American Journal of Lifestyle Medicine最新文献

{"title":"Moving Beyond Raising Awareness: Addressing Barriers","authors":"Katherine R. Hendel, Elizabeth Vaughan, Jessica M. Kirschmann, Craig A. Johnston","doi":"10.1177/15598276241274114","DOIUrl":"https://doi.org/10.1177/15598276241274114","url":null,"abstract":"Awareness of issues and health concerns can prompt individuals to change their lifestyle behaviors. In fact, awareness is typically one of the first steps towards behavior change. However, awareness alone does not necessarily initiate or sustain behavioral changes. Specifically, many individuals experience significant barriers that prevent behavior change. Providers can address such barriers through ecological models of behavior change. Including concepts from an ecological model in health care settings can support positive lifestyle behavior change post-diagnosis. Moving beyond awareness alone and addressing barriers to change is an important goal that ultimately increases the probability of change for patients.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":"16 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142177384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dietary Habits and Determinants of Overnutrition Among Secondary and Preparatory School Adolescents: A Multi-Center Unmatched Case-Control Study","authors":"Eleni Dagnaw Abeje, Shiferaw Birhanu Aynalem, Hailemariam Mekonnen Workie","doi":"10.1177/15598276241274202","DOIUrl":"https://doi.org/10.1177/15598276241274202","url":null,"abstract":"Background: Overnutrition is characterized by abnormal or excessive fat buildup in the body’s fatty tissue, leading to potential health issues associated with overweight or obesity. These conditions pose significant public health challenges for adolescents and are strong indicators of future obesity, illness, and even death. As a result, this study sought to examine the dietary behaviors and factors contributing to overnutrition in secondary and preparatory school students in Debre Berhan Town, Ethiopia. Methods: An institutional-based unmatched case-control study was conducted among 285 adolescents from March 18 to April 20, 2021. The data collection was carried out using standardized interviewer-administered semi-structured questionnaires, which were adapted from previous studies. A general survey was conducted to identify cases and controls. The cases and controls were selected using simple random sampling methods. Data was entered using Epi-data 4.2 software and exported to SPSS v25. Descriptive statistics were done based on the nature of the data. Bivariable and multivariable logistic regression analysis was performed. World Health Organization AnthroPlus software was used to analyze anthropometric data into body mass index for age with z-score. Adjusted odds ratio with a 95% confidence interval and P-value <.05 was considered statistical significance. Result: In this study, eating habits while reading (AOR = 3.87;95% CI: 1.95-7.686), sedentary behavior, (AOR = 2.52; 95% CI: 1.278-4.97), vigorous type of physical exercise for <75 min per week (AOR = 2.38; 95% CI: (1.149-4.92), <6 sleeping hour per day (AOR = 5.68; 95% CI: 2.08-15.48) and earning an average family income of ≥227 USD (AOR = 2.67; 95% CI: 1.214-5.9) were significantly associated with overnutrition among school adolescents. Conclusion: Overnutrition is a significant emerging public health concern among school adolescents, with various factors contributing to its prevalence. This study underscores the importance of promoting an active lifestyle, reducing sedentary behavior, and fostering healthy eating habits as crucial national public health priorities. Early interventions targeting modifiable risk factors are essential for mitigating the incidence of overnutrition among adolescents. It is recommended that educational programs addressing overnutrition and its associated health implications commence early in school settings to prevent the escalating prevalence of this issue. Public health initiatives aimed at increasing awareness of risk factors for overnutrition among adolescents are warranted to alleviate the future burden of obesity-related chronic non-communicable diseases.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":"1 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142177385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Furthering Lifestyle Medicine Through the Donald A. Pegg Student Leadership Award: Reflections From 2023 Awardees","authors":"Yoav Jacob, Roshini Srinivasan, Emily Ubbens, Amanda Orme, Sheeva Shahinfar, Beth Frates","doi":"10.1177/15598276241274487","DOIUrl":"https://doi.org/10.1177/15598276241274487","url":null,"abstract":"The Donald A. Pegg Leadership Award, established in 2016 by the American College of Lifestyle Medicine (ACLM), recognizes emerging leaders in Lifestyle Medicine by awarding key seed funding to support Lifestyle Medicine Interest Groups (LMIGs) and conference support to attend the ACLM’s annual conference. Through its generous support of students and LMIGs, the Pegg Award has been instrumental in catalyzing transformations in medical education, promoting awareness and integration of key Lifestyle Medicine principles into curricula. The present narrative highlights the stories of the 5 2023 Pegg Award recipients, detailing their efforts in advancing Lifestyle Medicine within their institutions and communities. By implementing novel initiatives and forging strategic partnerships, awardees have made major strides in fostering interest in Lifestyle Medicine among students, faculty, and communities-at-large; each of the students’ reflections highlights unique applications of the Pegg award which subsequently showcase an evolving set of best practices for LMIG operations. It is our hope that these 5 exemplary stories underscore students’ commitment to expanding networks of LMIGs, fostering collaboration, and creating community around Lifestyle Medicine both locally and nationally—and the far-reaching impact of the Donald A. Pegg Student Leadership Award in shaping the future of Lifestyle Medicine.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":"79 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142177410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations Between Perceived Parental and Michigan Middle-School Students’ Lifestyle Characteristics","authors":"Ryan Rogers, Kayla Marcotte, Rachel Krallman, Chih-Wen Pai, Daniel Montgomery, Jean DuRussel-Weston, Eva Kline-Rogers, Kim A. Eagle, Elizabeth A. Jackson","doi":"10.1177/15598276241268316","DOIUrl":"https://doi.org/10.1177/15598276241268316","url":null,"abstract":"Background: Parents play a critical role in their children’s health. We explored the association of children’s perception of their parents’ health behaviors and education level with the health behaviors of middle-school students participating in a school-based wellness program. Methods: Students completed a baseline survey on their dietary, physical activity, and sedentary behaviors, and their parents’ health behaviors and education. Descriptive statistics and generalized linear regression with random intercept analyzed which child-reported parent behaviors, parent education levels, and demographic factors were associated with healthy child behaviors. Results: Among 4607 students, for all behaviors assessed, children who perceived their parent exhibiting a healthy behavior were more likely to display the same healthy behavior. Healthier diet, more physical activity, and less sedentary habits were reported by students who reported their parents had college or higher education, compared to students who reported their parents had some college or less education. Conclusions: These results encourage increased parental involvement in childhood wellness programs. Additionally, these data suggest interventions which target parents with lower educational attainment may also benefit their children’s health behaviors. As we continue to understand how adolescent behavior is shaped, we can increase the effectiveness of targeted health education for parents and children.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":"73 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142223473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Text Message-Based mHealth Interventions on Physical Activity and Weight Loss: A Systematic Review and Meta-Analysis","authors":"Aminah Emeran, Robyn Burrows, Josh Loyson, Muhammed Rizaan Behardien, Lauren Wiemers, Estelle Lambert","doi":"10.1177/15598276241268324","DOIUrl":"https://doi.org/10.1177/15598276241268324","url":null,"abstract":"Physical inactivity and obesity are detrimental to one’s overall health, as they increase the risk of developing non-communicable diseases. Fortunately, physical inactivity and obesity can be improved by supporting lifestyle behavior changes. This support may be provided remotely by Mobile Health (mHealth) messaging interventions, which involve using mobile messages for health improvement. This study aimed to determine the effect of mHealth interventions using unidirectional text messaging/instant messaging on physical activity and weight-related outcomes in adult populations. An electronic literature search was conducted using PubMed, Scopus, and Web of Science, for pre-post interventions using unidirectional messaging for physical activity/weight loss. A total of 43 articles were included in the review. Most studies used non-tailored text messages, were RCTs, and were performed on clinical populations in high income countries. Meta-analysis showed that messages had minimal effects on physical activity (d+: .14, 95% CI: .05 to .23, P = .003, I<jats:sup>2</jats:sup> = 65%), and no effect on weight loss (d+: .04, 95% CI: −.02 to .10, P = .21, I<jats:sup>2</jats:sup> = 29%). This suggests that unidirectional messaging alone is not sufficient to promote physical activity and weight loss. Future studies should consider using bidirectional messaging or other interventions in addition to messages, such as mobile applications, to potentially improve intervention effectiveness.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":"15 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142177411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of a 15-Week Whole Foods, Plant-Based Diet, Physical Activity, and Stress Management Intervention on Cardiometabolic Risk Factors in a Population of US Veterans: A Retrospective Analysis","authors":"Themis A. Yiaslas, Tara S. Rogers-Soeder, Gregory Ono, Rachel E. Kitazono, Ajay Sood","doi":"10.1177/15598276241267932","DOIUrl":"https://doi.org/10.1177/15598276241267932","url":null,"abstract":"Military Veterans have a higher risk of incident atherosclerotic cardiovascular disease (ASCVD) than the general population and are often clinically complex. We studied the changes in cardiovascular risk factors with a lifestyle intervention in this population. We retrospectively analyzed data from 67 participants (mean age 69.2 (SD 7.9) years; 97% male) with atherosclerotic heart disease and/or type 2 diabetes in a 15-week, multiple health behavior change (MHBC) intervention implemented in a Veterans Affairs (VA) Behavioral Medicine Clinic. The intervention promoted a whole foods, plant-based (WFPB) diet, physical activity, and cognitive-behavioral stress management. We assessed cardiometabolic risk factors at baseline, 1 month into the intervention, and at 15 weeks (post-treatment). Among intervention completers (n = 67), we observed statistically significant improvements in waist circumference (−2.8 inches, P = .03), systolic blood pressure (−7.9 mmHg, P = .03), LDL cholesterol (−11.27 mg/dL, P = .04), fasting glucose (−15.10 mg/dL, P = .03), and hemoglobin A1c (−0.55%, P = .017) at post-treatment. Participants with type 2 diabetes (n = 34) achieved improvements in hemoglobin A1c (−0.80%, P = .007), systolic blood pressure (−10.98 mmHg, P = .01), and diastolic blood pressure (−6.65 mmHg, P = .03) at post-treatment. Medication usage did not significantly change. Veterans who completed the MHBC intervention achieved significant improvements in cardiometabolic risk in a routine VA clinical practice setting.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":"1 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141884609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Chronic Conditions Care Collaborative (4C Collaborative): A Platform for Improving Diabetes and Heart Disease Outcomes in Rural South Carolina","authors":"Brittney Grant, Jennifer Mandelbaum, Khristian Curry, Kristian Myers, Michele James, Courtney Brightharp, Shauna Hicks","doi":"10.1177/15598276241268266","DOIUrl":"https://doi.org/10.1177/15598276241268266","url":null,"abstract":"Rural U.S. counties experience racial, geographic, and socioeconomic disparities in chronic diseases. Collaborations among stakeholders in rural areas are needed to make measurable changes in health care outcomes in South Carolina. The Chronic Conditions Care Collaborative (4C Collaborative) was developed to provide an opportunity for health care teams in medically underserved areas of South Carolina to convene to improve diabetes and heart disease outcomes. The 4C Collaborative was a quality improvement (QI) learning collaborative focused on the identification of patients with undiagnosed hypertension, team-based care through medication therapy management (MTM), and diabetes management. All QI work was approached through a health equity lens. Fifteen medical practices across two cohorts participated in the 4C Collaborative and gained access to more than 35 hours of educational content and guided action steps to create systemic changes specific to the needs of their patient population. Participation also conferred access to one-on-one technical assistance with faculty subject-matter experts. The activities within the 4C Collaborative allowed health care practices to identify areas of improvement within their practices and test improvement strategies through Plan-Do-Study-Act (PDSA) cycles. Best practices and lessons learned from learning collaborative participants were compiled into storyboards and presented during end of program celebrations.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":"20 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141884610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physical Activity Habits Among Physicians: Data From the Athens Medical Association","authors":"Stamatios Lampsas, Georgios Marinos, Dimitrios Lambrinos, Panagiotis Theofilis, Ioannis Gialamas, Panteleimon Pantelidis, George E Zakynthinos, Vasiliki Kalogera, Sotirios Pililis, Emmanouil Korakas, Vaia Lambadiari, Kostas A. Papavassiliou, Evangelos Oikonomou, Gerasimos Siasos","doi":"10.1177/15598276241267213","DOIUrl":"https://doi.org/10.1177/15598276241267213","url":null,"abstract":"Background: Physicians’ exercise habits vary across different medical specialties and health service infrastructure. We assessed physicians’ exercise performance according to the recommendations of the 2020 European Society of Cardiology Guidelines. Methods: This cross-sectional study comprised 742 physicians of the Athens Medical Association (AMA), Greece. Utilizing a self-administered questionnaire, physicians’ exercise habits, demographics, specialty, and infrastructure [Hellenic National Health care System (HNHS) or Private System (PS)] were assessed. Subjects were categorized: Moderate-intensity weekly exercise ≥150 min. (Group A); Moderate-intensity weekly exercise &lt;150 min. (Group B). Results: 53.4% of AMA members met the recommended exercise criteria, averaging 240 ± 285 min./week. Significant differences were noted between Group A and B in male sex (58.3% vs 43.1%, P &lt; 0.001), Body Mass Index (24.7 ± 3.8 kg/m<jats:sup>2</jats:sup> vs 26.2 ± 4.7 kg/m<jats:sup>2</jats:sup>, P &lt; 0.001), Smoking (17.4% vs 23.5%, P = 0.04), Diabetes Mellitus (6.6% vs 11.8%, P = 0.01), and activity monitoring wearables usage (45.2% vs 29.8%, P &lt; 0.001). Significantly more doctors in the PS categorized in Group A ( P = 0.008). After adjustment for confounders, HNHS reported 33% decreased odds of achieving the exercise recommendations compared to PS (Odds Ratio: 0.676; 95% CI: 0.484-0.943, P = 0.03). Conclusion: Several factors affect adherence of AMA members to exercise goals. HNHS AMA doctors are less adherent to exercise recommendations, emphasizing the need to strengthen prevention strategies.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":"42 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141782900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Safe-Guarding Youth from Online Sexual Exploitation in the Digital Era: A Role for Primary Care","authors":"Bree A. Zeyzus Johns, Allison R. Casola, Olivia Rea, Neil Skolnik, Susan K. Fidler","doi":"10.1177/15598276241268236","DOIUrl":"https://doi.org/10.1177/15598276241268236","url":null,"abstract":"Online child sexual exploitation refers to the use of technology to sexually exploit or harm a person under age 18. In 2020, over 21.7 million reports of online child sexual enticement were filed with law enforcement, highlighting the alarming prevalence of this form of exploitation. This phenomenon has become increasingly prevalent in recent years due increased household internet access to the internet, the increased use of smartphones among children and teens, and the rapid expansion of new technological platforms such as live-streaming and gaming. Despite its risk and prevalence, this form of sexual abuse against children is largely underrepresented in the medical literature, with no formal screening or reporting guidelines for primary care physicians. This paper aims to define online child sexual exploitation, explore its health impacts, identify associated risk factors, and emphasize the pivotal role of primary care physicians in screening and counseling youth. By shedding light on this issue, we strive to address the critical need for safe-guarding the well-being of children and adolescents in an increasingly digital age.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":"8 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141782968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Walking and Lifestyle Coaching (WALC) Program for University Students: A Pilot Study","authors":"Allyssa Cole, Francesca Corrales, Emily Stone, Duke Biber","doi":"10.1177/15598276241266783","DOIUrl":"https://doi.org/10.1177/15598276241266783","url":null,"abstract":"Background: The purpose of this study was to evaluate the implementation of the 3-week Walking and Lifestyle Coaching (WALC) program with university college students to promote health behavior change and reduce chronic disease risk. Methods: During the 3-week WALC program, students received weekly peer health and wellness coaching while engaging in a 30-minute walk throughout campus. Each week, physical activity was directly measured using pedometers, and self-report physical activity behavior, steps, and daily reflections were reported using a self-monitoring journal. At baseline and follow-up, students completed biometrics screening, mental health questionnaires, and the Cooper 1.5 mile walk test to evaluate cardiovascular fitness. Results: A total of 35 college students participated in the WALC program. The mean daily steps number of steps during the WALC program was 6315 ( SD = 2073.16). Only 25/35 participants reported steps for the entire WALC program (71.43%). There was not a statistically significant difference in generalized anxiety, perceived stress, depression, quality of life, or self-compassion. There was a slight decline in body fat percentage, although not statistically significant. There was an average improvement of 89 seconds on the 1.5-mile walk/run test. Discussion: The WALC program was developed to be inclusive, feasible, and a mechanism to synergize campus resources to collaborate on behalf of student wellness. It is necessary for this program to be utilized on university campuses in diverse geographical regions (i.e., rural, urban, or suburban), with diverse students (i.e., racially, ethnically, gender-identity, and religious affiliation.), and with universities of all sizes and funding levels. Future research could consider the use of a control group as well as an online self-monitoring journal.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":"45 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141782901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}