American Journal of Lifestyle Medicine最新文献

{"title":"Lifestyle Medicine Competencies in Women's Health: Consensus-Based Standards From the International Board of Lifestyle Medicine.","authors":"John McHugh, Sohaila Cheema, Nancy Eriksen, Shagufta Feroz, Sandra Lanza, Mechelle Acero Palma, Kara L Staffier, Micaela C Karlsen, Michelle Tollefson","doi":"10.1177/15598276261473219","DOIUrl":"10.1177/15598276261473219","url":null,"abstract":"<p><p>Lifestyle medicine (LM) takes an evidence-based approach to the prevention and management of many conditions affecting women; however, no dedicated competency framework currently guides its application across the life span. We aimed to develop a comprehensive set of core competencies for women's health-focused lifestyle medicine. Building on existing American and International Boards of Lifestyle Medicine (ABLM/IBLM) frameworks, we convened an international, interdisciplinary expert committee including physicians from obstetrics and gynecology and primary care, representing the United States, Asia, the Middle East, and South America. A modified Delphi process was used to evaluate consensus on proposed competencies, with agreement assessed on a Likert scale with defined terms for consensus. All 7 committee members completed the Delphi survey, and all 73 competency statements reached consensus. The final framework comprises 73 competencies organized into 11 categories: fundamental knowledge; the 6 lifestyle medicine pillars; clinical assessment and management processes; behavior change strategies; mental health; and contextual determinants, including social determinants of health and trauma-informed care. This consensus-derived framework provides the first structured foundation for integrating lifestyle medicine into women's health education, clinical training, certification, and practice. Its adoption has the potential to advance more equitable, preventive, and person-centered care for women globally.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261473219"},"PeriodicalIF":1.9,"publicationDate":"2026-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13442689/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148686073","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":"Retrospective Analysis of a Virtual Lifestyle Medicine Shared Medical Appointment Series on Prediabetes and Type 2 Diabetes Mellitus.","authors":"Jacob Mirsky, Nancy Haff, Meekang Sung, Niteesh K Choudhry, Adline Rahmoune, Kaitlin E Hanken, Julie C Lauffenburger","doi":"10.1177/15598276261475291","DOIUrl":"10.1177/15598276261475291","url":null,"abstract":"<p><p><b>Purpose:</b> Reimbursable in-person Shared Medical Appointments, where multiple patients meet with a provider to receive general education and individualized care, are effective at reducing glycated hemoglobin A1c (HbA1c) for patients with prediabetes and type 2 diabetes mellitus. There is little research on improving HbA1c control using Lifestyle Medicine Shared Medical Appointment (LMSMA) series, especially with virtual sessions. <b>Setting:</b> We describe the glycemic outcomes of a virtual LMSMA series for patients with prediabetes and type 2 diabetes mellitus in an academic primary care setting. <b>Intervention:</b> The intervention group consisted of patients attending ≥1 virtual LMSMA session; the control group was propensity-matched patients who were referred but did not schedule. <b>Outcomes:</b> The intervention led to a non-significant 0.09% greater HbA1c reduction (95% CI: -0.32, 0.14) vs control. However, intervention patients were 9% (95% CI: 1.01-1.17, control 85.3% vs intervention 91.4%) more likely to achieve HbA1c <7.0% approximately 1.5 years after the intervention and, in the setting of similar antihyperglycemic medication doses as baseline, had 0.51 fewer active antihyperglycemic medications over follow-up vs control patients (95% CI: -0.96, -0.06). <b>Lessons Learned:</b> These findings support further exploration of virtual LMSMA series as a care delivery strategy for improving blood sugar control.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261475291"},"PeriodicalIF":1.9,"publicationDate":"2026-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13447587/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148690115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lifestyle Behaviors and Noncommunicable Diseases Among United States Adults: A National Analysis of Physical Activity, Diet, and Health Outcomes.","authors":"Samuel Ofei-Dodoo, Ibrahim M Touffaha, Divya L Natesan, Hayrettin Okut, Elena S Lemke, Carter Altenbernt, Ashley M Eck, Eli A Wolfe, Alexis R DeMarea, Anthony H Nabbout, Bradley Davis, Diana Le","doi":"10.1177/15598276261471137","DOIUrl":"10.1177/15598276261471137","url":null,"abstract":"<p><p>Noncommunicable diseases (NCDs) remain the leading causes of morbidity and mortality in the United States, yet adherence to recommended physical activity and dietary behaviors remains suboptimal. Authors of this study examined associations between physical activity, diet, and selected NCDs among United States adults. Data were drawn from the 2024 Health Information National Trends Survey, a nationally representative cross-sectional sample of United States adults aged ≥18 years. Survey-weighted analyses examined self-reported diagnoses of diabetes, hypertension, heart disease, and lung disease in relation to aerobic activity, strength training, and fruit and vegetable intake. Bivariate analyses assessed sociodemographic differences, and multivariable logistic regression models estimated adjusted odds of not being diagnosed with each condition. Mean body mass index was 28.8 kg/m², with 35.8% of respondents classified as obese. Few respondents met guidelines for moderate-intensity exercise (36.3%), strength training (38.4%), fruit intake (19.9%), or vegetable intake (28.0%). Meeting aerobic activity guidelines was associated with higher odds of not being diagnosed with diabetes (adjusted odds ratio [aOR] 1.33; 95% CI, 1.04-1.69) and hypertension (aOR 1.49; 95% CI, 1.15-1.93). Strength training was inversely associated with lung disease (aOR 0.66; 95% CI, 0.49-0.89). Fruit intake also was associated with lower odds of lung disease (aOR 1.97; 95% CI, 1.17-3.30). Younger age, healthy weight, and higher income were consistently associated with lower odds of NCD diagnoses. Aerobic physical activity demonstrated the most consistent protective associations with diabetes and hypertension, while diet and strength training showed condition-specific relationships. Improving adherence to lifestyle guidelines may reduce NCD burden and persistent disparities.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261471137"},"PeriodicalIF":1.9,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13427952/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148654940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lifestyle and Behavioral Factors and Cancer Survivorship in Women.","authors":"Warren Szewczyk, Alexi Vasbinder, Chi-Shan Tsai, HyunHae Lee, Hyo Chan Park, Emma Cleary, Sophia Judish, Robert Peterson, Adin Taheri, Beth Frates, Amy Comander, Kerryn W Reding","doi":"10.1177/15598276261472804","DOIUrl":"10.1177/15598276261472804","url":null,"abstract":"<p><p>A growing number of women in the United States are cancer survivors. Behavioral and lifestyle factors are important components of health during and after cancer treatment and are modifiable with sustained behavior change. In this review, we summarize published evidence on the associations of the American College of Lifestyle Medicine's 6 lifestyle pillars-nutrition, physical activity, stress management, avoidance of risky substances, restorative sleep, and social connection-with survival and cancer recurrence among female cancer survivors and on the effects of interventions to modify each pillar in this population. We found that most of the 6 pillars have been associated with mortality and recurrence in large observational studies. Physical activity interventions have been associated with the broadest range of health benefits among female cancer survivors, including improved quality of life, cardiorespiratory fitness, physical functioning, mental health, sleep, and survival. Cognitive behavioral therapy and mindfulness-based relaxation, including mind-body exercises such as yoga, have also consistently shown efficacy for improving sleep and mental health. More work is needed to identify effective interventions for diet, alcohol and tobacco use, and social support and for improving maintenance of lifestyle changes. Implications for integrating behavioral and lifestyle medicine into clinical oncology are discussed.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261472804"},"PeriodicalIF":1.9,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13423950/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148655012","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 DREAMS Framework for Clinical Practice, Education, Research and Community Outreach: Operationalizing the Six Pillars of Lifestyle Medicine.","authors":"Ifeoma Nwabuisiaku Monye, Amarasinghe Arachchige Don Nalin Samandika Saparamadu","doi":"10.1177/15598276261472825","DOIUrl":"10.1177/15598276261472825","url":null,"abstract":"<p><p>Lifestyle Medicine (LM) is increasingly recognized as a foundational approach to the prevention, treatment, and potential reversal of chronic non-communicable diseases through six core pillars. However, translating these pillars into a consistent, practical, and scalable framework for clinical practice, education, research, and community engagement remains a challenge. This paper introduces the DREAMS (Diet and Nutrition, Relationships and Social Connectedness, Exercise and Physical Activity, Avoidance of Harmful Substances, Mental Wellbeing and Stress Management, and Sleep Optimization) framework as an integrative, operational approach designed to unify and apply the six pillars of LM. Structured as a memorable acronym, the framework has the potential to enhance recall, support education, and facilitate delivery of cross-pillar multimodal lifestyle interventions across diverse settings. The DREAMS framework offers a practical pathway for advancing the implementation and global impact of LM and provides a foundation for future research and evaluation.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261472825"},"PeriodicalIF":1.9,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13423947/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148654995","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":"Development and Acceptability of a Dietitian Delivered Patient Educational Video for Managing Irritable Bowel Syndrome.","authors":"Jennifer Armstrong, Shannon Morley, Jennifer Utter","doi":"10.1177/15598276261472814","DOIUrl":"10.1177/15598276261472814","url":null,"abstract":"<p><p><b>Purpose:</b> Irritable bowel syndrome is a common disorder of the gut-brain interaction, with guidelines advising lifestyle modification as first-line treatment. This contributes to high demand for dietetic services. As technological interventions may improve efficiency of care and patient experience, we aimed to develop a first-line patient educational video for irritable bowel syndrome. <b>Setting:</b> This project was set at Mater Health, Brisbane, Australia, where referrals outweigh dietetic capacity, resulting in prolonged patient wait times. <b>Intervention:</b> Video content was based on best-practice guidelines and created via collaboration between dietetics and the gastroenterology multidisciplinary team. <b>Outcomes:</b> Four short educational videos were created. Consumer and clinician feedback described the videos as educational and easy to understand. Clinicians reported they would recommend the videos to their patients. All consumers said they would recommend the videos to family/friends with irritable bowel syndrome and 88% said they would make dietary changes. After watching the videos, 45% felt they would not require a face-to-face dietetic appointment. <b>Lessons Learned:</b> Our project suggests that using video technology is feasible and acceptable to both consumers and clinicians for IBS education. These results have wider implications for video education to be adapted by other healthcare professionals across a range of chronic conditions.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261472814"},"PeriodicalIF":1.9,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13415632/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622086","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":"Rural Perspectives of Online Lifestyle Medicine Intervention Delivery, Digital Data Collection, and Health Behavior Changes: A Qualitative Study.","authors":"Laurie S Abbott, Jessica De Leon, Erin Stearns, Michael Killian, Lucinda J Graven","doi":"10.1177/15598276261471135","DOIUrl":"10.1177/15598276261471135","url":null,"abstract":"<p><p><b>Purpose:</b> Chronic diseases contribute toward increased rates of disability, morbidity, and mortality around the world. People living in rural areas are disproportionately more likely to have chronic diseases and greater chronic disease risk from modifiable lifestyle risk factors. The purpose of this study was to explore the perspectives of rural participants of an online lifestyle medicine intervention study regarding online health program delivery format, digital data collection, and making health behavior modifications. <b>Design:</b> The study had a descriptive qualitative design using individual semi-structured interviews via Zoom to collect information from a subset of intervention group participants. The interviews (n = 26) were transcribed within the Zoom application and checked for accuracy. Grounded theory guided the thematic analysis of qualitative data using an iterative process to discover patterns, concepts, and central themes. <b>Results:</b> Four categorical themes emerged: <i>Online and Digital Format</i>, <i>Health Behavior Outcomes, Health Behavior Change Barriers, and Health Behavior Change Facilitators</i>. The findings highlighted rural perspectives about participating in online and digital intervention study modalities and making health behavior changes, including barriers and facilitators. <b>Conclusion:</b> The results emphasize that people living in rural areas can actively participate in online interventions, digitally complete study activities, and make healthier lifestyle choices.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261471135"},"PeriodicalIF":1.9,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13415630/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622083","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 Association of Vigorous Activity With Sleep Patterns in the Adventist Health Study 2 Authors.","authors":"Michael Paalani, Daijah Lofton, Salim Serrano, Jones Ampadu Adjei, Alaa Alabadi-Bierman, Jerry W Lee, W Lawrence Beeson, Hildemar Dos Santos","doi":"10.1177/15598276261471058","DOIUrl":"10.1177/15598276261471058","url":null,"abstract":"<p><p>Physical activity may promote sleep, but few studies examined whether vigorous exercise is associated with difficulty falling asleep or waking in the middle of the night. This study examined the relationship between these variables. The Adventist Health Study-2 (AHS-2) questionnaireline was completed by approximately 97000 churchgoers in North America to investigate relationships between lifestyle, including exercise habits, and chronic disease. A randomly selected subset participated in the Biopsychosocial Religion and Health Study (BRHS), including about 11 000 respondents who answered questions about psychosocial and religious issues, including sleep patterns. After excluding participants with chronic disease, 3960 remained: 2502 women (1502 Whites and 1000 Blacks) and 1458 men (1038 Whites and 420 Blacks). Logistic regressions were adjusted for age, gender, race, body mass index (BMI), diet, education, alcohol, caffeinated-beverage use, hours of sleep, and napping. Increased frequency of vigorous physical activity was protective against difficulty falling asleep (OR = 0.97; 95% CI = 0.94-0.98; <i>P</i> = 0.03). Higher odds of difficulty falling asleep were observed among female participants, increasing age, weekday napping, and sleeping 9 hours or more per night. Vigorous physical activity was associated with reduced difficulty falling asleepline but showed no relation to waking during the night.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261471058"},"PeriodicalIF":1.9,"publicationDate":"2026-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13407682/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608565","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 Integrated Resilience Method: A Whole-Person Framework for Women 50+ Living with Chronic Low Back Pain.","authors":"Agnes F Padernal","doi":"10.1177/15598276261471065","DOIUrl":"10.1177/15598276261471065","url":null,"abstract":"<p><p>Chronic low back pain (CLBP) is the leading cause of disability in women over 50, compounded by menopause, caregiving demands, and reduced physical capacity. This article presents the Integrated Resilience Method, a six-pillar framework integrating evidence-based self-management strategies for postmenopausal women with CLBP. The framework is a conceptual model informed by clinical and lived experience with chronic low back pain and a broad, narrative review of the literature across pain science, rehabilitation, women's health, and lifestyle medicine. Its six interconnected pillars-Resilient Identity, Pain Signal Mastery, Nervous System Recalibration, Capacity Restoration, Anti-Inflammatory Foundation, and Sustainable Performance Habits-address the biopsychosocial factors that drive CLBP in postmenopausal women, including hormonal change, sarcopenia, sleep disruption, fear-avoidance, and caregiving stress. Within the framework, evidence hierarchy prioritizes exercise, pain education, and self-efficacy as the components with the strongest evidence, with nutrition and stress-resilience practices positioned as adjunct supports aligned with lifestyle-medicine priorities. The Integrated Resilience Method offers clinicians, nurses, physical therapists, and health coaches a practical, patient-centered model that translates current pain science into sustainable lifestyle interventions for midlife women. It is applicable in primary care, rehabilitation, and community-based settings, and is designed to complement-not replace-medical evaluation and treatment.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261471065"},"PeriodicalIF":1.9,"publicationDate":"2026-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13407676/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608559","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":"Strategies and Recipes for Increasing Patient Legume Consumption.","authors":"Amy Hanus","doi":"10.1177/15598276261468587","DOIUrl":"10.1177/15598276261468587","url":null,"abstract":"","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261468587"},"PeriodicalIF":1.9,"publicationDate":"2026-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13401614/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148593988","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}