Raeann Leal, Rhonda Spencer-Hwang, W. L. Beeson, Michael Paalani, H. Dos Santos
{"title":"Lifestyle Factors and Heart Health: Exploring Effect Modification Using Behavioral Risk Factor Surveillance System Survey Data","authors":"Raeann Leal, Rhonda Spencer-Hwang, W. L. Beeson, Michael Paalani, H. Dos Santos","doi":"10.1177/15598276241226930","DOIUrl":"https://doi.org/10.1177/15598276241226930","url":null,"abstract":"This study examined the potential relationship between sleep, exercise, and depression with coronary heart disease (CHD) using the 2020 Behavioral Risk Factor Surveillance System (BRFSS) (n = 391 750) during the COVID-19 pandemic. CHD was defined as the presence of self-reported CHD or myocardial infarction (MI). Descriptive statistics were used to report variable frequencies and percentages. Logistic regression models were used to assess potential relationships between lifestyle behaviors (individually and for effect modification) and CHD, with additional sensitivity analysis comparing depressed subjects with non-depressed subjects. Sleep and exercise were assessed in the model for potential effect modification. Those with insufficient sleep and those who did not exercise were more likely to report CHD ( sleep OR = 1.09; 95% CI: 1.06, 1.12); ( exercise OR = 2.00; 95% CI: 1.95, 2.05), though the interaction term was non-significant. Those with self-reported depression were found to be associated with CHD (OR = 1.34; 95% CI: 1.30, 1.38). Among depressed individuals, insufficient sleep and no exercise exhibited a stronger association ( sleep OR = 1.19; 95% CI: 1.13,1.25); ( exercise OR = 2.13; 95% CI = 2.03, 2.23). Results support an association between sleep, exercise, and self-report of CHD, and this association is potentially magnified among depressed individuals, which may be further exacerbated by the COVID-19 pandemic.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139613553","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}
{"title":"Long-Term Medication Changes After Hypertension-Focused Lifestyle Medicine Shared Medical Appointment Program","authors":"Jacob B. Mirsky","doi":"10.1177/15598276241227890","DOIUrl":"https://doi.org/10.1177/15598276241227890","url":null,"abstract":"","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139616521","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}
{"title":"Association of MyPlate Diet and Exercise with Diabetes in African American Women","authors":"Brandi Jones","doi":"10.1177/15598276231222472","DOIUrl":"https://doi.org/10.1177/15598276231222472","url":null,"abstract":"Lifestyle factors such as diet and exercise have been described as predictors of preventable disease such as Type 2 diabetes. Black/African American (AA) women disproportionately develop and are at greater risk, compared to Whites. The purpose of this study was to examine the association of exercise and adherence to MyPlate diet in this population. The health belief model was the theoretical foundation for this study. Research questions were designed to examine the extent to which lifestyle predicts diabetes. In this quantitative cross-sectional study, data from the 2015-2016 NHANES data sets were analyzed. Using SPSS, a series of binary logistic regressions were conducted. After controlling for age, there was no significant association between MyPlate diet adherence and diabetes (OR = .706, 95% CI [.292, 1.707], P > .005). Similarly, no significant association between exercise and diabetes was observed among this population (OR = 1.032, 95% CI [.721, 1.504], P > .005).","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139156624","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}
A. Cheng, Mollie E Dwivedi, Adriana Martin, Christina G Leslie, Madeline Pashos, Viola B Donahue, Julia B Huecker, Elizabeth A Salerno, Karen Steger-May, Devyani M Hunt
{"title":"Predictors of Patient Engagement With an Interprofessional Lifestyle Medicine Program","authors":"A. Cheng, Mollie E Dwivedi, Adriana Martin, Christina G Leslie, Madeline Pashos, Viola B Donahue, Julia B Huecker, Elizabeth A Salerno, Karen Steger-May, Devyani M Hunt","doi":"10.1177/15598276231222877","DOIUrl":"https://doi.org/10.1177/15598276231222877","url":null,"abstract":"Changes in lifestyle habits can reduce morbidity and mortality, but not everyone who can benefit from lifestyle intervention is ready to do so. To describe characteristics of patients who did and did not engage with a lifestyle medicine program, and to identify predictors of engagement. This was a single-center, retrospective cohort study of 276 adult patients who presented for consultation to a goal-directed, individualized, interprofessional lifestyle medicine program. The primary outcome was patients’ extent of engagement. Candidate predictors considered in multivariable multinomial logistic regression models included baseline sociodemographic, psychological, and health-related variables. A predictor of full engagement over no engagement was having private or Medicare insurance (rather than Medicaid, other, or no insurance) (OR 4.2 [95% CI 1.3-14.2], P = .021). A predictor of partial engagement over no engagement was having a primary goal to lose weight (OR 3.1 [1.1-8.4], P = .026). System-level efforts to support coverage of lifestyle medicine services by all insurers may improve equitable engagement with lifestyle medicine programs. Furthermore, when assessing patients’ readiness to engage with a lifestyle medicine program, clinicians should consider and address their goals of participation.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139162914","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}
Christine Skubisz, Julia M. Yates, Jamie L. Doyle, Carly R. Pacanowski
{"title":"Making Life Look Perfect and Glorifying the Sorority Chapter: A Content Analysis of Body Image, Social Media Use, and Disordered Eating in College Women","authors":"Christine Skubisz, Julia M. Yates, Jamie L. Doyle, Carly R. Pacanowski","doi":"10.1177/15598276231222195","DOIUrl":"https://doi.org/10.1177/15598276231222195","url":null,"abstract":"Social comparison is heightened by social media use and is linked to disordered eating. Compared to other developmental groups, emerging adults use social media most often. College-aged women and those who are members of sororities, which place a high value on appearance, may be especially vulnerable to social comparison and disordered eating. To learn about these topics, individual interviews and focus groups were conducted at a large university. A structured protocol covered body image, social media, disordered eating, and campus health programming. Most participants defined body image as externally focused, noting physical appearance. All interviewees talked about appearance with their peers and most had discussed weight and diet. All participants reported that their peers engaged in disordered eating. Instagram was the most influential social media platform and retouching software was universally used to alter the face or slim the body. Focus groups with sorority members elicited similar results. Instagram was the most common platform for chapter accounts and was used for recruitment. Participants noted that attractive members were featured most often and reported pressure to look good when wearing sorority letters. Social media is ingrained in society, making it critical to understand its influence on disordered eating in emerging adults.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138952663","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}
A. Cheng, Mollie E. Dwivedi, Adriana Martin, Christina G Leslie, Daniel E Fulkerson, Kirk H Bonner, Julia B Huecker, Elizabeth A Salerno, Karen Steger-May, Devyani M Hunt
{"title":"Predictors of Progressing Toward Lifestyle Change Among Participants of an Interprofessional Lifestyle Medicine Program","authors":"A. Cheng, Mollie E. Dwivedi, Adriana Martin, Christina G Leslie, Daniel E Fulkerson, Kirk H Bonner, Julia B Huecker, Elizabeth A Salerno, Karen Steger-May, Devyani M Hunt","doi":"10.1177/15598276231222868","DOIUrl":"https://doi.org/10.1177/15598276231222868","url":null,"abstract":"Therapeutic lifestyle change can be challenging, and not every attempt is successful. To identify predictors of making progress toward lifestyle change among patients who participate in a lifestyle medicine program. This was a single-center, retrospective cohort study of 205 adults who enrolled in a goal-directed, individualized, interprofessional lifestyle medicine program. The primary outcome was whether, by the end of participation with the program, a patient reported making progress toward lifestyle change. Candidate predictors included sociodemographic, psychological, and health-related variables. Among 205 patients (median (IQR) age 58 (44-66) years, 164 (80%) female), 93 (45%) made progress toward lifestyle change during program participation. A predictor of making progress was being motivated by stress reduction (OR 2.8 [95% CI 1.1-7.6], P = .038). Predictors of not making progress included having a primary goal of losing weight (OR .3 [.2-.8], P = .012) and having a history of depression (OR .4 [.2-.7], P = .041). To maximize a patient’s likelihood of successfully making lifestyle changes, clinicians and patients may consider focusing on identifying goals that are immediately and palpably affected by lifestyle change. Additional research is warranted to identify effective program-level approaches to maximize the likelihood of success for patients with a history of depression.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138952551","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}
{"title":"Letter re: On Dietary Habits of Healthcare Workers and Association With Burnout","authors":"I. K. Ng","doi":"10.1177/15598276231223483","DOIUrl":"https://doi.org/10.1177/15598276231223483","url":null,"abstract":"","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138961917","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}
Maryam Aljumaily, N. Al-Naimi, Rawdhah Al-Amer, Aya Hamdan, Sabika S. Allehdan, T. Al-Jaberi, A. Hushki, Y. Rayyan, Reema Tayyem
{"title":"Consumption of Fruits and Vegetables and Gastric Cancer Risk: Answers From Case-Control Study","authors":"Maryam Aljumaily, N. Al-Naimi, Rawdhah Al-Amer, Aya Hamdan, Sabika S. Allehdan, T. Al-Jaberi, A. Hushki, Y. Rayyan, Reema Tayyem","doi":"10.1177/15598276231222880","DOIUrl":"https://doi.org/10.1177/15598276231222880","url":null,"abstract":"Several dietary and non-dietary factors and genetic predispositions may play an important role in gastric carcinogenesis. The association between fruit and vegetable with gastric cancer (GC) is still unclear. This study aimed to investigate the association between fruit and vegetable intake and GC risk. This case-control study enrolled 173 patients with GC and 313 GC-free controls between March 2015 and August 2018. Dietary data was collected separately from each patient using an interview-based food frequency questionnaire. The results showed a significant ( P ≤ .05) inverse association between grape and melon consumption and GC development. In contrast, the consumption of 100% orange juice, orange, pear, and strawberry increased significantly ( P ≤ .05) the risk of GC. However, mixed vegetables, vegetables fried with olive oil, and onion consumption showed a significant ( P ≤ .05) protective effect against GC. No association was detected for the other examined fruits and vegetables (dates, watermelon, peach, green beans, peas, carrot, and stuffed vegetables). Although many fruits and vegetables may reduce the risk of GC, others may increase it. The method of vegetable and fruit preparation may affect the nutritive value. More studies are warranted to confirm our findings.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138959769","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}
J. N. Hall, Hudson Cunningham-Baker, Jamie S. Bodenlos, Dori W. Pekmezi
{"title":"Physical Activity and Self-Compassion: A Systemic Review","authors":"J. N. Hall, Hudson Cunningham-Baker, Jamie S. Bodenlos, Dori W. Pekmezi","doi":"10.1177/15598276231222183","DOIUrl":"https://doi.org/10.1177/15598276231222183","url":null,"abstract":"Physical activity (PA) and self-compassion (SC) have been shown to positively impact mental and physical health. Findings from a prior review provided evidence of the positive effect of PA on SC. The increased interest and published studies in this area in recent years are not surprising. Since the last review, we have experienced surges in stress and inactivity as well as a global pandemic. Thus, the aims of the current review are to provide an update on the state of the science for PA activity and SC, pinpoint gaps and advances, and provide future directions for this burgeoning literature. A total of 10 recent studies, with n = 6808 participants, were reviewed, including 7 non-experimental and 3 experimental studies. Most (6 out of 7) of the non-experimental studies reported a significant association between SC and PA or related variables in varying populations. Overall, this review corroborated past findings on the relationship between SC and PA, highlighted the extension of this work to new populations and physical activities, and identified interesting emerging trends. A better understanding of how these critical components of self-care “work” could help dramatically improve quality of life and have important public health implications, especially in our post-pandemic world.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139001191","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}
Jihye Lee, Bridget Coffie, K. Davis, Cynthia Warren, Jean Keller, Tao Zhang
{"title":"Promising Practices to Promote Physical Activity and Healthy Eating Among Head Start Caregivers and Their Children","authors":"Jihye Lee, Bridget Coffie, K. Davis, Cynthia Warren, Jean Keller, Tao Zhang","doi":"10.1177/15598276231221512","DOIUrl":"https://doi.org/10.1177/15598276231221512","url":null,"abstract":"Many children in Head Start programs do not meet physical activity (PA) and dietary intake recommendations and have increased risk for obesity. The purpose of this pilot study was to formatively assess a multi-level intervention, exploring strategies to encourage PA and healthy eating among north Texas Head Start families. In year 1, 5 Head Start sites with 217 children began the Head Start to Healthy Lifestyles (HSHL) project. Direct and indirect education strategies began in the last 2 months of the school year. Surveys were used to evaluate child and caregiver PA, healthy eating behaviors, and interagency collaboration. Strategies and barriers to adopting healthy lifestyles were assessed via grant partner discussions. Of 217 children enrolled, 109 caregivers consented to participate in research, of which 35 completed baseline surveys and 10 also submitted post surveys. The number of fruits eaten by Head Start caregivers improved ( P < .05). Perceived level of collaboration among grant partners was high. Strategies appreciated by Head Start site partners included PA support in the classrooms, take-home gardens, and reading food group books. Additional needed support included tasting and on-site cooking classes. Barriers to participation included few face-to-face meetings with parents, staffing shortages post-COVID, and difficulty engaging families.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139001215","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}