American Journal of Lifestyle Medicine最新文献_第6页

Whole Health Revolution: Value-Based Care + Lifestyle Medicine 整体健康革命：基于价值的医疗+生活方式医学

IF 1.9

American Journal of Lifestyle Medicine Pub Date : 2024-04-10 DOI: 10.1177/15598276241241023

Karen S. Johnson, Padmaja Patel

{"title":"Whole Health Revolution: Value-Based Care + Lifestyle Medicine","authors":"Karen S. Johnson, Padmaja Patel","doi":"10.1177/15598276241241023","DOIUrl":"https://doi.org/10.1177/15598276241241023","url":null,"abstract":"An outdated and burdensome fee-for-service (FFS) reimbursement system has significantly compromised primary care delivery in the US for decades, leading to a dire shortage of primary care workers. Support for primary care must increase from all public and private payers with well-designed value-based primary care payment. Patient care enabled by value-based payment is typically described or “labeled” as value-based care and commonly viewed as distinctly different from other models of care delivery. Unfortunately, labels tend to put individuals in camps that can make the differences seem greater than they are in practice. Achieving the aims of value-based care, aligned with the quintuple aims of health care, is common across many delivery models. The shrinking primary care workforce is too fragile to be fragmented across competing camps. Seeing the alignment across otherwise separate disciplines, such as lifestyle medicine and value-based care, is essential. In this article, we point to the opportunities that arise when we widen the lens to look beyond these labels and make the case that a variety of models and perspectives can meld together in practice to produce the kind of high-quality primary care physicians, care teams, and patients are seeking.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140576345","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}

引用次数: 0

Health and Wellness Coaching Can Improve Usage of Positive Airway Pressure Therapy in Participants With Obstructive Sleep Apnea and Obesity 健康与保健指导可提高阻塞性睡眠呼吸暂停和肥胖症患者使用气道正压疗法的水平

IF 1.9

American Journal of Lifestyle Medicine Pub Date : 2024-04-10 DOI: 10.1177/15598276241244719

Michelle Alencar, Rachel Sauls, Kelly Johnson, Shreya Thakkar, Anthony Carmona, Aaron Morse, Sirish Nakka

{"title":"Health and Wellness Coaching Can Improve Usage of Positive Airway Pressure Therapy in Participants With Obstructive Sleep Apnea and Obesity","authors":"Michelle Alencar, Rachel Sauls, Kelly Johnson, Shreya Thakkar, Anthony Carmona, Aaron Morse, Sirish Nakka","doi":"10.1177/15598276241244719","DOIUrl":"https://doi.org/10.1177/15598276241244719","url":null,"abstract":"Obstructive sleep apnea (OSA) has been tied to chronic conditions, such as obesity. Although continuous positive airway pressure (CPAP) device is an effective treatment, device discomfort impacts treatment adherence. Health and wellness coaching (HWC) can increase weight loss (WL) and adherence across other treatment types. This study aims to determine whether participants undergoing an HWC program improve CPAP device usage and WL compared to control group (CG). Participants were randomly selected to participate in the HWC group in conjunction with standard care. The HWC participants were gender, age, weight, CPAP usage (e.g., hours, days), and race matched to CG participants receiving standard care only. Variables collected include demographics (i.e., age, gender), CPAP device usage, and weight across four time points (baseline, 3-, 6-, and 9-months). Paired samples t-test and Pearson’s coefficient correlation were conducted to determine how outcomes differ between groups. Of 232 participants studied, those in the HWC group significantly increased CPAP usage over time ( P < .001) vs CG (6.5 ± 1.8, and 5.0 ± 2.3 hours, respectively). The HWC group had significantly more weight loss (11.0 ± 14.5 lbs.) than CG (5.7 ± 16.1 lbs.) across the 9-month timeline ( P < .001). This study provides evidence that HWC can improve CPAP adherence and weight loss.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140576322","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}

引用次数: 0

Group-Based Interventions in Lifestyle Medicine 以小组为基础的生活方式医学干预措施

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American Journal of Lifestyle Medicine Pub Date : 2024-04-10 DOI: 10.1177/15598276241242340

Viet T. Tran, Elizabeth M. Vaughan, Stephanie Kim, Craig A. Johnston

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Nutritional Supplements for Healthy Aging: A Critical Analysis Review 促进健康老龄化的营养补充剂：批判性分析评论

IF 1.9

American Journal of Lifestyle Medicine Pub Date : 2024-04-09 DOI: 10.1177/15598276241244725

Matthew W. Kaufman, Sarah DeParis, Marily Oppezzo, Cheri Mah, Megan Roche, Levi Frehlich, Michael Fredericson

{"title":"Nutritional Supplements for Healthy Aging: A Critical Analysis Review","authors":"Matthew W. Kaufman, Sarah DeParis, Marily Oppezzo, Cheri Mah, Megan Roche, Levi Frehlich, Michael Fredericson","doi":"10.1177/15598276241244725","DOIUrl":"https://doi.org/10.1177/15598276241244725","url":null,"abstract":"Background: Healthy aging is defined as survival to advanced age while retaining autonomy in activities of daily living, high societal participation, and good quality of life. Sarcopenia, insomnia, cognitive impairment, and changes in sensation can be key hinderances to healthy aging, but nutritional supplements may abate their impact. As research advances, an updated review on their efficacy on age-related conditions is warranted. Results: Sarcopenia can be mitigated through proper protein intake, supplements like creatine, and in certain situations Branched-Chain Amino Acids and Vitamin D, in adults over 65. Melatonin supplementation has moderate evidence for improving sleep, while valerian root lacks evidence. Magnesium, tart cherry, and kiwifruits have shown promising impacts on sleep in limited articles. Magnesium, Vitamin D, and B vitamin supplementation have been shown to improve cognition in those with mild cognitive impairment and Alzheimer’s disease but require further study prior to recommendation. The Age-Related Eye Disease Study supplement combination is routinely recommended to reduce risk of progression to advance stages of age-related macular degeneration. Alpha-Lipoic Acid and Folate have been investigated for their roles in mitigating age-related hearing losses. Conclusions: Nutritional supplements and lifestyle changes may mitigate disabilities across multiple domains of age-related illnesses and promote healthy aging.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140576321","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}

引用次数: 0

From the President's Desk: The Strategic Plan for the American College of Lifestyle Medicine 2024-2026. 来自主席台：美国生活方式医学学院 2024-2026 年战略计划》。

IF 1.9

American Journal of Lifestyle Medicine Pub Date : 2024-04-05 DOI: 10.1177/15598276241242349

Beth Frates

引用次数: 0

Impact of Lifestyle Medicine Interventions on the Management of Systemic Hypertension in Primary Care: A Canadian Randomized Controlled Trial 生活方式医学干预对基层医疗机构系统性高血压管理的影响：加拿大随机对照试验

IF 1.9

American Journal of Lifestyle Medicine Pub Date : 2024-04-04 DOI: 10.1177/15598276241242013

Elisa Marin-Couture, Julie-Alexandra Moulin, Anne-Sophie Thibault, Paul Poirier, Jean-Pierre Després, Anette Gallant, Vincent Lamarre, Natalie Alméras, Isabelle Lemieux, Christian Chabot, Maria-Cecilia Gallani, Marie-Eve Piché, Benoit J. Arsenault, Angelo Tremblay, Jean-Sébastien Paquette, Caroline Rhéaume

{"title":"Impact of Lifestyle Medicine Interventions on the Management of Systemic Hypertension in Primary Care: A Canadian Randomized Controlled Trial","authors":"Elisa Marin-Couture, Julie-Alexandra Moulin, Anne-Sophie Thibault, Paul Poirier, Jean-Pierre Després, Anette Gallant, Vincent Lamarre, Natalie Alméras, Isabelle Lemieux, Christian Chabot, Maria-Cecilia Gallani, Marie-Eve Piché, Benoit J. Arsenault, Angelo Tremblay, Jean-Sébastien Paquette, Caroline Rhéaume","doi":"10.1177/15598276241242013","DOIUrl":"https://doi.org/10.1177/15598276241242013","url":null,"abstract":"The study aimed to evaluate the feasibility of implementing lifestyle interventions in primary care settings with hypertensive patients and their effect on blood pressure, body composition, cardiometabolic markers, and antihypertensive drug use. Sixty participants diagnosed with stage 1 hypertension were randomly assigned to 4 groups: (1) Standard medical care (control), (2) Physical activity protocol, (3) Dietary Approach to Stop Hypertension (DASH) diet, and (4) Combination of physical activity protocol and DASH diet. Participants received counseling from family physicians, nurses, kinesiologists, and registered dietitians. Various assessments were conducted before (T0) and after (T6) the interventions, including 24-h ambulatory blood pressure monitoring, blood and urine tests, anthropometric measurements, computed tomography to measure adipose tissue, submaximal exercise test to estimate maximal oxygen consumption and health questionnaires. Fifty-one (51) participants (51/57, 89%) completed the program. All interventions reduced blood pressure indices between T0 and T6, except the combined interventions group. Body composition and cardiometabolic parameters were improved in all groups, except for the control group. In total, 28% of participants (7/23) reduced or stopped their antihypertensive medications at T6. The results suggest that structured lifestyle interventions are feasible in primary care and improve blood pressure and cardiometabolic parameters in patients with stage 1 hypertension.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140576342","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}

引用次数: 0

Lifestyle Medicine Approach to Wound Management 伤口管理的生活方式医学方法

IF 1.9

American Journal of Lifestyle Medicine Pub Date : 2024-04-04 DOI: 10.1177/15598276241242026

Jengyu Lai

引用次数: 0

Lifestyle Medicine’s Role in Common Hormonal Disorders: A Case-Based Discussion 生活方式医学在常见荷尔蒙紊乱中的作用：基于病例的讨论

IF 1.9

American Journal of Lifestyle Medicine Pub Date : 2024-04-04 DOI: 10.1177/15598276241242012

Mahima Gulati

{"title":"Lifestyle Medicine’s Role in Common Hormonal Disorders: A Case-Based Discussion","authors":"Mahima Gulati","doi":"10.1177/15598276241242012","DOIUrl":"https://doi.org/10.1177/15598276241242012","url":null,"abstract":"Hormonal disorders like PCOS (Polycystic Ovary Syndrome), autoimmune thyroid disease (AITD) including Hashimoto’s thyroiditis, male hypogonadism are commonly encountered in clinical practice in the US and worldwide, with rising frequency. These typically affect patients during young or middle age, compared with other common chronic illnesses like type 2 diabetes, hypertension, atherosclerotic cardiovascular disease, where onset may usually be in middle or older age. Multiple studies point to the role of disordered lifestyle health behaviors as contributory to these endocrinopathies, and conversely therapeutic lifestyle changes leading to improvement in signs, symptoms, biochemical markers, and sequelae of these conditions. This article presents 3 different real life case studies of the conditions enlisted above and documents the positive impact of lifestyle improvements on their disease condition. Therapeutic lifestyle behaviors are an extremely useful and important component of management of these familiar endocrinologic disorders, and clinicians need to routinely counsel their patients about healthy lifestyle interventions when treating these common syndromes.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140576565","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}

引用次数: 0

Empowering Medical Students: Unveiling the Benefits of Nutrition Seminars and Plant-Based Diets in Medical School Education 增强医科学生的能力：揭示营养研讨会和植物膳食在医学院教育中的益处

IF 1.9

American Journal of Lifestyle Medicine Pub Date : 2024-04-03 DOI: 10.1177/15598276241242732

Fanny Huang, Deena Sukhon, Jessica R. Cummings, Nikita Lee, Elizabeth Carlson, Michelle Jankowski, Virginia Uhley

{"title":"Empowering Medical Students: Unveiling the Benefits of Nutrition Seminars and Plant-Based Diets in Medical School Education","authors":"Fanny Huang, Deena Sukhon, Jessica R. Cummings, Nikita Lee, Elizabeth Carlson, Michelle Jankowski, Virginia Uhley","doi":"10.1177/15598276241242732","DOIUrl":"https://doi.org/10.1177/15598276241242732","url":null,"abstract":"Background: Whole-food, plant-based (WFPB) dietary patterns can be used as a lifestyle modification to lower blood pressure and lose weight. This study aimed to observe the effects of WFPB dietary patterns and improve nutrition education in medical school. Methods: Forty-six medical students participated in the four-week Plant Plunge challenge, which consisted of a pre- and post-challenge health screening, weekly nutrition seminars, and the personal challenge to eat more WFPB. Afterward, an anonymous survey was sent to participants to analyze nutrition education quality in medical school. Results: The Wilcoxon Signed Rank test indicated statistically significant improvement in weight and blood pressure (BP) (N = 33). The median (interquartile range) difference in weight from pre- to post- was −.9 (−2.2, .0, P < .0461) pounds, whereas the differences in systolic and diastolic BP were −5.0 (−9.0, −.5, P < .049) and −7.0 (−11.0, −2.0, P < .0037) mmHg, respectively. Participants were significantly more likely to advocate for the integration of nutrition information into the medical school curriculum ( P = .0162). Conclusions: Short-term lifestyle modifications with WFPB dietary patterns help reduce weight and BP. Incorporating nutrition seminars in medical education may improve long-term patient outcomes.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140576344","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}

引用次数: 0

Prevalence of Vegetarianism and Lifestyle Correlates in a National Study 一项全国性研究中的素食主义流行率和生活方式相关因素

IF 1.9

American Journal of Lifestyle Medicine Pub Date : 2024-04-03 DOI: 10.1177/15598276241243296

Shelly S. Bakst, Dolev Karolinsky

{"title":"Prevalence of Vegetarianism and Lifestyle Correlates in a National Study","authors":"Shelly S. Bakst, Dolev Karolinsky","doi":"10.1177/15598276241243296","DOIUrl":"https://doi.org/10.1177/15598276241243296","url":null,"abstract":"Introduction: Vegetarianism in its various forms has gained global recognition in part because of the notion that it is healthier; however, associations between plant-based diets and selected lifestyle practices in Israel have yet to be clarified. Methods: A population-based sample consisting of 1396 Israeli adults was collected via telephone survey, between the years 2013-2014. Differentiation between self-defined and actual vegetarians was initially verified (based on food intake). Next, “actual” vegetarian status was studied in relation to demographics and health behaviors. Results: Approximately 5% (N = 65) of respondents (5.8% Jews and 3.0% Arabs) were “self-defined” vegetarians; but only about half (N = 33) adhered to genuine vegetarian diets. By contrast, nearly 2% (N = 26) of those self-identified as non-vegetarians were “actual” vegetarians; thus, 4.4% (N = 59) of the sample were verified “vegetarians.” And while socio-demographic features did not meaningfully capture differences by vegetarianism status, “actual” vegetarians were significantly more likely than non-vegetarians to be physically active (OR = 1.7), use nutritive supplements (OR = 2.4) and read food product labels (OR = 1.9; all P < .01). Conclusions: Aggregately, “actual” vegetarian participants were more inclined to have healthier lifestyle practices relative to their non-vegetarian counterparts. Forthcoming research using larger samples should however exploit constant assessment measures to validate the link between vegetarianism and health-promoting correlates.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140576351","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}

引用次数: 0