American Journal of Lifestyle Medicine最新文献

Equitable Access to Lifestyle Medicine: FQHCs, YMCAs, Trauma-Informed Health Coaching, and "Community as Medicine".

IF 1.5

American Journal of Lifestyle Medicine Pub Date : 2025-03-18 DOI: 10.1177/15598276251325799

Sally C Duplantier, Rachel Barach, Sally St John, Benjamin Emmert-Aronson, Elizabeth A Markle

{"title":"Equitable Access to Lifestyle Medicine: FQHCs, YMCAs, Trauma-Informed Health Coaching, and \"Community as Medicine\".","authors":"Sally C Duplantier, Rachel Barach, Sally St John, Benjamin Emmert-Aronson, Elizabeth A Markle","doi":"10.1177/15598276251325799","DOIUrl":"10.1177/15598276251325799","url":null,"abstract":"Without intentional and collaborative input from stakeholders and members of the communities we serve, Lifestyle Medicine (LM) is at risk of evolving in ways that are inapplicable and even alienating to diverse and underserved populations. To mitigate this risk, this paper advocates for implementing transdiagnostic, culturally affirmative, trauma-informed, and integrative treatment frameworks that address mental, social, and physical health in tandem. It demonstrates how the Community as Medicine model can bridge the divide between clinical settings such as Federally Qualified Health Centers (FQHCs) and community settings, such as YMCAs, improving accessibility for diverse groups. It also shows how emerging professional identities-exemplified by health coaches-can be cultivated to expand the reach of care while simultaneously opening pathways to employment. By centering inclusivity, cultural affirmation, and interprofessional collaboration, LM can more effectively meet the needs of vulnerable communities and enhance overall public health outcomes.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251325799"},"PeriodicalIF":1.5,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11920983/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671584","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}

引用次数: 0

Supplementation Behavior and Expenditures in Healthy German Vegans, Lacto-Ovo-Vegetarians and Omnivores: A Cross-Sectional Study.

IF 1.5

American Journal of Lifestyle Medicine Pub Date : 2025-03-17 DOI: 10.1177/15598276251319305

Julian Herter, Alexander Müller, Lisa Niederreiter, Markus Keller, Roman Huber, Luciana Hannibal, Maximilian Andreas Storz

{"title":"Supplementation Behavior and Expenditures in Healthy German Vegans, Lacto-Ovo-Vegetarians and Omnivores: A Cross-Sectional Study.","authors":"Julian Herter, Alexander Müller, Lisa Niederreiter, Markus Keller, Roman Huber, Luciana Hannibal, Maximilian Andreas Storz","doi":"10.1177/15598276251319305","DOIUrl":"10.1177/15598276251319305","url":null,"abstract":"Purpose: Dietary supplements may ensure an adequate intake of nutrients of concern in all diets. Supplementation behavior and expenditures in vegetarians and vegans, however, have been rarely discussed in the literature. Methods: We reviewed supplementation expenditures in a cohort of 115 healthy adult German vegans, lacto-ovo-vegetarians and omnivores, characterized by comparable sociodemographic data. Supplementation behavior (excluding protein supplements) was re-analyzed to estimate yearly supplementation expenditures by dietary group. Results: The number of total supplements and multivitamin supplements taken differed significantly between the 3 groups (P = .016 and .026, respectively). Median number (interquartile range) of reported supplements in vegans was n = 2.5 (3), n = 2 (1) in lacto-ovo-vegetarians and n = 1 (2) in omnivores. Yearly supplementation expenses in supplementing participants ranged from .66€ to 1566.50€. They were highest in vegans (53.81€), followed by omnivores (29.30€) and lacto-ovo-vegetarians (12.05€) (P = .013). Approximately 40% of participants spent more than 50 Euros per year on supplements. A strong association between supplement expenses and the number of reported supplements was found (Spearman's rho: .65, P < .001). The most frequent supplements were vitamin D (vegetarians/omnivores) and vitamin B12 (vegans). Conclusions: Supplements were widely used in our study population, with substantial differences in expenditures and risk for over-supplementation across the examined diet groups.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251319305"},"PeriodicalIF":1.5,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11915235/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143664853","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}

引用次数: 0

Lifestyle Medicine and Universal Health Care Intersection: History and Impact of the Philippines Initiative.

IF 1.5

American Journal of Lifestyle Medicine Pub Date : 2025-03-15 DOI: 10.1177/15598276251326548

Mechelle Acero Palma, Bysshe Fernan, Vigilanda Solijon

{"title":"Lifestyle Medicine and Universal Health Care Intersection: History and Impact of the Philippines Initiative.","authors":"Mechelle Acero Palma, Bysshe Fernan, Vigilanda Solijon","doi":"10.1177/15598276251326548","DOIUrl":"10.1177/15598276251326548","url":null,"abstract":"Background: The Philippines is facing a dual burden of managing both infectious and non-communicable diseases (NCDs). The Universal Health Care (UHC) Act mandates a transformative shift from curative focus to health promotion and disease prevention, where lifestyle medicine plays a crucial role.Objectivess: This paper outlines the initiatives taken by the Philippines to address the exponential burden of NCDs by integrating lifestyle medicine into the healthcare system. Specifically, we focus on: 1. Discussing the history and current state of evidence-based lifestyle interventions within the UHC framework. 2. How we have developed interprofessional competency-based lifestyle medicine education (CBME) programs for healthcare providers. 3. Our experience in establishing cross-sectoral collaboration and policy support for sustainable implementation of lifestyle interventions.Methods: The Philippine College of Lifestyle Medicine initiated the CBME framework integrated into hospitals, medical schools, and universities with pilot programs. Culturally relevant, community-engaged lifestyle medicine programs were initiated, resulting in the declaration of local ordinances.Conclusion: The realization of UHC priority goals can be enhanced by embedding lifestyle interventions within the healthcare system. Pilot programs demonstrate the scalability of lifestyle medicine interventions that require policy support, extensive cross-sectoral collaboration, community engagement, and recognition of lifestyle medicine as a reimbursable healthcare service.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251326548"},"PeriodicalIF":1.5,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11910728/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651465","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}

引用次数: 0

Evaluating the Meditation Practices and Barriers to Adopting Mindful Medicine Among Physicians.

IF 1.5

American Journal of Lifestyle Medicine Pub Date : 2025-03-12 DOI: 10.1177/15598276251323850

Tiffany Champagne-Langabeer, Chelsea G Ratcliff, Christine Bakos-Block, Francine Vega, Marylou Cardenas-Turanzas, Aila Malik, Radha Korupolu

{"title":"Evaluating the Meditation Practices and Barriers to Adopting Mindful Medicine Among Physicians.","authors":"Tiffany Champagne-Langabeer, Chelsea G Ratcliff, Christine Bakos-Block, Francine Vega, Marylou Cardenas-Turanzas, Aila Malik, Radha Korupolu","doi":"10.1177/15598276251323850","DOIUrl":"https://doi.org/10.1177/15598276251323850","url":null,"abstract":"Background: Chronic pain affects over 25% of U.S. adults and is a leading cause of disability. Mindfulness meditation (MM) is a nonpharmacologic approach to manage pain and improve well-being. Despite mounting evidence supporting its efficacy, MM remains underutilized in medical practice. Understanding physicians' engagement with MM and the barriers they face can inform strategies for integration into clinical care. This study assessed physicians' attitudes toward MM, including barriers to practice and their likelihood of recommending it to patients. Methods: A cross-sectional survey of U.S. physicians was conducted from April to July 2024. Participants provided information on demographics, health struggles, and meditation practices and completed the Determinants of Meditation Practice Inventory-Revised to evaluate barriers. Results: Of 171 respondents, 37.4% meditated weekly, primarily for stress relief. Regular meditators were significantly more likely to recommend MM to patients (90.6%) compared to past (75%) or non-meditators (46.8%; P < .0001). Common barriers included time constraints (50.9%) and prioritizing other tasks (51.5%). Non- and past meditators reported low perceived benefits and inadequate knowledge (P ≤ .0001). Conclusion: Physicians' engagement with MM influences their likelihood of recommending it. Addressing barriers through education, training, and promoting brief practices could enhance MM adoption and integration into clinical care.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251323850"},"PeriodicalIF":1.5,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11907502/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651460","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}

引用次数: 0

The Downfall of Health and Wellness as a Challenge to Humanity: Using Science Fiction to Highlight a Real-Life Crisis. 健康与保健的衰落是对人类的挑战：用科幻小说揭示现实生活中的危机。

IF 1.5

American Journal of Lifestyle Medicine Pub Date : 2025-03-11 DOI: 10.1177/15598276251326064

Ross Arena

{"title":"The Downfall of Health and Wellness as a Challenge to Humanity: Using Science Fiction to Highlight a Real-Life Crisis.","authors":"Ross Arena","doi":"10.1177/15598276251326064","DOIUrl":"10.1177/15598276251326064","url":null,"abstract":"My academic career has largely focused on the importance of healthy lifestyle behaviors, in both primary and secondary prevention, to reduce the risk of poor health outcomes and improve quality of life. Despite the evidence and clear value of adopting healthy living medicine as a primary component of healthcare delivery, much of the world, particularly the United States, has remained mired in a secondary, reactive model, where unhealthy lifestyles and chronic disease are often allowed to run rampant before healthcare management is initiated. I was recently at a scientific meeting where a fellow attendee stated that our scientific writing would benefit from new perspectives and approaches, with a hope of resonating with audiences on a different level and hopefully facilitating meaningful change that has previously not been realized. This comment inspired me to consider science fiction as an approach to illustrate a real-life health crisis faced by humanity. There is an important non-fiction component to the science fiction story presented herein-unhealthy lifestyle behaviors have a substantial negative impact on human resiliency and, if drastic measures are not taken, these behaviors may in fact drive humanity to a tipping point from which we will not recover.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251326064"},"PeriodicalIF":1.5,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11897989/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626303","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}

引用次数: 0

The Doha Declaration.

IF 1.5

American Journal of Lifestyle Medicine Pub Date : 2025-03-02 eCollection Date: 2025-03-01 DOI: 10.1177/15598276251320479

引用次数: 0

Community as Medicine: A Novel Approach to Improve Health Behaviors and Mental Well-Being for Vulnerable Populations.

IF 1.5

American Journal of Lifestyle Medicine Pub Date : 2025-02-28 DOI: 10.1177/15598276251321453

Sally C Duplantier, Jina Lee, Elizabeth A Markle, Benjamin Emmert-Aronson

{"title":"Community as Medicine: A Novel Approach to Improve Health Behaviors and Mental Well-Being for Vulnerable Populations.","authors":"Sally C Duplantier, Jina Lee, Elizabeth A Markle, Benjamin Emmert-Aronson","doi":"10.1177/15598276251321453","DOIUrl":"https://doi.org/10.1177/15598276251321453","url":null,"abstract":"Purpose: Evaluate a group-based, trauma-informed health coaching model based on Lifestyle Medicine pillars, delivered by community health coaches, to improve health behaviors and mental well-being for vulnerable populations.Methods: This program evaluation analyzed quantitative longitudinal data with linear mixed models and qualitative data with reflexive thematic analysis. Participants (n = 720) were low-income adults referred through Federally Qualified Health Centers (FQHCs), who participated in weekly 90-120 minute groups for 3 months. Data were collected via monthly surveys, including the PHQ-9, GAD-7, UCLA 3-item loneliness, exercise as a vital sign, a 2-item dietary screener, and 3 qualitative questions.Results: Participants saw significant reductions in depression, anxiety, and isolation, and significant increases in daily servings of fruits and vegetables, and weekly minutes of exercise. The qualitative analysis identified 4 themes related to the drivers and reinforcers of positive behavior change and improved mental well-being.Conclusions: Initial data suggest this model helps reduce depression, anxiety, and isolation, and promotes positive behavior change within populations most impacted by health inequity. Qualitative results identified drivers of positive change, such as creating a sense of belonging and mutual support. Future research should consider how to continue to scale this program to a variety of populations and across different settings.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251321453"},"PeriodicalIF":1.5,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11871580/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544013","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}

引用次数: 0

Lifestyle Interventions for Treatment and Remission of Type 2 Diabetes and Pre-diabetes in Adults: A Clinical Practice Guideline From the American College of Lifestyle Medicine/A Concept Whose Time has Come.

IF 1.5

American Journal of Lifestyle Medicine Pub Date : 2025-02-27 DOI: 10.1177/15598276251325441

James M Rippe

引用次数: 0

The Intersection of Health and Planet: Why Food Choices Matter.

IF 1.5

American Journal of Lifestyle Medicine Pub Date : 2025-02-25 DOI: 10.1177/15598276251323249

Ocean Robbins

{"title":"The Intersection of Health and Planet: Why Food Choices Matter.","authors":"Ocean Robbins","doi":"10.1177/15598276251323249","DOIUrl":"10.1177/15598276251323249","url":null,"abstract":"Objective: To explore the interconnected crises of chronic disease, environmental degradation, and social inequity through the lens of food systems and to highlight the potential of plant-based dietary patterns to mitigate these challenges. Main Outcomes and Measures: Evidence demonstrates that plant-based diets reduce the prevalence of chronic diseases, including heart disease and type 2 diabetes, alleviate environmental harm by reducing greenhouse gas emissions and water usage, and promote health equity by increasing access to affordable, nutritious foods. Quantitative outcomes include projected savings of trillions of dollars in health care and climate-related costs and the prevention of millions of premature deaths globally. Results: Transitioning to plant-forward food systems has been associated with a reduction in chronic disease risk by up to 90%, a significant decrease in health care expenditures, and a 75% reduction in agricultural land use. Key interventions, such as produce prescriptions and plant-based meal programs, demonstrate the effectiveness of systemic solutions in improving health outcomes while addressing structural inequities. Conclusion: Aligning individual and collective efforts toward sustainable, health-focused food systems presents a transformative opportunity to improve global health, conserve natural resources, and foster social equity. By adopting plant-based diets and supporting equitable food policies, individuals, health care professionals, and policymakers can collaboratively create a more resilient, sustainable, and just future for generations to come.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251323249"},"PeriodicalIF":1.5,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11863192/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524864","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}

引用次数: 0

The Well-Being Coaching Inventory (WCI): Questionnaire Development and Validation.

IF 1.5

American Journal of Lifestyle Medicine Pub Date : 2025-02-20 DOI: 10.1177/15598276251320573

Sebastian Harenberg, Gary Sforzo, Rosie Hunter, Erika Jackson, Margaret Moore

{"title":"The Well-Being Coaching Inventory (WCI): Questionnaire Development and Validation.","authors":"Sebastian Harenberg, Gary Sforzo, Rosie Hunter, Erika Jackson, Margaret Moore","doi":"10.1177/15598276251320573","DOIUrl":"10.1177/15598276251320573","url":null,"abstract":"Objective: The aim of the present study was to psychometrically test and validate the Well-being Coaching Inventory (WCI), a proposed measure of interconnected, whole-person well-being in the context of health and wellness coaching (HWC).Methods: Initially 49 items, the WCI was conceived with 4 dimensions: Mind, Body, Work, and Life. The inventory was evaluated in 3 sequential studies to test: (a) face validity, (b) convergent validity, and (c) predictive validity. Expert judgment, correlational analyses, and factor analyses were techniques applied to collected WCI data.Results: After statistical evaluation (n = 261) of fit to each dimension, the WCI was shortened to 20 items that demonstrated convergent validity. Further use of confirmatory factor analyses and exploratory structural equation model in a large sample study (n = 531) provided additional support for the inventory's convergent validity. Through correlation analyses to theoretically related concepts predictive validity was established.Conclusions: The WCI is a valid, applicable, and reliable scale for use in HWC research and practice. It is an instrument that will aid HWC practitioners and researchers as a central outcome measure for their practice.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251320573"},"PeriodicalIF":1.5,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11843568/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484399","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}

引用次数: 0