American Journal of Lifestyle Medicine最新文献

{"title":"Lifestyle Medicine Assessment Scores in Family Medicine Providers.","authors":"Christine Q Nguyen, Johanna Mosquera-Moscoso, Adrianna D M Clapp, Nicolas Arciniegas, Jeff T Wight","doi":"10.1177/15598276251375401","DOIUrl":"10.1177/15598276251375401","url":null,"abstract":"<p><p><b>Background:</b> A 21-question Lifestyle Medicine Assessment (LMA) tool was recently developed to quickly evaluate the lifestyle medicine domains (Avoidance of Substance Use, Nutrition, Connection, Movement, and Recovery). In this study, we used the LMA tool to complete a preliminary analysis of family medicine providers, a group that is known to face challenging lifestyle demands and burnout. <b>Objective:</b> The primary purpose was to assess the LMA domain scores and determine if significant differences exist (among the domains). The secondary purpose was to complete a correlation matrix for the LMA domain scores to better understand the strength of the relationships (among domains). <b>Methods:</b> The participants were 35 family medicine providers and all completed the LMA. The maximum LMA score is 50 (each of the five domains is scored 0-10 points). Pairwise comparisons were used to determine if there were significant differences among the five domain scores (P < .05) and Pearson correlation was used to assess correlations between domains. <b>Results:</b> The overall LMA score was moderate (34.68 ± 6.26). The Recovery domain score (4.71 ± 2.91) was significantly lower (P < 0.01) than the other domains (Connection = 6.94 ± 2.16; Nutrition = 7.41 ± 2.00; Movement = 6.26 ± 2.94; Avoidance of Substance Use = 9.35 ± 1.28). The Avoidance of Substance Use score was significantly higher than the other domains (<i>P</i> < .01). Overall, the correlation scores among the domains were weak (all r-scores were ≤0.34). <b>Conclusions:</b> For this group of providers, there appears to be substantial room for improvement in four of the five domains. The domain of greatest concern appears to be Recovery. The weak correlation scores suggest that domain scores tend to be independent of each other, and that assessment results are unique to the individual.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251375401"},"PeriodicalIF":1.3,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12417469/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145041818","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 Intersection of Diabetes and Eating Disorders: Prevention, Screening, Diagnosis, and Management.","authors":"Hayley Fried, Soo Kyung Kim, Justine Augello, Jacqueline Zimmerman, Rifka Schulman-Rosenbaum","doi":"10.1177/15598276251376294","DOIUrl":"10.1177/15598276251376294","url":null,"abstract":"<p><p>The co-occurrence of diabetes mellitus and eating disorders represents a complex and high-risk combination of health conditions that significantly increases the risk of morbidity and mortality. While the interplay between diabetes mellitus and eating disorders is well-documented, consistent screening and management practices remain underutilized. This article explores the etiology of eating disorders, their manifestations in individuals with diabetes mellitus, and offers clinical insights into recognizing potential eating disorders. Additionally, we highlight the importance of the interdisciplinary care team in the effective prevention, screening, diagnosis, and treatment of patients with the dual diagnosis of diabetes mellitus and eating disorders.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251376294"},"PeriodicalIF":1.3,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12413400/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145015254","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 Lifestyle Interventions for the Prevention and Treatment of Type 2 Diabetes: A Narrative Review.","authors":"Octavio Pano Espinola, Deirdre K Tobias, JoAnn E Manson","doi":"10.1177/15598276251372427","DOIUrl":"10.1177/15598276251372427","url":null,"abstract":"<p><p>The incidence of type 2 diabetes (T2D) is increasing globally alongside poor diet quality, sedentary lifestyle, and obesity, outpacing the capacity and resources to effectively prevent and manage its impact. The glycemic benefits of lifestyle modification to prevent T2D and its downstream comorbidities and mortality are supported by numerous epidemiologic studies and randomized trials. However, despite lifestyle modification being the standard of care practice both for prevention and treatment of T2D, there has been limited success in curbing this pandemic, possibly due to environmental and socioeconomic barriers to the uptake and long-term adherence to healthy lifestyle programs. Therefore, mitigating the incidence and downstream health effects of T2D requires innovative clinical and population-based solutions for the implementation of sustainable lifestyle modification interventions. It is also important for public health stakeholders to address the numerous systemic and environmental barriers that persistently undermine the long-term success of adopting healthy diet and physical activity changes. Although interventions to improve diet, physical activity, and body weight are effective for preventing T2D and many of its downstream consequences, multi-pronged efforts to enhance the uptake of these programs and support long-term adherence are critically needed to reverse the current trends of this costly and debilitating chronic disease.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251372427"},"PeriodicalIF":1.3,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12411468/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145015297","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":"Culinary Medicine Interventions Among Racial and Ethnic Minority and Underrepresented Populations: A Systematic Review.","authors":"Benjamin Brown, Emmanuel Adediran, Eliza Taylor, Dominik Ose, Kolawole Okuyemi","doi":"10.1177/15598276251370976","DOIUrl":"10.1177/15598276251370976","url":null,"abstract":"<p><p><b>Introduction:</b> Racial and ethnic minority populations experience a higher rate of diet-related disparities compared to the general population. Culinary medicine interventions have the potential to help improve health equity among disadvantaged groups. We examined behavioral, anthropometric, and laboratory outcomes of culinary medicine interventions among racial and ethnic minority and underrepresented populations. <b>Methods:</b> All articles on the PubMed database were searched to identify eligible studies with no date limitation. Articles that included a culinary medicine intervention for racial and ethnic minority and underrepresented populations were eligible for inclusion. <b>Results:</b> A total of 25 articles were included. There were 4186 participants with 3268 adult, 857 child, and 2452 female participants. Participants predominantly identified as Black (25.0%), South Asian (21.6%), and Hispanic (33.5%). Studies varied in design, setting, length, and outcomes (e.g., behavior, clinical). Overall, outcomes varied in significance and effect size. Risk of bias was high among studies. <b>Discussion:</b> Culinary medicine interventions appear to be successfully integrated across various settings and among diverse populations with variable effect on behavioral changes and anthropometric measurement changes. <b>Conclusion:</b> Culinary medicine interventions show promise for improving diet-related health equity; however, greater rigor and controlled study designs are needed.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251370976"},"PeriodicalIF":1.3,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12411487/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145015252","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":"'I Feel Like It Was a Springboard for Certain Changes in My Life': A Qualitative Analysis of Medicine and Health Sciences Students' Experiences of Lifestyle Medicine Education.","authors":"Lisa Mellon, Cheyenne Downey, Niamh Corbett, Sally Doherty, Mary Clarke, Frank Doyle, Caroline Kelleher, Aisling O'Neill, Maria Pertl, Anne Hickey","doi":"10.1177/15598276251370313","DOIUrl":"10.1177/15598276251370313","url":null,"abstract":"<p><p><b>Introduction:</b> Medical school and health professions education can be stressful for students, leading them to neglect their personal wellbeing and adopt unhealthy lifestyle behaviours. The RCSI Certificate in Lifestyle Medicine was developed to provide evidence-based knowledge on six pillars of lifestyle medicine, and outline strategies to help students adopt healthy lifestyle behaviours which they can apply to their personal and professional lives. The aim of this study was to examine student's perceptions of their lifestyle behaviours and preparation for clinical practice following course completion. <b>Methods:</b> Undergraduate and postgraduate medicine, pharmacy, physiotherapy, physician associates and research students enrolled in the online RCSI Certificate in Lifestyle Medicine between 2020 and 2022 voluntarily provided survey feedback via open-ended questions on the impact of the course on their own health behaviours and professional skills, and their satisfaction with course content, delivery, and methods of assessment. Findings were analysed using reflexive inductive thematic analysis. <b>Results:</b> Data from 98 student evaluations were analysed. Eighty-one percent of students attempted to make a lifestyle change during course completion. Four themes were identified; (1) opportunity for self-reflection on own health behaviours; (2) planning a lifestyle medicine approach to clinical practice; (3) facilitation of self-directed learning; and (4) recommendations for enhanced delivery of educational content. Students recognised the importance of lifestyle medicine in their own lives and those of their patients. Lifestyle medicine education was perceived by students as a core component of medicine and health sciences curricula, and they recommended that training in lifestyle medicine should be mandatory in undergraduate curricula for students training to be healthcare professionals, such as medicine, physiotherapy, and pharmacy. <b>Conclusion:</b> Findings indicate that lifestyle medicine education had a positive impact on student knowledge of lifestyle behaviours and prompted them to make healthier changes to their existing habits. Students acknowledged the importance of treating chronic disease using a lifestyle medicine approach, and felt more confident in educating their future patients on strategies to enhance their personal health and wellbeing. Students identified that a more holistic approach to chronic disease management through lifestyle medicine education will assist them as future healthcare professionals.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251370313"},"PeriodicalIF":1.3,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12411479/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145015220","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":"Dietary and Consumer Behaviors in Individuals Currently Using Substances: A Cross-Sectional Study Based on NHANES (2013 - 2018).","authors":"A Sarah Cohen, Marylou Cardenas-Turanzas, Audrey Lopez, Tiffany Champagne-Langabeer","doi":"10.1177/15598276251375455","DOIUrl":"10.1177/15598276251375455","url":null,"abstract":"<p><strong>Background: </strong>Substance use disorders (SUD) are associated with metabolic dysregulation and nutritional deficiencies. Studies show that incorporating nutrition interventions into treatment may improve physical and psychological health. This study sought to explore dietary and consumer behavior in individuals currently using substances.</p><p><strong>Methods: </strong>Data from the 2013 - 2018 National Health and Nutrition Examination Survey were used for this cross-sectional study. Individuals 18 - 69 who were currently using marijuana, cocaine, heroin, methamphetamines, or injected unprescribed drugs were compared with individuals not using substances. Dietary and consumer behavior, including alcohol consumption was assessed. Analyses were performed using Stata I/C version 15.</p><p><strong>Results: </strong>An unweighted sample of 12 943 adults was analyzed. A weighted proportion of 14.2% reported using substances in the prior 30 days. Individuals currently using substances reported more commercially prepared meals compared to individuals not using substances (<i>P</i>-value ≤.001), increased food insecurity (<i>P</i> ≤ .001), and increased alcohol intake (<i>P</i> ≤ .001). Multivariable logistic regression showed that both food insecurity and alcohol intake were independently and significantly linked to substance use.</p><p><strong>Conclusion: </strong>Nutrition interventions for those using substances or in early recovery should incorporate education on practical food preparation within the social constraints of the individual, including higher rates of food insecurity.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251375455"},"PeriodicalIF":1.3,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12408548/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145015284","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 Nutrition in Low Back Pain: A Narrative Review and Clinical Implications.","authors":"Carolyn E Keeler, Ezinne Oguguo, C Rory Goodwin, Christine Goertz","doi":"10.1177/15598276251375398","DOIUrl":"10.1177/15598276251375398","url":null,"abstract":"<p><p>Low back pain is a pervasive global public health problem. As with other chronic non-communicable diseases, dietary intervention can improve clinical outcomes and reduce health care costs. Pharmacologic and non-pharmacologic treatments are included in non-invasive treatment clinical practice guidelines. Nutrition recommendations can also be added. This review summarizes existing information on nutrition and low back pain, identifies areas for further investigation, and proposes a role for dietary recommendations in treatment and prevention from a public health and patient care perspective. Nutritional goals for decreasing low back pain include maintaining a healthy weight, following an anti-inflammatory diet, optimizing micronutrient intake, and promoting gut microbiome health. Adherence to nutrition and health recommendations is influenced by social determinants of health, including neighborhood design, structural racism, access to healthy food, socioeconomic status, and educational level. Achieving nutritional health equity must be a top priority to reduce existing health disparities. Future research on the role of nutrition in low back pain, including optimal dietary patterns, should focus on developing recommendations to be integrated into an interdisciplinary approach to low back pain.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251375398"},"PeriodicalIF":1.3,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12405202/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001674","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 Cardiovascular Health: A Concept Whose Time has Come.","authors":"James M Rippe","doi":"10.1177/15598276251366187","DOIUrl":"10.1177/15598276251366187","url":null,"abstract":"","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251366187"},"PeriodicalIF":1.3,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12397080/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973742","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":"What Do We Know About Prevention of Frailty in Women?","authors":"Julia V Loewenthal, Nicole K Bart, Wren Burton, Shaida Kamali, Elyn Montgomery, Kerry Lee Ivey, Susan M Friedman, Ariela Orkaby","doi":"10.1177/15598276251370606","DOIUrl":"10.1177/15598276251370606","url":null,"abstract":"<p><p>Frailty is a multidimensional syndrome associated with a state of vulnerability to external stressors. Though women have a longer life expectancy than men, they have a higher risk of frailty. Frailty is prevalent in women, affecting ∼9-15% of community-dwelling older women, and over 50% of nursing home residents. Women have unique risk factors for frailty at distinct life stages such as pregnancy and menopause. Women who have children at a young age and those who experience premature menopause have a higher risk of developing frailty later in life. Frailty is modifiable, and preventive strategies can be implemented using the framework of the six pillars of lifestyle medicine. Moreover, frailty is also a therapeutic target, with the best approach to prevention occurring earlier in life. Implementation of the six-pillar approach to frailty prevention is best achieved by considering specific benefits and barriers to each pillar for women. For example, implementing strength training alongside diet optimization while bolstering social connections. The six pillars are closely interrelated. As such, a holistic approach targeting all six has the greatest potential for success. Future studies are needed to guide therapeutic interventions specific to preventing frailty in women.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251370606"},"PeriodicalIF":1.3,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12397111/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974135","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":"Carbohydrate Intake and Bacterial Vaginosis: A Systematic Review.","authors":"Marie-Hannah Baliakas, Robert Davies","doi":"10.1177/15598276251367659","DOIUrl":"10.1177/15598276251367659","url":null,"abstract":"<p><p>Bacterial vaginosis (BV) is the most prevalent vaginal infection of reproductive-aged women, with unclear causes and links to adverse gynaecological health outcomes. Fluctuations in gut microbiota from dietary carbohydrate intake may alter the vaginal microbiota. This systematic review aimed to identify an association between BV and dietary carbohydrate intake, Glycaemic index (GI) and Glycaemic Load (GL), total sugars, and dietary fibre. A literature search was conducted in April 2022 using MEDLINE, CINAHL, and Scopus databases. The pre-determined inclusion criteria were females, nutritional intake, diet, macronutrients, BV, and vaginal dysbiosis. The risk of bias was assessed using the AXIS tool for cross-sectional studies, and the CASP tool quality assessed the case-control. Four studies met the inclusion criteria: 3 cross-sectional and 1 case-control. The findings showed a positive association between higher GL intake and BV and an inverse association between higher dietary fibre intake and BV. However, the overall risk of bias was moderate to high. While a diet high in fibre may be protective and high GL may increase BV risk, the limited and inadequate quality evidence means these findings should be interpreted with caution. Further research is necessary to confirm these associations and inform dietary recommendations.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251367659"},"PeriodicalIF":1.3,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12394200/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973601","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}