American Journal of Lifestyle Medicine最新文献

{"title":"Loneliness and Associated Factors Among Senior Physicians in the U.S.","authors":"Lindsey E Carlasare, Samuel Lin, Purva Shah, Ved Gossain","doi":"10.1177/15598276251331782","DOIUrl":"10.1177/15598276251331782","url":null,"abstract":"<p><p><b>Purpose:</b> This study aimed to examine prevalence of loneliness among senior physicians and identify associations between high loneliness and other personal and social factors. <b>Methods:</b> This cross-sectional survey of physicians aged ≥65 was conducted between February 26 and March 12, 2024. Loneliness was measured using the 20-item UCLA Loneliness Scale. Information about demographics and personal, social, and health factors was collected. <b>Results:</b> Of the 10,090 participants the majority were male (74.0%), ages 65-72 (50.8%), white (81.3%), and heterosexual (93.3%). The mean loneliness score was 38.04. Nearly 1 in 5 (18.0%) experienced high loneliness, including 14.1% with moderately high loneliness and 3.9% with very high loneliness. Multivariable analysis, after controlling for social and personal factors, demonstrated that being divorced/separated (OR 2.78 [95% CI, 1.79-4.31]), widowed (OR 2.52 [95% CI, 1.60-3.97]), or single (OR 2.70 [95% CI, 1.66-4.40]) were associated with high loneliness. Participants with a chronic health condition (OR 1.26 [95% CI, 1.02-1.60]) or a chronic health condition <i>and</i> a disability (OR 2.18 [95% CI, 1.48-3.20]) had higher odds of high loneliness than those without either. Not having an annual wellness visit was associated with higher odds of high loneliness (OR 1.58 [95% CI, 1.21-2.06]), as was not spending time on hobbies (OR 5.45 [95% CI, 4.03-7.25]). <b>Conclusions:</b> Nearly 1 in 5 senior physicians experience loneliness, and high loneliness is associated with personal and social factors. Policymakers and organizations that employ, provide care for, or support senior-aged physicians should ensure policies and programs support the social and personal needs of this population.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251331782"},"PeriodicalIF":1.5,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11969483/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796602","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":"Are We Hooked to Our Screens? A Reflective Review on Current Evidence and New Directions.","authors":"Mitika V Kanabar","doi":"10.1177/15598276251330506","DOIUrl":"10.1177/15598276251330506","url":null,"abstract":"<p><p>There is an increase in the amount of time spent on our screen devices over the last couple of decades. More aspects of our daily lives have shifted to internet-based services, schooling, and work, especially since the COVID-19 pandemic. Many people are finding it hard to step away from social media, gaming or other screen-based entertainment. When overuse of screens starts having severe consequences, the diagnosis of a behavioral addiction should be considered. Nonsubstance addictions have been studied for brain imaging characteristics as well as diagnostic reliability. Resources for evidence-based treatment are hard to find. Treatment is based on a biopsychosocial approach, with therapy, medication, mindfulness, support groups as primary sources of help. Ill effects of youth and social media use are a growing concern and a focus of future work as well as advocacy. Lifestyle medicine focuses on building our internal as well as external resources for recovery, similar to the concept of recovery capital in addiction medicine. Future research on diagnostic criteria, treatment methods and treatment retention are needed to form robust treatment approaches for a growing problem.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251330506"},"PeriodicalIF":1.5,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11969487/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796653","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":"Leveraging Lifestyle Medicine for Better Outcomes in Connective Tissue Diseases.","authors":"Neha Bhanusali","doi":"10.1177/15598276251329923","DOIUrl":"10.1177/15598276251329923","url":null,"abstract":"<p><p><b>Background/Objective:</b> Connective tissue diseases (CTDs) are a group of over 200 disorders that significantly impact quality of life due to chronic inflammation and systemic complications. While pharmacological interventions remain the cornerstone of treatment, lifestyle medicine offers a complementary approach to managing these conditions. This article explores the application of lifestyle interventions in CTDs to improve clinical outcomes and reduce disease burden. <b>Methods:</b> A review of current evidence on lifestyle factors, including nutrition, physical activity, sleep, stress management, avoidance of harmful substances, and social connections, was conducted. This review integrates findings from epidemiological studies, clinical trials, and expert recommendations to provide actionable insights for managing CTDs. <b>Results:</b> Key findings highlight the significant role of diet in influencing inflammatory activity and supporting overall health. Specifically, ultra-processed foods and other lifestyle factors could impact the risk of systemic lupus erythematosus (SLE). In contrast, the Mediterranean diet is particularly beneficial for rheumatoid arthritis (RA), offering anti-inflammatory properties and potential improvements in symptoms. Additionally, regular physical activity plays a vital role in preserving joint and muscle function across these conditions. Restorative sleep and effective stress management are critical in mitigating disease activity, as poor sleep and high stress are associated with worsened outcomes. Smoking and alcohol consumption were identified as modifiable risk factors that exacerbate disease progression, emphasizing the importance of lifestyle interventions for improved disease management and overall quality of life. <b>Conclusion:</b> Incorporating lifestyle medicine into the management of CTDs offers a patient-centered approach that complements pharmacologic treatments. By addressing modifiable risk factors, healthcare providers can empower patients to improve quality of life, reduce reliance on medications, and potentially slow disease progression. Further research is needed to establish long-term outcomes and refine intervention strategies.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251329923"},"PeriodicalIF":1.5,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11969473/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796598","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":"Advancing Health Equity and Addressing Health Disparities.","authors":"Kim Allan Williams","doi":"10.1177/15598276251329888","DOIUrl":"10.1177/15598276251329888","url":null,"abstract":"<p><p>This article describes the factors contributing to ethnic health disparities and their impact on health equity in the United States. Historical examples of infectious diseases, such as smallpox, yellow fever, polio, HIV, and COVID-19, illustrate racial mortality differences that were eliminated by removing the diseases. In addition, disparities in cardiovascular death risk factors, including hypertension, type 2 diabetes, inflammation, hyperlipidemia, chronic kidney disease (CKD), and obesity, are examined. The adoption of whole food plant-based (WFPB) diets is proposed as a practical and culturally sensitive solution to mitigate these disparities and promote health equity. Evidence-based strategies are discussed to support implementation.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251329888"},"PeriodicalIF":1.5,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11969477/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796645","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":"Lifestyle Interventions and Innovative Approaches for the Management of Neurodegenerative Disorders in Older Adults-State-Of-The-Art and Future Directions.","authors":"Iuliana Popescu, Manon Lenain, Erika Rovini, Manfred Ruthsatz","doi":"10.1177/15598276251330170","DOIUrl":"10.1177/15598276251330170","url":null,"abstract":"<p><p>Aging increases the risk of neurodegenerative diseases (NDs) like Alzheimer's (AD) and Parkinson's (PD), characterized by neuronal loss and cognitive decline. Potential preventive/therapeutic interventions also include lifestyle changes like nutrition & diet, exercise, leisure and social engagement. Here, we discuss several lifestyle interventions for healthy brain aging, and in older adults with NDs. Balanced diets like the Mediterranean and MIND diets can reduce cognitive decline during aging. Long-term use of specific nutrient combinations in medical food may also exert benefits on memory. Metabolic interventions like calorie restriction (CR) and intermittent fasting (IF) have shown potential benefits in aging. However, their effects on cognitive function in older adults were modestly explored and remain unclear. Clinical trials are ongoing to test the cognitive and health outcomes of CR/IF variants in older adults with AD or PD (associated or not with metabolic disorders). We also highlight the role of cognitive reserve (CoR) in delaying dementia symptoms. Engaging in diverse leisure activities like music and bilingualism may enhance CoR and reduce AD risk. Finally, we outline future directions for promoting healthy brain aging through lifestyle interventions (e.g., personalized diets, precision nutrition, synergistic lifestyle approaches, AI-based technologies to monitor the effectiveness of lifestyle practices).</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251330170"},"PeriodicalIF":1.5,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11954138/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754906","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":"Successful Coaching Behaviors: Challenges and Opportunities in Relationships.","authors":"Dustan Watkins, Madeline Rock, Elizabeth M Vaughan, Jessica M Kirschmann, Craig A Johnston","doi":"10.1177/15598276251327917","DOIUrl":"10.1177/15598276251327917","url":null,"abstract":"<p><p>Health and wellness coaching is a valuable intervention to help individuals improve their long-term physical, psychological, and social well-being. Coaches, individuals who employ motivational strategies through trusting relationships, have shown success in supporting individuals' pursuit in creating and sustaining healthy lifestyle changes. We discuss the theoretical principles underlying coaching practices and present essential coaching behaviors that influence the quality and strength of the client-coach relationship. We acknowledge scenarios in which the client-coach relationship has grown stale or is incompatible; in these cases, we propose <i>lateral referrals</i>, which we define as identifying and redirecting clients to another coach possessing similar abilities to continue the coaching relationship. This strategy need not be exclusive to coaching as it would likely be beneficial for other health care professionals. Lateral referrals are promising as they provide an opportunity to meet individuals' unique needs and enhance the likelihood of sustained changes.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251327917"},"PeriodicalIF":1.5,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11954133/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754987","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":"Teaching Assistants: Essential Members of the Teaching Team.","authors":"Beth Frates, Kenny Kusnadi, Tracie McCargo","doi":"10.1177/15598276251328635","DOIUrl":"10.1177/15598276251328635","url":null,"abstract":"<p><p>The teaching of courses usually occurs in teams. Teaching assistants are an integral part of that team. In order for medical and healthcare professional schools to have impactful teachers, it is important to provide students and residents with opportunities to teach. Serving as a teaching assistant provides practice for people who want to include teaching in their professional careers. Teaching is an art that is enhanced by multiple perspectives.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251328635"},"PeriodicalIF":1.5,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11954128/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754989","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":"Lifestyle Medicine, the USDA and the Land-Grant University Cooperative Extension System: A Call to Action at the Intersection of Personal, Public and Planetary Health.","authors":"Steven Mauro, Karla P Shelnutt, Ron Stout","doi":"10.1177/15598276251329890","DOIUrl":"10.1177/15598276251329890","url":null,"abstract":"<p><p>Increased collaboration between Lifestyle Medicine (LM) practitioners and the Cooperative Extension System (CES) presents a powerful opportunity to improve community well-being. Implementing community education programs enables residents to gain a deeper understanding of the importance of lifestyle changes-such as proper nutrition, physical activity, and stress management-in preventing and managing chronic diseases. These initiatives, coupled with regular clinical visits with trained LM practitioners, can help individuals assess their health risks and connect them with the resources and support needed for disease prevention, treatment, and reversal.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251329890"},"PeriodicalIF":1.5,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11954127/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754925","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":"Lifestyle Interventions for Treatment and Remission of Type 2 Diabetes and Prediabetes in Adults: Implications for Clinicians.","authors":"Richard M Rosenfeld, Meagan L Grega, Mahima Gulati","doi":"10.1177/15598276251325802","DOIUrl":"10.1177/15598276251325802","url":null,"abstract":"<p><p>This review is based on a presentation at the 2024 Annual Meeting of the American College of Lifestyle Medicine (ACLM), which showcased ACLM's first clinical practice guideline on <i>Lifestyle Interventions for Treatment and Remission of Type 2 Diabetes and Prediabetes in Adults</i>. Our goal is to offer pragmatic implications of the guideline for everyday patient care, including case presentations showing how the guideline recommendations (key action statements) can be implemented. The target audience is any clinician or healthcare professional in a community or outpatient healthcare setting involved in managing non-pregnant adults with T2D, prediabetes or a history of gestational diabetes mellitus (GDM). Unique features of the ACLM guideline include placing lifestyle interventions as the foundation of T2D management and prevention, offering strategies for sustained behavior change, and emphasizing all six pillars of lifestyle medicine: plant-predominant nutrition, regular physical activity, restorative sleep, stress reduction, social connectedness, and avoiding risky substances. This review is not intended to substitute for the full guideline, which should be read before doing the recommended actions.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251325802"},"PeriodicalIF":1.5,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11949759/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754923","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":"One Ring to Contain Them all: The Pivotal Role of the Built Environment in all Pillars of Lifestyle Medicine.","authors":"Levi Frehlich, Jonathan Bonnet","doi":"10.1177/15598276251329818","DOIUrl":"10.1177/15598276251329818","url":null,"abstract":"<p><p>The built environment - defined as the human-made physical aspects of where people live, work, and play - has long influenced morbidity and mortality. While historical examples include environmental exposures such as climate extremes or access to clean water, modern urbanization presents distinct health challenges and opportunities. This article explores the built environment's role in shaping health through the lens of lifestyle medicine, encompassing six key pillars: nutrition, physical activity, stress management, sleep health, social connection, and avoidance of risky substances. Neighbourhood food environments affect dietary behaviours, with greater access to fast food linked to obesity and cardiovascular disease, while fresh food availability promotes healthier choices. Walkability and greenspace enhance physical activity, while urban design incorporating green- and blue-spaces supports stress management. Environmental noise and artificial light at night impact sleep quality, whereas community infrastructure fosters social connectedness. Lastly, the spatial distribution of alcohol and tobacco outlets influences substance use behaviours. Given the built environment's wide-ranging influence, designing neighbourhoods that naturally promote health could yield significant public health benefits. This perspective underscores the need for policy-driven urban planning that prioritizes health-supportive environments, making the healthy choice the default choice for populations.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251329818"},"PeriodicalIF":1.5,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11948225/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754926","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}