American Journal of Lifestyle Medicine最新文献

{"title":"Exposure-Informed Care Following Toxic Environmental Exposures: A Lifestyle Medicine Approach.","authors":"Pamela K Ginex, Paul Barach, Paolo Boffetta, Jedidah T Poole, Janeen H Trembley, Julie Tomấška, Mark A Klein, Tammy A Butterick","doi":"10.1177/15598276251327106","DOIUrl":"10.1177/15598276251327106","url":null,"abstract":"<p><p>Exposure to environmental toxins presents substantial health risks, particularly for individuals facing heightened exposure due to occupational hazards. This analytic review highlights the critical need to address these risks through a lifestyle medicine approach, advocating for integrated care strategies to mitigate the long-term health impacts of toxic environmental exposures. We explore exposures to environmental toxins in 2 at-risk populations, military service members exposed to airborne hazards and burn pits during overseas deployments and first responders to the World Trade Center terrorist attack. The review highlights the immediate and long-term chronic health effects of toxic environmental exposures, emphasizing the variable symptoms, long latency, and long-term complex outcomes that necessitate an exposure-informed health care model. Exposure-informed care can enhance overall well-being and reduce the risks of chronic illnesses by incorporating lifestyle medicine principles supported by a learning community system. The proposed model makes recommendations for a shift to exposure-informed preventative care. This enhanced approach aims to promote a longer and healthier life for those at increased risks following toxic environmental exposures. Understanding the context of military burn pit and World Trade Center environmental exposures and the possibilities of exposure-informed care is paramount in shifting from a traditional disease-centered model to a holistic, person-centered approach.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251327106"},"PeriodicalIF":1.5,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11948230/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754903","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":"\"Cultivating the Future: The Intersection of Education and Lifestyle Medicine\".","authors":"Brenda Rea, Shannon Holmes, Melissa Bernstein, Kristin Schleiter Hitchell, Lisa Howley, Paulina Shetty, Kelly Freeman, Jennifer Trilk, Beth Frates","doi":"10.1177/15598276251327925","DOIUrl":"10.1177/15598276251327925","url":null,"abstract":"<p><p>Lifestyle medicine (LM) is transforming health care by addressing the root causes of chronic diseases through evidence-based practices in nutrition, physical activity, stress management, sleep, social connection, and substance use risk reduction. The keynote panel discussion, \"Cultivating the Future: The Intersection of Education and Lifestyle Medicine,\" held at the 2024 American College of Lifestyle Medicine (ACLM) conference, LM2024, highlighted the critical need and opportunities for integration of LM across the education spectrum. Panelists, including leaders from the Association of American Medical Colleges (AAMC), Accreditation Council for Graduate Medical Education (ACGME), and prominent ACLM LM education leaders, shared milestones, strategies, and a vision for advancing LM education to cultivate the next generation of health professionals equipped to address the nation's chronic disease epidemic. This article summarizes the session, emphasizing actionable insights, key challenges, and opportunities to foster LM integration in medical and health professional education and training.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251327925"},"PeriodicalIF":1.5,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11948256/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754646","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":"Lifestyle Medicine Clinical Intervention: At the Heart of Value-Based Care.","authors":"Padmaja Patel","doi":"10.1177/15598276251328573","DOIUrl":"https://doi.org/10.1177/15598276251328573","url":null,"abstract":"","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251328573"},"PeriodicalIF":1.5,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11948233/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754924","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":"Exploring the Relationship Between Lifestyle and Post-COVID Psychiatric Symptoms: Findings from a Brazilian Cohort.","authors":"Sophia Aguiar Monteiro Borges, Guilherme Pimenta Roncete, Felipe Couto Amendola, Marcus Vinicius Zanetti, Euripedes Constantino Miguel, Geraldo Busatto Filho, Orestes V Forlenza, Rodolfo Furlan Damiano","doi":"10.1177/15598276251328022","DOIUrl":"10.1177/15598276251328022","url":null,"abstract":"<p><p>Understanding how lifestyle factors impact psychiatric well-being is essential for supporting recovery in COVID-19 survivors, yet their influence on long-term outcomes remains underexplored. This cross-sectional study evaluates associations between depression, generalized anxiety disorder (GAD), post-traumatic stress disorder (PTSD), suicidal ideation (SI), and syndromic common mental disorder (CMD) with lifestyle factors in 730 moderate to severe COVID-19 survivors. Lifestyle factors included physical activity, alcohol and substance use and during COVID-19 infection, and dietary intake, with assessments conducted 6 to 11 months post-hospitalization. Multiple logistic regression was employed for each of the five dependent variables. Of the participants, 51.9% were male, with a mean age of 55. Previous COVID-19 sedative use and the severity of alcohol use were correlated with increased depression (sedative, OR = 2.43, <i>P</i> = .011; alcohol OR = 1.09, <i>P</i> = .017), GAD (sedative, OR = 2.13, <i>P</i> = .007; alcohol OR = 1.08, <i>P</i> = .009), PTSD (sedative, OR = 2.10, <i>P</i> = .008; alcohol OR = 1.08, <i>P</i> = .004), and sedative for CMD (OR = 1.97, <i>P</i> = .005). Opioid use was linked to increased GAD (OR = 2.23, <i>P</i> = .042), and \"fruits and vegetables\" consumption 2-3 times/week was associated with lower odds for depression (OR = 0.19, <i>P</i> = .021). No lifestyle behaviors were found to be associated with suicidal ideation. These results underscore the importance of lifestyle-specific behaviors in mitigating psychiatric symptoms during the extended recovery period from COVID-19. This is particularly pertinent with respect to minimizing the consumption of sedatives and alcohol in the context of depression, GAD, and PTSD, as well as the use of opioids for GAD and the increased intake of fruits and vegetables to depression. These findings may have substantial implications for the formulation of lifestyle strategies aimed at the prevention of mental health disorders subsequent to severe acute viral infections.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251328022"},"PeriodicalIF":1.5,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11948251/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754844","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":"Prescription for Lifestyle Medicine Health Coaching: Moving Beyond Patient Education.","authors":"Brigette Serfaty, Sneha Srivastava","doi":"10.1177/15598276251327556","DOIUrl":"10.1177/15598276251327556","url":null,"abstract":"<p><p>This paper explores the integration of lifestyle medicine (LM) and health coaching into pharmacy education, with a focus on developing students' skills to facilitate health behavior change. It highlights the gap between knowing the importance of health behaviors and actually implementing them, emphasizing the need for healthcare professionals to be trained in coaching methodologies. The paper discusses a 2-credit hour elective at the University of Arkansas for Medical Sciences designed to teach pharmacy students LM fundamentals and coaching techniques. Through experiential learning, students develop personalized health goals and practice coaching with peers. The course aims to prepare students for potential certification in health coaching and emphasizes the role of healthcare providers in fostering sustainable behavior change.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251327556"},"PeriodicalIF":1.5,"publicationDate":"2025-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11948264/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754968","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":"Healthy Moms, Healthy Babies: Culinary and Lifestyle Medicine for PCOS and Preconception Health.","authors":"Olivia Thomas, Rashmi Kudesia","doi":"10.1177/15598276251327923","DOIUrl":"10.1177/15598276251327923","url":null,"abstract":"<p><p><b>Purpose of the Research:</b> Women's reproductive health issues represent a major source of burden to quality of life, productivity, and health care cost, with uneven access to care. Foundational interventions based on lifestyle and food as medicine hold promise as one equitable way to improve individual and family health. In this paper, we summarize the lifestyle and culinary medicine approaches to two of the most common reproductive health diagnoses, polycystic ovary syndrome (PCOS) and infertility. <b>Major findings:</b> For women with PCOS and/or infertility, an overall healthy eating pattern, including a whole-food plant-based or Mediterranean diet, carries clear health benefits. Exercise is of benefit in the PCOS population, and likely so for infertility patients as well. Both diagnoses are risk factors for anxiety and/or depression, and so more attention to mental health and behavioral strategies is needed. Given these findings, the notion of lifestyle interventions holds promise, but studies are overall mixed. <b>Conclusions:</b> PCOS and infertility can respond well to lifestyle and culinary interventions. These approaches, currently underutilized, can be implemented widely with minimal cost, and can also improve obstetric, neonatal, and child health outcomes via epigenetic phenomena. More research is needed to elucidate the best target populations and delivery methods for such interventions.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251327923"},"PeriodicalIF":1.5,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11924073/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694096","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":"Equitable Access to Lifestyle Medicine: FQHCs, YMCAs, Trauma-Informed Health Coaching, and \"Community as Medicine\".","authors":"Sally C Duplantier, Rachel Barach, Sally St John, Benjamin Emmert-Aronson, Elizabeth A Markle","doi":"10.1177/15598276251325799","DOIUrl":"10.1177/15598276251325799","url":null,"abstract":"<p><p>Without intentional and collaborative input from stakeholders and members of the communities we serve, Lifestyle Medicine (LM) is at risk of evolving in ways that are inapplicable and even alienating to diverse and underserved populations. To mitigate this risk, this paper advocates for implementing transdiagnostic, culturally affirmative, trauma-informed, and integrative treatment frameworks that address mental, social, and physical health in tandem. It demonstrates how the Community as Medicine model can bridge the divide between clinical settings such as Federally Qualified Health Centers (FQHCs) and community settings, such as YMCAs, improving accessibility for diverse groups. It also shows how emerging professional identities-exemplified by health coaches-can be cultivated to expand the reach of care while simultaneously opening pathways to employment. By centering inclusivity, cultural affirmation, and interprofessional collaboration, LM can more effectively meet the needs of vulnerable communities and enhance overall public health outcomes.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251325799"},"PeriodicalIF":1.5,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11920983/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671584","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":"Supplementation Behavior and Expenditures in Healthy German Vegans, Lacto-Ovo-Vegetarians and Omnivores: A Cross-Sectional Study.","authors":"Julian Herter, Alexander Müller, Lisa Niederreiter, Markus Keller, Roman Huber, Luciana Hannibal, Maximilian Andreas Storz","doi":"10.1177/15598276251319305","DOIUrl":"10.1177/15598276251319305","url":null,"abstract":"<p><p><b>Purpose:</b> Dietary supplements may ensure an adequate intake of nutrients of concern in all diets. Supplementation behavior and expenditures in vegetarians and vegans, however, have been rarely discussed in the literature. <b>Methods:</b> We reviewed supplementation expenditures in a cohort of 115 healthy adult German vegans, lacto-ovo-vegetarians and omnivores, characterized by comparable sociodemographic data. Supplementation behavior (excluding protein supplements) was re-analyzed to estimate yearly supplementation expenditures by dietary group. <b>Results:</b> The number of total supplements and multivitamin supplements taken differed significantly between the 3 groups (<i>P</i> = .016 and .026, respectively). Median number (interquartile range) of reported supplements in vegans was n = 2.5 (3), n = 2 (1) in lacto-ovo-vegetarians and n = 1 (2) in omnivores. Yearly supplementation expenses in supplementing participants ranged from .66€ to 1566.50€. They were highest in vegans (53.81€), followed by omnivores (29.30€) and lacto-ovo-vegetarians (12.05€) (<i>P</i> = .013). Approximately 40% of participants spent more than 50 Euros per year on supplements. A strong association between supplement expenses and the number of reported supplements was found (Spearman's rho: .65, <i>P</i> < .001). The most frequent supplements were vitamin D (vegetarians/omnivores) and vitamin B12 (vegans). <b>Conclusions:</b> Supplements were widely used in our study population, with substantial differences in expenditures and risk for over-supplementation across the examined diet groups.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251319305"},"PeriodicalIF":1.5,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11915235/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143664853","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":"Lifestyle Medicine and Universal Health Care Intersection: History and Impact of the Philippines Initiative.","authors":"Mechelle Acero Palma, Bysshe Fernan, Vigilanda Solijon","doi":"10.1177/15598276251326548","DOIUrl":"10.1177/15598276251326548","url":null,"abstract":"<p><strong>Background: </strong>The Philippines is facing a dual burden of managing both infectious and non-communicable diseases (NCDs). The Universal Health Care (UHC) Act mandates a transformative shift from curative focus to health promotion and disease prevention, where lifestyle medicine plays a crucial role.</p><p><strong>Objectivess: </strong>This paper outlines the initiatives taken by the Philippines to address the exponential burden of NCDs by integrating lifestyle medicine into the healthcare system. Specifically, we focus on: 1. Discussing the history and current state of evidence-based lifestyle interventions within the UHC framework. 2. How we have developed interprofessional competency-based lifestyle medicine education (CBME) programs for healthcare providers. 3. Our experience in establishing cross-sectoral collaboration and policy support for sustainable implementation of lifestyle interventions.</p><p><strong>Methods: </strong>The Philippine College of Lifestyle Medicine initiated the CBME framework integrated into hospitals, medical schools, and universities with pilot programs. Culturally relevant, community-engaged lifestyle medicine programs were initiated, resulting in the declaration of local ordinances.</p><p><strong>Conclusion: </strong>The realization of UHC priority goals can be enhanced by embedding lifestyle interventions within the healthcare system. Pilot programs demonstrate the scalability of lifestyle medicine interventions that require policy support, extensive cross-sectoral collaboration, community engagement, and recognition of lifestyle medicine as a reimbursable healthcare service.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251326548"},"PeriodicalIF":1.5,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11910728/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651465","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":"Evaluating the Meditation Practices and Barriers to Adopting Mindful Medicine Among Physicians.","authors":"Tiffany Champagne-Langabeer, Chelsea G Ratcliff, Christine Bakos-Block, Francine Vega, Marylou Cardenas-Turanzas, Aila Malik, Radha Korupolu","doi":"10.1177/15598276251323850","DOIUrl":"https://doi.org/10.1177/15598276251323850","url":null,"abstract":"<p><p><b>Background:</b> Chronic pain affects over 25% of U.S. adults and is a leading cause of disability. Mindfulness meditation (MM) is a nonpharmacologic approach to manage pain and improve well-being. Despite mounting evidence supporting its efficacy, MM remains underutilized in medical practice. Understanding physicians' engagement with MM and the barriers they face can inform strategies for integration into clinical care. This study assessed physicians' attitudes toward MM, including barriers to practice and their likelihood of recommending it to patients. <b>Methods:</b> A cross-sectional survey of U.S. physicians was conducted from April to July 2024. Participants provided information on demographics, health struggles, and meditation practices and completed the Determinants of Meditation Practice Inventory-Revised to evaluate barriers. <b>Results:</b> Of 171 respondents, 37.4% meditated weekly, primarily for stress relief. Regular meditators were significantly more likely to recommend MM to patients (90.6%) compared to past (75%) or non-meditators (46.8%; <i>P</i> < .0001). Common barriers included time constraints (50.9%) and prioritizing other tasks (51.5%). Non- and past meditators reported low perceived benefits and inadequate knowledge (<i>P</i> ≤ .0001). <b>Conclusion:</b> Physicians' engagement with MM influences their likelihood of recommending it. Addressing barriers through education, training, and promoting brief practices could enhance MM adoption and integration into clinical care.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251323850"},"PeriodicalIF":1.5,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11907502/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651460","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}