↑What is "already known" in this topic: • Educational games are growing rapidly as a tool for treating patients.• New theoretical models are emerging in the field of educational games for diabetic patients. →What this article adds: Amoo educational game, which is accompanied by intelligence, has been effective in educating calories and glycemic of food to type 2 diabetic patients.

Background The growing number of adolescents who are overweight or obese (OW / OB) is a public concern. The present study was aimed to evaluate physical activity (PA) and sedentary behaviors (SB) (screen time (ST) and homework time (HT)) among Yazd OW/OB adolescents. Methods This cross-sectional study was performed among 510 students aged 12-16 in Yazd, Iran. The general information, PA, and SB (ST and HT) were collected by interview based on the WHO standard questionnaire. Anthropometric data were assessed by precise instruments. Daily energy intake (Energy) was obtained from a 7-day food record. Nutritionist 4 software (version I) was run to estimate the energy. Results There was a high prevalence of SB > 2h/day (97.6), ST > 2h/day (70.3%), overweight or obesity (40%), abdominal obesity (36.9%), physical inactivity (29.8%) among the students. The younger age (p = 0.014), energy (p < 0.001), no access to the yard (p < 0.001), family size ≤ 2 (p = 0.023), passive transportation, (p = 0.001), the highest school days’ HT (p = 0.033) and SB (p = 0.021), and the highest weekends’ HT among the students were the risk factors for OW/OB. The highest PA level was associated with a lower risk of OW/OB (p < 0.001). The findings were not the same in both sexes. Compared to the normal weight students, OW / OB spent more time on school days and weekdays for ST (P <0.001), HT (P <0.001, P = 0.005) and SB (P <0.001), respectively. OW/OB students showed a higher weekends’ ST (p < 0.001) and lower HT (p = 0.048) than normal-weight students. Conclusion The prevalence of SB, ST, OW/OB, and physical inactivity were common. The school days and weekends’ HT, the school days’ SB and HT, age, energy, PA, and access to the yard, family size, and passive transportation were related to the greater chances of OW/OB students. Given that the expansion of online education and self-isolation in a new situation with COVID-19, it seems we will meet the worrying results.

The current study aimed at investigating the impact of SHOFER computer game on visual-motor coordination in children with hearing impairments. Methods: The current pre-test, post-test experimental study was conducted in Ahvaz, Iran in 2018. Sixteen preschool children with hearing impairment were randomly assigned into two groups of experimental (n=8) and control (n=8). The experimental group subjects played the SHOFER computer game (driving/racing genre) two 45-minute sessions per week for a five consecutive weeks, but the control group did not receive any intervention. Before and after the intervention, visual perception and attention, as visual-motor coordination components, were measured by the advanced Frostig test of visual perception and continuous performance test in both groups. Using SPSS version 21, the performance of the two groups was compared by running the Mann-Whitney and Wilcoxon tests. Results: The analysis of findings with the effect size indicator showed that the computer game increased attention and spatial perception in the experimental group. However, no significant difference was found between the groups, except in the sub-test of figure-ground perception. Discussion: The present study showed that commercial computer games can be used to improve visual-motor coordination of children with hearing impairments.

Background: The important risk factors in obesity are related to unhealthy nutritional habits. The aim of this study was to estimate and compare the macro- and micro-nutrients’ intake in breakfast and midmorning snacks. Methods: This cross-sectional study was conducted among 569 students (12-16 years) by the multistage cluster sampling method. The demographic data were gathered by interview. Anthropometric data and breakfast habits (breakfast frequency and time as well as nutrients’ intake at breakfast or snacks) were measured using standardized instruments by asking some questions. Results: The results showed that the high prevalence of irregular breakfast eating (IRBE) and overweight or obesity. No significant difference was found between breakfast frequency and time according to the students’ gender or body mass index (BMI). The mean BMI had a significant increase in females; whereas, the percentage of energy from breakfast (EB%), snack (ES%), or both breakfast and snacks (EBS%) were shown no significant difference between genders. A significant increase was found in EB%, EB%, and EBS%; whereas, the daily energy intake (DEI) was lower in normal-weight students. However, other nutrients at breakfast or snacks had no significant difference. The level of higher DEI was reported in IRBE adolescents. Conclusions: An inappropriate breakfast habit can cause irreparable consequences in adolescents. Although breakfast plays an undeniable role, other factors are also effective in one’s health. Further studies are required for more comprehensive results.

BackgroundLifestyle and its relationship to aspects of sleep quality have been reported in many studies. An unhealthy lifestyle is associated with less sleep duration and sleep patterns. Breakfast skipping is as an important part of unhealthy lifestyle. Poor sleep quality and skipping breakfast are common in adolescents. The aim of this study was to investigate the relationship between nutritional habits (breakfast and midmorning snack) and sleep quality in Yazd adolescents. MethodsThis study was conducted among 569 students aged 12-16 years. They were selected by multistage random-cluster sampling method. Information such as demographic characteristics, anthropometric measurements, students' nutritional habits, physical activity and sleep quality were collected from all adolescents. All data were assessed by interview, 7-day food record, short form of the International Physical Activity, and Questionnaire and Pittsburgh Sleep Quality Index. The data were analyzed by SPSS software (version 22). ResultsThe prevalence of breakfast skipping and semi-skipping (57.2%), overweight and obesity (37.8%), and insu cient sleep duration (38.9%) were high. The sleep score was signi cantly better in boys (p = 0.02).Sleep quality score of 63.7 % of the students was poor, but a signi cant relationship was not illustrated between sleep quality with breakfast frequency, abnormal weight, breakfast time, morning snack intake. A signi cant relationship was found between poor sleep quality with late bedtime and low physical activity (p <0.0001), late dinner (p <0.004), and female gender (p <0.02). ConclusionsThis cross-sectional study supported the association between having dinner soon and no late bedtime with good sleep quality. But no signi cant difference was shown between sleep quality with weight and breakfast habits. This study suggested paying more attention to nutritional and sleeping status in this age group by employing skilled nutritionists and mental health professional in high schools.Data presented by mean and standard deviation (SD).