American Journal of Lifestyle Medicine最新文献_第5页

Lifestyle Medicine in Asia Section of AJLM: Continued Progress, Bright Future. 亚洲生活方式医学：持续进步，光明未来。

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American Journal of Lifestyle Medicine Pub Date : 2026-08-20 DOI: 10.1177/15598276261479177

James M Rippe

引用次数: 0

Fast Food and Full-Service Restaurant Consumption Show Different Associations with Systemic Inflammation Among U.S. Adults: Dietary Fiber as the Primary Mediator in NHANES 2015-2018. 在美国成年人中，快餐和全方位服务餐厅的消费显示出与全身炎症的不同关联：膳食纤维是NHANES 2015-2018的主要中介。

IF 1.9

American Journal of Lifestyle Medicine Pub Date : 2026-08-20 DOI: 10.1177/15598276261478563

Jason Dichter

{"title":"Fast Food and Full-Service Restaurant Consumption Show Different Associations with Systemic Inflammation Among U.S. Adults: Dietary Fiber as the Primary Mediator in NHANES 2015-2018.","authors":"Jason Dichter","doi":"10.1177/15598276261478563","DOIUrl":"10.1177/15598276261478563","url":null,"abstract":"This study aimed to determine whether fast food and full-service restaurant consumption have different associations with systemic inflammation and to identify nutrient mediators. This cross-sectional analysis included 6357 adults from NHANES 2015-2018. Calories from fast food and full-service restaurants were calculated using 24-hour dietary recall food-source codes. Systemic inflammation was assessed using serum high-sensitivity C-reactive protein (hs-CRP). Baron-Kenny mediation tested dietary fiber, saturated fat, sodium, and total sugar as candidate mediators. Survey-weighted models adjusted for age, sex, race/ethnicity, education, income, BMI, energy intake, and smoking. Fast food consumption was significantly associated with higher hs-CRP (β = 0.014 per 10% caloric increase; P = 0.035), whereas full-service restaurant consumption was not (β = -0.005; P = 0.578). In a head-to-head model, fast food remained significant and full-service dining remained null. Fiber mediated 34.2% of the fast food-CRP pathway, and saturated fat mediated 12.6%. After adjustment for all nutrients, the direct fast-food effect became nonsignificant (P = 0.213). The association was strongest among adults aged 20-39 years (P = 0.016). The fast food-CRP association was mediated primarily by lower fiber density, supporting fiber-focused counseling across eating contexts. Findings emphasize nutrient composition rather than restaurant use alone as the central public-health target.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261478563"},"PeriodicalIF":1.9,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13493631/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799575","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

Coaching for Adults With ADHD: Gains at a Six-Week Follow-Up. 成人ADHD辅导：六周随访的收获

IF 1.9

American Journal of Lifestyle Medicine Pub Date : 2026-08-20 DOI: 10.1177/15598276261473877

Elizabeth Ahmann, Micah Saviet, Mark Otto

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Polyendocrine Metabolic Ovarian Syndrome: A Brief Review. 卵巢多内分泌代谢性综合征：综述。

IF 1.9

American Journal of Lifestyle Medicine Pub Date : 2026-08-16 DOI: 10.1177/15598276261478047

Samia Bennani, Karen Foote

{"title":"Polyendocrine Metabolic Ovarian Syndrome: A Brief Review.","authors":"Samia Bennani, Karen Foote","doi":"10.1177/15598276261478047","DOIUrl":"https://doi.org/10.1177/15598276261478047","url":null,"abstract":"Background: Polyendocrine metabolic ovarian syndrome (PMOS) is a prevalent endocrine disorder affecting 10-13% of reproductive-aged women. Characterized by hyperandrogenism, ovulatory dysfunction, and metabolic disturbances, its management is increasingly focused on the gut-brain-ovary axis and chronic low-grade inflammation. This review examines current evidence for lifestyle-based, nutritional, and pharmacologic interventions in PMOS management. Methods: A review of current literature and clinical guidelines was conducted, focusing on pathophysiology, including genetic, hormonal, and inflammatory drivers, and therapeutic strategies. Results: Lifestyle modification remains the primary therapy, improving insulin sensitivity, menstrual regularity, and psychological well-being. Pharmacologic adjuncts like metformin and oral contraceptives address specific metabolic and reproductive symptoms. Nutritional supplementation, particularly a 40:1 ratio of myo-inositol to D-chiro-inositol, shows significant efficacy in restoring ovarian function. Emerging research highlights the role of gut dysbiosis in driving systemic inflammation and hormonal dysregulation. Conclusion: Effective PMOS management requires an individualized, multimodal approach that integrates lifestyle medicine with targeted supplementation and pharmacotherapy to address the complex metabolic and reproductive features of the syndrome.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261478047"},"PeriodicalIF":1.9,"publicationDate":"2026-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13478265/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799591","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

Religion, Spirituality, and the Six Pillars of Lifestyle Medicine: A Narrative Review. 宗教、灵性和生活方式医学的六大支柱：叙述性回顾。

IF 1.9

American Journal of Lifestyle Medicine Pub Date : 2026-08-16 DOI: 10.1177/15598276261477730

Clara Corrêa Fernandes, Mark D Faries

{"title":"Religion, Spirituality, and the Six Pillars of Lifestyle Medicine: A Narrative Review.","authors":"Clara Corrêa Fernandes, Mark D Faries","doi":"10.1177/15598276261477730","DOIUrl":"https://doi.org/10.1177/15598276261477730","url":null,"abstract":"This article is a narrative review that aims to explore the relationship between religion/spirituality (R/S) and lifestyle medicine (LM) pillars to examine if and how R/S influences health behaviors and inform whole-person LM practice. R/S influences multiple lifestyle behaviors through direct and indirect behavioral, psychological, and social pathways. The strongest evidence supports associations with avoidance of risky substances, stress management, and social connectedness. R/S is also associated with dietary practices and healthier eating patterns, although findings vary across religious traditions and measures of religiosity. Evidence regarding physical activity and sleep is generally positive but remains more mixed and less consistent across populations and religious traditions. Overall, R/S appears to shape lifestyle behaviors through health-related beliefs, meaning-making, coping strategies, spiritual experiences, community involvement, and behavioral norms. Because R/S can influence multiple lifestyle behaviors, recognizing and exploring patients' R/S experiences, beliefs, values, and practices is consistent with a whole-person approach to lifestyle medicine. Understanding these influences may help clinicians individualize recommendations that are both evidence-based and personally meaningful, supporting person-centered care while potentially enhancing engagement with and adherence to lifestyle interventions.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261477730"},"PeriodicalIF":1.9,"publicationDate":"2026-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13481535/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799596","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

The Association of Diet and Lifestyle Factors With Quality of Life and Self-Rated Health in Older Adults: The Loma Linda Longevity Study. 饮食和生活方式因素与老年人生活质量和自评健康的关系：洛马琳达长寿研究。

IF 1.9

American Journal of Lifestyle Medicine Pub Date : 2026-08-13 DOI: 10.1177/15598276261477331

Luiz Fernando Sella, Alaa Alabadi-Bierman, Michael Paalani, W Lawrence Beeson, Hildemar Dos Santos

{"title":"The Association of Diet and Lifestyle Factors With Quality of Life and Self-Rated Health in Older Adults: The Loma Linda Longevity Study.","authors":"Luiz Fernando Sella, Alaa Alabadi-Bierman, Michael Paalani, W Lawrence Beeson, Hildemar Dos Santos","doi":"10.1177/15598276261477331","DOIUrl":"https://doi.org/10.1177/15598276261477331","url":null,"abstract":"Introduction: Subjective health predicts mortality in older adults. We examined associations of vegetarian diet, adherence duration, and a Healthy Lifestyle Index with quality of life (QoL) and self-rated health (SRH) in adults ≥75 years. Methods: We analyzed cross-sectional data from 421 Loma Linda Longevity Study participants using ordinal logistic regression. Three hierarchical models were estimated: M1 (diet + sociodemographic covariates), M2 (M1 + diet duration + Healthy Lifestyle Index), and M3 (final fully adjusted model: M2 + BMI + multimorbidity). Moderation by adherence duration (<10 vs ≥ 10 years) was tested via interaction and stratified analyses. Results: The Healthy Lifestyle Index showed strong dose-response (highest vs lowest quartile: QoL aOR = 7.24, 95% CI: 3.31-15.85; SRH aOR = 4.69, 95% CI: 2.26-9.72; both P for trend <0.001). Among long-term adherents (≥10 years), vegetarian diet was significantly associated with better SRH (aOR = 2.11, 95% CI: 1.11-4.00, P = 0.022). In the fully adjusted model, the vegetarian association attenuated to borderline significance, with multimorbidity (for both outcomes) and BMI (for SRH only) emerging as stronger independent predictors. Conclusions: An integrated healthy lifestyle shows a robust dose-response with subjective health. Long-term vegetarian adherence is independently associated with better self-rated health in adults ≥75 years.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261477331"},"PeriodicalIF":1.9,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13473214/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148762543","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

Full Plate Living Evaluation and Case Series. 全餐生活评估和案例系列。

IF 1.9

American Journal of Lifestyle Medicine Pub Date : 2026-08-11 DOI: 10.1177/15598276261475279

Jonathan P Bonnet, Nathan L Holterman, Michelle Jones, Amy Hanus, Janet Calhoun, Steven Mauro, Ron Stout

{"title":"Full Plate Living Evaluation and Case Series.","authors":"Jonathan P Bonnet, Nathan L Holterman, Michelle Jones, Amy Hanus, Janet Calhoun, Steven Mauro, Ron Stout","doi":"10.1177/15598276261475279","DOIUrl":"10.1177/15598276261475279","url":null,"abstract":"Dietary interventions can improve cardiometabolic health, however, affordability, sustainability, and efficacy remain a challenge. Full Plate Living (FPL) is a free, virtual, research-based, experience-centered nutrition program that has been shown to improve health. Here, we describe self-reported outcomes using FPL and highlight four participant cases. A cross-sectional survey was emailed to all 59,410 FPL members. They were invited to share their experience with FPL and their health changes in a long form interview. Descriptive statistics were performed. The majority of the 459 respondents were engaged with FPL for at least one year, with 33% engaging for two years or more. Health improvements were reported by nearly 60% of participants, with 22% reporting weight loss/maintenance, 13% increased energy, 9% better sleep, and 6% improved lab results. Four participants completed interviews as case studies and demonstrated an average weight loss of 33 pounds, a 3.3% drop in hemoglobin A1C, and reductions in liver function tests. Total cholesterol, LDL-cholesterol, and triglycerides decreased on average by 55, 38, and 165 mg/dL, respectively. We conclude that FPL is an evidence-based nutrition education program that is sustainable, adaptable, and effective in helping members lose weight and improve overall cardiometabolic health.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261475279"},"PeriodicalIF":1.9,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13461881/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148727028","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

Optimal Data Collection in Lifestyle Medicine at the Point of Care: A Position Statement From the American College of Lifestyle Medicine. 护理点生活方式医学的最佳数据收集：美国生活方式医学学院的立场声明。

IF 1.9

American Journal of Lifestyle Medicine Pub Date : 2026-08-09 DOI: 10.1177/15598276261472801

David Ferguson Michael, Tyler Hemmingson, Kaitlyn Pauly, Cassandra Diestel, Paul Chase, Laurie P Whitsel, Marcelo Fiszman, Padmaja M Patel, Micaela C Karlsen

{"title":"Optimal Data Collection in Lifestyle Medicine at the Point of Care: A Position Statement From the American College of Lifestyle Medicine.","authors":"David Ferguson Michael, Tyler Hemmingson, Kaitlyn Pauly, Cassandra Diestel, Paul Chase, Laurie P Whitsel, Marcelo Fiszman, Padmaja M Patel, Micaela C Karlsen","doi":"10.1177/15598276261472801","DOIUrl":"10.1177/15598276261472801","url":null,"abstract":"The full potential of lifestyle medicine has yet to be realized within the healthcare system, and it is hindered by the lack of systematic data collection focused on modifiable lifestyle factors that influence chronic disease. It is the position of the American College of Lifestyle Medicine (ACLM) that (1) current data collection practices at point of care are typically inconsistent across practice settings, electronic health record (EHR) environments, and specialties, limiting usability of data collected; (2) optimal data collection across all settings will demonstrate the effectiveness of lifestyle medicine (LM) for patient health improvements, enhance patient care, identify preventive and treatment strategies, illustrate cost-effectiveness, and establish performance measure standards for consistent evaluation, and supplement our national surveillance systems; (3) standardized data collection in the field of lifestyle medicine can include but is not limited to patient visit information, lifestyle-specific biometrics, anthropometrics, self-reported lifestyle behavior assessments, lifestyle interventions, patient goals, and when possible, reimbursement/healthcare claims data and patient experience; (4) a critical need exists for terminological codes for data capture and interoperability to integrate LM terminologies into existing biomedical terminologies, with an ultimate goal of national health digital infrastructure to support LM practice.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261472801"},"PeriodicalIF":1.9,"publicationDate":"2026-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13457411/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148714224","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

Brain Health and Traumatic Brain Injury (TBI): Relationship Between Brain Care Score and Disability in Subacute-Long Term TBI. 脑健康与创伤性脑损伤（TBI）：亚急性长期TBI患者脑保健评分与残疾的关系

IF 1.9

American Journal of Lifestyle Medicine Pub Date : 2026-08-08 DOI: 10.1177/15598276261472823

Maral Sakayan, Maria T Paulino, Amanda S Fang, Claire Joyner, Stephania Tovar-Vargas, Arunima Kapoor, Alexis Conrad, Michael Lopez, Saef Izzy, Scott M Bartell, Danh V Nguyen, Mark Mapstone, Bernadette Boden-Albala, Patrick M Chen

{"title":"Brain Health and Traumatic Brain Injury (TBI): Relationship Between Brain Care Score and Disability in Subacute-Long Term TBI.","authors":"Maral Sakayan, Maria T Paulino, Amanda S Fang, Claire Joyner, Stephania Tovar-Vargas, Arunima Kapoor, Alexis Conrad, Michael Lopez, Saef Izzy, Scott M Bartell, Danh V Nguyen, Mark Mapstone, Bernadette Boden-Albala, Patrick M Chen","doi":"10.1177/15598276261472823","DOIUrl":"10.1177/15598276261472823","url":null,"abstract":"Traumatic brain injury (TBI) is a prevalent, chronic disease with heterogenous recovery and dementia risk. Poor brain health is associated with increased dementia risk, but brain health remains unexplored in TBI. Brain Care Score (BCS), a tool measuring brain health with physical, lifestyle, and social factors, has not been used in TBI. Retrospective cohort study of TBI-clinic visits in the Neurology Traumatic Brain Injury and Concussion Clinic (9/2022-10/2025). Inclusion criteria: ≥18yo, self-reported TBI, BCS, functional outcomes. Disability defined as Glasgow Outcome Scale-Extended (GOSE) <7. Among 185 patients (median age 45yo, 55.1% men, 76.2% mild TBI), 64.9% were disabled (mean GOSE 5.11 [SD: 0.80]) whom had lower BCS vs non-disabled (14.9 vs 16.8, P < 0.001). In multivariable analysis adjusted for age, sex, insurance status, Injury Severity Score (ISS), higher ISS was associated with greater odds of disability (OR = 1.06, 95% CI: 1.02-1.10, P = 0.006). Higher BCS was associated with lower odds of disability (OR = 0.779, 95% CI: 0.677-0.883, P < 0.001). We demonstrate feasibility of measuring brain health with BCS in a TBI clinic. Higher BCS is associated with lower disability risk. Future studies will investigate brain health as potentially intervenable risk factors for long-term disability in TBI survivors.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261472823"},"PeriodicalIF":1.9,"publicationDate":"2026-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13452889/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148702466","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

Health and Wellness Coaching in COPD: An Integrative Review. 慢性阻塞性肺病的健康和保健辅导：综合综述。

IF 1.9

American Journal of Lifestyle Medicine Pub Date : 2026-08-08 DOI: 10.1177/15598276261473879

Emily M Morgan, Diana M Layne, Shannon M Phillips, Sarah N Miller

{"title":"Health and Wellness Coaching in COPD: An Integrative Review.","authors":"Emily M Morgan, Diana M Layne, Shannon M Phillips, Sarah N Miller","doi":"10.1177/15598276261473879","DOIUrl":"10.1177/15598276261473879","url":null,"abstract":"Objective: This integrative review applies Self-Determination Theory to synthesize literature on Health and Wellness Coaching (HWC) interventions for Chronic Obstructive Pulmonary Disease (COPD), mapping intervention components to the core constructs of autonomy, competence, and relatedness. Methods: We searched five databases (PubMed, CINAHL Complete, SCOPUS, Healthcare Administration, and PsycINFO). Inclusion criteria: (1) adult COPD-only population, (2) reported a clearly defined quality of life (QOL) outcome measuring intervention effectiveness, and (3) met all four HWC intervention components established in prior compendia. SDT guided data extraction, with the Mixed Methods Appraisal Tool (MMAT) evaluating study quality. Results: Ten distinct HWC interventions were evaluated across 17 studies published between 2009 and 2022. Of the eight studies reporting positive QOL outcomes, all used Motivational Interviewing (MI) practices. Three of four studies showing no significant QOL improvements did not explicitly report use of MI. Interventions that did not purposely address psychological barriers (depression, anxiety, apathy, perceived futility, and fear of dyspnea) were less consistently associated with positive outcomes than those that did. Conclusion: Effective HWC interventions supported autonomy through MI-informed, flexible goal-setting; built competence by addressing psychological barriers (depression, anxiety, fear of dyspnea) alongside disease knowledge and skills training; and fostered relatedness through empathic coach-patient relationships.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261473879"},"PeriodicalIF":1.9,"publicationDate":"2026-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13452887/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148702500","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