{"title":"Steps to Better Health: An Everyday Guide to Walking.","authors":"Bryant J Webber","doi":"10.1177/15598276261488034","DOIUrl":"10.1177/15598276261488034","url":null,"abstract":"","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261488034"},"PeriodicalIF":1.9,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13675420/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149217178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Do People Still Matter? Healthcare in the Age of Artificial Intelligence.","authors":"Julie Haizlip, Katy Hall, Natalie B May","doi":"10.1177/15598276261496843","DOIUrl":"10.1177/15598276261496843","url":null,"abstract":"<p><p>Artificial intelligence (AI) platforms are becoming increasingly prevalent in healthcare. Unlike previous technologies, AI has the capability to perform tasks previously considered uniquely human including synthesizing historical information and data to establish a clinical diagnosis and constructing a treatment plan. AI promises to improve diagnostic accuracy, accelerate drug discovery and development, and enhance access to healthcare. The overall impact that AI will have on the well-being of individuals who provide and receive care, however, is less obvious. This article examines the potential and pitfalls of AI in medicine through the lens of mattering and its importance to human flourishing. Mattering is a psychological construct that encompasses the human needs to be noticed, feel significant, and contribute. It arises from interpersonal interactions and is based on perceptions of our value within our communities and society. Mattering is inherently relational, is a significant contributor to psychological well-being, and may be at risk in the age of AI. The authors describe the foundations of mattering and its relevance to medicine; the potential impacts of AI on mattering in medicine from the clinician, patient, and trainee perspectives; and propose a framework for integrating AI into healthcare such that mattering is preserved for all stakeholders.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261496843"},"PeriodicalIF":1.9,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13675409/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149217223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Brain Health and Lifestyle Medicine.","authors":"James M Rippe","doi":"10.1177/15598276261477390","DOIUrl":"10.1177/15598276261477390","url":null,"abstract":"","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261477390"},"PeriodicalIF":1.9,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13672696/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149217064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Impact of Culturally Competent Nutrition Education on Healthy Habit Attitudes in Refugee and Immigrant Children.","authors":"Puja Dutta, Kristen Ann Ehrenberger","doi":"10.1177/15598276261497957","DOIUrl":"10.1177/15598276261497957","url":null,"abstract":"<p><p><b>Purpose.</b> Minority children are disproportionately impacted by physical and mental health conditions. Nutrition and exercise can enhance growth and improve stress coping ability. However, middle and high school students in the United States receive less than 8 hours of nutrition education per year. Nutrition is also under-emphasized in medical education. The \"Engage with Wellness\" lifestyle medicine curriculum sought to increase adolescents' health knowledge and improve attitudes towards healthy habits through a medical student-created and -taught curriculum. <b>Setting.</b> The program took place weekly at a community-based after-school program for teenagers mainly from Nepal and Bhutan. <b>Intervention.</b> After 30 weeks, participants evaluated aspects of the curriculum on a Likert scale and with free-text responses. <b>Outcomes.</b> The program had 74 unique participants. The average number of classes attended was 5 (range 1-10). Students rated the helpfulness of class topics as 4.38/5. Most strongly agreed that healthy foods come from different cultures (4.69/5). Most agreed that the curriculum prepared them well to understand nutrition (3.96/5). <b>Lessons Learned.</b> The program enhanced participants' knowledge and attitudes toward healthy habits while addressing the need for diversity in nutrition education. Medical students translated medical knowledge into age-appropriate information and learned how to be effective educators.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261497957"},"PeriodicalIF":1.9,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13661811/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Applying the MANifest Health Theory to Male Firefighter Lifestyle: A Conceptual Review Using the FANTASTIC Lifestyle Assessment.","authors":"Julian L Gallegos","doi":"10.1177/15598276261494576","DOIUrl":"10.1177/15598276261494576","url":null,"abstract":"<p><p>Firefighters face substantial long-term health risks related to cardiovascular disease, sleep disruption, occupational stress, inconsistent preventive care, and lifestyle behaviors shaped by fire-service culture. Although firefighter health research has traditionally emphasized acute injury, sudden cardiac events, toxic exposures, and psychological trauma, less attention has been given to the broader lifestyle patterns through which chronic risk accumulates in both volunteer and career firefighters. This conceptual review argues that firefighter lifestyle should be understood as a men's health issue shaped not only by individual behavior, but also by masculinity-linked role expectations, peer culture, organizational support, stigma, and the perceived legitimacy of self-care. The MANifest Health Theory is proposed as a useful framework for interpreting these dynamics because it centers the interaction of identity, social role, environment, and preventive health behavior. The FANTASTIC Lifestyle Assessment is further proposed as a practical multidimensional tool for operationalizing firefighter lifestyle within this framework. This paper advances a firefighter-specific conceptual model and outlines implications for research, prevention, and nurse-led men's health practice.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261494576"},"PeriodicalIF":1.9,"publicationDate":"2026-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13655273/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149171148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Patricia Dyett, Lesley Ann Foster-Nicholas, Adana Adams-Robinson, Claudette Mitchell, Paula Valley-Thom, Vanessa Jones-Oyefeso, Valerie Sealey-Tobias, George Legall
{"title":"Exploring the Likelihood of Healthcare Students to Advise Patients on the Health Benefits of Predominantly Plant-Based Diets.","authors":"Patricia Dyett, Lesley Ann Foster-Nicholas, Adana Adams-Robinson, Claudette Mitchell, Paula Valley-Thom, Vanessa Jones-Oyefeso, Valerie Sealey-Tobias, George Legall","doi":"10.1177/15598276261493038","DOIUrl":"10.1177/15598276261493038","url":null,"abstract":"<p><p>The aim of this study was to survey select healthcare students in the Americas about their likelihood to advise on health benefits of predominantly plant-based diets to noncommunicable disease patients; and to identify possible demographic, academic, and psychographic associations and predictors. The study design included targeted questions from a validated electronic questionnaire which was administered to a convenience sample of nursing and dietetics students across four university campus sites located in a region with high NCD burden. Descriptive, Chi-square, and binary logistic regression analyses were used to examine ordinally or dichotomously coded demographic, knowledge, and attitude variables for frequencies, likelihood associations, and predictors<b>.</b> Sixty-eight percent (n = 202) indicated likelihood. Females were more likely than males to respond affirmatively (χ<sup>2</sup> = 4.56, <i>P</i> = 0.03), and students with higher knowledge scores were more likely to advise on health benefits of plant-based diets than those with lower scores (χ<sup>2</sup> = 4.48, <i>P</i> = 0.03). Gender and knowledge emerged as significant predictors. These findings demonstrate that the likelihood for nursing and dietetics students to advise patients on the benefits of predominantly plant-based diets in noncommunicable chronic disease care is high. This has important implications for lifestyle medicine.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261493038"},"PeriodicalIF":1.9,"publicationDate":"2026-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13655279/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149170920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Theresa Hamlin, Conor Anderson, Johanna F Lantz, Jennifer Franck, Helena le Roux Ohm, Donald W Landry
{"title":"Applying Lifestyle Medicine to Improve Health Outcomes in People With Intellectual and Developmental Disabilities.","authors":"Theresa Hamlin, Conor Anderson, Johanna F Lantz, Jennifer Franck, Helena le Roux Ohm, Donald W Landry","doi":"10.1177/15598276261486805","DOIUrl":"10.1177/15598276261486805","url":null,"abstract":"<p><p>Individuals with intellectual and developmental disabilities (I/DD) and autism spectrum disorder experience disproportionately high rates of chronic disease, often exacerbated by systemic care barriers. Despite these concerns, interventions for this population rarely target overall health and wellness and often rely on practices that can contribute to poor health outcomes. This retrospective review includes data collected at The Center for Discovery, a residential care program for people with severe and complex disabilities. This analysis evaluates health outcomes among 295 adults with I/DD, including autism, who received a comprehensive lifestyle medicine intervention. Prevalence rates of chronic conditions among those receiving the intervention were compared to national and New York State disability benchmarks. Results suggest an association with substantially lower prevalence of key conditions, including obesity, diabetes, and hypertension, with a median risk ratio of 0.325 (range: 0.23-0.76) compared to U.S. population benchmarks. These findings suggest that participation in an integrated lifestyle medicine model, SynergE6® Healthspan Model, could be associated with lower chronic disease prevalence among adults with I/DD. Because this was a retrospective observational study using external benchmark comparisons, prospective controlled studies are needed to determine whether these associations are causal.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261486805"},"PeriodicalIF":1.9,"publicationDate":"2026-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13655276/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149167812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Wearable Health-Tracking Devices and Adherence to Physical Activity Guidelines Among US Adults, Including Those with Elevated Anxiety Symptoms: A Nationally Representative Cross-Sectional Analysis of HINTS 7 (2024).","authors":"David Goldman, Laurie Kortowich, Matthew Nagra","doi":"10.1177/15598276261496228","DOIUrl":"https://doi.org/10.1177/15598276261496228","url":null,"abstract":"<p><p>Physical activity is a pillar of lifestyle medicine, yet most US adults do not meet aerobic guidelines, and inactivity is especially common among people with anxiety. Wearables enable self-monitoring, but population-level evidence linking them to guideline adherence among distressed adults is limited. We analyzed 6686 adults from the nationally representative Health Information National Trends Survey 7 (2024). The outcome was meeting the aerobic guideline (≥150 weekly minutes of at least moderate-intensity activity); the exposure was wearable device use for health tracking. Elevated anxiety was defined as a 2-item Generalized Anxiety Disorder scale score ≥3. Weighted logistic regression yielded odds ratios (ORs) adjusted for sociodemographic and health covariates. Wearable users were more likely than non-users to meet the guideline (48.1% vs 36.4%; adjusted OR, 1.59; 95% CI, 1.33-1.91; <i>P</i> < .001). The association was consistent across anxiety strata (interaction <i>P</i> = .33); among distressed adults, 48.2% of users vs 28.1% of non-users met the guideline. In secondary analyses, wearable use was not associated with meeting ≥300 min/wk (adjusted OR, 1.09; 95% CI, 0.84-1.40). Wearable use was independently associated with meeting activity guidelines, including among adults with elevated anxiety, supporting its potential as a scalable lifestyle-medicine adjunct. Cross-sectional data preclude causal inference.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261496228"},"PeriodicalIF":1.9,"publicationDate":"2026-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13654009/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149170137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Changes in Dietary Behavior, Physical Activity, and Mental Health During a Lifestyle-Based Wellness Program for Women Re-Entering the Community After Incarceration: A Single-Arm Pre-Post Program Evaluation.","authors":"Sarah Rashdan, Sarah-Ann Keyes","doi":"10.1177/15598276261491723","DOIUrl":"https://doi.org/10.1177/15598276261491723","url":null,"abstract":"<p><strong>Background: </strong>Women re-entering the community after incarceration experience substantial chronic disease and mental health burdens. Evidence regarding lifestyle medicine programming in transitional housing settings remains limited. This study evaluated changes in dietary behavior, physical activity, and mental health symptoms during a wellness program.</p><p><strong>Methods: </strong>This single-arm, uncontrolled pre-post program evaluation retrospectively analyzed existing survey data from 17 women residing at a transitional living facility in Houston, Texas. The program included weekly yoga and meditation sessions and monthly nutrition and cooking classes. Dietary behavior was assessed using an adapted 10-item Healthy Eating Assessment, mental health symptoms using the PHQ-4, and physical activity using frequency items from the IPAQ Short Form.</p><p><strong>Results: </strong>The adapted dietary assessment total increased from 28.9 to 39.7 points (mean change +10.8, 95% CI [8.4, 13.2]; <i>P</i> < .001). PHQ-4 total decreased by 0.9 points but was not statistically significant (95% CI [-1.9, 0.1]; <i>P</i> = .080). Secondary analyses showed improvements in several dietary items and all 3 physical activity frequency measures. In exploratory analyses, anxiety symptoms decreased whereas depression symptoms did not.</p><p><strong>Conclusions: </strong>Participation was associated with improvements in self-reported dietary behaviors and physical activity frequency. Larger controlled studies with validated measures and longer follow-up are needed.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261491723"},"PeriodicalIF":1.9,"publicationDate":"2026-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13654003/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149167621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Paula Gardiner, Beth Frates, Richard M Rosenfeld, Kristi Artz, Matthew Badgett, Jonathan P Bonnet, Kathleen E Findlay, Jeffrey Geller, Meagan L Grega, Mahima Gulati, Kathryn Hansen, Padmaja Patel, Isabel Roth, Deepa Sannidhi, Marianne J Sumego, Kara L Staffier, Micaela C Karlsen
{"title":"Shared Medical Appointments (SMAs) in Lifestyle Medicine Practice: An Expert Consensus Statement From the American College of Lifestyle Medicine.","authors":"Paula Gardiner, Beth Frates, Richard M Rosenfeld, Kristi Artz, Matthew Badgett, Jonathan P Bonnet, Kathleen E Findlay, Jeffrey Geller, Meagan L Grega, Mahima Gulati, Kathryn Hansen, Padmaja Patel, Isabel Roth, Deepa Sannidhi, Marianne J Sumego, Kara L Staffier, Micaela C Karlsen","doi":"10.1177/15598276261485880","DOIUrl":"10.1177/15598276261485880","url":null,"abstract":"<p><strong>Objective: </strong>To identify statements of consensus on the use of shared medical appointments (SMAs) to improve quality of care and patient health outcomes in lifestyle medicine practice especially for prevention, treatment, and management of chronic disease.</p><p><strong>Methods: </strong>A multidisciplinary panel of experts in shared medical appointments (SMAs) followed an a priori protocol for developing consensus statements. Using an iterative, online Delphi process, panel members reported levels of agreement and statements were classified as consensus, near consensus, or no consensus.</p><p><strong>Results: </strong>The panel identified 106 candidate statements addressing: (1) Definitions and General Concepts, (2) Lifestyle Medicine and Behavior Change, (3) Research and Quality Improvement Outcomes, (4) Delivery Models, (5) Group Cohesiveness, (6) Billing and Documentation, (7) Staffing Models, and (8) Training. After 3 iterations of an online Delphi survey, revisions, and removal of duplicative statements, 56 statements met criteria for consensus. Nine statements met near consensus, and 41 statements did not reach consensus.</p><p><strong>Conclusion: </strong>There is broad consensus among panel members that implementing SMAs highlighting lifestyle medicine has high patient satisfaction, is reimbursable, and can provide high-quality medical care. These specific consensus statements can be used to inform policy and prioritize areas for future research.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261485880"},"PeriodicalIF":1.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13646194/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}