American Journal of Lifestyle Medicine最新文献

{"title":"Twenty-Year Trajectories of Physical Activity and Acute Coronary Syndrome Incidence; the GREECS Epidemiological Study (2004-2024).","authors":"Nikos Dimitriadis, Venetia Notara, Stamatia Kokkou, Petros Kotoulas, Lydia Kokkinidou, Elpida Tsina, Christina Theochari, Yannis Kogias, George Papanagnou, Spyros Zombolos, Petros Stravopodis, Yannis Mantas, Areti Lagiou, Giannis Arnaoutis, Konstantinos D Tambalis, Christos Pitsavos, Demosthenes Panagiotakos","doi":"10.1177/15598276251347894","DOIUrl":"10.1177/15598276251347894","url":null,"abstract":"<p><p>The aim of the present study is to investigate the association between 20-year trajectories of physical activity status and cardiovascular disease (CVD) incidence, among Acute Coronary Syndrome (ACS) patients. GREECS study is a multi-centered prospective study. Almost all (n = 2172; mean age 62 ± 11 years; 1649 (76%) males) consecutive patients who were hospitalized in the cardiology clinics or the emergency cardiology departments were entered in the study. Four physical activity trajectories were formed regarding the 20-year tracking (from 2004 to 2024), of their physical activity levels (i.e., always inactive or active, turned from inactive/active). Of the 1913 ACS patients who participated in the 20-year follow-up, 51% were consistently inactive, 31% changed from physically active to inactive, 11% from inactive to active, and 7% were consistently active. During the 20-year follow-up 67% of ACS patients experienced a new CVD event. Consistently active patients had 45% lower risk for a recurrent CVD event during the 20-year follow-up period (95% CI, 12% to 64%), as compared to consistently inactive. Sustained engagement in physical activity is associated with a reduced risk of recurrent CVD events among ACS patients. These findings underscore the importance of promoting and sustaining physical activity as a key component of tertiary CVD prevention.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251347894"},"PeriodicalIF":1.5,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12137285/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250293","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":"Benefits of an Interactive Culinary Medicine Course for Resident Physicians.","authors":"Alexis Bejcek, Anupama Ancha, Maryana Stryelkina, Justin Bejcek, Adam Patrick, Elizabeth Jump, Vani Paleti","doi":"10.1177/15598276251345453","DOIUrl":"10.1177/15598276251345453","url":null,"abstract":"<p><p>Diet has been shown to have a substantial impact on morbidity and mortality within the United States population. Studies have shown that physicians are trusted resources and effective in promoting change in dietary behaviors amongst patients. However, many physicians do not feel adequately trained to provide nutritional counseling. We conducted a series of culinary medicine classes consisting of groups of internal medicine resident physicians. We found that attending a class improved resident physicians' perceived level of knowledge and likelihood of incorporating nutritional counseling with primary care patients. Secondly, our culinary medicine class model highlights essential elements to encourage active participation and engagement by resident physicians.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251345453"},"PeriodicalIF":1.5,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12137282/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250289","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":"Connectedness: The Updated and Expanded Pillar of Lifestyle Psychiatry and Lifestyle Medicine.","authors":"Gia Merlo, Lilly Snellman, Steven G Sugden","doi":"10.1177/15598276251345455","DOIUrl":"10.1177/15598276251345455","url":null,"abstract":"<p><p>The field of Lifestyle Psychiatry aims to prevent, treat, and sometimes reverse chronic physical and mental health conditions through evidence-based interventions. The foundational pillars of this field are physical activity & exercise, nutrition, restorative sleep, stress management, toxic exposure reduction, and connectedness. Connection has been defined as \"feeling part of something larger than yourself, feeling close to another person or group, feeling welcomed, and understood.\" Within Lifestyle Psychiatry, however, we emphasize that connectedness encompasses not only our relationships with other individuals but also our connection to ourselves and with the world at large. We have identified these three relationships as three core or pivotal needs. Similarly, we have expanded our previous model of connectedness to include six domains: (1) Happiness, (2) Purpose in Life & Meaning-Making, (3) Empathy & Compassion, (4) Social Connection & Community, (5) Nature, and (6) Spirituality & Religion. In this paper, we present psychological and scientific data supporting the necessity of the six domains of connectedness. By combining the six domains with the three core needs, practitioners of lifestyle psychiatry can develop impactful and sustainable interventions that promote connectedness, decrease negative health outcomes, and promote psychological growth through increasing resilience, emotional development, and the ability to be alone without loneliness.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251345455"},"PeriodicalIF":1.5,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12129969/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227229","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":"Making Room for Play in Lifestyle Medicine.","authors":"Anthony Fleg, Frederick Miller","doi":"10.1177/15598276251346435","DOIUrl":"10.1177/15598276251346435","url":null,"abstract":"<p><p>■■■.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251346435"},"PeriodicalIF":1.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12133769/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235565","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":"Nutritional Priorities to Support GLP-1 Therapy for Obesity: A Joint Advisory From the American College of Lifestyle Medicine, the American Society for Nutrition, the Obesity Medicine Association, and the Obesity Society.","authors":"Dariush Mozaffarian, Monica Agarwal, Monica Aggarwal, Lydia Alexander, Caroline M Apovian, Shagun Bindlish, Jonathan Bonnet, W Scott Butsch, Sandra Christensen, Eugenia Gianos, Mahima Gulati, Alka Gupta, Debbie Horn, Ryan M Kane, Jasdeep Saluja, Deepa Sannidhi, Stanford Fatima Cody, Emily A Callahan","doi":"10.1177/15598276251344827","DOIUrl":"10.1177/15598276251344827","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Glucagon-like peptide 1 receptor agonists and combination medications (hereafter collectively referred to as GLP-1s) are shifting the treatment landscape for obesity. However, real-world challenges and limited clinician and public knowledge on nutritional and lifestyle interventions can limit GLP-1 efficacy, equitable results, and cost-effectiveness.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objectives: &lt;/strong&gt;We aimed to identify pragmatic priorities for nutrition and other lifestyle interventions relevant to GLP-1 treatment of obesity for the practicing clinician.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;An expert group comprising multiple clinical and research disciplines appraised the scientific literature, informed by expert knowledge and clinical experience, to identify and summarize relevant topics, priorities, and emerging directions.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;GLP-1s reduce body weight by 5% to 18% in trials, with modestly lower effects in real-world analyses, and multiple demonstrated clinical benefits. Challenges include side effects, especially gastrointestinal; nutritional deficiencies due to calorie reduction; muscle and bone loss; low long-term adherence with subsequent weight regain; and high costs with resulting low cost-effectiveness. Numerous practice guidelines recommend multicomponent, evidence-based nutritional and behavioral therapy for adults with obesity, but use of such therapies with GLP-1s is not widespread. Priorities to address this include: (a) patient-centered initiation of GLP-1s, including goals for weight reduction and health; (b) baseline screening, including usual dietary habits, emotional triggers, disordered eating, and relevant medical conditions; (c) comprehensive exam including muscle strength, function, and body composition assessment; (d) social determinants of health screening; (e) and lifestyle assessment including aerobic activity, strength training, sleep, mental stress, substance use, and social connections. During GLP-1 use, nutritional and medical management of gastrointestinal side effects is critical, as is navigating altered dietary preferences and intakes, preventing nutrient deficiencies, preserving muscle and bone mass through resistance training and appropriate diet and complementary lifestyle interventions. Supportive strategies include group-based visits, registered dietitian nutritionist counseling, telehealth and digital platforms, and Food is Medicine interventions. Drug access, food and nutrition insecurity, and nutrition and culinary knowledge influence equitable obesity management with GLP-1s. Emerging areas for more study include dietary modulation of endogenous GLP-1, strategies to improve compliance, nutritional priorities for weight maintenance post-cessation, combination or staged intensive lifestyle management, and diagnostic criteria for clinical obesity.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Evidence-based nutritional and lifestyle strategies play a pivotal role to address ","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251344827"},"PeriodicalIF":1.5,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12125019/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200456","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":"Investigating Lifestyle Risk and Protective Factors for Depression in Young Adults: Insights From a Large-Scale Cross-Sectional Study.","authors":"Maedeh Parvin, Anne-Marie Etienne, Aurélie Wagener","doi":"10.1177/15598276251347226","DOIUrl":"10.1177/15598276251347226","url":null,"abstract":"<p><strong>Background: </strong>Major depressive disorder (MDD) is a very prevalent mental disorder worldwide. Beyond MDD's individual impact, it also constitutes a real burden for society, as it affects all domains of everyday life. Lifestyle factors may play an important role in the prevention, development, progression, and treatment of MDD. Consequently, our research aimed to assess the relationships between depressive symptoms and lifestyle to identify which lifestyle characteristics constitute risk or protective factors against depression. Furthermore, since adults aged between 18 and 29 years are at most risk of developing depressive symptoms, we focused on this population.</p><p><strong>Methods: </strong>Two hundred and ten young adults, aged 18 to 29 years, completed online questionnaires assessing lifestyle behaviors-including physical activity, sleep quality, dietary habits, connectedness to nature, mindfulness, and resilience-and depressive symptoms.</p><p><strong>Results: </strong>Regular physical activity, balanced diet, good sleep quality, mindfulness, and resilience to stress were all correlated with lower levels of depression. The study did not reveal a significant relationship between connectedness to nature and depression in this sample.</p><p><strong>Conclusion: </strong>These results align with previous research, highlighting that physical activity, diet, sleep quality, mindfulness, and stress resilience are crucial for managing depression; connectedness to nature requires further study.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251347226"},"PeriodicalIF":1.5,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12125014/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200454","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":"Lifestyle Medicine and GLP-1 Therapy For Obesity: Time to Get Real.","authors":"James M Rippe","doi":"10.1177/15598276251336677","DOIUrl":"https://doi.org/10.1177/15598276251336677","url":null,"abstract":"","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251336677"},"PeriodicalIF":1.5,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12125005/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200455","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":"Blue Zone, a Demographic Concept and Beyond.","authors":"Michel Poulain, Anne Herm","doi":"10.1177/15598276251342502","DOIUrl":"10.1177/15598276251342502","url":null,"abstract":"<p><p>The concept of Blue Zone (BZ) refers to regions with exceptionally high concentrations of centenarians, often in good health. Four BZs have been validated, Okinawa (Japan), Sardinia (Italy), Nicoya (Costa Rica), and Ikaria (Greece), with Martinique recently emerging as the fifth. Despite their popularity, BZs face criticism regarding data reliability, particularly the accuracy of centenarians' ages. This article reviews the process used to identify a BZ through a three-step methodology. First, it outlines the strict age validation procedures used to confirm longevity claims. Second, it reviews key demographic indicators to assess population longevity. Third, it defines BZ criteria, using the Sardinian BZ as a reference and requiring the eligible area to show a longevity level at least 50% higher than the national average. Martinique meets these criteria, while Galicia's validation is still ongoing. The study also highlights core longevity factors-diet, physical activity, social support, and environment-and underscores the importance of adopting the 7 BZ principles to foster longer, healthier lives worldwide. The BZ thus remains a valuable model for understanding the impact of lifestyle on aging and for applying these insights in public health and lifestyle medicine strategies.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251342502"},"PeriodicalIF":1.5,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12119521/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200453","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":"Effects of Sleep Deprivation on Physical and Mental Health Outcomes: An Umbrella Review.","authors":"Arambh Sanjay Shah, Mitresh Raj Pant, Tulasiram Bommasamudram, Kirtana Raghurama Nayak, Spencer S H Roberts, Chloe Gallagher, K Vaishali, Ben J Edwards, David Tod, Fiddy Davis, Samuel A Pullinger","doi":"10.1177/15598276251346752","DOIUrl":"10.1177/15598276251346752","url":null,"abstract":"<p><p>The increasing prevalence of reduced habitual sleep duration presents a significant public health challenge, impacting cardiovascular health, metabolic function and mental well-being. This umbrella review analyses findings from systematic reviews and meta-analyses to comprehensively evaluate the consequences of sleep deprivation (SD) on health. The databases searched included PubMed, Scopus, and Web of Science. Inclusion criteria focused on adult populations with SD and systematic reviews/meta-analyses. Twenty-nine articles were included in the final synthesis, encompassing a variety of health outcomes. Key findings highlight a U-shaped relationship between sleep duration and all-cause mortality, with both short (<7 h) sleep durations associated with increased risks. SD was a significant risk factor for cardiovascular diseases such as hypertension, stroke and coronary heart disease. Alongside heightened risks of metabolic disorders, like obesity and type 2 diabetes. Moreover, SD contributed to elevated anxiety levels, impaired emotional regulation. As well as increased susceptibility to stress and depressive symptoms. This synthesis underscores the critical importance of maintaining recommended sleep duration (typically 7-9 h for adults) to mitigate these health risks effectively. The findings support the need for robust public health interventions aimed at promoting healthy sleep habits to reduce the burden of associated health conditions and enhance overall well-being.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251346752"},"PeriodicalIF":1.5,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12116485/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144182681","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":"ACLM Achieves New Levels of Professional Accomplishment.","authors":"Padmaja Patel","doi":"10.1177/15598276251344867","DOIUrl":"https://doi.org/10.1177/15598276251344867","url":null,"abstract":"","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276251344867"},"PeriodicalIF":1.5,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12119512/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200452","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}