Arambh Sanjay Shah, Mitresh Raj Pant, Tulasiram Bommasamudram, Kirtana Raghurama Nayak, Spencer S H Roberts, Chloe Gallagher, K Vaishali, Ben J Edwards, David Tod, Fiddy Davis, Samuel A Pullinger
{"title":"Effects of Sleep Deprivation on Physical and Mental Health Outcomes: An Umbrella Review.","authors":"Arambh Sanjay Shah, Mitresh Raj Pant, Tulasiram Bommasamudram, Kirtana Raghurama Nayak, Spencer S H Roberts, Chloe Gallagher, K Vaishali, Ben J Edwards, David Tod, Fiddy Davis, Samuel A Pullinger","doi":"10.1177/15598276251346752","DOIUrl":"https://doi.org/10.1177/15598276251346752","url":null,"abstract":"<p><p>The increasing prevalence of reduced habitual sleep duration presents a significant public health challenge, impacting cardiovascular health, metabolic function and mental well-being. This umbrella review analyses findings from systematic reviews and meta-analyses to comprehensively evaluate the consequences of sleep deprivation (SD) on health. The databases searched included PubMed, Scopus, and Web of Science. Inclusion criteria focused on adult populations with SD and systematic reviews/meta-analyses. Twenty-nine articles were included in the final synthesis, encompassing a variety of health outcomes. Key findings highlight a U-shaped relationship between sleep duration and all-cause mortality, with both short (<7 h) sleep durations associated with increased risks. SD was a significant risk factor for cardiovascular diseases such as hypertension, stroke and coronary heart disease. Alongside heightened risks of metabolic disorders, like obesity and type 2 diabetes. Moreover, SD contributed to elevated anxiety levels, impaired emotional regulation. As well as increased susceptibility to stress and depressive symptoms. This synthesis underscores the critical importance of maintaining recommended sleep duration (typically 7-9 h for adults) to mitigate these health risks effectively. The findings support the need for robust public health interventions aimed at promoting healthy sleep habits to reduce the burden of associated health conditions and enhance overall well-being.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251346752"},"PeriodicalIF":1.5,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12116485/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144182681","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":"Managing Nonalcoholic Fatty Liver Disease Through Structured Lifestyle Modification Interventions.","authors":"Andrew Thomas, Annie Thomas","doi":"10.1177/15598276251346717","DOIUrl":"https://doi.org/10.1177/15598276251346717","url":null,"abstract":"<p><p>Nonalcoholic fatty liver disease (NAFLD) is a significant global health burden. It comprises a broad pathological spectrum ranging from simple liver steatosis to steatohepatitis with variable degrees of fibrosis, and liver failure. Patients with NAFLD have an increased risk of liver-related and overall mortality. While the trials to assess the efficacy of the medications are ongoing, lifestyle modification is the first line of therapy recommended. The primary aim of this review paper is to synthesize literature related to current evidence-based lifestyle interventions for preventing and managing NAFLD. The review and synthesis of the literature reveal that personalized nutritional, exercise, and behavior change interventions are effective in managing NAFLD. Evidence suggests that there are several gaps in managing NAFLD. The gaps discussed in this paper include a lack of awareness of the disease, ineffective patient-provider communication, shortage of specialists, under-recognition of the disease, and liver health disparities. This paper highlights the evidence-based opportunities to overcome those gaps, such as utilizing comprehensive models of care, clinical care pathways, and clinical practice guidelines. Primary care physicians and endocrinologists, who are the first point of contact must utilize these opportunities for diagnosing and managing patients with NAFLD.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251346717"},"PeriodicalIF":1.5,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12106371/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175366","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}
Sarah Ibrahim, Jasper R Senff, Troy Francis, Aleksandra Stanimirovic, Sharon Ng, Lindsey Zhang, Akshaya Ravi, Leanne K Casaubon, Keithan Sivakumar, Joanathan Rosand, Sanjula Singh, Valeria E Rac, Aleksandra Pikula
{"title":"Lifestyle Knowledge and Behavior Among Stroke and High-Risk Younger Adult Patients Through Sex, Age and Stroke Status Differences: A Cross-Sectional Study.","authors":"Sarah Ibrahim, Jasper R Senff, Troy Francis, Aleksandra Stanimirovic, Sharon Ng, Lindsey Zhang, Akshaya Ravi, Leanne K Casaubon, Keithan Sivakumar, Joanathan Rosand, Sanjula Singh, Valeria E Rac, Aleksandra Pikula","doi":"10.1177/15598276251343016","DOIUrl":"10.1177/15598276251343016","url":null,"abstract":"<p><p><b>Background:</b> The prevalence of stroke is projected to rise over the next 30 years, particularly among younger adults (≤65 years of age). Stroke is associated with modifiable risk factors, highlighting the importance of risk factor modification. However, to modify risk factors, it is important to understand younger adult stroke and high-risk patients' lifestyle-related knowledge, behaviors and associated facilitators and barriers, which this study aimed to address with attention to sex, age, and stroke status-related differences. <b>Methods:</b> A cross-sectional study was conducted. Data were collected through an online self-reported survey. Descriptive and inferential statistics were conducted with attention to sex, age, and stroke status differences. <b>Results:</b> A total of 104 participants comprised the sample. Variability in lifestyle-knowledge was found. Most participants ate processed food, moderately exercised, slept <7 hours per night, had a sense of social connectedness, and moderate-to-manageable stress. Emotions, social and family responsibilities influenced diet and exercise. Sex, age, and stroke status differences were observed. <b>Conclusions:</b> Findings have implications on the development of lifestyle medicine prescriptions and interventions as standard of care to support brain health and reduce the risk of stroke and/or its reoccurrence.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251343016"},"PeriodicalIF":1.5,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12102088/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144059","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}
Juliann M Chavez, Alana L Christie, Philippe E Zimmern
{"title":"Deciphering the Complex Relationships Between Potential Renal Acid Load, Carbohydrate Intake, and Urine pH in Postmenopausal Women With Recurrent Urinary Tract Infections.","authors":"Juliann M Chavez, Alana L Christie, Philippe E Zimmern","doi":"10.1177/15598276251344486","DOIUrl":"10.1177/15598276251344486","url":null,"abstract":"<p><strong>Introduction: </strong>An acidic urine pH may be protective against urinary tract infections (UTI) by inhibiting bacterial growth. We investigated whether dietary acid load (DAL) and macronutrient intake are associated with changes in urine pH in postmenopausal (PM) women with recurrent UTI (rUTI).</p><p><strong>Methods: </strong>Following Institutional Review Board (IRB) approval, we collected 3-day food diet records (FDR) and urine pH measurements from non-neurogenic PM women with a history of rUTI and normal renal function from 2019-2023. FDR were analyzed for nutrient content using Nutritionist Pro software (Axxya Standalone Version 7.9).</p><p><strong>Results: </strong>Fifty-seven participants (median age 71, predominantly Caucasian) supplied 504 meal records and 674 urine pH readings. Carbohydrate intake varied: 30 women consumed a moderately low-carbohydrate diet (<44% of calories), and 27 consumed an unrestricted carbohydrate (CHO) diet (≥44% of calories). Dietary intake varied between the two CHO groups for protein, fat, and the percentage of calories, but no significant differences were found in number of calories, other nutrients (potassium, phosphorus, magnesium, calcium, sodium), or DAL scores. No significant associations were found between DAL scores and urine pH.</p><p><strong>Conclusion: </strong>In this age group, carbohydrate intake did not affect DAL scores, indicating a discrepancy between DAL measurements and urine pH findings.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251344486"},"PeriodicalIF":1.5,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12098319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144056","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":"Patient Expectations: A Qualitative Study on What Patients Want From Their Healthcare Providers to Support Them in Healthy Aging.","authors":"Sally C Duplantier, Teri Undem","doi":"10.1177/15598276251344856","DOIUrl":"10.1177/15598276251344856","url":null,"abstract":"<p><p><b>Study Purpose:</b> While extensive literature exists on healthy aging and the role of lifestyle medicine in promoting it, little is known about what patients expect from their healthcare providers to support them in this process. This study explored these expectations. <b>Methods:</b> We conducted 22 one-hour focus groups with a diverse sample of men and women, aged 38-88, and used reflexive thematic analysis to identify common themes related to these expectations. <b>Results:</b> Three key themes were generated regarding participant expectations: (1) Respect and Collaboration, (2) Information on Alternatives to Medication, and (3) Information on Preventative Care. Participants emphasized the importance of being valued as individuals and treated as active partners in their care, even during brief medical appointments. They also expressed a desire for guidance on non-pharmacologic approaches and age-appropriate preventive strategies to support healthy aging. <b>Conclusion:</b> This study examines healthy aging through the unique lens of patient expectations. It reveals that patients expect healthcare providers to act as proactive, collaborative partners in their journey toward healthy aging. It also underscores patients' preference for evidence-based alternatives to medication and for preventive care, including guidance on lifestyle choices, to support healthy aging throughout the lifespan.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251344856"},"PeriodicalIF":1.5,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12098313/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144061","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}
E McRae Calhoun, Jack D Wiese, Samantha J Meckes, Jeremy L Grove, Kirsten H Dillon, Mary J Pugh, Nathan A Kimbrel, Tate F Halverson
{"title":"Physical Activity and Suicidal Ideation Among Gulf War Era Veterans.","authors":"E McRae Calhoun, Jack D Wiese, Samantha J Meckes, Jeremy L Grove, Kirsten H Dillon, Mary J Pugh, Nathan A Kimbrel, Tate F Halverson","doi":"10.1177/15598276251339062","DOIUrl":"10.1177/15598276251339062","url":null,"abstract":"<p><p>This study from a national sample of Gulf War Veterans (<i>N</i> = 1098) examined the association between physical activity level and (a) past-year suicidal ideation and (b) risk for suicidal behavior as defined by a score of > 7 on the Suicidal Behaviors Questionnaire-Revised. Forty-eight percent of the sample self-reported an active activity level based on items from the Rapid Assessment of Physical Activity. Twenty-four percent of underactive veterans reported suicidal ideation in the past year compared to 12% of active veterans. Results of logistic regression models indicated that physical activity level was uniquely related to suicidal ideation (OR = 0.63, 95% CI 0.43-0.91) and high risk of suicidal behavior (OR = 0.66, 95% CI 0.44-1.00) after accounting for key covariates known to be associated with suicide risk including pain, self-rated health, depression, posttraumatic stress disorder, alcohol and substance use disorder, nonsuicidal self-injury, and current psychosocial functioning.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251339062"},"PeriodicalIF":1.5,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12078248/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095365","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":"Equality in Physical Activity and Exercise Opportunities for the Transgender Community.","authors":"Emerson D Simeon, Joshua R Sparks","doi":"10.1177/15598276251340943","DOIUrl":"https://doi.org/10.1177/15598276251340943","url":null,"abstract":"<p><p>Environmental and social barriers in spaces designed to foster physical activity and exercise (PA&E) engagement can cause transgender individuals to feel unsafe or excluded. These can include fitness facilities and changing rooms, as examples, predominantly due to a lack of inclusivity. This stems from inadequate resources and education among PA&E professionals, facilities and staff, and healthcare providers. Unique considerations for transgender individuals helps create more safe and inclusive opportunities for health promoting engagement in PA&E. In this perspective the authors aim to provide context and guidance to enhance PA&E consideration for inclusion in this marginalized community. Collectively, this proactive approach ensures equal access to PA&E and fosters a supportive environment for transgender individuals.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251340943"},"PeriodicalIF":1.5,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12065705/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144004413","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":"Body Mass Index, Sleep, and Food Insecurity Predict Prevalence of Anxiety and Depression in College Students.","authors":"Makenzie Barr-Porter, Amelia Sullivan, Jade McNamara","doi":"10.1177/15598276251339613","DOIUrl":"https://doi.org/10.1177/15598276251339613","url":null,"abstract":"<p><p>This study aimed to assess the relationship between mental health, health behaviors, and food security in young adults in a university environment. Young adults (N = 536) at two United States universities completed a survey assessing health behaviors and characteristics. Logistic regression determined the odds of anxiety and/or depression based on gender identity, body mass index (BMI), food security status (FSS), and sleep restfulness. Over one-third of students were food insecure (36.7%), and almost all reported anxiety (57%) and/or depression (39.1%). Students who identified as female, reported very low FSS, poor sleep, and had higher BMI were at greater odds for the prevalence of depression. Students with poor sleep and low FSS were more likely to report mental health challenges. Universities should focus on priorities and interventions among at-risk students.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251339613"},"PeriodicalIF":1.5,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12065714/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143990943","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":"Which Exercise Patterns Are Most Effective for Reducing Severe Headache/Migraine in Adults? Evidence From a Nationally Representative U.S. Sample.","authors":"Yubing Wang, Xihe Zhu, Yahan Liang","doi":"10.1177/15598276251341206","DOIUrl":"https://doi.org/10.1177/15598276251341206","url":null,"abstract":"<p><p>Headaches and migraines are disabling, costly conditions. While physical activity shows benefits, specific exercise patterns' effects on headaches in the U.S. remain underexplored. This study aims to examine the cross-sectional relationship between different exercise patterns and the occurrence of severe headaches or migraines in adults using data from a nationally representative U.S. sample. Data from the National Health and Nutrition Examination Survey (NHANES) cycles 1999-2004 were analyzed. The study included adults aged 20-65 years who reported their exercise habits and severe headache or migraine status. Logistic regression models were used to assess the predictive relationships between vigorous, moderate, and muscle-strengthening exercise, as well as combinations of these activities, and the occurrence of migraines. The final sample comprised 2011 participants representing a weighted population of about 32 million U.S. adults. Combining vigorous and muscle-strengthening activities showed the most significant reduction in headache/migraine occurrence (OR: .48, 95% CI: 0.26-0.90), indicating a 52% reduction. Other exercise combinations were also associated with lower odds ratios compared to no exercise, but they were not statistically significant in the fully adjusted model. Regular physical activity, especially the combination of vigorous and muscle-strengthening exercise, is linked to a lower risk of severe headaches/migraines.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251341206"},"PeriodicalIF":1.5,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12064571/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144021917","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":"Connecting in a Disconnected World: Tools for Health Professionals to Assess and Expand Adolescent Patients' Connectedness and Webs of Support.","authors":"Michael J Karcher, Jonathan F Zaff","doi":"10.1177/15598276251339462","DOIUrl":"https://doi.org/10.1177/15598276251339462","url":null,"abstract":"<p><p>Most health care professionals can help clients connect with others and expand their support networks, and this is within their professional role. For many professionals, we suggest that being able to size up the available sources of support in patients' lives is critical to their overall well-being and creating post-treatment conditions that achieve the greatest health outcomes. This may be especially true for adolescents who often turn to peers and adults outside the home for support. However, identifying potential health care allies in a patient's life can be daunting, and one for which there are few tools or guides. Here we describe several benefits to health care providers from assessing a patient's web of support and their connectedness. We present 2 assessment strategies that can be used by lifestyle medicine practitioners to both assess and expand their patients' webs of support and connectedness to others; these small efforts, we argue, can yield major health benefits, in part, by increasing patient compliance with physician directives.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251339462"},"PeriodicalIF":1.5,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12061910/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144024625","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}