key":"ref_68","doi-asserted-by":"crossref","unstructured":"Bashatah, A., Ali, W.S., and Al-Rawi, M.B.A. (2023). Attitudes towards Exercise, Leisure Activities, and Sedentary Behavior among Adults: A Cross-Sectional, Community-Based Study in Saudi Arabia. Medicina, 59.","DOI":"10.3390\/medicina59091524"},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1097\/JES.0b013e3181e373a2","article-title":"Too Much Sitting: The Population Health Science of Sedentary Behavior","volume":"38","author":"Owen","year":"2010","journal-title":"Exerc. Sport Sci. Rev."},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1186\/s12966-017-0525-8","article-title":"SBRN Terminology Consensus Project Participants. Sedentary Behavior Research Network (SBRN) -Terminology Consensus Project Process and Outcome","volume":"14","author":"Tremblay","year":"2017","journal-title":"Int. J. Behav. Nutr. Phys. Act."},{"key":"ref_71","doi-asserted-by":"crossref","unstructured":"Park, S., Lee, S., Woo, S., Webster-Dekker, K., Chen, W., Veliz, P., and Larson, J.L. (2024). Sedentary Behaviors and Physical Activity of the Working Population Measured by Accelerometry: A Systematic Review and Meta-Analysis. BMC Public Health, 24.","DOI":"10.1186\/s12889-024-19449-y"},{"key":"ref_72","doi-asserted-by":"crossref","unstructured":"Parry, S., and Straker, L. (2013). The Contribution of Office Work to Sedentary Behaviour Associated Risk. BMC Public Health, 13.","DOI":"10.1186\/1471-2458-13-296"},{"key":"ref_73","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1177\/0890117119885518","article-title":"Sedentary Time and Physical Activity Across Occupational Classifications","volume":"34","author":"Quinn","year":"2020","journal-title":"Am. J. Health Promot."},{"key":"ref_74","doi-asserted-by":"crossref","unstructured":"Callahan, E. (2023). The Science, Strengths, and Limitations of Body Mass Index. Translating Knowledge of Foundational Drivers of Obesity into Practice: Proceedings of a Workshop Series, National Academies Press (US).","DOI":"10.17226\/26942"},{"key":"ref_75","doi-asserted-by":"crossref","unstructured":"Gonz\u00e1lez-G\u00e1lvez, N., L\u00f3pez-Mart\u00ednez, A.B., L\u00f3pez-Vivancos, A., Gonz\u00e1lez-G\u00e1lvez, N., L\u00f3pez-Mart\u00ednez, A.B., and L\u00f3pez-Vivancos, A. (2024). Clustered Cardiometabolic Risk and the \u201cFat but Fit Paradox\u201d in Adolescents: Cross-Sectional Study. Nutrients, 16.","DOI":"10.3390\/nu16050606"},{"key":"ref_76","doi-asserted-by":"crossref","first-page":"291","DOI":"10.31083\/j.rcm2508291","article-title":"Physical Activity, Cardiorespiratory Fitness, and the Obesity Paradox with Consideration for Racial and\/or Ethnic Differences: A Broad Review and Call to Action","volume":"25","author":"Sparks","year":"2024","journal-title":"Rev. Cardiovasc. Med."},{"key":"ref_77","doi-asserted-by":"crossref","first-page":"3472","DOI":"10.1038\/s41598-023-30527-w","article-title":"Different Correlation of Body Mass Index with Body Fatness and Obesity-Related Biomarker According to Age, Sex and Race-Ethnicity","volume":"13","author":"Jeong","year":"2023","journal-title":"Sci. Rep."},{"key":"ref_78","doi-asserted-by":"crossref","unstructured":"Pasco, J.A., Nicholson, G.C., Brennan, S.L., and Kotowicz, M.A. (2012). Prevalence of Obesity and the Relationship between the Body Mass Index and Body Fat: Cross-Sectional, Population-Based Data. PLoS ONE, 7.","DOI":"10.1371\/journal.pone.0029580"},{"key":"ref_79","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1186\/s12967-023-04000-1","article-title":"The Relationship of Reproductive Factors with Adiposity and Body Shape Indices Changes Overtime: Findings from a Community-Based Study","volume":"21","author":"Amiri","year":"2023","journal-title":"J. Transl. Med."},{"key":"ref_80","doi-asserted-by":"crossref","unstructured":"Steiner, B.M., and Berry, D.C. (2022). The Regulation of Adipose Tissue Health by Estrogens. Front. Endocrinol., 13.","DOI":"10.3389\/fendo.2022.889923"},{"key":"ref_81","doi-asserted-by":"crossref","first-page":"165","DOI":"10.32394\/rpzh.2021.0163","article-title":"Nutrition Habits and Frequency of Consumption of Selected Food Products by the Residents of Urban and Rural Area from the Subcarpathian Voivodeship","volume":"72","author":"Stachowicz","year":"2021","journal-title":"Rocz. Panstw. Zakl. Hig."},{"key":"ref_82","doi-asserted-by":"crossref","first-page":"104972","DOI":"10.1016\/j.amsu.2022.104972","article-title":"Evaluation of Rural-Urban Patterns in Dietary Intake: A Descriptive Analytical Study\u2014Case Series","volume":"84","author":"Nabdi","year":"2022","journal-title":"Ann. Med. Surg."},{"key":"ref_83","first-page":"153","article-title":"Consumer Knowledge and Attitudes toward Healthy Eating in Croatia: A Cross-Sectional Study","volume":"68","author":"Rumbak","year":"2017","journal-title":"Arch. Ind. Hyg. Toxicol."},{"key":"ref_84","doi-asserted-by":"crossref","unstructured":"Saleh, S.M., Al-Janabi, A., Abouelmagd, M.E., Habib, O., Abdi, S.M., Zainab, M., and Hassan, N.A. (2025). Eating Behaviors and Nutritional Habits among Young Adults Using Electronic Nicotine Delivery Systems in a Multinational Cross-Sectional Study. BMC Public Health, 25.","DOI":"10.1186\/s12889-025-24318-3"},{"key":"ref_85","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1002\/osp4.468","article-title":"Electronic Cigarette Use Is Negatively Associated with Body Mass Index: An Observational Study of Electronic Medical Records","volume":"7","author":"Alqahtani","year":"2020","journal-title":"Obes. Sci. Pract."},{"key":"ref_86","doi-asserted-by":"crossref","first-page":"e1278","DOI":"10.1210\/clinem\/dgae473","article-title":"Is It Time to Define Obesity by Body Composition and Not Solely Body Mass Index?","volume":"110","author":"Lucas","year":"2025","journal-title":"J. Clin. Endocrinol. Metab."},{"key":"ref_87","first-page":"156","article-title":"Lifestyle Medicine\u2014New Branch of Medicine","volume":"29","year":"2023","journal-title":"Medix"},{"key":"ref_88","unstructured":"Jiyeon, S., Oragun, R., Dennis, S., Elen, G., Fariha, H., Sherzai, D., and Roy, A. (2026). Lifestyle and Behavioral Enhancements of Sleep: A Review. Am. J. Lifestyle Med., 15598276251410479."},{"key":"ref_89","first-page":"CD010912","article-title":"Workplace Interventions for Reducing Sitting at Work","volume":"6","author":"Shrestha","year":"2018","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_90","doi-asserted-by":"crossref","unstructured":"El Kirat, H., van Belle, S., Khattabi, A., and Belrhiti, Z. (2024). Behavioral Change Interventions, Theories, and Techniques to Reduce Physical Inactivity and Sedentary Behavior in the General Population: A Scoping Review. BMC Public Health, 24.","DOI":"10.1186\/s12889-024-19600-9"},{"key":"ref_91","doi-asserted-by":"crossref","first-page":"102999","DOI":"10.1016\/j.pmedr.2025.102999","article-title":"Integrating Lifestyle Behaviors in School Education: A Proactive Approach to Preventive Medicine","volume":"51","author":"Motevalli","year":"2025","journal-title":"Prev. Med. Rep."},{"key":"ref_92","doi-asserted-by":"crossref","unstructured":"Liu, R., Figueroa, R., Brink, H.V., Vorland, C.J., Auckburally, S., Johnson, L., Garay, J., Brown, T., Simon, S., and Ells, L. (2024). The Efficacy of Sleep Lifestyle Interventions for the Management of Overweight or Obesity in Children: A Systematic Review and Meta-Analysis. BMC Public Health, 24.","DOI":"10.1186\/s12889-024-17708-6"},{"key":"ref_93","doi-asserted-by":"crossref","first-page":"63","DOI":"10.17294\/2330-0698.2050","article-title":"Adult Development and Associated Health Risks","volume":"11","author":"Halloran","year":"2024","journal-title":"J. Patient-Centered Res. 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