Health literacy, a more complex concept than knowledge, is a required capacity to obtain, understand, integrate and act on health information [1], in order to enhance individual and community health, which is defined by different levels, according to the autonomy and personal capacitation in decision making [2]. Medium levels of Health literacy in an adolescent population were found in a study conducted in 2013/2014, being higher in sexual and reproductive health and lower in substance use. It was also noticed that the higher levels of health literacy were in the area adolescents refer to have receipt more health information. The health literacy competence with higher scores was communication skills, and the lower scores were in the capacity to analyze factors that influence health. Higher levels were also found in younger teenagers, but in a higher school level, confirming the importance of health education in these age and development stage. Adolescents seek more information in health professionals and parents, being friends more valued as a source information in older adolescents, which enhance the importance of peer education mainly in older adolescents [3]. As a set of competences based on knowledge, health literacy should be developed through education interventions, encompassing the cultural and social context of individuals, since the society, culture and education system where the individual is inserted can define the way the development and enforcement of the health literacy competences [4]. The valued sources of information should be taken into account, as well as needs of information in some topics referred by adolescents in an efficient health education. Schizophrenia is a serious and chronic mental illness which has a profound effect on the health and well-being related with the well-known nature of psychotic symptoms. The exercise has the potential to improve the life of people with schizophrenia improving physical health and alleviating psychiatric symptoms. However, most people with schizophrenia remains sedentary and lack of access to exercise programs are barriers to achieve health benefits. The aim of this study is to evaluate the effect of exercise on I) the type of intervention in mental health, II) in salivary levels of alpha-amylase and cortisol and serum levels of S100B and BDNF, and on III) the quality of life and selfperception of the physical domain of people with schizophrenia. The sample consisted of 31 females in long-term institutions in the Casa de Saúde Rainha Santa Isabel, with age between 25 and 63, and with diagnosis of schizophrenia according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR). Physical fitness was assessed by the six-minute walk distance test (6MWD). Biological variables were determined by ELISA (Enzyme-Linked Immunosorbent Assay). Psychological variables were assessed using SF-36, PSPP-SCV, RSES and SWLS tests. Walking exercise has a positive impact on physical fitness (6MWD -p = 0.001) and physical components of the psychological test...

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The emergence of physiological monitoring technologies has produced exceptional opportunities for real-time collection and analysis of workers’ physiological information. To benefit from these safety and health prognostic opportunities, research efforts have explored the applicability of these devices to control workers’ wellbeing levels during occupational activities. A systematic review is proposed to summarise up-to-date progress in applying physiological monitoring systems for occupational groups. Adhering with the PRISMA Statement, five databases were searched from 2014 to 2021, and 12 keywords were combined, concluding with the selection of 38 articles. Sources of risk of bias were assessed regarding randomisation procedures, selective outcome reporting and generalisability of results. Assessment procedures involving non-invasive methods applied with health and safety-related goals were filtered. Working-age participants from homogeneous occupational groups were selected, with these groups primarily including firefighters and construction workers. Research objectives were mainly directed to assess heat stress and physiological workload demands. Heart rate related variables, thermal responses and motion tracking through accelerometry were the most common approaches. Overall, wearable sensors proved to be valid tools for assessing physiological status in working environments. Future research should focus on conducting sensor fusion assessments, engaging wearables in real-time evaluation methods and giving continuous feedback to workers and practitioners.

Background: Energy expenditure measurement based on movement quantity is showed as a relevant alternative in clinical and research contexts. The best recommended and validated methods are expensive and inconvenient to field measurement, limiting the use to the laboratory. Lately, several devices have been developed to identify and classify activities by body movements, showing acceptable outcomes. These devices and techniques have been used to estimate energy expenditure in many physical activities situations. However, for this, is necessary include physiological variables. Methods: We propose a systematic review to identify evidence of influence and relevancy of physiological variables in energy expenditure measurement by actigraphy. We will search for Academic Search Complete, Scopus, Web of Science, Science Direct, Pubmed, and Informaworld by Francis & Taylor databases. Discussion: The outcomes will be synthesized to identify variables used in energy expenditure calculation methods and analyze the error between measured and calculated values considering the influence of physiological variables on this.

Background: The resulting interaction between occupational stress and individual susceptibility to illness demands careful management. This represents a dual challenge to organizations responsible for the well-being of personnel who engage in strenuous physical exertion, imposing requirements to be vigilant for, or even curtail, situations that may result in high physiological strain. The emergence of wearable physiological and monitoring technologies could prove advantageous in this regard. Objectives: A systematic review is proposed to summarize current progress in the development of physiological monitoring systems for occupational applications. Thus, adhering with the PRISMA-P Statement, this systematic review protocol aims to present adequate guidelines to develop research that can provide appropriate results to the sought objective. Data sources: Five databases will be accessed (SCOPUS, PubMed, Science Direct, Academic Search Complete and Web of Science) and a total of 12 keywords will be combined. Study eligibility and criteria: Working-age study participants will be included. Assessment procedures will be considered when they do not interfere with normal tasks development and involve harmless procedures. Study appraisal and synthesis methods: Two authors will screen titles and abstracts against the eligibility criteria at first, and full-texts of potentially eligible records at a second phase, followed by extraction of data from qualifying studies. Two review authors will also assess the risk of bias and the quality of evidence, taking as a reference the Cochrane Collaboration's Tool. This protocol is registered in PROSPERO under the code CRD42019119787.

During military operations, soldiers often encounter extreme environmental, metabolic and neuropsychiatric conditions, which combined lead to a fatigue status that can cause serious physiological impairments, decreasing military performance on the battlefield. Comprehensive studies in realistically stressful environments are essential to expand the knowledge regarding the consequences of real-life stress exposure, facilitate development of operationally-useful techniques and promote the conception of improved treatments. Therefore, a systematic review is proposed to obtain relevant information about fatigue assessment through multiple physiological parameters in the military context, to focus on determining the associations between fatigue and physiological response in order to plan in the future adequate interventions to prevent related negative consequences. Thus, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols (PRISMA-P) Statement, this systematic review protocol was elaborated in order to present adequate guidelines to develop a research that can provide appropriate results to fulfil the sought objective. Five databases will be accessed (SCOPUS, PubMed, Science Direct, Medline and Web of Science) and a total of 9 combinations of keywords will be used. This protocol is registered in PROSPERO under the code of PROSPERO CRD42018105833.

During operational activities, military personnel face extremely demanding circumstances, which when combined lead to severe fatigue, influencing both their well-being and performance. Physical exertion is the main condition leading to fatigue, and its continuous tracking would help prevent its effects. This review aimed to investigate the up-to-date progress on non-invasive physiological monitoring to evaluate situations of physical exertion as a pre-condition to fatigue in military populations, and determine the potential associations between physiological responses and fatigue, which can later result in decision-making indicators to prevent health-related consequences. Adhering to the PRISMA Statement, four databases (Scopus, Science Direct, Web of Science and PubMed) were used for a literature search based on combinations of keywords. The eligibility criteria focused on studies monitoring physiological variables through non-invasive objective measurements, with these measurements being developed in military field, combat, or training conditions. The review process led to the inclusion of 20 studies. The findings established the importance of multivariable assessments in a real-life context to accurately characterise the effects of military practices. A tendency for examining heart rate variables, thermal responses, and actigraphy measurements was also identified. The objectives and experimental protocols were diverse, but the effectiveness of non-invasive measurements in identifying the most fatigue-inducing periods was demonstrated. Nevertheless, no assessment system for standardised application was presented. Future work may include the development of assessment methods to translate physiological recordings into actionable information in real-time and mitigate the effects of fatigue on soldiers’ performance accurately.

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