Emma E Domangue, Emily Dubuisson, Greggory Davis, Tiffany Ardoin
{"title":"Lack of Follow-Up in a Food-Insecure Population.","authors":"Emma E Domangue, Emily Dubuisson, Greggory Davis, Tiffany Ardoin","doi":"10.1177/15598276251317138","DOIUrl":"10.1177/15598276251317138","url":null,"abstract":"<p><p>Literature regarding attendance in elective health programs, like the Geaux Get Healthy Clinical Program at Our Lady of the Lake (OLOL), is scarce. This study aimed to investigate reasons for the non-enrollment of eligible, food-insecure individuals from Baton Rouge in the Geaux Get Healthy Clinical Program at Our Lady of the Lake (OLOL), which is a clinic-based community program addressing food insecurity. A prospective qualitative study was conducted using semi-structured phone interviews with 19 participants screened for food insecurity within the Franciscan Missionaries of Our Lady Health System (FMOLHS) but who did not enroll in the program. Interviews were recorded, transcribed, and analyzed thematically. Demographic data were extracted from the Epic database and statistically analyzed. The participants, primarily African-American females, cited a lack of awareness as the main reason for non-enrollment. Other barriers included embarrassment, transportation difficulties, and competing priorities. This study highlights the importance of addressing barriers to participation in community health programs like Geaux Get Healthy. Enhancing awareness and mitigating obstacles can improve program enrollment and ensure better use of resources to positively impact the health outcomes of food-insecure populations.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251317138"},"PeriodicalIF":1.5,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11780607/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081094","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":"Empowering Fall Prevention Through Integrated Lifestyle Medicine Strategies-From Recognition of Fall Risks to Implementation of Prevention of Falls for all in Practice.","authors":"Nhi Ma Do, Chris Tolos","doi":"10.1177/15598276251316830","DOIUrl":"10.1177/15598276251316830","url":null,"abstract":"<p><p>Falls remain the leading cause of unintentional injuries across all age groups, prompting many emergency room visits. The annual estimated cost associated with falls is believed to exceed 100 billion dollars. In addressing this trend, health professional team members emerge as key players and can assume a crucial role in bridging the gap between lifestyle medicine and fall prevention. By imparting strategies aligned with the 6 pillars of lifestyle medicine, these professionals can educate individuals on risk factors, assess fall risk, and offer activities to mitigate the likelihood of future falls. This collaborative approach empowers all to take immediate and informed action, fostering a proactive stance against the prevalent issue of fall-related injuries. Through the background and practical strategies described in this paper, health professionals of various disciplines will have access to tools and knowledge to enhance their role in preventing falls using the lens of lifestyle medicine.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251316830"},"PeriodicalIF":1.5,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11780619/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143080955","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}
Osayande Agbonlahor, Abigail Gamble, Caroline Compretta, Joshua R Mann, Josie Bidwell, Brian D Williams
{"title":"Provider Lifestyle Counseling Among Adults With Cardiometabolic Disease Diagnosis Differs by Sociodemographic Characteristics and Lifestyle Modification: NHANES 2017-2020.","authors":"Osayande Agbonlahor, Abigail Gamble, Caroline Compretta, Joshua R Mann, Josie Bidwell, Brian D Williams","doi":"10.1177/15598276251316850","DOIUrl":"10.1177/15598276251316850","url":null,"abstract":"<p><strong>Background: </strong>Provider lifestyle counseling is important for improving lifestyles and cardiometabolic disease (CMD) prognosis. However, an examination of the relationship between sociodemographic characteristics, lifestyle modification and provider lifestyle counseling receipt among adults with CMD is scarce. The study examined the prevalence and associations of lifestyle modification and sociodemographic characteristics with provider lifestyle counseling among adults with CMD diagnosis.</p><p><strong>Methods: </strong>We used cross-sectional data from 2017-2020 National Health and Nutrition Examination Survey (N = 4847). Provider lifestyle counseling (i.e., advice to control/lose weight, exercise, reduce salt, and reduce fat/calories), and lifestyle modification (yes or no) were assessed. Adjusted odds ratios were evaluated using logistic regression models.</p><p><strong>Results: </strong>Among the sample of adults with CMD, 44.6% received advice to lose weight, 56.1% to exercise, 36.1% to reduce salt, and 43.9% to reduce fat/calories. Adults who made lifestyle modifications had higher odds of receiving advice to lose weight (OR: 1.81), exercise (OR: 1.95), reduce salt (OR: 2.23) and reduce calories (OR: 2.66). Age, sex, race/ethnicity, educational attainment, and insurance were associated with provider lifestyle counseling.</p><p><strong>Conclusion: </strong>Provider lifestyle counseling is generally suboptimal among U.S. adults with lifetime diagnosis of CMD, and the odds of counseling receipt differ by sociodemographic characteristics and lifestyle modification. CMD control should involve training providers to increase lifestyle counseling.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251316850"},"PeriodicalIF":1.5,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11775947/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068822","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":"Community Teen Wellness Program With the Teen Lifestyle Medicine Handbook.","authors":"Mahalakshmi Mopal Mahi Mopal, Beth Frates","doi":"10.1177/15598276241313361","DOIUrl":"https://doi.org/10.1177/15598276241313361","url":null,"abstract":"","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276241313361"},"PeriodicalIF":1.5,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11760071/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048087","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}
Sultan Alolayan, Tewodros Eguale, Alissa R Segal, Joanne Doucette, Brian E Rittenhouse
{"title":"Incremental Cost-Effectiveness Ratios (ICERs) and Revised Metformin Cost-Effectiveness Conclusions in the Diabetes Prevention Program/ Diabetes Prevention Program Outcomes Study.","authors":"Sultan Alolayan, Tewodros Eguale, Alissa R Segal, Joanne Doucette, Brian E Rittenhouse","doi":"10.1177/15598276251315415","DOIUrl":"10.1177/15598276251315415","url":null,"abstract":"<p><p><b>Introduction:</b> Based on previously published US Diabetes Prevention Program (DPP) cost-effectiveness analyses (CEAs), metformin continues to be promoted as \"cost-effective.\" We reviewed a 10-year CEA to assess this. Treatment alternatives included placebo, branded metformin and individual lifestyle modification. Following the original CEA, we added group lifestyle as a modeled alternative. <b>Methods:</b> Original published data were taken as given and re-analyzed according to accepted principles for calculating incremental cost-effectiveness ratios (ICERs). With more than 2 treatments, these require attention to the rankings of interventions according to cost or effect prior to stipulating appropriate ICERs to calculate. <b>Results:</b> With appropriate ICER calculations, metformin was not cost-effective. Net Loss calculations indicated substantial costs/health losses to using metformin instead of the optimal lifestyle alternative in response to metformin having been confusingly labeled \"cost-saving\" in the original CEA. <b>Conclusions:</b> The original DPP CEA, subsequent analyses and citations of such analyses continue to conclude that both metformin and lifestyle modification are cost-effective in diabetes prevention. However, using metformin implies substantial costs and health losses compared to the cost-effective lifestyle modification. It may be that metformin has a role in cost-effective diabetes prevention, but this has yet to be shown based on DPP data.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251315415"},"PeriodicalIF":1.5,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11752154/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143029901","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 Role of Pharmacotherapy for Smoking Cessation and Pregnancy.","authors":"Sneha Baxi Srivastava","doi":"10.1177/15598276241310805","DOIUrl":"10.1177/15598276241310805","url":null,"abstract":"<p><p>Tobacco and nicotine use is widely recognized as harmful to both the user and those exposed to the substances. Pregnant individuals face additional risks, with potential adverse outcomes for the fetus and newborn. A combination of behavioral and pharmacological interventions is recommended for smoking cessation; however, in pregnancy, there are additional considerations with the use of pharmacotherapy. This article will address the role pharmacotherapy may play in smoking cessation during pregnancy.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276241310805"},"PeriodicalIF":1.5,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11713952/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972669","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}
Aliye B Cepni, Fatima K Nadeem, Tracey A Ledoux, Craig A Johnston
{"title":"Breaking the Silence on Obesity.","authors":"Aliye B Cepni, Fatima K Nadeem, Tracey A Ledoux, Craig A Johnston","doi":"10.1177/15598276241309248","DOIUrl":"10.1177/15598276241309248","url":null,"abstract":"<p><p>Obesity is a significant global public health concern, and health care providers play a crucial role in addressing it by offering healthy lifestyle counseling and weight management support. Evidence demonstrates that even brief counseling on healthy behaviors can lead to meaningful changes and sustained weight management. However, weight consultations are often underutilized in primary care due to various barriers, including biases against patients with obesity, misconception of physicians with obesity, or concerns about stigmatizing them by initiating discussions about weight. This paper explores the impact of biases, misconceptions, and stigma on the communication and treatment of patients with obesity and proposes strategies to overcome these challenges. Practical solutions include fostering inclusive health care environments for individuals of all body sizes and utilizing the 5A model (Ask, Assess, Advise, Agree, Assist) to guide respectful and effective weight management conversations.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276241309248"},"PeriodicalIF":1.5,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11713941/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972666","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}
John Stevens, Willow Firth, Lynne Dooley, Hayley Longbottom, Kalinda Wills, Garry Egger, Bob Morgan
{"title":"Continuous Glucose Monitors and Programmed Shared Medical Appointments in Managing Type 2 Diabetes Mellitus Among First Nation Women in Australia: A Co-Designed Feasibility Study.","authors":"John Stevens, Willow Firth, Lynne Dooley, Hayley Longbottom, Kalinda Wills, Garry Egger, Bob Morgan","doi":"10.1177/15598276241312084","DOIUrl":"10.1177/15598276241312084","url":null,"abstract":"<p><p>First Nations women in Australia diagnosed with type 2 diabetes, co-designed and attended a programmed shared medical appointment that included continuous glucose monitors and culturally responsive food appreciation activities over 8 weekly sessions to improve glycaemic control. The project was a single site, longitudinal change from baseline, mixed methods, feasibility study using HbA1c as the primary outcome measure. Secondary outcome measures included, weight, metabolic health-related blood panels, CGM, Blood Glucose Levels (BGL) time-in-range percentage, Patient Activation Measure (PAM) and Problem Areas In Diabetes (PAID) tools and client satisfaction survey and semi focussed interviews. Forty participants commenced and twenty-five participants completed the program (62,5%). Of the completing participants the mean HbA1c had an absolute reduction of 0.7 percentage points ( from baseline to program completion, <i>P</i> = .013). Eighteen (75%) reduced HbA1c and maintained some reduction for 12 months. Seven (28%) achieved remission, HbA1c <6.4% (46 mmol/l) maintained for 12 months. There were statistically significant improvements in weight, systolic blood pressure, liver enzymes, BGL time-in-range, PAM and PAID scores. It is feasible to use programmed shared medical appointments incorporating CGM aiming to improve glycaemic control and other metabolic measures of health among First Nations women in Australia. <b>Trial Registration:</b> The project was registered with the Australian and New Zealand Clinical Trial Registry ACTRN12622000650796. <i>The trial web page =</i> https://www.anzctr.org.au/ACTRN12622000650796.aspx.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276241312084"},"PeriodicalIF":1.5,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11713975/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972667","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}
Alberto Farinetti, Camilla Cocchi, Francesca Coppi, Anna Vittoria Mattioli
{"title":"The Exposome, Social Determinants, and Environmental Pollution: Comprehensive Cardiovascular Risk in Women.","authors":"Alberto Farinetti, Camilla Cocchi, Francesca Coppi, Anna Vittoria Mattioli","doi":"10.1177/15598276241313329","DOIUrl":"10.1177/15598276241313329","url":null,"abstract":"<p><p>Cardiovascular disease (CVD) remains a significant global health concern for women, influenced by a complex interplay of social, economic, and environmental factors. This article examines cardiovascular risk through the lens of the exposome, which encompasses all environmental exposures from conception onward, including pollution, diet, and chronic stress. Social determinants such as socioeconomic status (SES), education, and stress management play crucial roles in shaping women's cardiovascular health. Lower SES and education are associated with greater exposure to adverse living conditions, poor nutrition, and limited access to healthcare, increasing the risk of CVD. Environmental pollution, particularly air pollution and climate-related changes, further exacerbates cardiovascular risk by promoting oxidative stress and inflammation. Additionally, gender-specific factors, such as pregnancy and menopause, interact with the exposome, heightening the vulnerability of women to cardiovascular risks over their lifetime. Addressing these risk factors requires a comprehensive approach, incorporating public health strategies that focus on reducing pollution, improving food security, and mitigating social inequalities. By addressing the cumulative and interacting exposures that contribute to cardiovascular disease, especially in women, more effective prevention strategies can be developed to improve long-term health outcomes.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276241313329"},"PeriodicalIF":1.5,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11713953/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972668","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}