American Journal of Lifestyle Medicine最新文献

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Carbohydrate Intake and Bacterial Vaginosis: A Systematic Review. 碳水化合物摄入与细菌性阴道病:一项系统综述。
IF 1.3
American Journal of Lifestyle Medicine Pub Date : 2025-08-28 DOI: 10.1177/15598276251367659
Marie-Hannah Baliakas, Robert Davies
{"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}
引用次数: 0
Lifestyle Medicine in China: The Fuwai Hospital Lifestyle Medicine Initiative. 中国生活方式医学:阜外医院生活方式医学倡议。
IF 1.3
American Journal of Lifestyle Medicine Pub Date : 2025-08-28 DOI: 10.1177/15598276251371687
Xuezhu Sun, Xue Feng, Shengshou Hu
{"title":"Lifestyle Medicine in China: The Fuwai Hospital Lifestyle Medicine Initiative.","authors":"Xuezhu Sun, Xue Feng, Shengshou Hu","doi":"10.1177/15598276251371687","DOIUrl":"10.1177/15598276251371687","url":null,"abstract":"<p><p>The escalating burden of non-communicable chronic diseases (NCDs) in China, particularly cardiovascular diseases (CVDs), necessitates a shift from disease treatment to prevention. Lifestyle medicine, an evidence-based medical specialty utilizing therapeutic lifestyle interventions, offers a transformative approach to this health crisis. Fuwai Hospital's pioneering Center for Lifestyle Medicine (CLM), the first of its kind in a Chinese public tertiary hospital, is at the forefront of this movement. CLM integrates comprehensive lifestyle interventions, fosters academic support, and builds a national alliance to promote the development and standardized management of lifestyle medicine across China. Despite challenges like the aging population and socioeconomic disparities, the future of lifestyle medicine in China is promising, particularly with the integration of digital technologies and artificial intelligence to promote health across all demographics.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251371687"},"PeriodicalIF":1.3,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12394202/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973659","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}
引用次数: 0
Physical Activity and Physical Fitness in Children and Adolescents Diagnosed With Sickle Cell Disease: A Scoping Review. 诊断为镰状细胞病的儿童和青少年的身体活动和身体健康:一项范围综述
IF 1.3
American Journal of Lifestyle Medicine Pub Date : 2025-08-28 DOI: 10.1177/15598276251370338
Ariane Levesque, Deepika Pugalenthi Saravanan, Peri Newman, Lauryn E Six, Yevgeniya Bamme, Smita Dandekar, Kate J Krause, Maria Chang Swartz, Gayle M Smink, Maxime Caru
{"title":"Physical Activity and Physical Fitness in Children and Adolescents Diagnosed With Sickle Cell Disease: A Scoping Review.","authors":"Ariane Levesque, Deepika Pugalenthi Saravanan, Peri Newman, Lauryn E Six, Yevgeniya Bamme, Smita Dandekar, Kate J Krause, Maria Chang Swartz, Gayle M Smink, Maxime Caru","doi":"10.1177/15598276251370338","DOIUrl":"10.1177/15598276251370338","url":null,"abstract":"<p><p><b>Introduction:</b> Research on the benefits of physical activity (PA) for children diagnosed with sickle cell disease (SCD) remains divided. This scoping review aimed to describe PA and physical fitness assessments, detail existing PA interventions, and document adverse events related to PA interventions in children with SCD. <b>Methods:</b> We searched MEDLINE, Embase, Cochrane, Web of Science, and PEDro for clinical trials and observational studies on children ≤21 years old diagnosed with SCD and providing at least one assessment of PA and/or physical fitness and/or a PA intervention. <b>Results:</b> A total of 45 studies were included in this review. Only 28.9% of studies provided an assessment of PA, with the most common assessment being self-reported questionnaires. Most studies (ie, 88.9%) detailed using physical fitness assessments, with the most common being the 6-minute walk test. Two studies described a PA intervention, and one adverse event was reported. <b>Conclusion:</b> This scoping review indicated that approaches to assess PA and physical fitness in children with SCD are heterogenous and PA interventions in this population are limited. Conducting future research aiming to address these gaps is critical to allow for the formulation of PA guidelines that are specific to the needs/challenges of children with SCD.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251370338"},"PeriodicalIF":1.3,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12394228/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974052","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}
引用次数: 0
Applying Community-Engaged Pedagogy to Culinary Medicine: Why and How Community Nutrition Enriches Culinary Medicine Curricula. 将社区参与教学法应用于烹饪医学:社区营养为什么以及如何丰富烹饪医学课程。
IF 1.3
American Journal of Lifestyle Medicine Pub Date : 2025-08-26 DOI: 10.1177/15598276251371573
Ariela Zebede, Lev Krasnovsky, Jarrett Stein, Cory Bowman, Horace M DeLisser
{"title":"Applying Community-Engaged Pedagogy to Culinary Medicine: Why and How Community Nutrition Enriches Culinary Medicine Curricula.","authors":"Ariela Zebede, Lev Krasnovsky, Jarrett Stein, Cory Bowman, Horace M DeLisser","doi":"10.1177/15598276251371573","DOIUrl":"https://doi.org/10.1177/15598276251371573","url":null,"abstract":"<p><p>Diet is a critical determinant of health, yet nutrition education remains underemphasized in medical school curricula, leaving physicians inadequately prepared to discuss nutrition with patients. Culinary Medicine (CM), a growing field blending nutritional science with practical culinary skills, offers a promising model for enhancing medical trainee competence in dietary counseling. However, many CM programs focus primarily on nutrition and culinary training, often underutilizing the educational potential of community engagement. This article advocates for the integration of community-engaged pedagogy (CEP) as a vital third pillar in CM curricula. CEP fosters reciprocal learning between medical trainees and community members, which deepens student understanding of patients' lived experiences with social determinants of health, enhances the practicality of dietary recommendations, and promotes novel forms of interprofessional collaboration. The authors provide recommendations and examples of how CEP can be embedded into CM training and call for rigorous evaluation of CEP integration to ensure that outcomes align with the goals of both students and community partners. Ultimately, as CM courses grow in popularity and become incorporated into more academic curricula, it is important to ensure that CEP becomes established as a core element of CM programming.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251371573"},"PeriodicalIF":1.3,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12380735/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974352","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}
引用次数: 0
Promoting Healthy Habits in Well-Child Visits: Advancing Weight-Neutral Health Promotion in Diverse Pediatric Populations. 在健康儿童访视中促进健康习惯:在不同儿科人群中推进体重中性健康促进。
IF 1.3
American Journal of Lifestyle Medicine Pub Date : 2025-08-26 DOI: 10.1177/15598276251370251
Christine Danner, Kathryn Freeman, Caroline Carlin, Jerica M Berge, Dana Brandenburg
{"title":"Promoting Healthy Habits in Well-Child Visits: Advancing Weight-Neutral Health Promotion in Diverse Pediatric Populations.","authors":"Christine Danner, Kathryn Freeman, Caroline Carlin, Jerica M Berge, Dana Brandenburg","doi":"10.1177/15598276251370251","DOIUrl":"https://doi.org/10.1177/15598276251370251","url":null,"abstract":"<p><p>Integrating effective health behavior change discussions in childhood preventative medical visits is a challenging and important means to support families in the creation and maintenance of healthy habits over the lifespan. The 9-5-2-1-0 model is a tool to identify healthy habits and guide conversation at well-child visits in primary care. Diverse families in a family medicine residency clinic met with a member of the interprofessional team during preventive medical visits between July 2015-March 2020 to discuss current health habits and goal setting. Data were collected at follow up visits to determine whether patients who set goals made progress towards these goals. Seventy two percent of families who met with the team were willing to set a goal at the initial encounter. Of those who set a goal, 53% reported they had partially or fully attained these goals at follow up. The presence of an interpreter did not significantly impact willingness to set a goal, overall goal attainment or add to the length of the intervention. While there are limitations to this study design, the results suggest that an interprofessional 9-5-2-1-0 intervention offers a promising approach for engaging diverse families in health habit conversations and goal setting in primary care.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251370251"},"PeriodicalIF":1.3,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12380725/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974132","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}
引用次数: 0
Positive Psychology and Health Behavior Change in Lifestyle Medicine: A Narrative Review. 积极心理学与生活方式医学中的健康行为改变:述评。
IF 1.3
American Journal of Lifestyle Medicine Pub Date : 2025-08-25 DOI: 10.1177/15598276251367691
Simon Metchette Matthews
{"title":"Positive Psychology and Health Behavior Change in Lifestyle Medicine: A Narrative Review.","authors":"Simon Metchette Matthews","doi":"10.1177/15598276251367691","DOIUrl":"https://doi.org/10.1177/15598276251367691","url":null,"abstract":"<p><p>The fields of positive psychology, health behavior change, and lifestyle medicine have evolved significantly over the past two decades, fostering a growing synergy within health care. Positive psychology, rooted in the philosophy of ancient Greeks, emphasizes flourishing, resilience, and well-being, while lifestyle medicine, involving the pillars of health-diet, exercise, sleep, social support, mind-body connection and substance avoidance-focuses on patient-prioritized action for better health. This paper reviews and explores the intersections of these fields, highlighting positive psychological interventions (PPIs) such as gratitude, savoring, and meaning-making as pathways to enhance health outcomes. Empirical evidence underscores the potential of PPIs, mediated through lifestyle medicine approaches, to influence physical and mental health. Yet challenges in research methodology, systemic barriers, and individual reluctance remain. By integrating robust psychological constructs with positive psychology and lifestyle medicine strategies, this review advocates for a unified approach that urges a system transition from sickness to flourishing, emphasizing both personal and systemic pathways to well-being.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251367691"},"PeriodicalIF":1.3,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12380745/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974093","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}
引用次数: 0
Lifestyle Medicine and Cardiovascular Health. 生活方式、医学和心血管健康。
IF 1.3
American Journal of Lifestyle Medicine Pub Date : 2025-08-22 DOI: 10.1177/15598276251365194
James M Rippe
{"title":"Lifestyle Medicine and Cardiovascular Health.","authors":"James M Rippe","doi":"10.1177/15598276251365194","DOIUrl":"https://doi.org/10.1177/15598276251365194","url":null,"abstract":"<p><p>Daily habits and actions exert a profound impact on both the short and long-term health and quality of life. This is particularly true of cardiovascular disease, although it also pertains to virtually all other chronic medical conditions. This is also a fundamental underlying principle of lifestyle medicine. The American Heart Association (AHA) and American College of Cardiology (ACC) have embraced this concept for several decades-most recently with the concept of \"cardiovascular health\" which is a strategic initiative to lower the risk factors for heart disease from ever occurring. This new initiative adds to the overall agenda for the AHA, in addition to reducing risk factors once they are present and treating cardiovascular disease. The rubric that the AHA has used to define this new initiative on \"cardiovascular health\" is \"Life's Essential 8.\" The underlying principles of increasing physical activity, improving nutrition (more fruits and vegetables and whole grains), obtaining healthy restorative sleep, having positive relationships with others, reducing the likelihood of overweight and obesity, and treating high blood pressure and lipids are all key components of the initiative on cardiovascular health. These principles also apply equally well to the discipline of lifestyle medicine. This review focuses on the most recent evidence of how lifestyle medicine and cardiovascular health are coming evermore closely aligned with each other.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251365194"},"PeriodicalIF":1.3,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12373650/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973620","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}
引用次数: 0
Assocation Between a Brain Care Score Derived from Participant Responses and Incident Stroke from the COSMOS Study. COSMOS研究中参与者反应得出的脑保健评分与卒中事件之间的关系。
IF 1.3
American Journal of Lifestyle Medicine Pub Date : 2025-08-22 DOI: 10.1177/15598276251368345
Jasper R Senff, Reinier W P Tack, Benjamin Y Q Tan, Tamara N Kimball, Savvina Prapiadou, Devanshi Choksi, Tanzeela H Ranman, Taylor M McVeigh, Aladdin H Shadyab, H Bart Brouwers, JoAnn E Manson, Howard D Sesso, Christopher D Anderson, Jonathan Rosand, Sanjula D Singh, Pamela M Rist, Nirupama Yechoor
{"title":"Assocation Between a Brain Care Score Derived from Participant Responses and Incident Stroke from the COSMOS Study.","authors":"Jasper R Senff, Reinier W P Tack, Benjamin Y Q Tan, Tamara N Kimball, Savvina Prapiadou, Devanshi Choksi, Tanzeela H Ranman, Taylor M McVeigh, Aladdin H Shadyab, H Bart Brouwers, JoAnn E Manson, Howard D Sesso, Christopher D Anderson, Jonathan Rosand, Sanjula D Singh, Pamela M Rist, Nirupama Yechoor","doi":"10.1177/15598276251368345","DOIUrl":"https://doi.org/10.1177/15598276251368345","url":null,"abstract":"<p><strong>Objective: </strong>The Brain Care Score (BCS), previously validated to predict the risk of age-related brain diseases, incorporates 12 modifiable risk factors, including blood pressure and laboratory measurements. In the U.S., fewer than 50% of individuals recall these measurements, limiting the BCS's accessibility. This study aims to evaluate the predictive validity and discriminatory power of a BCS derived from participant responses for incident stroke.</p><p><strong>Methods: </strong>We performed retrospective analyses using the prospectively collected COSMOS data. The BCS, ranging 0-19 points, was calculated from modifiable risk factors derived from participant responses only. A Cox proportional hazard model, adjusted for sex and age was used to estimate the association between a higher BCS, indicating better brain health, and incident stroke.</p><p><strong>Results: </strong>Among 17 150 participants (median age 70.8, 59.6% female) free of stroke and TIA at baseline and with complete BCS data, 187 (1.1%) experienced a stroke during a mean follow-up duration of 3.6 (SD:0.7) years. A 5-point higher BCS was associated with a 36% lower stroke risk (HR:0.64 [95%CI:0.48-0.84], c-statistic:0.68).</p><p><strong>Discussion: </strong>A BCS derived from participant responses showed similar predictive performance and discriminatory ability compared to previous validation studies that use physical and laboratory measurements. Future studies could consider incorporating the BCS derived from participant responses when physical and laboratory measurements are not readily available.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251368345"},"PeriodicalIF":1.3,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12373657/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974368","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}
引用次数: 0
Physical Activity and Childhood Cancer: Present Status and Future Directions. 体育活动与儿童癌症:现状和未来方向。
IF 1.3
American Journal of Lifestyle Medicine Pub Date : 2025-08-20 DOI: 10.1177/15598276251368342
Maxime Caru, Smita Dandekar, Kathryn H Schmitz
{"title":"Physical Activity and Childhood Cancer: Present Status and Future Directions.","authors":"Maxime Caru, Smita Dandekar, Kathryn H Schmitz","doi":"10.1177/15598276251368342","DOIUrl":"https://doi.org/10.1177/15598276251368342","url":null,"abstract":"<p><p>In children diagnosed with cancer, both physical and mental health are significantly impacted. Physical activity has emerged as a promising non-pharmacological intervention to improve both physical and psychosocial wellbeing, with growing evidence supporting its role in improving survivorship. Notably, pediatric patients who engage in regular physical activity demonstrate reduced all-cause mortality, particularly among female patients. Current research in physical activity and pediatric oncology aims to further improve mental and physical health, cardiac function, survival outcomes, and overall care. This paper provides an overview of the current state and future directions of the field, emphasizing the need for stronger evidence to support the integration of physical activity as a standard component of care. As the field advances, coordinated efforts among clinicians, researchers, and policy stakeholders will be critical to ensure equitable access to regular physical activity support for all pediatric cancer patients.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251368342"},"PeriodicalIF":1.3,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12367733/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973713","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}
引用次数: 0
Risk of Diminished Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs) After an Older Adult Fall, Medicare Current Beneficiary Survey, 2015-2020. 老年人跌倒后日常生活活动(ADLs)和日常生活工具活动(IADLs)减少的风险,医疗保险当前受益人调查,2015-2020。
IF 1.3
American Journal of Lifestyle Medicine Pub Date : 2025-08-20 DOI: 10.1177/15598276251368863
Ketra Rice, Jufu Chen, Ramakrishna Kakara, Yara K Haddad
{"title":"Risk of Diminished Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs) After an Older Adult Fall, Medicare Current Beneficiary Survey, 2015-2020.","authors":"Ketra Rice, Jufu Chen, Ramakrishna Kakara, Yara K Haddad","doi":"10.1177/15598276251368863","DOIUrl":"https://doi.org/10.1177/15598276251368863","url":null,"abstract":"<p><p>Our study estimates the odds of older adults developing limitations in activities of daily living (ADL) and instrumental activities of daily living (IADL) after a fall and examines additional factors for developing ADL/IADL limitations. We used 2015-2020 Medicare Current Beneficiary Survey data and calculated crude and adjusted odds ratios of developing ADLs/IADLs with 95% confidence intervals (CI), adjusting for demographic and health variables. Older adults who fell had twice the odds of developing ADL (OR = 2.02; CI:1.70-2.39) or IADL (OR = 2.46; CI:2.11-2.87) limitations in the year following the fall compared with those who did not fall. Among those who fell, adjusted ORs for developing ADL or IADL limitations were significantly higher for adults aged 75+ compared with those 65-74, and for adults with 2 or more chronic conditions compared to those with less than 2 chronic conditions. Adjusted ORs were lower for adults who engaged in moderate or vigorous physical activity compared with those who did not. Although the likelihood of developing limitations after a fall may increase with age, engaging in physical activity or other preventive measures may be protective.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251368863"},"PeriodicalIF":1.3,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12367721/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974105","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}
引用次数: 0
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