American Journal of Lifestyle Medicine最新文献

{"title":"Increasing Physical Activity in the Older Adult Population","authors":"Bryant J. Webber","doi":"10.1177/15598276241276364","DOIUrl":"https://doi.org/10.1177/15598276241276364","url":null,"abstract":"","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142177380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Religion and Spirituality in Lifestyle Medicine","authors":"Mark D. Faries, Clara Corrêa Fernandes, Edward Phillips, Tobias West, Ron Stout","doi":"10.1177/15598276241276770","DOIUrl":"https://doi.org/10.1177/15598276241276770","url":null,"abstract":"Decades of research now support the positive relationship of religion/spirituality (R/S) with physical health, mental health, morbidity, and mortality. While lifestyle medicine (LM) practitioners often recognize R/S as important, they can face common challenges of how to integrate R/S into their holistic, patient-centered care. To help, this article presents a faith-practice framework, as a starting point for considering incorporating R/S into LM practice—in light of common concerns and challenges, as a guide for patient-centered care through adjusting lifestyle prescriptions to accommodate individualized R/S beliefs and practices for improved health behavior and outcomes, and as an encouragement to stimulate openness for positive, thoughtful discussion into the future of R/S in LM practice and research.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142177472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diet Quality of Stroke Survivors Versus Neurologically Intact US Adults","authors":"Hannah K. Wilson, Ewan R. Williams, Chris M. Gregory","doi":"10.1177/15598276241277782","DOIUrl":"https://doi.org/10.1177/15598276241277782","url":null,"abstract":"Stroke is a leading cause of disability in the US, often altering one’s ability to access and consume food. The aim of the present study was to characterize and evaluate predictors of stroke survivors’ diet quality (DQ). A cross-sectional evaluation of 2011-2018 National Health and Nutrition Examination Survey data is presented. Stroke survivors (n = 632) were matched for age, gender, and race with neurologically intact controls (n = 913). Food group intake, key nutrient intake, and Healthy Eating Index (HEI)-2015 scores were calculated from two 24-hour recalls and evaluated in relation to history of stroke, education, presence of a partner in the home, and income. Group differences in and predictors of DQ were evaluated with weighted independent samples t-tests and linear regression. Stroke survivors had lower intakes of vegetables, dairy, seafood and plant proteins, and unsaturated fats, and lower total HEI-2015 scores ( P < 0.05). Having more education, a partner in the home, and higher income were overall positive predictors of DQ. DQ factors emphasized in heart-healthy diets were low in stroke survivors. Interventions may better address barriers to healthy eating post-stroke by incorporating educational, financial, and social support components.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142177383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Food is Medicine Interventions and Climate Change","authors":"Adam Bernstein, Dana E. Hunnes","doi":"10.1177/15598276241275613","DOIUrl":"https://doi.org/10.1177/15598276241275613","url":null,"abstract":"Food is Medicine (FiM), also known as Food as Medicine, integrates food and nutrition interventions into health care delivery with the primary goal to improve population health and address diet-related health conditions. To date, there has been little focus on the relation between FiM and climate change despite FiM’s involvement with 2 key drivers of climate change: health care delivery and food systems. FiM may be able to advance lifestyle medicine and population health objectives, as well as mitigate some of the health care and food-related drivers of climate change, by focusing on 4 key areas: (1) Increasing the absolute number and proportion of patients who follow plant-based diets; (2) reducing food waste; (3) reducing unnecessary health care utilization; and (4) lowering transportation-related greenhouse gas emissions related to food procurement. Measuring the ecological impact of FiM alongside clinical, utilization, and financial measures will require a different analytical approach than that used traditionally in health care. Ultimately, thoughtful, data-driven, and urgent interventions that span the food and health care sectors are needed to sustainably support not only FiM, but human, environmental, and planetary health as well.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142177473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Moving Beyond Raising Awareness: Addressing Barriers","authors":"Katherine R. Hendel, Elizabeth Vaughan, Jessica M. Kirschmann, Craig A. Johnston","doi":"10.1177/15598276241274114","DOIUrl":"https://doi.org/10.1177/15598276241274114","url":null,"abstract":"Awareness of issues and health concerns can prompt individuals to change their lifestyle behaviors. In fact, awareness is typically one of the first steps towards behavior change. However, awareness alone does not necessarily initiate or sustain behavioral changes. Specifically, many individuals experience significant barriers that prevent behavior change. Providers can address such barriers through ecological models of behavior change. Including concepts from an ecological model in health care settings can support positive lifestyle behavior change post-diagnosis. Moving beyond awareness alone and addressing barriers to change is an important goal that ultimately increases the probability of change for patients.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142177384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dietary Habits and Determinants of Overnutrition Among Secondary and Preparatory School Adolescents: A Multi-Center Unmatched Case-Control Study","authors":"Eleni Dagnaw Abeje, Shiferaw Birhanu Aynalem, Hailemariam Mekonnen Workie","doi":"10.1177/15598276241274202","DOIUrl":"https://doi.org/10.1177/15598276241274202","url":null,"abstract":"Background: Overnutrition is characterized by abnormal or excessive fat buildup in the body’s fatty tissue, leading to potential health issues associated with overweight or obesity. These conditions pose significant public health challenges for adolescents and are strong indicators of future obesity, illness, and even death. As a result, this study sought to examine the dietary behaviors and factors contributing to overnutrition in secondary and preparatory school students in Debre Berhan Town, Ethiopia. Methods: An institutional-based unmatched case-control study was conducted among 285 adolescents from March 18 to April 20, 2021. The data collection was carried out using standardized interviewer-administered semi-structured questionnaires, which were adapted from previous studies. A general survey was conducted to identify cases and controls. The cases and controls were selected using simple random sampling methods. Data was entered using Epi-data 4.2 software and exported to SPSS v25. Descriptive statistics were done based on the nature of the data. Bivariable and multivariable logistic regression analysis was performed. World Health Organization AnthroPlus software was used to analyze anthropometric data into body mass index for age with z-score. Adjusted odds ratio with a 95% confidence interval and P-value <.05 was considered statistical significance. Result: In this study, eating habits while reading (AOR = 3.87;95% CI: 1.95-7.686), sedentary behavior, (AOR = 2.52; 95% CI: 1.278-4.97), vigorous type of physical exercise for <75 min per week (AOR = 2.38; 95% CI: (1.149-4.92), <6 sleeping hour per day (AOR = 5.68; 95% CI: 2.08-15.48) and earning an average family income of ≥227 USD (AOR = 2.67; 95% CI: 1.214-5.9) were significantly associated with overnutrition among school adolescents. Conclusion: Overnutrition is a significant emerging public health concern among school adolescents, with various factors contributing to its prevalence. This study underscores the importance of promoting an active lifestyle, reducing sedentary behavior, and fostering healthy eating habits as crucial national public health priorities. Early interventions targeting modifiable risk factors are essential for mitigating the incidence of overnutrition among adolescents. It is recommended that educational programs addressing overnutrition and its associated health implications commence early in school settings to prevent the escalating prevalence of this issue. Public health initiatives aimed at increasing awareness of risk factors for overnutrition among adolescents are warranted to alleviate the future burden of obesity-related chronic non-communicable diseases.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142177385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Furthering Lifestyle Medicine Through the Donald A. Pegg Student Leadership Award: Reflections From 2023 Awardees","authors":"Yoav Jacob, Roshini Srinivasan, Emily Ubbens, Amanda Orme, Sheeva Shahinfar, Beth Frates","doi":"10.1177/15598276241274487","DOIUrl":"https://doi.org/10.1177/15598276241274487","url":null,"abstract":"The Donald A. Pegg Leadership Award, established in 2016 by the American College of Lifestyle Medicine (ACLM), recognizes emerging leaders in Lifestyle Medicine by awarding key seed funding to support Lifestyle Medicine Interest Groups (LMIGs) and conference support to attend the ACLM’s annual conference. Through its generous support of students and LMIGs, the Pegg Award has been instrumental in catalyzing transformations in medical education, promoting awareness and integration of key Lifestyle Medicine principles into curricula. The present narrative highlights the stories of the 5 2023 Pegg Award recipients, detailing their efforts in advancing Lifestyle Medicine within their institutions and communities. By implementing novel initiatives and forging strategic partnerships, awardees have made major strides in fostering interest in Lifestyle Medicine among students, faculty, and communities-at-large; each of the students’ reflections highlights unique applications of the Pegg award which subsequently showcase an evolving set of best practices for LMIG operations. It is our hope that these 5 exemplary stories underscore students’ commitment to expanding networks of LMIGs, fostering collaboration, and creating community around Lifestyle Medicine both locally and nationally—and the far-reaching impact of the Donald A. Pegg Student Leadership Award in shaping the future of Lifestyle Medicine.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142177410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations Between Perceived Parental and Michigan Middle-School Students’ Lifestyle Characteristics","authors":"Ryan Rogers, Kayla Marcotte, Rachel Krallman, Chih-Wen Pai, Daniel Montgomery, Jean DuRussel-Weston, Eva Kline-Rogers, Kim A. Eagle, Elizabeth A. Jackson","doi":"10.1177/15598276241268316","DOIUrl":"https://doi.org/10.1177/15598276241268316","url":null,"abstract":"Background: Parents play a critical role in their children’s health. We explored the association of children’s perception of their parents’ health behaviors and education level with the health behaviors of middle-school students participating in a school-based wellness program. Methods: Students completed a baseline survey on their dietary, physical activity, and sedentary behaviors, and their parents’ health behaviors and education. Descriptive statistics and generalized linear regression with random intercept analyzed which child-reported parent behaviors, parent education levels, and demographic factors were associated with healthy child behaviors. Results: Among 4607 students, for all behaviors assessed, children who perceived their parent exhibiting a healthy behavior were more likely to display the same healthy behavior. Healthier diet, more physical activity, and less sedentary habits were reported by students who reported their parents had college or higher education, compared to students who reported their parents had some college or less education. Conclusions: These results encourage increased parental involvement in childhood wellness programs. Additionally, these data suggest interventions which target parents with lower educational attainment may also benefit their children’s health behaviors. As we continue to understand how adolescent behavior is shaped, we can increase the effectiveness of targeted health education for parents and children.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142223473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Text Message-Based mHealth Interventions on Physical Activity and Weight Loss: A Systematic Review and Meta-Analysis","authors":"Aminah Emeran, Robyn Burrows, Josh Loyson, Muhammed Rizaan Behardien, Lauren Wiemers, Estelle Lambert","doi":"10.1177/15598276241268324","DOIUrl":"https://doi.org/10.1177/15598276241268324","url":null,"abstract":"Physical inactivity and obesity are detrimental to one’s overall health, as they increase the risk of developing non-communicable diseases. Fortunately, physical inactivity and obesity can be improved by supporting lifestyle behavior changes. This support may be provided remotely by Mobile Health (mHealth) messaging interventions, which involve using mobile messages for health improvement. This study aimed to determine the effect of mHealth interventions using unidirectional text messaging/instant messaging on physical activity and weight-related outcomes in adult populations. An electronic literature search was conducted using PubMed, Scopus, and Web of Science, for pre-post interventions using unidirectional messaging for physical activity/weight loss. A total of 43 articles were included in the review. Most studies used non-tailored text messages, were RCTs, and were performed on clinical populations in high income countries. Meta-analysis showed that messages had minimal effects on physical activity (d+: .14, 95% CI: .05 to .23, P = .003, I<jats:sup>2</jats:sup> = 65%), and no effect on weight loss (d+: .04, 95% CI: −.02 to .10, P = .21, I<jats:sup>2</jats:sup> = 29%). This suggests that unidirectional messaging alone is not sufficient to promote physical activity and weight loss. Future studies should consider using bidirectional messaging or other interventions in addition to messages, such as mobile applications, to potentially improve intervention effectiveness.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142177411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of a 15-Week Whole Foods, Plant-Based Diet, Physical Activity, and Stress Management Intervention on Cardiometabolic Risk Factors in a Population of US Veterans: A Retrospective Analysis","authors":"Themis A. Yiaslas, Tara S. Rogers-Soeder, Gregory Ono, Rachel E. Kitazono, Ajay Sood","doi":"10.1177/15598276241267932","DOIUrl":"https://doi.org/10.1177/15598276241267932","url":null,"abstract":"Military Veterans have a higher risk of incident atherosclerotic cardiovascular disease (ASCVD) than the general population and are often clinically complex. We studied the changes in cardiovascular risk factors with a lifestyle intervention in this population. We retrospectively analyzed data from 67 participants (mean age 69.2 (SD 7.9) years; 97% male) with atherosclerotic heart disease and/or type 2 diabetes in a 15-week, multiple health behavior change (MHBC) intervention implemented in a Veterans Affairs (VA) Behavioral Medicine Clinic. The intervention promoted a whole foods, plant-based (WFPB) diet, physical activity, and cognitive-behavioral stress management. We assessed cardiometabolic risk factors at baseline, 1 month into the intervention, and at 15 weeks (post-treatment). Among intervention completers (n = 67), we observed statistically significant improvements in waist circumference (−2.8 inches, P = .03), systolic blood pressure (−7.9 mmHg, P = .03), LDL cholesterol (−11.27 mg/dL, P = .04), fasting glucose (−15.10 mg/dL, P = .03), and hemoglobin A1c (−0.55%, P = .017) at post-treatment. Participants with type 2 diabetes (n = 34) achieved improvements in hemoglobin A1c (−0.80%, P = .007), systolic blood pressure (−10.98 mmHg, P = .01), and diastolic blood pressure (−6.65 mmHg, P = .03) at post-treatment. Medication usage did not significantly change. Veterans who completed the MHBC intervention achieved significant improvements in cardiometabolic risk in a routine VA clinical practice setting.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141884609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}