American Journal of Lifestyle Medicine最新文献

{"title":"Community Teen Wellness Program With the Teen Lifestyle Medicine Handbook.","authors":"Mahalakshmi Mopal Mahi Mopal, Beth Frates","doi":"10.1177/15598276241313361","DOIUrl":"https://doi.org/10.1177/15598276241313361","url":null,"abstract":"","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276241313361"},"PeriodicalIF":1.5,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11760071/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048087","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 Physical Activity Vital Sign: Why and How.","authors":"Bryant J Webber","doi":"10.1177/15598276241313365","DOIUrl":"10.1177/15598276241313365","url":null,"abstract":"","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276241313365"},"PeriodicalIF":1.5,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11760067/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048155","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":"Incremental Cost-Effectiveness Ratios (ICERs) and Revised Metformin Cost-Effectiveness Conclusions in the Diabetes Prevention Program/ Diabetes Prevention Program Outcomes Study.","authors":"Sultan Alolayan, Tewodros Eguale, Alissa R Segal, Joanne Doucette, Brian E Rittenhouse","doi":"10.1177/15598276251315415","DOIUrl":"10.1177/15598276251315415","url":null,"abstract":"<p><p><b>Introduction:</b> Based on previously published US Diabetes Prevention Program (DPP) cost-effectiveness analyses (CEAs), metformin continues to be promoted as \"cost-effective.\" We reviewed a 10-year CEA to assess this. Treatment alternatives included placebo, branded metformin and individual lifestyle modification. Following the original CEA, we added group lifestyle as a modeled alternative. <b>Methods:</b> Original published data were taken as given and re-analyzed according to accepted principles for calculating incremental cost-effectiveness ratios (ICERs). With more than 2 treatments, these require attention to the rankings of interventions according to cost or effect prior to stipulating appropriate ICERs to calculate. <b>Results:</b> With appropriate ICER calculations, metformin was not cost-effective. Net Loss calculations indicated substantial costs/health losses to using metformin instead of the optimal lifestyle alternative in response to metformin having been confusingly labeled \"cost-saving\" in the original CEA. <b>Conclusions:</b> The original DPP CEA, subsequent analyses and citations of such analyses continue to conclude that both metformin and lifestyle modification are cost-effective in diabetes prevention. However, using metformin implies substantial costs and health losses compared to the cost-effective lifestyle modification. It may be that metformin has a role in cost-effective diabetes prevention, but this has yet to be shown based on DPP data.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251315415"},"PeriodicalIF":1.5,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11752154/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143029901","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 Role of Pharmacotherapy for Smoking Cessation and Pregnancy.","authors":"Sneha Baxi Srivastava","doi":"10.1177/15598276241310805","DOIUrl":"10.1177/15598276241310805","url":null,"abstract":"<p><p>Tobacco and nicotine use is widely recognized as harmful to both the user and those exposed to the substances. Pregnant individuals face additional risks, with potential adverse outcomes for the fetus and newborn. A combination of behavioral and pharmacological interventions is recommended for smoking cessation; however, in pregnancy, there are additional considerations with the use of pharmacotherapy. This article will address the role pharmacotherapy may play in smoking cessation during pregnancy.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276241310805"},"PeriodicalIF":1.5,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11713952/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972669","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":"Breaking the Silence on Obesity.","authors":"Aliye B Cepni, Fatima K Nadeem, Tracey A Ledoux, Craig A Johnston","doi":"10.1177/15598276241309248","DOIUrl":"10.1177/15598276241309248","url":null,"abstract":"<p><p>Obesity is a significant global public health concern, and health care providers play a crucial role in addressing it by offering healthy lifestyle counseling and weight management support. Evidence demonstrates that even brief counseling on healthy behaviors can lead to meaningful changes and sustained weight management. However, weight consultations are often underutilized in primary care due to various barriers, including biases against patients with obesity, misconception of physicians with obesity, or concerns about stigmatizing them by initiating discussions about weight. This paper explores the impact of biases, misconceptions, and stigma on the communication and treatment of patients with obesity and proposes strategies to overcome these challenges. Practical solutions include fostering inclusive health care environments for individuals of all body sizes and utilizing the 5A model (Ask, Assess, Advise, Agree, Assist) to guide respectful and effective weight management conversations.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276241309248"},"PeriodicalIF":1.5,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11713941/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972666","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":"Continuous Glucose Monitors and Programmed Shared Medical Appointments in Managing Type 2 Diabetes Mellitus Among First Nation Women in Australia: A Co-Designed Feasibility Study.","authors":"John Stevens, Willow Firth, Lynne Dooley, Hayley Longbottom, Kalinda Wills, Garry Egger, Bob Morgan","doi":"10.1177/15598276241312084","DOIUrl":"10.1177/15598276241312084","url":null,"abstract":"<p><p>First Nations women in Australia diagnosed with type 2 diabetes, co-designed and attended a programmed shared medical appointment that included continuous glucose monitors and culturally responsive food appreciation activities over 8 weekly sessions to improve glycaemic control. The project was a single site, longitudinal change from baseline, mixed methods, feasibility study using HbA1c as the primary outcome measure. Secondary outcome measures included, weight, metabolic health-related blood panels, CGM, Blood Glucose Levels (BGL) time-in-range percentage, Patient Activation Measure (PAM) and Problem Areas In Diabetes (PAID) tools and client satisfaction survey and semi focussed interviews. Forty participants commenced and twenty-five participants completed the program (62,5%). Of the completing participants the mean HbA1c had an absolute reduction of 0.7 percentage points ( from baseline to program completion, <i>P</i> = .013). Eighteen (75%) reduced HbA1c and maintained some reduction for 12 months. Seven (28%) achieved remission, HbA1c <6.4% (46 mmol/l) maintained for 12 months. There were statistically significant improvements in weight, systolic blood pressure, liver enzymes, BGL time-in-range, PAM and PAID scores. It is feasible to use programmed shared medical appointments incorporating CGM aiming to improve glycaemic control and other metabolic measures of health among First Nations women in Australia. <b>Trial Registration:</b> The project was registered with the Australian and New Zealand Clinical Trial Registry ACTRN12622000650796. <i>The trial web page =</i> https://www.anzctr.org.au/ACTRN12622000650796.aspx.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276241312084"},"PeriodicalIF":1.5,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11713975/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972667","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 Exposome, Social Determinants, and Environmental Pollution: Comprehensive Cardiovascular Risk in Women.","authors":"Alberto Farinetti, Camilla Cocchi, Francesca Coppi, Anna Vittoria Mattioli","doi":"10.1177/15598276241313329","DOIUrl":"10.1177/15598276241313329","url":null,"abstract":"<p><p>Cardiovascular disease (CVD) remains a significant global health concern for women, influenced by a complex interplay of social, economic, and environmental factors. This article examines cardiovascular risk through the lens of the exposome, which encompasses all environmental exposures from conception onward, including pollution, diet, and chronic stress. Social determinants such as socioeconomic status (SES), education, and stress management play crucial roles in shaping women's cardiovascular health. Lower SES and education are associated with greater exposure to adverse living conditions, poor nutrition, and limited access to healthcare, increasing the risk of CVD. Environmental pollution, particularly air pollution and climate-related changes, further exacerbates cardiovascular risk by promoting oxidative stress and inflammation. Additionally, gender-specific factors, such as pregnancy and menopause, interact with the exposome, heightening the vulnerability of women to cardiovascular risks over their lifetime. Addressing these risk factors requires a comprehensive approach, incorporating public health strategies that focus on reducing pollution, improving food security, and mitigating social inequalities. By addressing the cumulative and interacting exposures that contribute to cardiovascular disease, especially in women, more effective prevention strategies can be developed to improve long-term health outcomes.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276241313329"},"PeriodicalIF":1.5,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11713953/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972668","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":"Verbal Memory is Higher After Aerobic Exercise When Compared to Muscle Stretching.","authors":"Abigail Doku, Gavin T Roupe, Emma Rankine, Isabel Flemming, Jacob A Provost, Micah Zuhl, Hajime Otani","doi":"10.1177/15598276241313141","DOIUrl":"10.1177/15598276241313141","url":null,"abstract":"<p><p>Acute exercise is linked to memory improvement. Several mediators may influence the effect of exercise such as the type of exercise (aerobic exercise, muscle stretching). <b>Purpose:</b> The primary aim was to analyze memory outcomes after a 20-min bout of aerobic exercise or muscle stretching. <b>Methods:</b> 42 healthy participants ages 18-35 were randomized to perform 20 min of either moderate-intensity aerobic exercise (AE) on a treadmill or muscle stretching exercise (SE). After exercise, memory was assessed using the Rey Auditory Verbal Learning Test (RAVLT). The relationship between exercise heart rate and memory outcomes were evaluated within each group. <b>Results:</b> Immediate learning as well as delayed recall was higher after AE compared to SE. Heart rate during exercise correlated with immediate learning in the AE group only. <b>Conclusion:</b> Acute exercise that elicits a heart rate response may be important for improving memory.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276241313141"},"PeriodicalIF":1.5,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11707759/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956647","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":"Physical Activity and Sedentary Behavior in Patients With Breast Cancer: Results of a Single Cohort in the Midwestern United States.","authors":"Birgit Khandalavala, Sarah Carlson, Lina Elsayed, Jenenne Geske","doi":"10.1177/15598276241308551","DOIUrl":"10.1177/15598276241308551","url":null,"abstract":"<p><p><i>Purpose:</i> Physical activity and sedentary behavior have significant prognostic importance in survivors of breast cancer. However, not much is known about physical activity and sedentary behavior in the midwestern United States for patients who have breast cancer. This study provides patient-reported physical activity and sedentary behavior from a cohort of patients from the midwestern United States. <i>Methods:</i> A survey assessed physical activity and sedentary behavior from patients with all types of local or invasive breast cancer and ductal carcinoma in situ (DCIS). Demographic information and characteristics of participants' breast cancer, including time since diagnosis, type of cancer, and remission status were gathered. <i>Results:</i> Data from 108 patients reveal diverse physical activity and sedentary behavior patterns. Seventeen individuals (15.9%) report not engaging in any form of physical activity and only 15.9% report meeting national guideline recommendations of greater than 150 minutes of moderate intensity-equivalent physical activity per week. A wide range of physical activity in minutes was reported across age, time since diagnosis, type of cancer and remission status, none of which was statistically significant. Participants report sitting or reclining an average of 6.1 hours (SD = 3.9) per day during a typical workday and 5.8 hours (SD = 3.8) on a typical non-workday. <i>Conclusions:</i> Our study provides information about physical activity and sedentary behavior in a cohort of midwestern patients with breast cancer and indicates that the majority of the patients could be at high risk for long-term adverse prognosis. Tailored lifestyle programs to enhance physical activity and decrease sedentary behavior are critical to improve outcomes. Our results indicate that clinicians should incorporate healthy lifestyle medicine recommendations for all patients living with breast cancer at any age or time since diagnosis, independent of cancer type or remission status.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276241308551"},"PeriodicalIF":1.5,"publicationDate":"2024-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11664562/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886407","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":"Physical Inactivity is Simply Too Risky During Pregnancy.","authors":"Bryant J Webber","doi":"10.1177/15598276241305544","DOIUrl":"10.1177/15598276241305544","url":null,"abstract":"","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276241305544"},"PeriodicalIF":1.5,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11647816/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848109","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}