{"title":"The Downfall of Health and Wellness as a Challenge to Humanity: Using Science Fiction to Highlight a Real-Life Crisis.","authors":"Ross Arena","doi":"10.1177/15598276251326064","DOIUrl":"10.1177/15598276251326064","url":null,"abstract":"<p><p>My academic career has largely focused on the importance of healthy lifestyle behaviors, in both primary and secondary prevention, to reduce the risk of poor health outcomes and improve quality of life. Despite the evidence and clear value of adopting healthy living medicine as a primary component of healthcare delivery, much of the world, particularly the United States, has remained mired in a secondary, reactive model, where unhealthy lifestyles and chronic disease are often allowed to run rampant before healthcare management is initiated. I was recently at a scientific meeting where a fellow attendee stated that our scientific writing would benefit from new perspectives and approaches, with a hope of resonating with audiences on a different level and hopefully facilitating meaningful change that has previously not been realized. This comment inspired me to consider science fiction as an approach to illustrate a real-life health crisis faced by humanity. There is an important non-fiction component to the science fiction story presented herein-unhealthy lifestyle behaviors have a substantial negative impact on human resiliency and, if drastic measures are not taken, these behaviors may in fact drive humanity to a tipping point from which we will not recover.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251326064"},"PeriodicalIF":1.5,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11897989/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626303","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}
Sally C Duplantier, Jina Lee, Elizabeth A Markle, Benjamin Emmert-Aronson
{"title":"Community as Medicine: A Novel Approach to Improve Health Behaviors and Mental Well-Being for Vulnerable Populations.","authors":"Sally C Duplantier, Jina Lee, Elizabeth A Markle, Benjamin Emmert-Aronson","doi":"10.1177/15598276251321453","DOIUrl":"https://doi.org/10.1177/15598276251321453","url":null,"abstract":"<p><strong>Purpose: </strong>Evaluate a group-based, trauma-informed health coaching model based on Lifestyle Medicine pillars, delivered by community health coaches, to improve health behaviors and mental well-being for vulnerable populations.</p><p><strong>Methods: </strong>This program evaluation analyzed quantitative longitudinal data with linear mixed models and qualitative data with reflexive thematic analysis. Participants (n = 720) were low-income adults referred through Federally Qualified Health Centers (FQHCs), who participated in weekly 90-120 minute groups for 3 months. Data were collected via monthly surveys, including the PHQ-9, GAD-7, UCLA 3-item loneliness, exercise as a vital sign, a 2-item dietary screener, and 3 qualitative questions.</p><p><strong>Results: </strong>Participants saw significant reductions in depression, anxiety, and isolation, and significant increases in daily servings of fruits and vegetables, and weekly minutes of exercise. The qualitative analysis identified 4 themes related to the drivers and reinforcers of positive behavior change and improved mental well-being.</p><p><strong>Conclusions: </strong>Initial data suggest this model helps reduce depression, anxiety, and isolation, and promotes positive behavior change within populations most impacted by health inequity. Qualitative results identified drivers of positive change, such as creating a sense of belonging and mutual support. Future research should consider how to continue to scale this program to a variety of populations and across different settings.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251321453"},"PeriodicalIF":1.5,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11871580/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544013","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 Interventions for Treatment and Remission of Type 2 Diabetes and Pre-diabetes in Adults: A Clinical Practice Guideline From the American College of Lifestyle Medicine/<i>A Concept Whose Time has Come</i>.","authors":"James M Rippe","doi":"10.1177/15598276251325441","DOIUrl":"https://doi.org/10.1177/15598276251325441","url":null,"abstract":"","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251325441"},"PeriodicalIF":1.5,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11869216/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544014","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 Health and Planet: Why Food Choices Matter.","authors":"Ocean Robbins","doi":"10.1177/15598276251323249","DOIUrl":"10.1177/15598276251323249","url":null,"abstract":"<p><p><b>Objective:</b> To explore the interconnected crises of chronic disease, environmental degradation, and social inequity through the lens of food systems and to highlight the potential of plant-based dietary patterns to mitigate these challenges. <b>Main Outcomes and Measures:</b> Evidence demonstrates that plant-based diets reduce the prevalence of chronic diseases, including heart disease and type 2 diabetes, alleviate environmental harm by reducing greenhouse gas emissions and water usage, and promote health equity by increasing access to affordable, nutritious foods. Quantitative outcomes include projected savings of trillions of dollars in health care and climate-related costs and the prevention of millions of premature deaths globally. <b>Results:</b> Transitioning to plant-forward food systems has been associated with a reduction in chronic disease risk by up to 90%, a significant decrease in health care expenditures, and a 75% reduction in agricultural land use. Key interventions, such as produce prescriptions and plant-based meal programs, demonstrate the effectiveness of systemic solutions in improving health outcomes while addressing structural inequities. <b>Conclusion:</b> Aligning individual and collective efforts toward sustainable, health-focused food systems presents a transformative opportunity to improve global health, conserve natural resources, and foster social equity. By adopting plant-based diets and supporting equitable food policies, individuals, health care professionals, and policymakers can collaboratively create a more resilient, sustainable, and just future for generations to come.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251323249"},"PeriodicalIF":1.5,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11863192/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524864","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}
Sebastian Harenberg, Gary Sforzo, Rosie Hunter, Erika Jackson, Margaret Moore
{"title":"The Well-Being Coaching Inventory (WCI): Questionnaire Development and Validation.","authors":"Sebastian Harenberg, Gary Sforzo, Rosie Hunter, Erika Jackson, Margaret Moore","doi":"10.1177/15598276251320573","DOIUrl":"10.1177/15598276251320573","url":null,"abstract":"<p><strong>Objective: </strong>The aim of the present study was to psychometrically test and validate the Well-being Coaching Inventory (WCI), a proposed measure of interconnected, whole-person well-being in the context of health and wellness coaching (HWC).</p><p><strong>Methods: </strong>Initially 49 items, the WCI was conceived with 4 dimensions: Mind, Body, Work, and Life. The inventory was evaluated in 3 sequential studies to test: (a) face validity, (b) convergent validity, and (c) predictive validity. Expert judgment, correlational analyses, and factor analyses were techniques applied to collected WCI data.</p><p><strong>Results: </strong>After statistical evaluation (n = 261) of fit to each dimension, the WCI was shortened to 20 items that demonstrated convergent validity. Further use of confirmatory factor analyses and exploratory structural equation model in a large sample study (n = 531) provided additional support for the inventory's convergent validity. Through correlation analyses to theoretically related concepts predictive validity was established.</p><p><strong>Conclusions: </strong>The WCI is a valid, applicable, and reliable scale for use in HWC research and practice. It is an instrument that will aid HWC practitioners and researchers as a central outcome measure for their practice.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251320573"},"PeriodicalIF":1.5,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11843568/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484399","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":"Integrating Lifestyle Medicine Content into Health Professions Programs.","authors":"Zipporah Brown, Kelly Freeman, Anu M Räisänen","doi":"10.1177/15598276251321418","DOIUrl":"10.1177/15598276251321418","url":null,"abstract":"<p><p>Lifestyle medicine (LM) has demonstrated clinical efficacy when utilized within chronic disease guidelines where lifestyle interventions are recommended. Integrating LM content into health professions education, such as doctor of occupational and physical therapy programs, is critically important to empower future clinicians to adequately implement therapeutic lifestyle interventions to improve their patient's health outcomes. The American College of Lifestyle Medicine Partial Academic Pathway was developed to facilitate the integration of LM content into health professions programs. In this article, we describe the Partial Academic Pathway pilot, which began in the fall of 2022 and concluded in the fall of 2023. In addition, we describe the role of two health professions, occupational therapy and physical therapy, in health promotion and management of lifestyle-related conditions. Finally, we provide an example of how LM competencies were implemented into a doctor of physical therapy curriculum. As the students learning about LM enter the workforce, they have the potential to support their patients' health through therapeutic lifestyle interventions while reducing healthcare costs and improving patient satisfaction.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251321418"},"PeriodicalIF":1.5,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11840824/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484333","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 Reimbursement is Improving.","authors":"Padmaja Patel","doi":"10.1177/15598276251321430","DOIUrl":"https://doi.org/10.1177/15598276251321430","url":null,"abstract":"","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251321430"},"PeriodicalIF":1.5,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11836959/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469595","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":"Cooking up Knowledge: Empowering High School Students Through a Food Literacy Boot Camp.","authors":"Amelia Sullivan, Kayla Parsons, Mona Therrien-Genest, Kathryn Yerxa","doi":"10.1177/15598276251319254","DOIUrl":"10.1177/15598276251319254","url":null,"abstract":"<p><p>Adolescents in rural communities are subject to higher rates of chronic diseases. Food literacy, the knowledge and skillset to make informed health behaviors, has been identified as a critical influence in disease prevention. This mixed-method experimental study evaluated the Food Literacy Boot Camp's effectiveness, feasibility, and likeability in promoting healthy lifestyle choices, including diet, physical activity, food preparation, and food safety skills among adolescents. Outcomes were assessed using the Expanded Food and Nutrition Education (EFNEP) 6th - 12th Grade EFNEP Youth Questionnaire, distributed before and after the intervention. Qualitative methods assessed likeability. Following the program, participants had statistically significant improvements in sugar-sweetened beverage intake (<i>P</i> = 0.004), healthy eating choices when dining out (<i>P</i> = 0.002), physical activity (<i>P</i> = 0.010), hand washing (<i>P</i> = 0.028), inclination to wash fruits and vegetables (<i>P</i> = 0.008) and using separate cutting boards for raw meats and fresh produce (<i>P</i> = 0.046). Four major qualitative themes emerged: (1) Comprehensive Health and Wellness Education, (2) Practical Skill Development, (3) Knowledge and Behavior Change, and (4) Successful Student Engagement and Positive Endorsement. Overall, the Food Literacy Boot Camp successfully improved participants' food literacy skills.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251319254"},"PeriodicalIF":1.5,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11826820/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434092","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":"Cognitive Decline and Vitamins.","authors":"Sneha Baxi Srivastava","doi":"10.1177/15598276251319728","DOIUrl":"10.1177/15598276251319728","url":null,"abstract":"<p><p>Dementia and cognitive decline are concerning conditions, especially because they coincide with great uncertainty and have no cure. Scientists continue to explore these conditions in order to better understand their causes and identify potential treatments. Numerous interventions have been studied, from various diets to medications, supplements, and vitamins. There are many scientific and nonscientific articles that discuss what may lead to these conditions and how to address them. However, researchers are still trying to understand the actual and complex causes of dementia and cognitive decline; the available medications primarily focus on symptoms but do not \"cure\" the conditions (and also come with their own controversies); and much of the nonscientific literature contains recommendations that are not supported by strong empirical evidence. This article briefly reviews the data about how vitamin B and E in dementia and cognitive decline.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251319728"},"PeriodicalIF":1.5,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11822773/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434088","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}