American Journal of Lifestyle Medicine最新文献

{"title":"Plant-Based Food is Medicine: A Case Study of a Food Pantry and Teaching Kitchen at the Massachusetts General Hospital Revere Community Health Center.","authors":"Kieley L Chapman, Lauren Fiechtner, Meghan Perkins, Jacob Mirsky","doi":"10.1177/15598276261487167","DOIUrl":"10.1177/15598276261487167","url":null,"abstract":"","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261487167"},"PeriodicalIF":1.9,"publicationDate":"2026-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13590885/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149018257","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 an Online One-Month Whole-Food Plant-Based Dietary Intervention.","authors":"Ayanna Besson, Lianna Levine Reisner, Rose Calixte, Liza Fuentes, Elizabeth Purchase-Helzner","doi":"10.1177/15598276261485180","DOIUrl":"10.1177/15598276261485180","url":null,"abstract":"<p><p>Whole-food, plant-based (WFPB) nutrition is effective for chronic disease prevention and management, but adoption can be challenging. Brief, community-based programs may support meaningful dietary change. A one-month online intervention was conducted which included weekly education and peer mentorship. Participants (n = 139; mean age 55.7 ± 12.6 years; 91% women; 52% White, 30% Black, 13% Hispanic) followed an ad-libitum WFPB diet excluding oil and minimizing added sugar and salt. Surveys assessed change in various quality of life measures, depression (PHQ-9), anxiety (GAD-7), and dietary behaviors. A subset reported anthropometrics and lab work. Participants reported reductions in pain (61.6% baseline vs 44.9% post-program), mobility issues (47.1% vs 29.4%), upper (38.7% vs 12.4%) and lower (39.4% vs 21.2%) gastrointestinal concerns, sleep issues (68.6% vs 46.7%), low energy (71.7% vs 40.6%), moodiness (55.9% vs 21.3%), and unhealthy food cravings (81.9% vs 58.7%) (all <i>P</i> < .05). Median PHQ-9 and GAD-7 scores decreased by 2.5 points and 1 point, respectively (<i>P</i> < .001). Median reported BMI decreased by 0.69 kg/m² (n = 106, <i>P</i> < .001) and median waist circumference decreased by 1.25 inches (n = 53, <i>P</i> < .001). No significant changes were reported in HbA1c, LDL cholesterol, or blood pressure, although sample sizes for these were small. The program was feasible and acceptable, and was associated with improved quality of life, psychological well-being, and weight.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261485180"},"PeriodicalIF":1.9,"publicationDate":"2026-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13589778/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149013093","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":"Advancing Health Equity in Diabetes Prevention for Individuals With Intellectual and Developmental Disabilities.","authors":"Aliye B Cepni, Vivian T Tran, Cynthia Yoon, Craig A Johnston","doi":"10.1177/15598276261488036","DOIUrl":"10.1177/15598276261488036","url":null,"abstract":"<p><p>Lifestyle interventions and health promotion programs are widely implemented to improve dietary behaviors, physical activity, and other health outcomes associated with diabetes prevention and management. While standard initiatives are effective for the general population, the impact and reach of these interventions remains limited for adults with intellectual and developmental disabilities (IDD). Higher rates of diabetes, lower levels of physical activity, and poorer dietary outcomes highlight the limitations of standard approaches that may not adequately account for the distinct cognitive, behavioral, social, and environmental contexts of adults with IDD. Tailoring lifestyle interventions to the unique needs of these adults offers a promising framework to promote equitable disease prevention for a population historically overlooked in mainstream health promotion initiatives. In this commentary, we discuss how adaptations to diabetes prevention approaches, including tailored communication strategies, community-based care, and caregiver involvement, may improve the accessibility, personalization, and sustainability of health programs for adults with IDD. We also address practical challenges with scaling individualized interventions and propose collaborative models across health care, research, and communities to reduce health disparities and support successful program implementation.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261488036"},"PeriodicalIF":1.9,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13588965/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149009236","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":"Implementing 1:1 Lifestyle Medicine Coaching Visits for Management of Uncontrolled Type 2 Diabetes: Cone Health Reidsville Endocrinology.","authors":"David Wang, Gebreselassie Nida, Valerie Hardesty, Kara L Staffier","doi":"10.1177/15598276261488712","DOIUrl":"10.1177/15598276261488712","url":null,"abstract":"<p><p>Lifestyle medicine (LM) provides a high-value framework for treating and potentially reversing chronic diseases, such as type 2 diabetes (T2D), obesity, cardiovascular diseases, and some cancers. Yet, the field of LM is still growing, and few examples exist of how to successfully implement LM into clinical care. This paper describes the implementation of 1:1 lifestyle medicine (LM) coaching visits for 45 patients with uncontrolled type 2 diabetes (T2D), (mean HbA1c 10.5%) and on multiple diabetes medications, at Cone Health's Reidsville Endocrinology practice in North Carolina, USA. In brief, during routine endocrinology visits, the lead physician of the LM program at Cone Health, who is trained in LM, identified patients with uncontrolled T2D where scheduling allowed him to fit in some additional time for coaching. Forty-five interested patients selected over a period of several weeks from Spring of 2022 to Fall of 2022 made the first cohort. During a typical LM encounter, immediately after addressing their referral concerns with a routine endocrinology consult, verbally consenting patients were personally invited to learn more about LM. They were provided with a packet of materials focused predominately on prescribing nutrition and exercise as treatment for chronic disease. The physician spent an additional 10-15 minutes with each verbally consenting patient to go through selected materials in the packet, focusing largely on nutrition and physical activity, and successfully billed for the additional time. The patients were encouraged to take the packet home for further learning and return to their next routine visits with questions and to engage in further coaching. Following this brief but intensely focused coaching session which was done in addition to the routine endocrinology visit, lifestyle medicine coaching was able to be incorporated into subsequent, routine endocrinology visits in many of the initially identified patients. The majority of these patients also accepted a referral to a dietitian in the same practice. This experience highlights a model for potentially integrating LM coaching into routine practice and, consistent with previous research, highlights the importance of a site champion for successful LM implementation. Future research is needed to formally assess the success of coaching visits, particularly in terms of assessing health outcomes in patients who engaged in the 1:1 coaching.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261488712"},"PeriodicalIF":1.9,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13588964/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149009208","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":"Perceived Importance of the Lifestyle Medicine Pillars on Wellbeing Among U.S. Adults: Prevalence and Sociodemographic Correlates.","authors":"Melany Taranto, Alyssa M Indelicato, Kaushal Nanavati, Jamie L Romeiser","doi":"10.1177/15598276261486780","DOIUrl":"10.1177/15598276261486780","url":null,"abstract":"<p><p>The objective of this study was to examine prevalence and sociodemographic correlates of perceived importance of different lifestyle medicine pillars for overall wellbeing among U.S. adults. We analyzed nationally representative cross-sectional data from the Pew Research Center's American Trends Panel (Wave 142, 2024; n = 10,133). Participants rated the importance of multiple pillars to their overall wellbeing. Responses were dichotomized into high vs neutral/low importance. Multivariable models identified factors associated with high perceived importance for each pillar. We found that most adults rated sleep (82.0%), stress management (79.9%), healthy eating (69.6%), and socializing with friends and family (66.0%) as highly important. Exercise (59.2%) and community involvement (21.8%) were lower. Adults aged 18-29 had lower odds of valuing healthy eating (OR: 0.27), sleep (OR: 0.41), and community involvement (OR: 0.54) compared to 65+ (all <i>P</i> < .05). Those with lower education levels had lower odds of valuing exercise, healthy eating, and social connection. Women had higher odds of valuing most behaviors. In conclusion, perceived importance of lifestyle medicine pillars varies by age, gender, and education. The near-universal undervaluation of the social connection pillar is particularly notable given the U.S. Surgeon General's 2023 declaration of loneliness as a public health crisis. Health promotion should address perception gaps alongside structural barriers.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261486780"},"PeriodicalIF":1.9,"publicationDate":"2026-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13570953/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148963938","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":"Rest Unassured: A Systematic Review on the Impacts of Daytime Napping in the Mediterranean on Health Outcomes, Quality of Life, and Lifespan.","authors":"Liam Ellis, Bernado C Barata, Russell Conduit, Barbora de Courten, Catherine Itsiopoulos, Gerard A Kennedy, Ourania Kolokotroni, Rob Lawson, Maria C Mosquera, Emmanuel Aprilakis, Achilleas Pavlou, Sophia Xenos, Yang Yap, Labros S Sidossis","doi":"10.1177/15598276261481759","DOIUrl":"10.1177/15598276261481759","url":null,"abstract":"<p><p>Daytime napping is a culturally embedded practice in Mediterranean populations, yet its health impacts remain unclear. When assessed in an international context, the impact of napping shows mixed results. This systematic review evaluated the associations between daytime napping, health outcomes, quality of life, and lifespan in Mediterranean populations, where napping is culturally embedded. Following PRISMA guidelines, electronic searches of Embase, PsycINFO, PubMed, and SCOPUS were conducted. Eligible studies were empirical, peer-reviewed, and only included samples from the Mediterranean region. Findings were inconsistent across all health outcomes. However, there was a trend for short naps (≤30 min/day) to be associated with beneficial cardiovascular outcomes and metabolic health. In contrast, longer naps (>30 min/day) were more often associated with increased risk of cardiometabolic diseases in older adults. Interpretation was limited by methodological heterogeneity, including varied nap definitions, over-reliance on self-reports, and poor evaluation and/or adjustment for sleep disorders or excessive daytime sleepiness. These findings imply that naps should be seen as part of the broader Mediterranean lifestyle and future research should use validated, standardised assessments of napping while simultaneously accounting for sleep disorders, daytime sleepiness, and nocturnal sleep. This will lead to better insights into the role of culturally embedded napping in health.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261481759"},"PeriodicalIF":1.9,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13570968/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148963966","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":"There Is No Pill for Time: The Missing Determinant of Lifestyle Medicine.","authors":"Regina Chamon, Laíssa Margoni, Ingrid Ardisson Colodete, Marcos W R Santos, Ana Maria Kemp, Adriana Kelmer Siano, Cristian Eduardo Guolo, Camila Gomes, Bruno P C Smirmaul","doi":"10.1177/15598276261484525","DOIUrl":"10.1177/15598276261484525","url":null,"abstract":"<p><p>Lifestyle Medicine (LM) recommendations are increasingly recognized as foundational strategies for preventing and managing chronic diseases. However, despite their growing incorporation into clinical practice, little attention has been given to the temporal demands required for their real-world implementation. This exploratory study aimed to estimate the daily time investment necessary to comply with evidence-based recommendations related to the core pillars of LM. An integrative mixed-methods approach was employed, combining narrative synthesis of guidelines and scientific literature with applied individual time estimations performed by the authors. Evidence-based minimum recommendations suggested a cumulative requirement of approximately 11.4 hours per day dedicated to healthy lifestyle behaviors. Personal estimations demonstrated substantial variability, ranging from 9.8 to 16.7 hours/day. Importantly, the incorporation of \"invisible time\" components, including preparation, commuting, hygiene, organization, and logistical demands, substantially increased the total temporal burden associated with lifestyle interventions, reaching up to 22.6 hours/day. Findings suggest that time represents a central, yet underrecognized, structural determinant of adherence to LM recommendations and highlight the need for more realistic, integrated, and context-sensitive approaches to lifestyle prescription and implementation.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261484525"},"PeriodicalIF":1.9,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13569717/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148957028","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":"Protein Intake Across the Lifespan: Optimizing Health, Function, and Longevity.","authors":"John McHugh, Melissa Sundermann, Andrew Mock, Melissa Bernstein","doi":"10.1177/15598276261479304","DOIUrl":"10.1177/15598276261479304","url":null,"abstract":"<p><p>Lifestyle Medicine leverages evidence-based health behaviors: nutrition, physical activity, restorative sleep, stress management, social connection, and avoidance of risky substances to prevent, treat, and often reverse chronic disease. Nutrition is underutilized in routine care. A growing body of evidence demonstrates that a whole-food, plant-predominant diet (WFPD) confers broad benefits across cardiometabolic, reproductive, and mental health domains. Mechanistic and clinical studies link WFPDs to reduced risk of cardiovascular disease, diabetes, cancer, and depression through improved microbiome diversity, increased short-chain fatty acid production, reduced oxidative stress and inflammation, and enhanced insulin sensitivity. Beyond disease prevention, plant-forward diets improve psychological well-being via nutrient pathways that modulate neurotransmitter synthesis and the gut-brain axis. Some patients can benefit from protein intakes above the Recommended Daily Allowance (RDA) of 0.8g/kg/day for adults in a variety of settings. Well-planned plant-based diets can achieve significantly higher levels of protein intake, achieved through diverse sources such as legumes, soy, grains, nuts, and seeds. Adequate and well-distributed protein supports fertility, fetal growth, lactation, and preservation of lean mass through perimenopause and aging. Implementing WFPDs with individualized protein guidance can extend health span, enhance functional independence, and reduce medication dependence, reaffirming wholesome food as a cornerstone of modern medicine.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261479304"},"PeriodicalIF":1.9,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13553979/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148921377","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":"Natural Light Exposure as a Potential 7th Pillar of Lifestyle Medicine.","authors":"Marie Tremblay-Laliberté, Angelo Tremblay","doi":"10.1177/15598276261485285","DOIUrl":"10.1177/15598276261485285","url":null,"abstract":"<p><p>A growing number of studies highlight the observed effects of natural light exposure on health and bodily functioning, as well as its added value for the performance of daily activities. Although natural light exposure is gaining increasing recognition as a determinant of health and well-being, it remains underrepresented in the field of lifestyle medicine and should be considered as a potential new pillar alongside a healthy diet, physical activity, restorative sleep, stress management, positive social relationships, and the avoidance of risky substances. This narrative review aims to synthesize the main findings of the literature and relevant conceptual frameworks that support the inclusion of daily exposure to natural light as a component of lifestyle medicine and its integration into clinical practice. Further research is required to better characterize the effects of natural light exposure on physical and mental health and the overall evidence presented in this article supports continued investigation in this field.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261485285"},"PeriodicalIF":1.9,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13553984/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148921425","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 Engineered Blue Zone: Lifestyle Medicine at the Scale of a City.","authors":"Michael Suk, Ankur Teredesai","doi":"10.1177/15598276261484612","DOIUrl":"10.1177/15598276261484612","url":null,"abstract":"<p><p>The original Blue Zones, from Sardinia to Loma Linda, were discovered rather than designed; their health advantages emerged from tradition and geography. In 2023, Singapore was named the sixth Blue Zone and the first attributed to deliberate policy and urban design rather than tradition, making it a natural experiment in engineered population health. We argue that Singapore is not merely a public health success but a demonstration that the core premise of lifestyle medicine, that behavior and environment are the primary determinants of chronic disease, can be operationalized at the scale of a city rather than a clinic. Singapore's interventions map directly onto the pillars of lifestyle medicine: transit and urban design that make physical activity a default, food policy that shifts nutrition, and housing and green space that support connection and stress recovery. We describe a three-layer model, environment, personalization, and intelligence, that explains how such a system is built and, critically, how its effects can be verified rather than assumed. Lifestyle medicine has the evidence and the pillars. Singapore illustrates the missing scale. The discipline's next task is to help design the environments in which its prescriptions become the default, and to measure whether they work.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261484612"},"PeriodicalIF":1.9,"publicationDate":"2026-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13550238/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148913544","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}