Lauren E Vanderpool, Madeline L Wong, Grace O Gama, Shannon F Holmes, Beth Frates, Kara L Staffier, Justin A Charles, Micaela C Karlsen
{"title":"Lifestyle Medicine Interest Group (LMIG) Events Analysis.","authors":"Lauren E Vanderpool, Madeline L Wong, Grace O Gama, Shannon F Holmes, Beth Frates, Kara L Staffier, Justin A Charles, Micaela C Karlsen","doi":"10.1177/15598276251337409","DOIUrl":"10.1177/15598276251337409","url":null,"abstract":"<p><p>Lifestyle Medicine Interest Groups (LMIG) have grown substantially since 2008, with 165 LMIGs established across the U.S. as of June 2024. The American College of Lifestyle Medicine (ACLM) supports LMIG establishment within academic and health system settings, providing opportunities for students, faculty, and employees to learn about and practice lifestyle medicine (LM). A cross-sectional survey containing multiple-choice and free-text questions was administered continuously to established LMIGs between March 2020 and May 2023. Descriptive statistics were generated to note the number of unique institutions, median number of events, event attendance, and frequency of event types. Thematic analysis was conducted for all free-text sections of the survey. Data from 1,062 LMIG events across 127 unique institutions with a total of 29,689 attendees was analyzed. Each institution had a median of 5 events with a median of 16 attendees. Lectures, group physical activities, and board meetings were most common. Quantitative findings reveal substantial growth among LMIG events, expansion across geographic locations, and insights into funding sources. Nutrition and physical activity were most frequently highlighted, while social connection, sleep, and avoidance of risky substances were least represented. LMIGs are growing in number and size, empowering future health professionals through LM awareness.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251337409"},"PeriodicalIF":1.5,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12170554/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327246","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}
Caroline A Racke, Sarah A Keim, Samrawit F Yisahak, Briana J Stith, Stephen F Thung, Mark A Klebanoff, Steven G Gabbe, Mark B Landon, Reena Oza-Frank
{"title":"Postpartum Physical Activity Intervention Among Women With Gestational Diabetes: A Randomized Controlled Trial.","authors":"Caroline A Racke, Sarah A Keim, Samrawit F Yisahak, Briana J Stith, Stephen F Thung, Mark A Klebanoff, Steven G Gabbe, Mark B Landon, Reena Oza-Frank","doi":"10.1177/15598276251351809","DOIUrl":"10.1177/15598276251351809","url":null,"abstract":"<p><strong>Aims: </strong>This parallel two-arm, randomized, controlled trial (RCT) tested the efficacy of wearing ankle weights during daily activities (e.g., childcare and housework) on body weight and composition changes, and glycemic, lipid, and inflammatory biomarkers in postpartum women diagnosed with gestational diabetes mellitus (GDM) during pregnancy.</p><p><strong>Methods: </strong>The intervention group (1.1 kgs each, 2 hours/day, from 25-35 to 190-210 days' postpartum) was compared to a standard-of-care control group in women with GDM during pregnancy. The primary outcome was body weight. Secondary outcomes included body composition and glycemic, lipid, and inflammatory biomarkers. Linear mixed models with time*treatment arm interaction compared changes in outcomes among the intervention group (ANK, n = 18) and control group (CTRL, n = 21), adjusted for clinic site and pre-pregnancy body mass index (BMI) category.</p><p><strong>Results: </strong>The intervention had no significant effect on weight change (mean (SD): 3.8 (1.8) kg for ANK vs 2.2 (1.6) kg for CTRL, P-for-interaction = 0.61) or percent body fat (-0.6 (0.9) for ANK vs -1.5 (0.8) for CTRL, P-for-interaction = 0.52). Both groups reduced their total cholesterol, but there was no intervention effect on this change (-25.3 (7.3) mg/dL for ANK vs -18.5 (6.7) mg/dL for CTRL, P-for-interaction = 0.40) or on other secondary outcomes. Registered under <i>Physical Activity Intervention for Gestational Diabetes (GDM</i>) on Clinicaltrials.gov NCT03664089 (https://clinicaltrials.gov/study/NCT03664089?term=NCT03664089&rank=1).</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251351809"},"PeriodicalIF":1.5,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12170541/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327254","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":"Advances in Lifestyle Medicine: The Novel Contribution of the First Clinical Practice Guideline Focused on Lifestyle Intervention.","authors":"Micaela C Karlsen","doi":"10.1177/15598276251328109","DOIUrl":"10.1177/15598276251328109","url":null,"abstract":"","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":"19 2 Suppl","pages":"7S-9S"},"PeriodicalIF":1.5,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12177806/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477301","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}
Richard M Rosenfeld, Meagan L Grega, Micaela C Karlsen, Abd Moain Abu Dabrh, R Nisha Aurora, Jonathan P Bonnet, Lori Donnell, Stephanie L Fitzpatrick, Beth Frates, Elizabeth A Joy, Jane F Kapustin, Dawn R Noe, Gunadhar Panigrahi, Arun Ram, Lianna S Levine Reisner, Willy Marcos Valencia, Lorraine J Weatherspoon, Jonathan M Weber, Kara L Staffier, Mahima Gulati
{"title":"Executive Summary of Lifestyle Interventions for Treatment and Remission of Type 2 Diabetes and Prediabetes in Adults: A Clinical Practice Guideline From the American College of Lifestyle Medicine.","authors":"Richard M Rosenfeld, Meagan L Grega, Micaela C Karlsen, Abd Moain Abu Dabrh, R Nisha Aurora, Jonathan P Bonnet, Lori Donnell, Stephanie L Fitzpatrick, Beth Frates, Elizabeth A Joy, Jane F Kapustin, Dawn R Noe, Gunadhar Panigrahi, Arun Ram, Lianna S Levine Reisner, Willy Marcos Valencia, Lorraine J Weatherspoon, Jonathan M Weber, Kara L Staffier, Mahima Gulati","doi":"10.1177/15598276251325485","DOIUrl":"10.1177/15598276251325485","url":null,"abstract":"<p><p>This executive summary highlights evidence-based recommendations for using lifestyle interventions in the treatment and remission of type 2 diabetes (T2D) and prediabetes in adults. The summary and guideline are intended for any clinician or healthcare professional in a community or non-inpatient healthcare setting involved in managing non-pregnant adults with T2D, prediabetes or a history of gestational diabetes mellitus (GDM). The purpose of this executive summary is to provide a succinct overview of the key action statements (recommendations) from Lifestyle Interventions for Treatment and Remission of Type 2 Diabetes and Prediabetes in Adults: A Clinical Practice Guideline from the American College of Lifestyle Medicine. This is the first diabetes guideline to emphasize lifestyle interventions as the foundation of management and is also the first to focus on all six pillars of lifestyle medicine (plant-predomination nutrition, regular physical activity, restorative sleep, stress reduction, social connectedness, and avoiding risky substances), including behavior change strategies. This summary is not intended to substitute for the full guideline, which should be read before taking the recommended actions. The guideline on which this summary is based was developed with a priori methodology that has been previously published, refined, and used in over 20 multidisciplinary, trustworthy, and evidence-based national guidelines. The guideline development group included 20 members representing consumers, advanced practice nursing, cardiology, clinical pharmacology, behavioral medicine, endocrinology, family medicine, lifestyle medicine, nutrition and dietetics, health education, health and wellness coaching, sleep medicine, sports medicine, and obesity medicine. We developed 14 key action statements and associated evidence profiles, each with a distinct quality improvement goal in the context of lifestyle interventions for T2D. Strong recommendations were made regarding advocacy for lifestyle interventions; assessing baseline lifestyle habits; establishing priorities for lifestyle change; prescribing aerobic and muscle strength physical activity; reducing sedentary time; identifying sleep disorders; prescribing nutrition plans for prevention and treatment; promoting peer/familial support and social connections; counseling regarding tobacco, alcohol, and recreational drugs, and establishing a plan for continuity of care. Recommendations were made regarding identifying the need for psychological interventions and for adjusting (deprescribing) pharmacologic therapy. We include numerous tables and figures to facilitate implementation, a plain-language summary for consumers, and an executive summary for clinicians as separate publications. Although not a substitute for the full clinical practice guideline, this executive summary can provide insight into the key guideline recommendations, to whom they apply, and to how they might alter care. These rec","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":"19 2 Suppl","pages":"132S-154S"},"PeriodicalIF":1.5,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12177839/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477302","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}
Richard M Rosenfeld, Meagan L Grega, Micaela C Karlsen, Abd Moain Abu Dabrh, R Nisha Aurora, Jonathan P Bonnet, Lori Donnell, Stephanie L Fitzpatrick, Beth Frates, Elizabeth A Joy, Jane F Kapustin, Dawn R Noe, Gunadhar Panigrahi, Arun Ram, Lianna S Levine Reisner, Willy Marcos Valencia, Lorraine J Weatherspoon, Jonathan M Weber, Kara L Staffier, Mahima Gulati
{"title":"Lifestyle Interventions for Treatment and Remission of Type 2 Diabetes and Prediabetes in Adults: A Clinical Practice Guideline From the American College of Lifestyle Medicine.","authors":"Richard M Rosenfeld, Meagan L Grega, Micaela C Karlsen, Abd Moain Abu Dabrh, R Nisha Aurora, Jonathan P Bonnet, Lori Donnell, Stephanie L Fitzpatrick, Beth Frates, Elizabeth A Joy, Jane F Kapustin, Dawn R Noe, Gunadhar Panigrahi, Arun Ram, Lianna S Levine Reisner, Willy Marcos Valencia, Lorraine J Weatherspoon, Jonathan M Weber, Kara L Staffier, Mahima Gulati","doi":"10.1177/15598276251325488","DOIUrl":"10.1177/15598276251325488","url":null,"abstract":"<p><p><b>Objective:</b> Diabetes is a defining disease of the 21st century because of its rising prevalence, association with obesity, and enormous health impact. Abundant evidence shows that lifestyle interventions can delay or prevent type 2 diabetes (T2D) in adults, offer relief, and sometimes achieve complete remission. Despite this empowering message, there are no clinical practice guidelines that focus primarily on lifestyle interventions as first-line management of prediabetes and T2D. Our objective, therefore, is to offer pragmatic, trustworthy, and evidence-based guidance for clinicians in using the 6 pillars of lifestyle medicine-nutrition, physical activity, stress management, sleep, social connectedness, avoidance of risky substances-for managing adults with T2D and in preventing T2D in adults with prediabetes or a history of gestational diabetes mellitus. <b>Methods:</b> We used well-established, peer-reviewed guideline methodology to develop evidence-based key action statements (recommendations) that facilitate quality improvement in clinical practice. The guideline development group included 20 members representing consumers, advanced practice nursing, cardiology, clinical pharmacology, behavioral medicine, endocrinology, family medicine, lifestyle medicine, nutrition and dietetics, health education, health and wellness coaching, sleep medicine, sports medicine, and obesity medicine. Recommendation strength was based on the aggregate evidence supporting a key action statement plus a comparison of associated benefits vs harms/costs. Multiple literature searches, conducted by an information specialist, identified 8 relevant guidelines, 118 relevant systematic reviews, and 112 randomized clinical trials. The guideline underwent extensive internal, external, and public review and comment prior to publication. <b>Results:</b> We developed 14 key action statements and associated evidence profiles, each with a distinct quality improvement goal in the context of lifestyle interventions for T2D. <i>Strong recommendations</i> were made regarding advocacy for lifestyle interventions; assessing baseline lifestyle habits; establishing priorities for lifestyle change; prescribing aerobic and muscle strength physical activity; reducing sedentary time; identifying sleep disorders; prescribing nutrition plans for prevention and treatment; promoting peer/familial support and social connections; counseling regarding tobacco, alcohol, and recreational drugs, and establishing a plan for continuity of care. <i>Recommendations</i> were made regarding identifying the need for psychological interventions and for adjusting (deprescribing) pharmacologic therapy. We include numerous tables and figures to facilitate implementation, a plain-language summary for consumers, and an executive summary for clinicians as separate publications. <b>Conclusions:</b> There is robust research evidence supporting the efficacy of lifestyle interventions in preventing, treati","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":"19 2 Suppl","pages":"10S-131S"},"PeriodicalIF":1.5,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12178993/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477303","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}
Rita DeBate, Jocelyn E Jarvis, Jacqueline Perez, Rashida Jones, David Himmelgreen, Kyaien Conner, Amber D Dumford, Marilyn Stern
{"title":"Socio-Ecological Determinants of Food Pantry Use Among Food Insecure Racial and Ethnic Diverse College Students.","authors":"Rita DeBate, Jocelyn E Jarvis, Jacqueline Perez, Rashida Jones, David Himmelgreen, Kyaien Conner, Amber D Dumford, Marilyn Stern","doi":"10.1177/15598276251351585","DOIUrl":"10.1177/15598276251351585","url":null,"abstract":"<p><p>College students are disproportionately more food insecure as compared to the general U.S. population with racial and ethnic minority students at greater risk. The purpose of this study is to explore socio-ecological characteristics of food pantry utilization among food insecure Black/African American non-Hispanic and Hispanic college students employing secondary data analyses of a larger cross-sectional study of food insecurity among college students. The current study sample (n = 460) was comprised of 174 self-identified Black/African American non-Hispanic, 26 Black/African American & Hispanic, and 260 Hispanic participants. Food pantry use served as the dependent variable. Multi-level independent variables included Individual, Interpersonal, and Community Level factors. A multivariate logistic regression model analyzed the relationship between food pantry use and independent variables found to be significant in earlier independent sample t-tests and chi-square analyses. Statistical significance was set at <i>P</i> < .05 and a confidence interval (CI) of 95%. \"Saving\" coping mechanisms (OR = 1.15, 95% CI [1.082-1.231] and discrimination experiences of day-to-day unfair treatment (OR = 1.04, 95% CI [.1.000-1.077]) were predictive of food pantry utilization. This study suggests food pantry use among food insecure racial and ethnic minority college students may be influenced by socio-cultural influences at both interpersonal and community levels. Implications include interventions developed with a health equity framework.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251351585"},"PeriodicalIF":1.5,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12158980/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303302","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}
Richard M Rosenfeld, Lori Donnell, Dawn R Noe, Lianna S Levine Reisner, Micaela C Karlsen
{"title":"Plain Language Summary: Lifestyle Interventions for Treatment and Remission of Type 2 Diabetes and Prediabetes in Adults.","authors":"Richard M Rosenfeld, Lori Donnell, Dawn R Noe, Lianna S Levine Reisner, Micaela C Karlsen","doi":"10.1177/15598276251325517","DOIUrl":"10.1177/15598276251325517","url":null,"abstract":"<p><p>This plain language summary explains lifestyle changes that can improve prediabetes and type 2 diabetes in adults or put type 2 diabetes into remission (no longer needing medications to control blood sugar). These changes are based on the 6 pillars of lifestyle medicine, namely plant-predominant nutrition, physical activity, stress management, restorative sleep, social connectedness, and avoiding risky substances. The summary is written explicitly for people with diabetes or prediabetes as a companion publication to the American College of Lifestyle Medicine (ACLM) clinical practice guideline <i>Lifestyle Interventions for Treatment and Remission of Type 2 Diabetes and Prediabetes in Adults</i>. The purpose of this summary is to provide information to help people make decisions together with their healthcare providers regarding lifestyle changes and their important role in preventing and managing type 2 diabetes. Guidelines and their recommendations may not apply to everyone, but they do identify the best practices that can be used to improve overall health and your ability to make evidence-informed healthcare decisions.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":"19 2 Suppl","pages":"155S-177S"},"PeriodicalIF":1.5,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12177796/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477304","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}
Gregory M Gibbons, Helen W Bland, Aaron Aslakson, Bridget Melton
{"title":"Understanding the Relationship Between Burnout, Quality of Life, and Career Intentions in Emergency Medicine.","authors":"Gregory M Gibbons, Helen W Bland, Aaron Aslakson, Bridget Melton","doi":"10.1177/15598276251348408","DOIUrl":"10.1177/15598276251348408","url":null,"abstract":"<p><strong>Background: </strong>Physician burnout has become a critical issue in healthcare, particularly among emergency medicine physicians, who face unique stressors that can compromise their well-being and quality of life. This study investigates the relationship between burnout and quality of life in emergency medicine physicians and how these factors influence their intent to remain in practice.</p><p><strong>Methods: </strong>In August 2024, a survey was distributed to 103 emergency physicians to assess burnout using the Maslach Burnout Inventory and quality of life using the World Health Organization Quality of Life-BREF survey. Demographic information and intentions regarding their continued practice in emergency medicine were also collected. Statistical analyses, including independent samples <i>t</i>-test, Pearson's correlation and multiple regression, were performed to examine relationships among variables.</p><p><strong>Results: </strong>Most respondents (77.7%) were identified as being at high risk for burnout. Most physicians reported a high quality of life despite significant burnout rates, with the lowest score being psychological health (<i>M</i> = 66.24, <i>SD</i> = 18.97) while the highest being physical health (<i>M</i> = 76.06, <i>SD</i> = 13.38). There was a statistically significant association between all burnout domains and the quality of life subgroups. Emotional exhaustion showed a strong negative correlation with psychological health (<i>r</i> = -0.634, <i>P</i> < 0.01) and social relationships (<i>r</i> = -0.358, <i>P</i> < 0.01). At the same time, personal accomplishment correlated positively with both psychological health (<i>r</i> = 0.525, <i>P</i> < 0.01) and social relationships (<i>r</i> = 0.317, <i>P</i> < 0.01). A statistically significant negative correlation existed between emotional exhaustion and depersonalization and the physician's years of intended practice (<i>r</i> = -.127, <i>P</i> = .010). Using multiple linear regression, physical and psychological health significantly predicted emotional exhaustion and psychological health significantly predicted depersonalization.</p><p><strong>Conclusion: </strong>This study highlights the high prevalence of burnout among emergency medicine physicians and its significant impact on their quality of life and professional intentions. Furthermore, physical and psychological quality of life substantially influences emotional exhaustion and depersonalization. The findings underscore the need for comprehensive interventions to address burnout and enhance well-being in this demanding specialty to promote retention and improve patient care.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251348408"},"PeriodicalIF":1.5,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12145412/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144259117","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":"Marijuana Use as a Lifestyle Factor Associated With Gastroesophageal Reflux Disease (GERD) Complications.","authors":"Adedeji Adenusi, Nisha Sapkota, Abdelaziz Mohamed, Rishikesh Rijal, Chioma Ezuma-Ebong, Ngozi Akueme, Sudaba Popal, Monir Hamed, MarkAnthony Ntow, Aditi Parulkar, Kalpana Panigrahi","doi":"10.1177/15598276251348407","DOIUrl":"10.1177/15598276251348407","url":null,"abstract":"<p><p><b>Introduction:</b> GERD is one of the most diagnosed digestive disorders globally, with an estimated 20% prevalence in the US. Marijuana use in the US, and globally, has shown a consistent uptrend. This study aims to detect any relationship between marijuana use and GERD complications. <b>Methods:</b> We used the National Inpatient Sample dataset for 2016-2020 for this retrospective study. Our outcomes were reflux esophagitis and Barrett's esophagus, with Marijuana use being the predictor variable. We performed a chi-square test, descriptive analysis, as well as simple and multiple logistic regressions to assess associations. <b>Results:</b> 4,633,135 adults were diagnosed with GERD. Approximately 0.16% of patients had reflux esophagitis, while 1.18% had Barrett's esophagus. Alcohol (2.04%), marijuana (1.96%), and more than one-tenth used cigarettes (12.21%). Majority of the study population are female (57.56%), white (77.51%) and ≥65 years (58.03%). Marijuana users (aOR = 1.801 [1.389-2.335], <i>P</i> < .0001) were more likely to have reflux esophagitis or Barrett's esophagus (1.226 [1.054-1.426], 0.0081) compared to non-users. <b>Conclusion:</b> Marijuana use is associated with GERD complications. Therefore, we recommend educating patients with GERD on making healthy lifestyle choices, such as abstaining from or moderating the use of substances like marijuana. Additional studies are required to define safe amounts of recreational marijuana.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251348407"},"PeriodicalIF":1.5,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12144037/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250291","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}
Chantal Nguyen, Amelia Abbott-Frey, Alan David Anaya Gallegos, Matthew Kaufman, Douglas Noordsy, Marily Oppezzo, Michael Fredericson
{"title":"Increasing Access to Physical Activity Opportunities for Patients: A Review.","authors":"Chantal Nguyen, Amelia Abbott-Frey, Alan David Anaya Gallegos, Matthew Kaufman, Douglas Noordsy, Marily Oppezzo, Michael Fredericson","doi":"10.1177/15598276251348174","DOIUrl":"10.1177/15598276251348174","url":null,"abstract":"<p><p>Physical activity has been shown to improve health outcomes, decrease risk of medical comorbidities, and improve longevity. Despite these known benefits, most individuals do not meet the recommended national exercise guidelines for physical activity. This paper identifies individual and community-level factors impacting engagement in physical activity, thus focusing on solutions to address common barriers to exercise and optimize diversity, equity, and inclusion initiatives for physical activity. Afterward, several cases within one large academic institution and its affiliates illustrate recent endeavors to improve access to physical activity and highlight future opportunities for growth in all communities.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251348174"},"PeriodicalIF":1.5,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12141265/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250290","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}