American Journal of Lifestyle Medicine最新文献_第7页

Obesity, Pregnancy, and Cardiovascular Prevention: A Lifestyle Medicine Call to Action for Preconception Health. 肥胖，怀孕和心血管预防：一种生活方式医学对孕前健康的行动呼吁。

IF 1.9

American Journal of Lifestyle Medicine Pub Date : 2026-07-22 DOI: 10.1177/15598276261471083

Camilla Cocchi, Anna Vittoria Mattioli

引用次数: 0

Using Artificial Intelligence to Support Adoption and Adherence to Lifestyle Behaviors. 使用人工智能支持采用和坚持生活方式行为。

IF 1.9

American Journal of Lifestyle Medicine Pub Date : 2026-07-18 DOI: 10.1177/15598276261466926

Aliye B Cepni, Cynthia Y Yoon, Craig A Johnston

{"title":"Using Artificial Intelligence to Support Adoption and Adherence to Lifestyle Behaviors.","authors":"Aliye B Cepni, Cynthia Y Yoon, Craig A Johnston","doi":"10.1177/15598276261466926","DOIUrl":"10.1177/15598276261466926","url":null,"abstract":"School-based health promotion programs are widely implemented to improve dietary behaviors, physical activity, and other lifestyle-related outcomes of children and adolescents. However, the effectiveness of interventions is often inconsistent, and sustaining long-term behavior change remains a persistent challenge. Limited adoption, engagement, and adherence may stem from the inability of traditional one-size-fits-all approaches to account for differences in participants' biological, behavioral, environmental, and social contexts. However, hyper-personalized lifestyle medicine, enabled by recent advances in artificial intelligence (AI), offers a promising framework for integrating multidimensional health data to deliver individualized prevention and intervention strategies at scale. In this perspective, we discuss how AI-driven technologies, including predictive analytics, wearable devices, mobile health applications, conversational agents, and virtual assistants, may enhance the personalization, scalability, and sustainability of community-based health promotion programs, including schools. We also discuss practical challenges associated with implementing hyper-personalized approaches in community settings and propose collaborative models involving schools, researchers, healthcare professionals, and participants to support effective adoption.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261466926"},"PeriodicalIF":1.9,"publicationDate":"2026-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13380638/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148521001","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

Medical Student Wellbeing Requires Purpose, Not Just Protection. 医学生的幸福需要目的，而不仅仅是保护。

IF 1.9

American Journal of Lifestyle Medicine Pub Date : 2026-07-10 DOI: 10.1177/15598276261469154

Joseph E Safdieh, Joshua Weaver

{"title":"Medical Student Wellbeing Requires Purpose, Not Just Protection.","authors":"Joseph E Safdieh, Joshua Weaver","doi":"10.1177/15598276261469154","DOIUrl":"10.1177/15598276261469154","url":null,"abstract":"Recent reforms in medical education have sought to improve student wellbeing by reducing stressors through structural changes such as pass/fail grading and the removal of high-stakes benchmarks. Despite these efforts, levels of anxiety, uncertainty, and burnout among medical students remain high. We argue that these outcomes reflect an overlooked consequence of reform: the erosion of purposeful structure. Drawing on empirical literature from medical education and psychology, we suggest that resilience is fostered not by the absence of challenge, but by engagement in clearly defined, meaningful challenges with visible pathways to achievement. When traditional benchmarks are removed without intentional replacement, students may experience not relief but disorientation, shifting anxiety toward less structured and more subjective markers of success. We propose a reframing of wellbeing initiatives toward purpose-oriented educational design that emphasizes transparent expectations, criterion-based assessment, and longitudinal mentorship. Such an approach preserves rigor while supporting wellbeing by restoring clarity, direction, and meaning in professional formation. Re-centering purpose alongside protection offers a more durable foundation for student wellbeing in contemporary medical education.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261469154"},"PeriodicalIF":1.9,"publicationDate":"2026-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13354595/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425314","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 Feasibility, Acceptability and Impact of a Remotely Delivered Whole-Food Plant-Based Education Program. 远程提供全食品植物性教育计划的可行性、可接受性和影响。

IF 1.9

American Journal of Lifestyle Medicine Pub Date : 2026-07-09 DOI: 10.1177/15598276261466949

Danielle Grew, Emily Grech, Kelly Lambert, Rowena Ivers, Luke Wilson, Joel C Craddock

{"title":"The Feasibility, Acceptability and Impact of a Remotely Delivered Whole-Food Plant-Based Education Program.","authors":"Danielle Grew, Emily Grech, Kelly Lambert, Rowena Ivers, Luke Wilson, Joel C Craddock","doi":"10.1177/15598276261466949","DOIUrl":"10.1177/15598276261466949","url":null,"abstract":"Chronic conditions linked to Western dietary patterns, together with the environmental impacts of high animal product consumption, highlight the need for scalable lifestyle medicine education strategies that support shifts toward plant-based eating. This pilot study examined the feasibility and acceptability of a 5-week, remotely delivered, nutrition-focused lifestyle medicine education program centered on whole-food plant-based eating, and examined changes in dietary intake, knowledge, skills, and perceptions. The pilot program comprised five weekly 90-minute interactive Zoom sessions covering whole-food plant-based principles, health and environmental considerations, and practical strategies for dietary change. Participants completed 24-hour dietary recalls using ASA24-AU and surveys assessing knowledge, skills, and perceptions at baseline and post-intervention. Nine women aged 20 to 61 years completed the pilot program. Acceptability was high (mean rating 4.07/5). Participants reported improvements in whole-food plant-based knowledge, greater confidence in food preparation, and more favorable perceptions of taste, satiety, and convenience. Significant reductions were observed in energy intake, cholesterol, sodium, selenium, vitamin B12, and percent energy from protein. A short-duration online whole-food plant-based education program was feasible, well accepted, and associated with measurable improvements in dietary behaviors and perceptions. Larger studies incorporating clinical outcomes and longer follow-up are warranted to assess long-term effectiveness and sustainability.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261466949"},"PeriodicalIF":1.9,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13350078/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425386","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

Combined Effects of Diet and Physical Activity Interventions on Depression and Anxiety. A Systematic Review and Meta-Analysis. 饮食和体育活动干预对抑郁和焦虑的联合作用。系统回顾和荟萃分析。

IF 1.9

American Journal of Lifestyle Medicine Pub Date : 2026-07-08 DOI: 10.1177/15598276261453892

Petros C Dinas, Constantine Zalagkitis, Marianthi Karaventza, Nikolaos Ntelis, Maria Papagianni, Aristidis S Veskoukis, George S Metsios

{"title":"Combined Effects of Diet and Physical Activity Interventions on Depression and Anxiety. A Systematic Review and Meta-Analysis.","authors":"Petros C Dinas, Constantine Zalagkitis, Marianthi Karaventza, Nikolaos Ntelis, Maria Papagianni, Aristidis S Veskoukis, George S Metsios","doi":"10.1177/15598276261453892","DOIUrl":"10.1177/15598276261453892","url":null,"abstract":"The aim of this systematic review and meta-analysis (registration: CRD420251179983) was to examine the combined effects of diet and physical activity interventions on depression and anxiety in adult populations of any health status. Eligibility criteria included adults >18 years old, healthy and patients of any disease and any comorbidity and potential medicine intake, who undertook combined interventions of any type and intensity of exercise/physical activity and any diet, of >2 weeks. We searched PubMed, Ovid and Sport Discus databases from their inception to October 2025. Using the GRADE analysis and the Cochrane handbook for interpretation, we found moderate quality of evidence that the combinations of \"exercise + low fat diet,\" \"exercise/physical activity + calorie restriction,\" \"exercise/physical activity and balanced diets in specific amounts of carbohydrates, fats and proteins\" and \"exercise + high protein diet\" likely reduce depression. Also, we found low quality of evidence that the combination of exercise/physical activity and diet interventions may reduce anxiety. To determine implications of these findings future randomized controlled trials should examine the effects of specific exercise interventions, along with low fat diets or calorie restriction or high protein diets with potential dose-response effects of these interventions.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261453892"},"PeriodicalIF":1.9,"publicationDate":"2026-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13346103/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425311","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

Food is Medicine is Not a Metaphor. 食物是药不是一个比喻。

IF 1.9

American Journal of Lifestyle Medicine Pub Date : 2026-07-06 DOI: 10.1177/15598276261463979

Padmaja Patel

引用次数: 0

The Impacts of a Primary Care-Based Dietitian Health Coaching Intervention on Patients' Health: An Observational Study. 基于初级保健的营养师健康指导干预对患者健康的影响：一项观察性研究。

IF 1.9

American Journal of Lifestyle Medicine Pub Date : 2026-07-05 DOI: 10.1177/15598276261460830

Amy B Locke, Brittany L Sisco-Taylor, Xuechen Wang, Robin L Marcus, Rebecca K Delaney, Molly B Conroy, Maribel Cedillo, Joshua Christensen, Angela Fagerlin, Paul A Estabrooks

{"title":"The Impacts of a Primary Care-Based Dietitian Health Coaching Intervention on Patients' Health: An Observational Study.","authors":"Amy B Locke, Brittany L Sisco-Taylor, Xuechen Wang, Robin L Marcus, Rebecca K Delaney, Molly B Conroy, Maribel Cedillo, Joshua Christensen, Angela Fagerlin, Paul A Estabrooks","doi":"10.1177/15598276261460830","DOIUrl":"10.1177/15598276261460830","url":null,"abstract":"The objective of this study was to examine the cardiometabolic health of patients receiving a primary care-embedded dietitian administered health coaching intervention. We performed an observational analysis of clinical and questionnaire data from electronic health records (EHRs) among patients receiving the health coaching, including 3- and 6-month changes health and associations of patient characteristics and intervention exposure with outcomes. Questionnaires included health behaviors at baseline, 3, and 6 months. Biophysical data (weight [kg], BMI, HbA1c, blood pressure), number of coaching encounters, and demographics were also collected. Paired t tests and ANOVAs compared changes over time and subgroup differences. The analysis sample included 364 adults. Participants had significant weight reductions (mean decreases of -.96 and -1.07 kg after 3 and 6 months: ps < .0001) and BMI (6 months: -0.35 kg/m2, P = .004). Among patients with diabetes or prediabetes, HbA1c values also significantly decreased (6 months: -0.55%; P = .018). Finally, the more coaching visits patients had, the greater their weight loss. Including dietitian-trained health coaches on primary care teams may improve clinical outcomes among patients at risk for or with chronic disease.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261460830"},"PeriodicalIF":1.9,"publicationDate":"2026-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13337555/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148406351","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

Putting What Matters First: A Case-Based Approach to Goal Setting to Promote Older Adult Brain Health in the AgeWISE-Action Plan Program. 把重要的放在第一位：一个基于案例的方法来设定目标，以促进老年人的大脑健康在agewise行动计划方案。

IF 1.9

American Journal of Lifestyle Medicine Pub Date : 2026-07-03 DOI: 10.1177/15598276261460835

Jaye E McLaren, Lauren R Moo, Andrew H Nguyen, Emily E Metcalf, Malissa L Kraft, Brandon Frank, John J Randolph, Yorghos Tripodis, Arielle A J Scoglio, Maureen K O'Connor

{"title":"Putting What Matters First: A Case-Based Approach to Goal Setting to Promote Older Adult Brain Health in the AgeWISE-Action Plan Program.","authors":"Jaye E McLaren, Lauren R Moo, Andrew H Nguyen, Emily E Metcalf, Malissa L Kraft, Brandon Frank, John J Randolph, Yorghos Tripodis, Arielle A J Scoglio, Maureen K O'Connor","doi":"10.1177/15598276261460835","DOIUrl":"10.1177/15598276261460835","url":null,"abstract":"Introduction: Nonpharmacological lifestyle interventions can prevent age-related cognitive decline, but people find adhering to healthy habits challenging. The Aging Well through Interaction and Scientific Education - Action Plan (AgeWISE-AP) program provides brain health and lifestyle group education followed by individualized goal setting sessions modeled on the VA Whole Health model.Objectives: To use examples of the individualized healthy aging goals and strategies created in the AgeWISE-AP program action-plan sessions to demonstrate the importance of considering what matters most when working toward lifestyle change.Methods: Veterans (cognitively intact, age ≥60) in the action-plan component of AgeWISE-AP participated in eight one-on-one sessions to create and implement individualized lifestyle goals to support positive brain health outcomes.Results: Participants (n = 36) developed up to four unique SMART (Specific, Measurable, Achievable, Relevant, Time-bound) brain health goals, generating 120 goals across brain health domains. Case examples demonstrate the process of engagement, goal setting, and implementation.Conclusion: Participation in a nonpharmacological intervention focused on individualized selection of lifestyle changing goals can support healthy brain aging. Understanding what matters most to older adults (their \"why\"), together with personal interests and activities that motivate them to consistently participate in behavior goals (their \"what\"), may aid in the success of such interventions.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261460835"},"PeriodicalIF":1.9,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13332935/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148392066","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

Assessing the Feasibility and Acceptability of VA Whole Health Coaching Among Veterans With Complex Health Care Needs-A Pilot Study. 评估具有复杂医疗保健需求的退伍军人全面健康辅导的可行性和可接受性-一项试点研究。

IF 1.9

American Journal of Lifestyle Medicine Pub Date : 2026-07-02 DOI: 10.1177/15598276261460841

C B Breneman, A C Summers, R McCullers, W Jachimowicz, N Allen, J Chester, S Tschida, L Proctor, P J Bayley, J Barrett, M J Reinhard, M Costanzo

{"title":"Assessing the Feasibility and Acceptability of VA Whole Health Coaching Among Veterans With Complex Health Care Needs-A Pilot Study.","authors":"C B Breneman, A C Summers, R McCullers, W Jachimowicz, N Allen, J Chester, S Tschida, L Proctor, P J Bayley, J Barrett, M J Reinhard, M Costanzo","doi":"10.1177/15598276261460841","DOIUrl":"10.1177/15598276261460841","url":null,"abstract":"VA Whole Health coaching may enhance veteran health and well-being through behavioral and lifestyle changes. This pilot study evaluated the feasibility (e.g., adherence) and acceptability (e.g., satisfaction) of administering VA Whole Health coaching among veterans with complex health concerns. Veterans underwent comprehensive evaluations from an interdisciplinary team and participated in a non-randomized, single-arm pilot study that consisted of 17 coaching sessions supporting behavioral change and clinical recommendations. Secondary outcomes included changes in health-related quality of life, sleep quality, anxiety, depression, and mindfulness. Of the 103 veterans approached, 50 enrolled in the study (48.5%), with two withdrawing after consenting (final n = 48). Post-intervention retention was 72.9% and adherence was 88.0%. Most outcomes had minimal missing data, and there were no serious study-related adverse events. Participant engagement and satisfaction with the intervention were high. Significant improvements were observed in physical health-related quality of life, sleep quality, symptoms of anxiety and depression, and mindfulness (corrected P-values ≤0.0045). The results demonstrated strong feasibility and acceptability of VA Whole Health coaching among veterans with complex health concerns, evidenced by high adherence and engagement levels. Preliminary results suggested improvements in physical and emotional well-being; however, larger clinical trials would benefit from minor revisions to the methods. ClinicalTrials.gov Identifier: NCT06711172.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261460841"},"PeriodicalIF":1.9,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13331788/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148392047","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

Leveraging Wearable Technology to Support Behavior Change in Personalized Nutrition and Lifestyle Medicine. 利用可穿戴技术支持个性化营养和生活方式医学的行为改变。

IF 1.9

American Journal of Lifestyle Medicine Pub Date : 2026-07-01 DOI: 10.1177/15598276261450511

Lara Zakaria

{"title":"Leveraging Wearable Technology to Support Behavior Change in Personalized Nutrition and Lifestyle Medicine.","authors":"Lara Zakaria","doi":"10.1177/15598276261450511","DOIUrl":"10.1177/15598276261450511","url":null,"abstract":"Sustained behavior change remains one of the greatest challenges in personalized nutrition and lifestyle medicine, despite well-established links between diet, physical activity, sleep, stress regulation, and chronic disease risk. Consumer health technologies-including activity and sleep trackers, heart rate (HR) and heart rate variability (HRV) monitors, continuous glucose monitors (CGM), and bioelectrical impedance-based body composition scales-provide objective, at-home metrics that translate lifestyle behaviors into measurable physiologic and metabolic feedback. Wearable-derived data can enhance self-awareness, reinforce learning, and support adherence by revealing patterns between lifestyle behaviors and outcomes such as glycemic variability, autonomic balance, energy expenditure, and changes in fat and lean mass. Evidence across domains such as sleep, stress regulation, physical activity, and glycemic response suggests that these tools are most effective when used to identify trends over time between clinical encounters and guide personalized adjustments, rather than as isolated metrics. Integrated within a clinician-guided, patient-centered framework, these technologies can reinforce self-regulation, refine individualized recommendations, and extend care between visits. As digital platforms evolve, integration with AI and emerging biologic insights-including nutrigenomics and the gut microbiome-may further enhance precision. Furthermore, when clinical oversight is maintained, patients may develop greater awareness and agency over the relationships between daily behaviors and physiological responses.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261450511"},"PeriodicalIF":1.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13323037/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148377546","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