American Journal of Lifestyle Medicine最新文献

{"title":"Resilience, Social Support, and Health-Promoting Lifestyle Behaviors Among Adolescents in Post-Conflict Communities: A Cross-Sectional Study.","authors":"Radhwan Hussein Ibrahim, Sahir Mallaah Mohammad Ali, Salwa Hazim Al Mukhtar","doi":"10.1177/15598276261484870","DOIUrl":"10.1177/15598276261484870","url":null,"abstract":"<p><p>Adolescents living in post-conflict communities face social, economic, and psychological challenges that may influence their health behaviors and overall well-being. However, evidence regarding health-promoting lifestyle behaviors among adolescents in these settings remains limited. This study aimed to assess health-promoting lifestyle behaviors among adolescents living in post-conflict communities and identify associated factors. A descriptive cross-sectional study was conducted among 420 adolescents aged 13-19 years attending secondary schools in Nineveh Governorate, Iraq. Data were collected using the Health-Promoting Lifestyle Profile-II (HPLP-II), the 10-item Connor-Davidson Resilience Scale (CD-RISC-10), and the Multidimensional Scale of Perceived Social Support (MSPSS). Data were analyzed using descriptive statistics, Pearson correlation, and multiple linear regression. Participants demonstrated moderate levels of health-promoting lifestyle behaviors, with a mean HPLP-II score of 132.4 ± 21.6. Interpersonal relationships and spiritual growth had the highest scores, whereas physical activity had the lowest. Health-promoting lifestyle behaviors were positively correlated with resilience (r = .52, <i>p</i> < .001) and perceived social support (r = .61, <i>p</i> < .001). Multiple linear regression showed that perceived social support, resilience, family income, and female gender were significant predictors of health-promoting lifestyle behaviors, collectively explaining 48% of the variance. These findings highlight perceived social support and resilience as important factors associated with healthier lifestyle behaviors among adolescents living in post-conflict communities. Interventions aimed at strengthening social support and resilience while addressing socioeconomic barriers may contribute to improving health-promoting behaviors and overall well-being among adolescents in post-conflict settings.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261484870"},"PeriodicalIF":1.9,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13546386/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148901345","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":"Paving the Path to Wellness for Okinawan Descendants in Brazil: A Culturally Adapted Lifestyle Medicine Program in Group.","authors":"Sley Tanigawa Guimaraes, Elizabeth Frates, Julia Pangalangan, Bruna Morais, Fernanda Santos","doi":"10.1177/15598276261443937","DOIUrl":"10.1177/15598276261443937","url":null,"abstract":"<p><p>Noncommunicable chronic diseases (NCDs) are the leading cause of premature death and disability worldwide. Lifestyle medicine group interventions are effective in promoting behavior change and improving health outcomes. This study evaluated the impact of the PAVING THE PATH TO WELLNESS program among Okinawan descendants in São Paulo, Brazil. A longitudinal mixed-methods pilot study was conducted with 16 adults (≥18 years) from the Okinawa Vila Carrão Association. The 8-week group program included weekly sessions addressing purpose, attitude, variety, investigation, movement, stress management, nutrition, sleep, time, relationships, and goal-setting. Pre- and post-intervention surveys assessed health behaviors and literacy. A focus group was conducted at program completion. Quantitative data were analyzed using paired tests, and qualitative data were thematically analyzed. A convergent parallel mixed-methods design integrated both strands to enhance depth and validity.Pre- and post-intervention surveys show that statistically significant changes occurred in stress management (<i>P</i> = 0.034), nutrition (<i>P</i> = 0.034), energy (<i>P</i> = 0.008), experiences (<i>P</i> = 0.035), and goal-setting (<i>P</i> = 0.005). The Net Promoter Score was 93.7, indicating high satisfaction. Qualitative findings reinforced these outcomes. Taken together, these findings suggest that the PAVING pilot program was well accepted and effective in promoting health education, lifestyle changes, and reinforcing Okinawan cultural salutogenic resources, supporting its relevance for culturally adapted interventions.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261443937"},"PeriodicalIF":1.9,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13541971/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148898074","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":"Does Daily Moderate-to-Vigorous Physical Activity Affect Glycemic Control Equally Across Populations? Insights From NHANES 2005-2006.","authors":"Z Helen Wu, Yunqi Wang, Taiwo F Ajibola, Helen Swede, Emil Coman, Gualberto Ruano, James J Grady","doi":"10.1177/15598276261480621","DOIUrl":"10.1177/15598276261480621","url":null,"abstract":"<p><p>Current physical activity (PA) guidelines for chronic disease management (e.g., diabetes) are based on population averages and may not reflect physiological differences across racial/ethnic groups. This study investigates whether the association between PA and glycemic control varies among Non-Hispanic White (NHW), Non-Hispanic Black (NHB), and Mexican American (MA) adults. We analyzed weighted NHANES 2005-2006 data in adults aged ≥20 (n = 2354 unweighted). PA was measured via accelerometer (≥10 hours/day, 4-7 days) and glycemic control was assessed using HbA1c, categorized as normal (<5.7%), prediabetes (5.7%-<6.5%), and diabetes (≥6.5%). Questionnaire-reported sleep time was integrated with accelerometer-derived sedentary behavior (SB), light-intensity physical activity (LIPA), and moderate/vigorous physical activity (MVPA) to represent a 24-hour time-use composition. Weighted multivariate isotemporal compositional regression models were then conducted to estimate HbA1c across activity categories adjusting for confounders and stratified by race/ethnicity. Mean HbA1c differed by racial/ethnic groups: NHW (5.41%), NHB (5.78%), and MA (5.61%) (<i>P</i> < .01). At 30 min/day of MVPA, HbA1c was lower in NHW (5.28%) compared to NHB (5.62%) and MA (5.56%) (<i>P</i> < .01). Similar trends were observed at 20 and 0 min/day (<i>P</i> < .01). MVPA is associated with improved glycemic control, but the benefits vary by race/ethnicity. Findings suggest that PA benefits differ by race/ethnicity, indicating a need for more tailored guidelines incorporating additional lifestyle and contextual factors.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261480621"},"PeriodicalIF":1.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13534364/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882196","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":"Common Supplements in Plant-Based Nutrition: Dosing, Formulations, and Safety.","authors":"Sneha Baxi Srivastava","doi":"10.1177/15598276261478041","DOIUrl":"10.1177/15598276261478041","url":null,"abstract":"<p><p>Dietary supplements are commonly used to support health and athletic performance. This article provides practical guidance for evaluating supplement quality, labeling, formulations, and ingredients, with particular attention to plant-based products. Creatine, caffeine, and beta-alanine are highlighted to illustrate differences in available formulations, dosing considerations, safety, and potential non-vegan ingredients. Health care professionals can use this information to help individuals select supplements that align with their health needs, goals, preferences, and values.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261478041"},"PeriodicalIF":1.9,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13530044/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148876407","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":"Nutrition Counseling Gaps in an Adolescent Population in Rural West Virginia.","authors":"Paige A Poffenberger, Linda S Nield, Emily K Nease, Lesley Cottrell, Melody Phillips, Amna Umer","doi":"10.1177/15598276261482102","DOIUrl":"10.1177/15598276261482102","url":null,"abstract":"<p><p>Adolescents have been identified as a population that receives inadequate nutrition counseling. Medical education for physicians and global policy implementation have aimed to improve this gap. The purpose of this study is to evaluate the effectiveness of these interventions by surveying families with adolescents in rural West Virginia (WV) regarding the nutrition counseling they are receiving at annual physician visits. Surveys were developed based on the US Centers for Disease Control and Prevention (CDC) Guidelines for Americans 2020-2025 to assess how often adolescents' physicians discussed nutrition topics during their annual visits. Inclusion criteria included families who had an adolescent in their household aged fourteen to eighteen years. These were distributed at two free food pantries in Morgantown, WV. At least 37% of families reported \"never\" discussing the 10 survey topics with their physician at annual visits. Counseling on limiting saturated fats and sodium intake was most often reported as \"never\" having been discussed. Despite emerging global policy and medical school interventions to improve nutrition education for physicians, the adolescent population in the studied community is likely not receiving adequate counseling. This highlights the need for practical, scalable strategies to be implemented in the clinical setting.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261482102"},"PeriodicalIF":1.9,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13530040/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148876344","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":"Openness to Vegetarian Diets Among Patients With Chronic Disease: Racial Parity Between Black and White Patients.","authors":"Jennifer Paul-Quinn, Karol Toledo, Mihir Patel","doi":"10.1177/15598276261481466","DOIUrl":"10.1177/15598276261481466","url":null,"abstract":"<p><p>Many lifestyle medicine and primary care practitioners are actively seeking to leverage the benefits of plant-based diets in preventing and managing chronic diseases among their patients. It is important to understand the key barriers that underlie an individual's openness to adopting a vegetarian diet in an urban, metropolitan area with a predominately Black population. This study used a cross-sectional survey design to assess barriers and openness to vegetarian diets in three outpatient clinics in the Baltimore area. Barriers surveyed included anticipated stigma, tastiness, financial cost, convenience, familiarity, and perceived healthfulness. 124 responses were included. There was no significant difference in mean openness score by race. The average openness score was 4.17 out of 7 among White participants and 4.03 among Black participants (SD 1.1; difference = 0.14; effect size = 0.13; <i>P</i> = .69). There was no significant difference in any barriers by race. Participants reported moderate openness to adopting a vegetarian diet, with no significant differences by race. These findings challenge any assumptions that patients, particularly Black patients, are less interested in vegetarian diets. Patients with chronic disease, regardless of race, may be receptive to information about vegetarian diets, with specific attention to address barriers.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261481466"},"PeriodicalIF":1.9,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13506977/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148833414","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 Pilot Study of a Body Neutrality Workbook Intervention to Improve Physical Activity and Motivation in Insufficiently Active Women.","authors":"Kayla Nuss, Amanda N Brice, Taylor Sullivan, Noah Chirico, Sierra L Held, Anne Poirier","doi":"10.1177/15598276261481490","DOIUrl":"10.1177/15598276261481490","url":null,"abstract":"<p><p>Nearly half of adult women in the United States do not meet recommended levels of moderate-to-vigorous physical activity (MVPA), despite well-established health benefits. Sociocultural pressures emphasizing thinness and appearance may promote controlled, appearance-based motivation for physical activity (PA), a motivational orientation that has been associated with less sustained engagement. This pilot study examined whether a 6-week, self-guided body neutrality workbook intervention was associated with changes in MVPA and psychological mediators of PA among insufficiently active adult women. Twenty participants who did not meet PA guidelines at baseline completed pre- and post-intervention assessments of MVPA, motivation, basic psychological needs, body image constructs, and PA intentions and planning. Results indicated a moderate increase in MVPA. Improvements were also observed in autonomy, competence, intrinsic and integrated motivation, body functionality appreciation, body compassion, and PA intentions and planning, alongside reductions in introjected regulation and appearance-based social comparison. These findings suggest that a body neutrality approach may support more autonomous motivation for PA. Although limited by small sample size and lack of a control group, this study provides preliminary evidence that body neutrality-based interventions may represent a promising, scalable strategy to promote both psychological well-being and PA engagement among adult women.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261481490"},"PeriodicalIF":1.9,"publicationDate":"2026-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13503642/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148819823","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":"Consumer Interpretation of the Term Plant-Based Diet.","authors":"Shannon Menhardt, Anna Herby, Neal Barnard, Emily Forbes","doi":"10.1177/15598276261480005","DOIUrl":"10.1177/15598276261480005","url":null,"abstract":"<p><p>The objective of this study was to examine how the public interprets the term \"plant-based.\" A self-administered survey was conducted July 7-9, 2025, following the Best Practices for Survey Reach of the American Association of Public Opinion research. A total of 2202 participants responded. Participants were asked their understanding of the term \"plant-based.\" Population data were weighted to approximate a target sample of adults based on education, age, race, and region. Descriptive statistics were reported using chi-squared test. Fifty-six percent equated \"plant-based\" to vegan, 35% with eating abundant plant foods as part of an omnivorous diet, 2% chose \"other\" and 7% chose \"don't know.\" Those aged 65-94 were more likely to equate the term with vegan (63%), while those aged 18-34 (51%), Hispanics (48%), Asian Americans (46%), and adults from northeastern United States (48%) were least likely. Use of \"plant-based\" without definition leaves room for misinterpretation.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261480005"},"PeriodicalIF":1.9,"publicationDate":"2026-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13498693/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799630","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":"Sex and Age Differences in Physical Activity and Dietary Patterns Among Brazilian Middle-Aged and Older Adults: Evidence From ELSI-Brazil.","authors":"Jemimah O Bakare, Minakshi Raj, Rafael Tassitano, Emerson Sebastião","doi":"10.1177/15598276261479608","DOIUrl":"10.1177/15598276261479608","url":null,"abstract":"<p><p>Healthy aging is influenced by behaviors such as physical activity (PA) and diet. This study examined sex- and age-related differences in PA and selected food consumption among Brazilian middle-aged and older adults. Data from 9,949 non-institutionalized adults aged ≥50 years participating in the Brazilian Longitudinal Study of Aging were analyzed. PA was assessed using the International Physical Activity Questionnaire and three frequency-based questions on activity intensity. Food consumption was assessed using structured questions on vegetable, fruit, juice, and red meat intake. Descriptive statistics and survey-weighted logistic regression estimated associations with 95% confidence intervals. Men were more likely to engage in moderate and vigorous PA. PA declined with age; adults aged ≥80 years were 78% more likely to be physically inactive than those aged 50-59 years. Food consumption differed by sex: women reported higher vegetable and fruit consumption, whereas men reported higher red meat consumption. Older adults, particularly those aged ≥70 years, reported more frequent fruit and juice consumption than younger groups and were less likely to report low fruit intake. Sex- and age-related differences in PA and selected food consumption highlight the need for tailored interventions to promote healthy aging.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261479608"},"PeriodicalIF":1.9,"publicationDate":"2026-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13498690/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799573","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":"An Exploration of Lifestyle Medicine Programs for Undergraduate Medical Education: A Scoping Review.","authors":"Sussan Askari, Jennifer Turnnidge, Samsoor Akberzai, Elizabeth P Frates, Amanda Ross-White, Bianca Shen, Sarah Greco, Nancy Dalgarno","doi":"10.1177/15598276261477323","DOIUrl":"10.1177/15598276261477323","url":null,"abstract":"<p><p><b>Background:</b> Lifestyle Medicine (LM) education offers potential benefits for medical students for improving medical students' health and clinical knowledge/skills. However, since LM education has not been consistently integrated into undergraduate medical education, there is a need to better understand the current literature about LM programs, including their characteristics, reporting, and application. <b>Methods:</b> A search of multiple databases yielded 7674 articles from 2012 to 2024. Handsearching of reference lists and extraction from review articles yielded 82 additional articles. Two hundred and five articles met the inclusion criteria. LM programs were assessed in relation to their context, dose and intensity, delivery, and outcomes. <b>Results:</b> The characteristics of LM programs varied considerably. LM programs generally focused on one pillar, specifically nutrition and substance use, and were often taught by interprofessional teams using multiple pedagogical strategies. Studies typically assessed outcomes at Levels 1 and 2 of the Kirkpatrick models of evaluation. Important limitations were identified in both the reporting quality, particularly the lack of demographic and costs, as well as the strength of study designs, like focus on short-term outcomes. <b>Conclusions:</b> To enhance the quality of LM programs, future work can adopt holistic approaches to LM and examine sustainability of LM programs in diverse contexts.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261477323"},"PeriodicalIF":1.9,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13493634/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799537","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}