Kiren Bashir, Courtney B Johnson-Gonzalez, Akshima Dhiman, Timothy N Crawford, Jennifer S Lee
{"title":"Lifestyle Medicine Implementation in Family Medicine Clinic.","authors":"Kiren Bashir, Courtney B Johnson-Gonzalez, Akshima Dhiman, Timothy N Crawford, Jennifer S Lee","doi":"10.1177/15598276241289316","DOIUrl":"10.1177/15598276241289316","url":null,"abstract":"<p><p><b>Background:</b> Lifestyle medicine, a patient-centered approach promoting healthy lifestyle behaviors, is an evidence-based tool for preventing and treating chronic diseases. It has been shown to reduce the burden of physical and psychological diseases. Despite this, clinical implementation is lagging, with physicians facing barriers effectively encouraging lifestyle change. <b>Objective:</b> This project studies the Lifestyle Medicine Assessment (LMA) tool regarding ease of implementation and influence on patient motivation, perception of lifestyle changes, and satisfaction. <b>Methods:</b> A two-pronged approach was conducted. First, the implementation time was recorded for multiple encounters (N = 42). Next, a different subset of patients (N = 22) receiving the LMA completed a pre- and post-encounter survey about their motivation to change, perception of lifestyle changes on well-being, and visit satisfaction. A control group (N = 21) also received these surveys. <b>Results:</b> The average time of application was 7.12 min. Intragroup scores for motivation to change were significantly higher in the LMA group post-intervention (<i>p</i> <sub><i>LMA</i></sub> <i>=</i> .001), but not in the control group. <b>Conclusion:</b> These results show the potential benefits of the LMA tool in a clinical setting, demonstrating realistically achievable implementation times and increased patient motivation regarding better lifestyle choices. Providers should consider using the LMA tool to promote lifestyle change within their practice.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276241289316"},"PeriodicalIF":1.5,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11556562/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630496","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 Doha Declaration and Lifestyle Medicine: Have We Reached a Tipping Point?","authors":"James M Rippe","doi":"10.1177/15598276241288844","DOIUrl":"10.1177/15598276241288844","url":null,"abstract":"","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276241288844"},"PeriodicalIF":1.5,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11556610/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630520","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":"A Vision for the Future of Lifestyle Medicine.","authors":"Padmaja Patel","doi":"10.1177/15598276241287147","DOIUrl":"https://doi.org/10.1177/15598276241287147","url":null,"abstract":"","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276241287147"},"PeriodicalIF":1.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11556644/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630455","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}
Joseph Toole, Natasha Vartak, Elizabeth Vrany, Georgeta Vaidean, Simona Goschin, Jerome Kogan, Stacey Rosen, Eugenia Gianos
{"title":"Integration of Psychological Services With Preventive Cardiology Consults: A Feasibility Study.","authors":"Joseph Toole, Natasha Vartak, Elizabeth Vrany, Georgeta Vaidean, Simona Goschin, Jerome Kogan, Stacey Rosen, Eugenia Gianos","doi":"10.1177/15598276241286011","DOIUrl":"10.1177/15598276241286011","url":null,"abstract":"<p><p><b>Introduction:</b> Psychological distress can have a significant impact on cardiovascular disease (CVD) and efforts to treat psychological distress may improve CVD risk factors. Therefore, we conducted a retrospective feasibility of implementation study to assess the utilization of short-term psychotherapy in patients engaged in a cardiovascular prevention program. <b>Methods:</b> Participants included patients engaged in the Women's Health or Preventive Cardiology programs from January 2019 to June 2022. Patients were referred for psychology services if deemed likely to benefit from improvements in their psychological well-being to control their CVD risk factors. Biomarkers were obtained within 6 months pre- and post-therapy. <b>Results:</b> More than half (52.8%) of the 36 patients referred to the program attended ≥6 psychotherapy sessions. In patients with HTN, 50% were above goal (130/80 mmHg) pre-therapy and 20.8% post-therapy. 55.5% of patients with an LDL-C ≥100 mg/dL pre-therapy achieved an LDL-C <100 mg/dL post-therapy. Among patients with a hemoglobin A1c ≥5.7% pre-therapy, 12.5% lowered their hemoglobin A1c to <5.7%. <b>Conclusion:</b> Our study shows the potential benefit of psychological services when delivered concurrently with preventive cardiology visits. These findings raise the possibility that expanding access to psychology services in clinical cardiology care may be a model to reduce excess cardiovascular risk factor burdens.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276241286011"},"PeriodicalIF":1.5,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11556651/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630490","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":"Integrating Geriatrics and Lifestyle Medicine: Paving the Path to Healthy Aging.","authors":"Stephanie Pintas, Julia V Loewenthal","doi":"10.1177/15598276241282986","DOIUrl":"10.1177/15598276241282986","url":null,"abstract":"<p><p>Aging is a lifelong process, and many chronic diseases and geriatric syndromes are influenced by lifestyle factors. Here, we discuss the benefits of integrating education in geriatrics and lifestyle medicine to not only improve competency of health professions learners in each area, but also so that learners can promote healthy aging in the clinical care of their future patients. We review the current state of geriatrics education, the role of lifestyle medicine in aging, and strategies to bridge the gaps between geriatrics and lifestyle medicine.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276241282986"},"PeriodicalIF":1.5,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11556592/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630488","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":"Reversal of Bone Mineral Density Loss Through Lifestyle Changes: A Case Report.","authors":"Judith A Potashkin, Namhee Kim","doi":"10.1177/15598276241285806","DOIUrl":"10.1177/15598276241285806","url":null,"abstract":"<p><p>Approximately 10 million individuals in the United States have osteoporosis and 44 million have low bone mineral density which puts them at risk for bone breaks. This presents a large burden on our health care system since about one-quarter of hip fracture patients never regain full function, need nursing care, and, for those over age 50, 24% die within one year. Oral bisphosphonates are often used as first-line therapy for the treatment of osteoporosis; however, patients frequently experience significant side effects. In addition, bisphosphonates inhibit bone loss by initiating apoptosis in osteoclasts that remove old bone, thus allowing old bone to accumulate and slowing the activity of osteoblasts that create new bone, thereby affecting bone quality. As an alternative, a bone-friendly lifestyle, including calcium and vitamin D consumption, exercise, smoking cessation, and a decrease in alcohol intake, may reduce bone loss. This case report describes lifestyle changes that included diet and exercise that increased bone mineral density in two years in a post-menopausal woman with no negative side effects.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276241285806"},"PeriodicalIF":1.5,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11556536/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630506","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}
Elisa Fang, Abigail L Nita, Carol Duh-Leong, Rachel S Gross, Antoinette Schoenthaler, Paulo Pina, Robin Ortiz
{"title":"Provider Perspectives on Techniques for Healthy Eating Promotion and Dietary Behavior Change in Caregiver-Child Dyads.","authors":"Elisa Fang, Abigail L Nita, Carol Duh-Leong, Rachel S Gross, Antoinette Schoenthaler, Paulo Pina, Robin Ortiz","doi":"10.1177/15598276241285807","DOIUrl":"10.1177/15598276241285807","url":null,"abstract":"<p><p>Child lifestyle behaviors are influenced by their caregivers. Targeting the caregiver-child relationship can establish healthy habits, especially healthful eating patterns, in both the caregiver and child. The purpose of this study was to identify the context for addressing strategies used to establish nutritious eating for the caregiver and child taken together as a unit (e.g., the caregiver-child dyad), through the perspectives of nutrition-promoting professionals. We performed purposive sampling of professionals who address healthful nutrition. Semi-structured qualitative interviews were conducted to elicit perspectives on caregiver-child eating dynamics and techniques to produce dietary behavior change. Data were coded through the constant comparative method, and subthemes and themes were identified by grouping similar codes and excerpts. We identified four themes relevant to dyadic dietary behavior change: (1) factors to consider when approaching nutrition such as family dynamics, (2) dyad-specific strategies for dietary behavior change, (3) patient-centered approaches professionals implement in interactions with the dyad, and (4) time as a barrier to dietary behavior change. In conclusion, study is novel in eliciting the perspectives of professionals across multiple settings to provide a context for dyadic dietary behavior change. Future studies can focus on developing training for lifestyle medicine professionals to approach dyad-specific behavior modification.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276241285807"},"PeriodicalIF":1.5,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11556580/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142636179","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":"Dietary Differences by Job Type and Industry Among Workers in Japan During the COVID-19 Pandemic: A Cross-Sectional Study.","authors":"Rie Tanaka, Toshihide Sakuragi, Mayumi Tsuji, Seiichiro Tateishi, Ayako Hino, Akira Ogami, Masako Nagata, Shinya Matsuda, Yoshihisa Fujino","doi":"10.1177/15598276241279221","DOIUrl":"10.1177/15598276241279221","url":null,"abstract":"<p><p>The coronavirus disease 2019 (COVID-19) pandemic forced people to change their lifestyles. We examined dietary differences by job type and industry among workers during the pandemic. This cross-sectional study was conducted using data an internet survey. Job type and industry were classified into 3 and 22 groups, respectively. Dietary behaviors were assessed using self-reported questionnaires. Logistic regression analysis nested in the workplace prefecture was conducted. Workers involved in jobs that required communication with people were more likely to skip breakfast (odds ratio [OR]: 1.17, 95% confidence interval [CI]: 1.10-1.24) and had a lower meal frequency (OR: 1.25, 95% CI: 1.17-1.34) than workers engaged in desk work. Manual workers were more likely to eat fast food or meals (OR: 1.10, 95% CI: 1.03-1.17) than were those engaged in desk work. Workers in the newspaper, magazine, television, radio, advertising, and other mass media industries were more likely to skip breakfast (OR: 2.43, 95% CI: 1.82-3.24) and have a lower meal frequency (OR: 3.90, 95% CI: 2.87-5.28) than workers in public offices and organizations. These results were partially consistent with trends reported before the pandemic. Further studies should be conducted to clarify the causes of differences in dietary behavior among workers.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276241279221"},"PeriodicalIF":1.5,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11556253/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630464","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}
Ross Arena, Nicolaas P. Pronk, Elie Gertner, Kharma C Foucher, Colin Woodard
{"title":"Arthritis in the Regional Cultures of the American Nations: An Overlooked Component of a Larger Unhealthy Lifestyle Syndemic","authors":"Ross Arena, Nicolaas P. Pronk, Elie Gertner, Kharma C Foucher, Colin Woodard","doi":"10.1177/15598276241283762","DOIUrl":"https://doi.org/10.1177/15598276241283762","url":null,"abstract":"Introduction: Health indices vary widely within the United States (U.S.), with clear “belts and epicenters” where the prevalence of unhealthy lifestyle behaviors, chronic disease, and disability are all high. Arthritis is a significant, well-established risk factor for developing chronic disease. In this paper, we hypothesize that the prevalence and patterns of arthritis in the U.S. will mirror that of other leading health issues across the country. Methods: We merged county-level data on arthritis, disability, and depression prevalence, the Lifestyle Health Index (LHI), the Social Vulnerability Index (SVI) and the American Nations regional cultures schematic. Results: Data was available from 3073 U.S. counties. We found age-adjusted arthritis prevalence has statistically significant and generally strong Pearson product correlations (r ≈ 0.70, P < 0.001) with (1) LHI sub scores and overall score; (2) Depression prevalence; (3) Disability prevalence; and (4) SVI. The geographic distribution of age-adjusted arthritis prevalence according to the American Nations regional cultures model demonstrated clear heterogeneity across regions. Conclusions: The status of population health in the U.S. is disconcerting and the current model of health care delivery, which is often approached from a siloed (condition-specific vs holistic care), reactionary, secondary prevention model, is inadequate to the challenge.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":"1 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142256313","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}
Samantha Morgenstern, Mercedes Redwood, Anna Herby
{"title":"An Innovative Program for Hospital Nutrition","authors":"Samantha Morgenstern, Mercedes Redwood, Anna Herby","doi":"10.1177/15598276241283158","DOIUrl":"https://doi.org/10.1177/15598276241283158","url":null,"abstract":"New York City (NYC) Health + Hospitals implemented a nutrition program making plant-based meals the primary lunch and dinner options for patients at its 11 hospitals. Plant-based and culturally diverse meals are prepared and distributed by a central culinary center, managed by Sodexo. Food service associates visit patient rooms and verbally introduce the featured meals each day. To ensure alignment among all staff members, staff are educated about the health benefits of plant-based nutrition and about the new menu items. The plant-based meals have been well received, with patient acceptance over 95% and patient satisfaction above 90%. Per-tray food costs for plant-based entrees cost $0.59 less compared to trays including animal products. Furthermore, the hospital system has achieved a 36% reduction in calculated carbon emissions as a result of the new plant-based menu. Because dietary choices contribute significantly to health and may influence the likelihood of hospital readmissions, prioritizing plant-based meals and nutrition education during the hospital stay may help improve patient outcomes.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":"4 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142268966","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}