American Journal of Lifestyle Medicine最新文献

{"title":"Domestic Violence Against Men in Canada: An Overlooked but Growing Public Health and Social Concern.","authors":"Rudra Dahal, Aayush Dahal, Badri Karki","doi":"10.1177/15598276261448820","DOIUrl":"https://doi.org/10.1177/15598276261448820","url":null,"abstract":"<p><p>Domestic and intimate partner violence (IPV) in Canada is a complex public health and social issue affecting individuals of all genders, yet male victims remain significantly under-recognized. Although women experience the highest rates and most severe outcomes, growing evidence shows that men also face substantial physical, psychological, emotional, financial, and coercive abuse. Police-reported data from 2022 indicate that one in five IPV victims are male, with a 21% increase in IPV against men and boys since 2014. Social stigma, gender norms, and limited male-focused services contribute to under-reporting and inadequate support. Male victims often experience serious consequences, including mental health challenges, financial instability, strained relationships, and loss of child access. Addressing these gaps requires gender-inclusive services, awareness initiatives, and professional training to recognize and support male survivors. A comprehensive response that acknowledges all victims is essential for improving safety, reducing stigma, and strengthening Canada's overall IPV prevention and intervention efforts.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261448820"},"PeriodicalIF":1.3,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13144283/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844107","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":"Development of the Lifestyle Empowerment Approach for Diabetes Remission (LEADR) Program: A Lifestyle Medicine Shared Medical Appointment (SMA) Intervention for Diabetes Treatment.","authors":"Kathryn J Pollard, Meghan L Ames, Kayli Anderson, John Gobble, Scott Moore, Padmaja Patel, Kaitlyn Pauly, Kara L Staffier, Prasanthi Tondapu, Micaela C Karlsen","doi":"10.1177/15598276261438370","DOIUrl":"https://doi.org/10.1177/15598276261438370","url":null,"abstract":"<p><p>The use of shared medical appointments (SMAs) has been shown to be feasible for delivering lifestyle medicine (LM) treatment for chronic conditions, such as type 2 diabetes (T2D), with some patients achieving de-escalation of medications or even remission. This objective of this work was to develop program materials suitable for delivering intensive LM treatment for T2D with the goal of achieving remission. Over a 3-year period (2022-2025), the American College of Lifestyle Medicine (ACLM) engaged in iterative development of program materials, drawing on content in the Full Plate Living Program and using expertise from a variety of professionals including physicians, dietitians, and researchers. The resulting Lifestyle Empowerment Approach for Diabetes Remission (LEADR) Program includes a professionally designed Facilitator Script, Participant Workbook, and Planning Guide, as well as accompanying slides. The core program content consists of 12 ∼90-minute, weekly sessions billable using standard Evaluation and Management (E&M) codes. Content centers on health behavior education and SMART goal-setting for nutrition, physical activity, and other health behaviors. The LEADR program is available as a tool for providers and their healthcare teams to use in the treatment of patients with T2D and prediabetes; the structure and formatting of the content enable scalability across various settings.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261438370"},"PeriodicalIF":1.3,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13144292/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844628","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":"Association Between Leisure Time Physical Activity and Insulin Resistance: Analysis of NHANES 2007-2018.","authors":"Deng Wang, Renzheng Zuo, Ronghai Su, Dong Li, Jiying Ling, Mingsi Zhao, Hao Tian","doi":"10.1177/15598276261445387","DOIUrl":"https://doi.org/10.1177/15598276261445387","url":null,"abstract":"<p><p>Leisure time physical activity (LTPA) is a modifiable factor in the prevention and treatment of type 2 diabetes. While studies show LTPA reduces insulin resistance (IR), metabolic syndrome, and diabetes risk, the specific relationship between LTPA levels and IR needs further investigation. Participants were from the National Health and Nutrition Examination Survey between 2007 and 2018 (N = 11,143 adults aged 49.4 ± 17.6, male). LTPA was assessed using the Global Physical Activity Questionnaire. IR was dichotomized using the homeostatic model assessment with a threshold 2.5. Survey-weighted logistic regression and restricted cubic spline analyses examined LTPA-insulin resistance relationships. Statistical analyses were survey-weighted and adjusted for covariates. Analyses were performed using the R, and <i>P</i>-values ≤0.05 were considered statistically significant. Compared to inactive individuals, participants who met LTPA≥300 min/week showed significantly lower IR risk (OR = 0.68; 95% CI:0.57-0.82), while weekend warriors showed no benefit (OR = 1.01, <i>P</i> = 0.950). A significant overall association was observed between LTPA and IR risk (P-overall <0.001), with a non-linear dose-response pattern (P-non-linear = 0.022), with benefits plateauing at 450 min/week. Regular LTPA of 300-450 min/week may be optimal for preventing insulin resistance. These findings highlight the importance of engaging in regular LTPA for 300-450 min/week to maintain insulin sensitivity and reduce the risk of diabetes.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261445387"},"PeriodicalIF":1.3,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13128797/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822202","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":"American Journal of Lifestyle Medicine: 20 Years of Progress and a Bright Future.","authors":"James M Rippe","doi":"10.1177/15598276261444213","DOIUrl":"https://doi.org/10.1177/15598276261444213","url":null,"abstract":"","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261444213"},"PeriodicalIF":1.3,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13121223/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785585","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":"Associations Between Healthy Eating, Physical Activity, and Stress Among African American Adults Using Ecological Momentary Assessment Methodology: A Narrative Review.","authors":"Alexis Bell, Gabrielle Turner-McGrievy, Enid A Keseko, A Caroline Rudisill, Chih-Hsiang Yang, Courtney M Monroe","doi":"10.1177/15598276261443942","DOIUrl":"https://doi.org/10.1177/15598276261443942","url":null,"abstract":"<p><p>African Americans (AAs) tend to have unhealthy eating behaviors, less physical activity (PA) participation, and higher stress levels compared to people who are White. These variables also have bidirectional relationships. Ecological Momentary Assessment (EMA) methodology can be used to examine these relationships through repeated data collection. This narrative review aims to assess EMA studies that examine the bidirectional relationships between healthy eating, PA, and stress in AA adults. Four databases were searched for studies that met inclusion criteria. Two separate searches were completed: one for healthy eating and stress, and one for PA and stress. Two reviewers independently assessed articles to minimize bias, while resolving discrepancies through discussion. Of the 97 articles identified, four studies met inclusion criteria (one on diet, two on PA, and one on both). These studies used five daily prompts sent for seven days and found that stress was associated with daily unhealthy eating and less daily PA, and increased PA participation was associated with less daily stress among AA women. No studies examined how healthy eating impacts stress or how both healthy eating and PA can influence stress, and three of the studies only included AA women. EMA methodology is useful for exploring how stress influences healthy eating and PA, and how PA impacts stress. Given the disproportionate stress burden among AA adults, future research should utilize EMA to explore how healthy eating impacts stress and the combined impact of healthy eating and PA on stress among this population.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261443942"},"PeriodicalIF":1.3,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13109238/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785559","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":"Evaluating Nutrition and Physical Activity Interventions in College Students: A Systematic Review.","authors":"Kamalie Thomas, Michael J Rovito, Keith Brazendale","doi":"10.1177/15598276261440910","DOIUrl":"https://doi.org/10.1177/15598276261440910","url":null,"abstract":"<p><p>The objective of this systematic review is to evaluate the methodological quality of multidimensional lifestyle interventions among university students to improve nutrition and physical activity related outcomes. A critical evaluation of targeted interventions specifically for physical activity and nutrition habits in college populations was conducted for the efficacy in multifaceted behavior change. Out of the fourteen assessed trials, only five received a rating of high quality. Common issues noted included selection bias, randomization issues, loss to follow-up or attrition, and a lack of maintenance for behavior outcomes. This suggests that further research is needed to establish the longevity of behavior change related to physical activity and dietary habits among university students. Increasing self-efficacy among this cohort has the potential to contribute to management and prevention of chronic disease in late adulthood. There is a limited amount of literature exploring the long-term effects (>12 month follow-up) of a multidimensional approach for nutrition and physical activity interventions for college students. Future research efforts must be directed toward including multiple health behaviors to encompass health and wellness and establish long-term adherence to behavior change in college students.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261440910"},"PeriodicalIF":1.3,"publicationDate":"2026-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13096005/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785553","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":"The Enduring Impact of a Health Promotion Educational Program for Medical Professionals.","authors":"Magdalena Pasarica, Katherine D Daly, Asli C Yalim, Laurie C Neely, Ardhys DeLeon","doi":"10.1177/15598276261443930","DOIUrl":"10.1177/15598276261443930","url":null,"abstract":"<p><p>Burnout has emerged as a growing epidemic within healthcare systems. This study evaluated whether an innovative Health Promotion educational Program (HPEP), tailored to practicing healthcare workers, could promote positive behaviors and improvements in wellness. The virtual, self-guided HPEP was developed by an interprofessional team and incorporated ten evidence-based interventions aligned with the six pillars of lifestyle medicine: dietary intake of foods rich in omega-3 fatty acids (nutrition pillar); physical activity, yoga, and active rest (physical activity pillar); emotional freedom skills, mindfulness/cognitive behavioral skills and emotional detachment (stress management pillar); healthy sleep behaviors (restorative sleep pillar); emotional intelligence (connectedness pillar); and acceptance and commitment skills (risky substance avoidance pillar). A total of 351 healthcare workers voluntarily enrolled in the program. Outcomes were assessed using deidentified surveys and analyzed with a mixed-methods approach, with statistical significance set at <i>P</i> < .05. At 3- and 6-month post-intervention, most participants (96% and 92%) reported adopting healthier behaviors and demonstrated significant improvements in wellness on a validated wellness index (<i>P</i> < .05), as well as favorable self-reported perceptions (93% and 94%). These findings suggest persistence of positive effects among respondents and support the HPEP's potential as a scalable approach to promoting wellness within healthcare systems.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261443930"},"PeriodicalIF":1.3,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13086768/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724365","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":"Effects of Traditional Mediterranean Physical Activity on Physical and Mental Health: A Systematic Review.","authors":"Amalia Sidossis, Konstantinos D Tambalis, Catherine Itsiopoulos, Rob Lawson, Anastasia Beneka, Robert Bird, Charistoula Chatzinikola, Darinka Korovljev, Emanuela Mercore Hutanu, Linda Errington, Karolina Piątek, Helen Soultanakis, Anna Tkacz, Dimitris Vlachopoulos, Giannis Arnaoutis, Labros S Sidossis","doi":"10.1177/15598276261441548","DOIUrl":"10.1177/15598276261441548","url":null,"abstract":"<p><p>The Traditional Mediterranean Physical Activity (TMPA) pattern, characterized by daily, incidental, and socially embedded movement, represents a core yet understudied component of the Mediterranean lifestyle. Unlike structured exercise, TMPA encompasses activities such as walking for transportation, agricultural work, gardening, household chores, and participation in cultural events. With global declines in functional daily movement and an increase in sedentary behavior, understanding the health impact of TMPA is increasingly relevant. A systematic literature search was conducted across major databases (MEDLINE, Embase, PsycINFO, CINAHL, Web of Science, Scopus, and ProQuest) from inception to present. Of 6037 records identified, 27 studies met all inclusion criteria involving adult populations from Mediterranean countries and reporting physical activity-related health outcomes. Both quantitative and qualitative research, as well as systematic and narrative reviews, were included. A narrative synthesis of the 38 studies was undertaken due to heterogeneity in study design, outcomes, and TMPA definitions. Evidence consistently demonstrated that TMPA contributes to broad physical health benefits, including reduced cardiovascular and all-cause mortality, improved metabolic profiles, healthier body composition, enhanced musculoskeletal strength, and greater functional capacity in older adults. Its integration with other lifestyle pillars, such as diet, rest, and social engagement, appears to amplify these effects. TMPA was also associated with improved mental health outcomes, including reduced depressive symptoms, lower stress, enhanced emotional resilience, and greater life satisfaction. Studies emphasized that the social, outdoor, and culturally meaningful context of TMPA distinguishes its health effects from conventional exercise. However, substantial methodological variability, reliance on self-reported measures, and limited longitudinal research constrain the strength of causal inferences. Conclusions: TMPA emerges as a culturally embedded and sustainable form of daily movement with significant physical and mental health benefits. Its holistic, lifelong nature positions it as a valuable model for public health strategies aimed at counteracting sedentary lifestyles. Future research should prioritize standardized definitions, objective measurement tools, and longitudinal or interventional designs to clarify causal pathways. Incorporating TMPA principles into modern environments may offer innovative, culturally grounded approaches to promoting population health.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261441548"},"PeriodicalIF":1.3,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13083280/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724398","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":"The Macular Degeneration Preventive Diet and Lifestyle for Providers and Patients: From Evidence to Action.","authors":"Johanna M Seddon, Dikha De","doi":"10.1177/15598276261438371","DOIUrl":"10.1177/15598276261438371","url":null,"abstract":"<p><p>Age-related macular degeneration (AMD) is a leading cause of irreversible vision loss among older adults, with both genetic and modifiable risk factors contributing to disease progression. Robust prospective evidence demonstrates that dietary patterns rich in lutein, zeaxanthin, and omega-3 fatty acids-particularly through green leafy vegetables, fatty fish, and Mediterranean diet adherence-reduce AMD progression risk by 20-56% across disease stages. Lifestyle factors including smoking cessation, weight management, and regular physical activity also confer protective benefits. Despite ample evidence, counseling about the benefits of these dietary and lifestyle behaviors remains underutilized in ophthalmic practice, largely due to inadequate medical education in preventive medicine and perceived barriers to implementation of such recommendations. This perspective examines the current evidence, highlights the gap between scientific evidence and clinical implementation, and proposes a framework for systematic reform. Recommendations include embedding nutrition education into medical school and residency training, establishing ocular nutrition as a continuing education requirement, and equipping clinicians with tools for incorporating these guidelines into routine AMD clinical care. Aligning ophthalmic practice with the recommended nutritional guidelines and other behavioral changes through the Macular Degeneration Preventive Diet and Lifestyle, represents a timely opportunity to translate evidence into interventions that preserve vision.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261438371"},"PeriodicalIF":1.3,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13083278/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724392","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":"Education of Residents Improves Frequency and Alignment of Evidence-Based Lifestyle Interventions.","authors":"Scott Moore, Ashley Riley, Cassadi Forman, Jacob Henington, Kaitlyn Draper, Nolan Barker, Mary Ying-Fang Wang, Brian Degenhardt","doi":"10.1177/15598276261440132","DOIUrl":"https://doi.org/10.1177/15598276261440132","url":null,"abstract":"<p><p>The United States spends more on health care than any other nation, yet hundreds of thousands of Americans die each year from conditions that could be prevented through basic lifestyle changes. Although about 80% of premature deaths are linked to unhealthy behaviors, Lifestyle Medicine (LM) receives little emphasis in most medical school and residency curricula. LM offers a low-cost, accessible approach to preventing and even reversing chronic disease through evidence-based lifestyle interventions (EBLI). Although LM fellowships exist, residency training is also important because it strongly shapes long-term clinical practice. However, most programs do not routinely teach LM principles or practical EBLI counseling skills. From October 2024 to June 2025, we delivered ten sessions introducing Family Medicine (FM) and Osteopathic Neuromusculoskeletal Medicine (ONMM) residents to core EBLI concepts. To measure impact, we retrospectively reviewed clinical notes, using keyword searches to assess the frequency and quality of documented EBLI recommended 3 months before and after the curriculum. Five independent reviewers scored notes using a standardized rubric. After training, mean scores increased from 0.9 to 1.9 for frequency (<i>P</i> = 0.023) and from 0.6 to 1.7 for alignment with EBLI (<i>P</i> = 0.011). These results indicate that integrating LM into routine resident didactics is feasible and improves EBLI integration into patient care.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261440132"},"PeriodicalIF":1.3,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13076460/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147692826","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}