American Journal of Lifestyle Medicine最新文献

{"title":"Recognition and Detection of Concussion in the Community: Implications for Primary Care in the UK.","authors":"Sachin Bhandari, Neil Heron","doi":"10.1177/15598276251337429","DOIUrl":"https://doi.org/10.1177/15598276251337429","url":null,"abstract":"<p><p>Concussion, a subset of traumatic brain injury, is prevalent in both adults and children and can result in a range of short-term and long-term symptoms that can significantly impair an individual's overall quality of life. Lifestyle factors, such as engaging in high-impact sports may increase the likelihood of sustaining a concussion. Recently, there has been a coordinated effort to raise awareness and educate the general public about the recognition, time-critical interventions, and the associated risks. In the United Kingdom (UK), new grassroots concussion guidance advocates the importance of suspected concussions being diagnosed by a healthcare professional. This will likely lead to an influx of patients presenting to primary care as well as to other medical practitioners, such as those in accident and emergency departments. This review examines and highlights the limitations of the current diagnostic tools available to clinicians in the community and primary care settings. It compares how UK concussion practice relates to concussion practice in the United States (US) and critiques their limitations. It proposes a standardised, computer-integrated tool tailored to the time constraints of UK primary care, pending validation and patient outcome data, to improve diagnostic consistency and efficiency.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251337429"},"PeriodicalIF":1.5,"publicationDate":"2025-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12052739/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144020156","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":"Lessons From the Blue Zones: There is No Silver Bullet (or Magic Pill) for a Long, Healthy Life.","authors":"Dan Buettner","doi":"10.1177/15598276251334310","DOIUrl":"https://doi.org/10.1177/15598276251334310","url":null,"abstract":"<p><p>This LM2024 Keynote Address outlines the Blue Zones story, beginning with the methodology that led Dan Buettner to identify the original blue zones, five regions in the world with disproportionately high concentrations of centenarians, low rates of middle-age mortality, and seniors living in good health. We glimpse the lifestyle of these long-lived people by journeying briefly to Sardinia, Italy; Okinawa, Japan; the Seventh Day Adventist community in Loma Linda, California, USA; Nicoya, Costa Rica; and Ikaria, Greece. Rigorous research, interviews and fieldwork in these communities have yielded surprising insights about the environmental and lifestyle factors that produce the world's longest-lived people. The Power 9, a summation of these factors, suggests an approach to longevity that runs counter to the prevailing American focus on diet, supplements and exercise. In contrast to an intentional pursuit of health, the insights drawn from the world's blue zones demonstrate that longevity ensues from the right environment, an ecosystem of factors that make the healthy choices both easy and unconscious.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251334310"},"PeriodicalIF":1.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12048395/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144039599","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":"Feasibility and Efficacy of a Plant-Based Nutrition Intervention for Type 2 Diabetes in a Primary Care Setting.","authors":"Vanita Rahman, Roxanne Becker, Shannon Gray, Richard Holubkov, James Loomis, Neal Barnard","doi":"10.1177/15598276251339396","DOIUrl":"https://doi.org/10.1177/15598276251339396","url":null,"abstract":"<p><p><b>Objective:</b> To determine the feasibility and efficacy of a plant-based nutrition intervention for type 2 diabetes in a primary care setting. <b>Methods:</b> Adults (n = 76) with type 2 diabetes were enrolled in a self-paid, online nutrition intervention program between August 2023 and September 2024. All participants were advised to attend weekly group classes and follow a plant-based diet for 12 weeks. Body weight, medication usage, HbA_1c, and cholesterol levels were assessed at baseline and at 12 weeks. <b>Results:</b> Among the 58 participants who completed the program (mean age 63.4 years; 69% female), the mean body weight (-3.7 kg; 95% CI, -4.4 to -2.9; <i>P <</i> .0001) and HbA_1c (-0.6%; 95% CI, -0.8 to -0.3; <i>P</i> = .0001) decreased at 12 weeks. Participants not following a plant-based diet at baseline experienced greater reductions in mean body weight and HbA_1c. Total and low-density lipoprotein cholesterol levels decreased amongst participants not taking lipid-lowering medications, and 22% of participants reduced the dosages of diabetes medications. <b>Conclusion:</b> In a primary care setting, a novel 12-week plant-based nutrition intervention for type 2 diabetes was accessible, economically viable, and led to reductions in diabetes medications, body weight, HbA_1c, and total and LDL cholesterol levels.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251339396"},"PeriodicalIF":1.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12048397/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144016399","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":"From Vision to Reality: Celebrating 20 years of Progress, Purpose, and Passion.","authors":"Melissa Bernstein, Megan Alexander","doi":"10.1177/15598276251331491","DOIUrl":"https://doi.org/10.1177/15598276251331491","url":null,"abstract":"","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251331491"},"PeriodicalIF":1.5,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12037516/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041002","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":"Evaluation of the LLUH Intensive Therapeutic Lifestyle Change Program: Integrative Health Coaching Impact Study.","authors":"Jonquile Williams, Sylvia Cramer, Adam Arechiga, Ernesto P Medina, W Lawrence Beeson","doi":"10.1177/15598276251336194","DOIUrl":"https://doi.org/10.1177/15598276251336194","url":null,"abstract":"<p><p>This pilot study investigated the impact of Integrative Health Coaching (IHC) frequency on biometrics, dietary intake, and physical activity changes among participants of the Loma Linda University Health (LLUH) Intensive Therapeutic Lifestyle Change (ITLC) program. This retrospective cohort design analyzed the effects of IHC frequency on pre-post participant behaviors and health outcomes among forty-four participants (aged 35-78). Participants engaged in the 8-week ITLC program and received individual and group health coaching sessions. Assessments included an InBody scan, various laboratory panels, and the American College of Lifestyle Medicine (ACLM) lifestyle forms. Weak positive correlations were observed between IHC frequency and pre-post physical activity, and fruit and vegetable intake, but were not statistically significant. Clinically significant changes were noted in physical activity levels among participants with hyperlipidemia and diabetes/prediabetes. High physical activity was associated with a reduction in high-density lipoproteins (HDL-C) levels and showed slight decreases in body mass index (BMI), HbA1c, and low-density lipoproteins (LDL-C). The change in HbA1c was positively associated with a similar change in BMI (rho = .42, <i>P</i> < .01). Clinically significant changes were observed in BMI, total cholesterol, and LDL due to lifestyle changes which included modifying physical activity and nutrition.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251336194"},"PeriodicalIF":1.5,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12037526/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054551","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":"A Scoping Review of School-Based Nutrition and Physical Activity Interventions Conducted in Mexico.","authors":"Nancy Rudner, Basil H Aboul-Enein, Silvana Blanco, Teresa Keller, Elizabeth Dodge","doi":"10.1177/15598276251338019","DOIUrl":"https://doi.org/10.1177/15598276251338019","url":null,"abstract":"<p><p><b>Introduction:</b> As the Mexican economy has developed, ultra-processed, high fat, low fiber, and high sugar foods have become more prevalent. Almost one in four children in the country is overweight or obese. The Mexican government has school nutrition guidelines and policies. Several schools have implemented programs to improve child nutrition and physical activity knowledge and behaviors in an effort to reduce childhood overweight and obesity. The aim of this review is to assess the range of school-based nutrition and physical activity interventions and their possible impact on health and wellness. <b>Methods:</b> A scoping review of English and Spanish language published peer-reviewed studies examined existing literature on school-based nutrition and physical activity interventions implemented in Mexican schools for children and adolescents. The 17 studies meeting inclusion criteria were analyzed for program content and outcomes. <b>Results:</b> All interventions had some impact on either knowledge, attitudes, and/or behaviors. Almost all interventions incorporated parents. These programs occurred within the context of national guidelines issued by the Mexican government and a renewed focus on the increasing problem of childhood obesity. <b>Conclusion:</b> Mexico's school-based nutrition and physical activity interventions can impact nutritional knowledge, food and beverage choices, and physical activity behaviors.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251338019"},"PeriodicalIF":1.5,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12031735/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144020154","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":"Virtual Group Medical Visits to Decrease Stress and Increase Sleep Quality in a Rural Community: A Quality Improvement Project.","authors":"Nicole J Barthel, Faith S Luyster, Caitlin A Babinchok, Joshua Palmer","doi":"10.1177/15598276251337412","DOIUrl":"https://doi.org/10.1177/15598276251337412","url":null,"abstract":"<p><p>Group medical visits (GMVs) are effective in addressing care gaps for chronic diseases and patient education on healthy lifestyle interventions. This quality improvement project modified a previously piloted sleep and stress management GMV program, implemented the enhanced program, then evaluated its efficacy through pre- and post-surveys. Patients self-identified or were identified by a provider as having poor stress management skills, generalized anxiety disorders, insomnia, and/or poor sleep habits. The virtual GMV series compromised four 90-minute, biweekly visits from April to May 2024. Sleep was measured via the Pittsburgh Sleep Quality Index (PSQI) and stress with the Perceived Stress Scale (PSS). Twenty-two patients were initially enrolled, eight dropped out, four did not attend any visits, and one attended only one visit without completing surveys. Surveys included demographic questions, the PSQI, the PSS, and were completed before the first visit and after the last visit. The final sample included ten participants, and the majority (90%) attended 3 or 4 GMVs. The mean age (SD) was 53.10 (17.36) years, the majority were female (90%), and worked full-time (60%). Participants who attended 2-4 GMVs experienced a statistically significant increase in sleep quality; however, there was no significant improvement in perceived stress.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251337412"},"PeriodicalIF":1.5,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12033168/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144064968","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 Impact of Lifestyle Medicine on Quality of Life in Female Breast Cancer Survivors: A Systematic Review.","authors":"Maria Charalampopoulou, Evangelia E Tamiolaki, Dimitrios Tryfonopoulos, Garyfalia Bletsa, Dimitrios Tsakogiannis, Lamprini Tzioga, Flora Bacopoulou, Christina Darviri, Flora Zagouri, George C Zografos","doi":"10.1177/15598276251334325","DOIUrl":"https://doi.org/10.1177/15598276251334325","url":null,"abstract":"<p><p><b><i>Objectives:</i> </b> This systematic review aims to critically evaluate the outcomes and characteristics of lifestyle medicine interventions among breast cancer survivors (BCS), with a particular emphasis on improvements in various dimensions of quality of life (QoL). <b><i>Methods:</i> </b> A comprehensive search of the literature was conducted to identify original articles published in English from September 2012 to July 2024. Databases included PubMed, Embase, and secondary sources such as BMC, Sage Journals, Korea Science and Google Scholar. Eligible studies encompassed randomized controlled trials, observational studies, and quasi-experimental designs that assessed the impact of lifestyle medicine interventions on female BCS. The search period extended from March 2023 to July 4, 2024. <b><i>Results:</i> </b> A total of eight studies were included, four of which demonstrated high methodological quality, while the remainder exhibited moderate to low quality. Due to the exploratory nature of the field and the heterogeneity of the outcomes, a meta-analysis was not performed. Instead, results were synthesized through stratified analysis. Notable improvements were observed in general health-related QoL indicators, including reductions in fatigue, body mass index (BMI), and physical pain, as well as enhancements in sleep quality and mental health status. Several studies, despite being interventional, did not report statistical analyses. <b><i>Conclusion:</i> </b> The findings suggest that lifestyle medicine interventions can exert a beneficial effect on the QoL of female BCS. These results highlight the importance of integrating comprehensive lifestyle strategies into survivorship care. Further robust studies addressing all six pillars of lifestyle medicine are warranted to substantiate and expand these preliminary observations.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251334325"},"PeriodicalIF":1.5,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12012499/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052089","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 Power of Lifestyle Psychiatry: A New Approach to Mental Health.","authors":"Gia Merlo, Steven G Sugden","doi":"10.1177/15598276251329915","DOIUrl":"https://doi.org/10.1177/15598276251329915","url":null,"abstract":"<p><p>The field of psychiatry has evolved over the past 2500 years. Between dynamic psychotherapy and psychopharmacology, lifestyle psychiatry holds a different space. This approach capitalizes on the lifestyle medicine movement, as it promotes change within 6 domains of activity. Apart from incorporating these lifestyle pillars as adjunctive therapy for either psychodynamic therapy or psychotropic medication regimens, lifestyle psychiatry is on the frontier similar to the other growing fields of precision psychiatry, advanced learning in psychiatry, psychedelics in psychiatry, digital mental health, and psychiatric genetics. Any disruption into the historical practice of psychiatry, particularly with the prescription of medications, can be met with scrutiny. We encourage the field of psychiatry to keep an open mind as our field continues to evolve. What makes lifestyle psychiatry particularly powerful and unique in its ability to assess and evaluate internal and external factors that contribute to individual behaviors, and may impact the ability to incorporate healthy lifestyle actions. Internal factors include: emotional regulation, internalized trauma, cognitive factors, and personality traits. On the other hand, external factors include environmental barriers and work-related burnout.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251329915"},"PeriodicalIF":1.5,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12009272/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030003","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":"A Qualitative Inquiry of Exercise Preferences among Hispanic Adults with Multiple Sclerosis.","authors":"Stephanie L Silveira, Robert W Motl, Tania Ontiveros, Victoria Flores","doi":"10.1177/15598276251334360","DOIUrl":"https://doi.org/10.1177/15598276251334360","url":null,"abstract":"<p><p>This study aimed to identify the components of an ideal exercise training program for Hispanics with multiple sclerosis (MS), cultural adaptations, and avenues for dissemination of information to this population. Online, semi-structured interviews were conducted with 27 adults with MS who identified as Hispanic. A deductive content analysis approach was applied for assessing necessary and desired components of an exercise program. Participants articulated preferences for \"what,\" \"when,\" \"where,\" and \"who\" of exercise programs. All participants expressed an interest in aerobic training (n = 27) and need for resistance (n = 14), flexibility (n = 8), and neuromotor components (n = 10; what). The most commonly mentioned exercise frequency was 3-5 times per week (n = 21; when). The locations included home- or community-based exercise (where), supported through coaching (n = 13) or group (n = 14) delivery with a minority preferring autonomous exercise (n = 5) (who). Cultural adaptations for Hispanics included language, cultural norms, priorities, music/dance, and instructor characteristics. Further, participants provided suggestions for future advertising of exercise programs and resources such as MS-specific websites and health care providers. This study provides guidance for creating a culturally tailored, structured exercise programs for Hispanics with MS that may fill a significant gap in available rehabilitation resources for the subgroup.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251334360"},"PeriodicalIF":1.5,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12003335/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144050727","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}