American Journal of Lifestyle Medicine最新文献_第2页

Fresh Food and Fresh Moves: Enhancement of a Food is Medicine Program With Exercise to Optimize Diabetes Self-Management. 新鲜的食物和新鲜的运动：增强食物是药物计划与运动优化糖尿病的自我管理。

IF 1.3

American Journal of Lifestyle Medicine Pub Date : 2026-04-13 DOI: 10.1177/15598276261442433

Lauren R Sastre, Brandon Stroud, Alexis Schroeder, Bhibha M Das

{"title":"Fresh Food and Fresh Moves: Enhancement of a Food is Medicine Program With Exercise to Optimize Diabetes Self-Management.","authors":"Lauren R Sastre, Brandon Stroud, Alexis Schroeder, Bhibha M Das","doi":"10.1177/15598276261442433","DOIUrl":"https://doi.org/10.1177/15598276261442433","url":null,"abstract":"\"Food is Medicine\" (FIM) interventions address nutrition, however, few address other mediators of health like physical activity (PA). This study examined the acceptability and impact of PA support and resources integrated in the Fresh Start produce Rx (FSPRx) intervention on diabetes self-management. The FSPRx intervention included 9 group education classes, telephone-based health coaching, provision of resistance bands, and a PRx with medically underserved, rural adults with type 2 diabetes (n = 150). Data collection included surveys, retrospective chart review, and audio-recorded interviews (n = 25). Data were analyzed utilizing descriptive and bivariate analysis, and transcripts and open-ended survey questions analyzed via content analysis for themes. Self-efficacy in engaging in PA improved (P = 0.02), frequency of PA increased by 1.2 days per week (P < .001), and minutes of weekly PA increased but was not significant (P = 0.07). Frequency and self-efficacy of PA were not predictive of diabetes self-management improvements. Interview themes revealed reduced pain and context of PA behavior changes, confidence and skills. Integration of PA into a FIM framework was well received by participants, however, was not linked to diabetes self-efficacy. Further research is warranted to investigate efficacious and efficient approaches to align food and exercise as medicine interventions as well as enhanced emphasis on PA benefits.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261442433"},"PeriodicalIF":1.3,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13076463/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147692771","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

Effects of the Aquatic Combined Training in Different Weekly Frequencies on Anthropometric, Functional, Hemodynamics, Sleep, Mental Health and Quality of Life in Adults and Older People: A Pragmatic Trial. 不同频率水上联合训练对成人和老年人人体测量学、功能、血流动力学、睡眠、心理健康和生活质量的影响：一项实用试验

IF 1.3

American Journal of Lifestyle Medicine Pub Date : 2026-04-09 DOI: 10.1177/15598276261441569

Larissa Dos Santos Leonel, Thais Reichert, Rodrigo Sudatti Delevatti

{"title":"Effects of the Aquatic Combined Training in Different Weekly Frequencies on Anthropometric, Functional, Hemodynamics, Sleep, Mental Health and Quality of Life in Adults and Older People: A Pragmatic Trial.","authors":"Larissa Dos Santos Leonel, Thais Reichert, Rodrigo Sudatti Delevatti","doi":"10.1177/15598276261441569","DOIUrl":"https://doi.org/10.1177/15598276261441569","url":null,"abstract":"This study examined the effects of different weekly frequencies (2 vs three sessions) of combined aquatic training on anthropometric, functional fitness, hemodynamic, and psychosocial outcomes in adults and older adults. A pragmatic non-randomized trial (RBR-2txw8zy) included participants aged 30-80 years allocated to twice-weekly (2G) and three-times-weekly (3G) groups. Training lasted 12 weeks, organized into 3 4-week mesocycles (36-42 min/session). Aerobic training was prescribed by RPE (6-20), progressing from 11 to 15 for 21 minutes, while resistance training progressed from 2 × 30 to 4 × 15 seconds at maximal speed. Outcomes were assessed pre- and post-intervention using generalized estimating equations (α = 5%) with ITT and PP analyses. ITT showed similar functional improvements in the 30-second sit-to-stand, 30-second arm curl, and 6MWT. In PP, significant group*time interactions were observed for TUGmax and 6MWT, with 3G increasing TUGmax time [0.28 (0.00; 0.55)] and 6MWT distance [55.54 (33.12; 77.96)]. DBP increased (ITT and PP), whereas HR and quality of life improved in both groups (ITT). SBP increased in 2G [ITT: 2.15 (-3.01; 7.32); PP: 5.58 (0.03;11.82)] but decreased in 3G [ITT: -6.55 (-12.78;-0.32); PP: -6.61 (-13.11;-0.11)]. Combined aquatic training improves strength and endurance, and quality of life, while 3 weekly sessions yield greater benefits for aerobic capacity and SBP.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261441569"},"PeriodicalIF":1.3,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13068781/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147677671","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

Whole Person Health Care: A Way Forward. 全人保健：前进的道路。

IF 1.3

American Journal of Lifestyle Medicine Pub Date : 2026-04-07 DOI: 10.1177/15598276261440796

Benjamin Kligler, Jonathan Bonnet, Stephen Dahmer, Wayne Jonas, MaryJo Kreitzer, Alex Krist, Stout Rw

{"title":"Whole Person Health Care: A Way Forward.","authors":"Benjamin Kligler, Jonathan Bonnet, Stephen Dahmer, Wayne Jonas, MaryJo Kreitzer, Alex Krist, Stout Rw","doi":"10.1177/15598276261440796","DOIUrl":"10.1177/15598276261440796","url":null,"abstract":"The time has come for health care organizations, practitioners, and patients to unite behind a clear, compelling message of healing as the organizing principle of our health care system, and take concrete steps to make that message routine in everyday practice. To achieve this vision, we propose the following Action Steps to all organizations committed to making whole person care a powerful force in American health care: 1. Include Whole Health or Whole Person Health Care in the mission and vision statements of our organizations 2. Ground collaboration in the NASEM definitions of Whole Health and Whole-Health Care, embracing it as the shared vision and unifying concept that unites all of our organizations (as AAFP did in the fall 2025 convening) 3. Hold interdisciplinary and inter-organization conversations and convenings to develop a shared set of tools for communicating this vision to patients, payers, and policymakers. 4. Encourage professional organizations to develop resources tailored to their members; recent examples include the development at AAFP of a Whole Health Practice Playbook and Practice Improvement continuing medical education (CME) activities and the publication by the American Journal of Lifestyle Medicine of a special issue focused on meaning and purpose.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261440796"},"PeriodicalIF":1.3,"publicationDate":"2026-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13061850/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147677693","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 Role of Vitamin D in Chronic Obstructive Pulmonary Disease: Mechanisms and Clinical Implications. 维生素D在慢性阻塞性肺疾病中的作用：机制和临床意义。

IF 1.3

American Journal of Lifestyle Medicine Pub Date : 2026-04-04 DOI: 10.1177/15598276261439092

Kanishk Aggarwal, Divya Rajasekaran, Namita Ruhela, Nabeel M Akhtar, Rohit Jain, Nitasa Sahu

{"title":"The Role of Vitamin D in Chronic Obstructive Pulmonary Disease: Mechanisms and Clinical Implications.","authors":"Kanishk Aggarwal, Divya Rajasekaran, Namita Ruhela, Nabeel M Akhtar, Rohit Jain, Nitasa Sahu","doi":"10.1177/15598276261439092","DOIUrl":"10.1177/15598276261439092","url":null,"abstract":"Purpose of Research: This review synthesizes current evidence on vitamin D's pathophysiological role in chronic obstructive pulmonary disease (COPD), emphasizing its potential as an adjunctive therapy to reduce exacerbations, improve lung function, and address the gaps in mechanistic and translational understanding. Major Findings: COPD is a diverse lung inflammatory condition marked by abnormal airflow restriction. Recent evidence highlights vitamin D deficiency as a modifiable risk factor correlating with increased exacerbations, accelerated lung function decline, and systemic complications. It is synthesized via sunlight exposure or absorbed through dietary intake and exerts its pleiotropic effects through the active metabolite 1,25-dihydroxy vitamin D. This active metabolite binds to vitamin D receptors throughout the body in cells that are involved in calcium and bone metabolism, immunomodulation, and many other tissues. Via these mechanisms it is implicated in potentially mitigating acute exacerbations of COPD. Further, its deficiency may contribute to skeletal muscle dysfunction, osteoporosis, and the cardiovascular comorbidities seen in COPD patients. While observational studies link low vitamin D levels to poorer clinical outcomes in COPD, clinical trials on supplementation remain inconclusive. Conclusions: This review consolidates understanding of vitamin D's role in COPD pathophysiology and highlights its significant therapeutic potential to improve clinical outcomes. Definitive evidence from robust clinical trials is needed to establish optimal dosing, efficacy and translating the evidence into clinical practice.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261439092"},"PeriodicalIF":1.3,"publicationDate":"2026-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13050359/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147628975","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

Rural Health Transformation: Opportunity for Physical Activity Promotion Through Interprofessional Collaboration. 农村卫生转型：通过跨专业合作促进体育活动的机会。

IF 1.3

American Journal of Lifestyle Medicine Pub Date : 2026-03-31 DOI: 10.1177/15598276261436311

Stefanie M Meyer, Sneha Baxi Srivastava

引用次数: 0

Coaching for Adults With ADHD: A Prospective Study. 成人ADHD辅导：一项前瞻性研究。

IF 1.3

American Journal of Lifestyle Medicine Pub Date : 2026-03-27 DOI: 10.1177/15598276261432960

Elizabeth Ahmann, Micah Saviet, Mark Otto

引用次数: 0

Medication Deprescribing Practices Among Lifestyle Medicine Providers: A Cross-Sectional Survey. 生活方式药物提供者的药物开处方实践：一项横断面调查。

IF 1.3

American Journal of Lifestyle Medicine Pub Date : 2026-03-27 DOI: 10.1177/15598276261430281

Joeita Macfield, Kara L Staffier, John Kelly, Rohit Moghe, Micaela C Karlsen

{"title":"Medication Deprescribing Practices Among Lifestyle Medicine Providers: A Cross-Sectional Survey.","authors":"Joeita Macfield, Kara L Staffier, John Kelly, Rohit Moghe, Micaela C Karlsen","doi":"10.1177/15598276261430281","DOIUrl":"10.1177/15598276261430281","url":null,"abstract":"When effectively implemented, lifestyle interventions can lead to significant improvements in glycemic control, often reducing the need for glucose-lowering medications. However, guidance on deprescribing these medications following lifestyle changes remains limited. This study aims to characterize the deprescribing practices of lifestyle medicine clinicians for glucose-lowering medications in patients with T2D who undergo lifestyle interventions. A cross-sectional survey assessing provider demographics, deprescribing protocols, monitoring practices, and follow-up approaches was conducted among lifestyle medicine clinicians with prescriptive authority or involvement in therapeutic decision-making. Data were analyzed using descriptive statistics, and qualitative themes from open-ended responses were summarized. A total of 67 providers completed the survey. More than half (53%) reported having no established protocol for deprescribing diabetes medications, although respondents detailed individualized approaches based on glucose monitoring and patient progress. Providers most frequently deprescribed medications associated with hypoglycemia risk first (e.g., sulfonylureas and meal-time insulin). Common monitoring strategies included hemoglobin A1c (99%), fasting lipid profiles (86%), and continuous glucose monitoring (59% preferred). Hypoglycemia was reported as rare or uncommon in patients undergoing lifestyle medicine treatment. Conclusions: Despite the absence of standardized protocols, lifestyle medicine clinicians consistently employ patient-centered strategies to adjust medications based on individual response to lifestyle interventions.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261430281"},"PeriodicalIF":1.3,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13031140/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147575889","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 Bootcamp Improves Medical Student Understanding, Confidence, and Intent in Clerkships. 生活方式医学训练营提高医学生对见习的理解、信心和意图。

IF 1.3

American Journal of Lifestyle Medicine Pub Date : 2026-03-25 DOI: 10.1177/15598276261436730

Yoav Jacob, Jessica Rieder, Shwetha Iyer, Hillary Moss

{"title":"Lifestyle Medicine Bootcamp Improves Medical Student Understanding, Confidence, and Intent in Clerkships.","authors":"Yoav Jacob, Jessica Rieder, Shwetha Iyer, Hillary Moss","doi":"10.1177/15598276261436730","DOIUrl":"10.1177/15598276261436730","url":null,"abstract":"This study evaluated the impact of a brief lifestyle medicine (LM) and motivational interviewing (MI) workshop on medical students' understanding, confidence, and intent to apply LM principles during clinical rotations. In a pre/post study with delayed follow-up, second-year medical students at a U.S. medical school participated in a 3-hour LM+MI workshop embedded in a transition-to-clerkship course. Of 186 eligible students, 52 completed the baseline survey, 41 the immediate post-workshop survey, and 16 the 12-week follow-up. Surveys assessed self-reported LM understanding, MI familiarity, confidence in lifestyle assessment and goal-setting, and intent to apply LM in practice using Likert-scale items and open-ended feedback. Changes over time were analyzed using descriptive statistics and paired comparisons. Participants demonstrated significant improvements in LM understanding, MI familiarity, and confidence in lifestyle assessment and goal-setting following the workshop (P < 0.05), with many gains maintained at 12 weeks. Qualitative feedback supported these findings and highlighted barriers to implementation, including time constraints and anticipated patient receptivity. Overall, a brief LM+MI workshop significantly improved medical students' readiness to provide lifestyle counseling, with sustained gains over 12 weeks, suggesting that integrating focused LM training into medical education may strengthen future physicians' capacity to deliver lifestyle-based care.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261436730"},"PeriodicalIF":1.3,"publicationDate":"2026-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13017639/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147575907","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

Exploring the Impact of a Heart Failure Diagnosis on Women's Lifestyles With a Specific Focus on Physical Activity, Sedentary Behaviour, Sleep, Quality of Life and Social Support. 探讨心力衰竭诊断对女性生活方式的影响，特别关注身体活动、久坐行为、睡眠、生活质量和社会支持。

IF 1.3

American Journal of Lifestyle Medicine Pub Date : 2026-03-23 DOI: 10.1177/15598276261435513

Emily J Dodd, Mei Yee Tang, Leah Avery, Kristian Bailey, Oscar Fernandez, Matthew Williams, Katharine Nelson, Aaron Koshy, Maggie Fearby, Nicola Hildreth, Karen Hann, Matthew Dewhurst, Alasdair P Blain, Renae J Stefanetti, Nduka C Okwose, Djordje G Jakovljevic, Guy A MacGowan, Sarah J Charman

{"title":"Exploring the Impact of a Heart Failure Diagnosis on Women's Lifestyles With a Specific Focus on Physical Activity, Sedentary Behaviour, Sleep, Quality of Life and Social Support.","authors":"Emily J Dodd, Mei Yee Tang, Leah Avery, Kristian Bailey, Oscar Fernandez, Matthew Williams, Katharine Nelson, Aaron Koshy, Maggie Fearby, Nicola Hildreth, Karen Hann, Matthew Dewhurst, Alasdair P Blain, Renae J Stefanetti, Nduka C Okwose, Djordje G Jakovljevic, Guy A MacGowan, Sarah J Charman","doi":"10.1177/15598276261435513","DOIUrl":"10.1177/15598276261435513","url":null,"abstract":"Over 1 million people in the UK live with heart failure (HF), of which ∼50% are women. Older women are underrepresented in HF research. There is insufficient literature on how women's experiences of how their new HF diagnosis may impact their physical activity (PA), sedentary behaviour, sleep, quality of life and social support. Seventeen women newly diagnosed with HF (73 (65-81) years old) were recruited from HF diagnostic clinics and participated in a semi-structured interview. Data were analysed using inductive thematic analysis. Four themes were identified: (1) Changes in behaviours and quality of life post-diagnosis, (2) PA: perceived barriers and future intentions (3) Mood and emotions; (4) Social support. Participants reported a decrease in PA and an increase in sedentary behaviour. Barriers to PA included low energy, breathlessness, and safety concerns. Feelings of isolation, worry, and tiredness were reported by some whilst others highlighted a renewed appreciation for life and better access to treatment. Our findings highlight the complex, multifactorial challenges faced by women at the time of their HF diagnosis, with PA emerging as a central theme influencing and being influenced by physical symptoms, emotional well-being, and social support.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261435513"},"PeriodicalIF":1.3,"publicationDate":"2026-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13008790/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147515491","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

Enhancing Group Coaching Competencies in the National Diabetes Prevention Program: Evaluation of the Group Coaching Certificate Program. 提高国家糖尿病预防计划的团体辅导能力：团体辅导证书计划的评估。

IF 1.3

American Journal of Lifestyle Medicine Pub Date : 2026-03-21 DOI: 10.1177/15598276261434170

Katherine Smith, Suzie Carmack, Ruth Q Wolever, Cindy Schultz, Michelle A Papalii, Alexis M Williams, Hope L Thompson, Timothy R Cline

{"title":"Enhancing Group Coaching Competencies in the National Diabetes Prevention Program: Evaluation of the Group Coaching Certificate Program.","authors":"Katherine Smith, Suzie Carmack, Ruth Q Wolever, Cindy Schultz, Michelle A Papalii, Alexis M Williams, Hope L Thompson, Timothy R Cline","doi":"10.1177/15598276261434170","DOIUrl":"10.1177/15598276261434170","url":null,"abstract":"Lifestyle Coaches are critical in the Centers for Disease Control and Prevention's (CDC's) National Diabetes Prevention Program (National DPP) lifestyle change program. CDC partnered with the National Board for Health & Wellness Coaching (NBHWC) to develop the Group Coaching Certificate Program (GCCP) for National DPP Lifestyle Coaches. This training program's aim: to empower coaches to integrate evidence-based practices in group health and wellness coaching into their lifestyle change programs. The certificate program was developed and refined through 4 field tests. We focused program evaluation on feasibility of training implementation, coach satisfaction in the training, and the training's impact on Lifestyle Coaches. Feasibility. Trainees' completion rate in the GCCP was 85%. Satisfaction. Lifestyle Coaches reported high satisfaction; 87.5% stated the course fully met their expectations, and 95% were \"somewhat likely\" or \"very likely\" to recommend it to others. Program impact. Lifestyle Coaches' average final exam score was 87%, and their self-ratings of changes in group coaching skills showed significant gains in all 5 competency categories. Program evaluations strongly indicate the Group Coaching Certificate Program could be feasible and impactful. Data show that Lifestyle Coaches gained knowledge and skills in the evidence-based NBHWC-endorsed group coaching competencies. Future studies could examine the generalizability of these findings and the impact of the certificate program on National DPP participant health and well-being.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261434170"},"PeriodicalIF":1.3,"publicationDate":"2026-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13005763/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147504729","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