American Journal of Lifestyle Medicine最新文献_第9页

Lifestyle Medicine Performance Measures: An Expert Consensus Statement Defining Metrics to Identify Remission or Long-Term Progress Following Lifestyle Medicine Treatment 生活方式医学绩效衡量标准：专家共识声明：确定生活方式医学治疗后缓解或长期进展的指标

IF 1.9

American Journal of Lifestyle Medicine Pub Date : 2024-02-21 DOI: 10.1177/15598276241230237

John H. Kelly, Liana Lianov, Dexter Shurney, Sley Tanigawa Guimarães, Mechelle Palma, Caldwell Esselstyn, Scott Stoll, Padmaja Patel, Brenda Rea, Koushik Reddy, George Guthrie, Michelle Reiss, Micaela C. Karlsen

{"title":"Lifestyle Medicine Performance Measures: An Expert Consensus Statement Defining Metrics to Identify Remission or Long-Term Progress Following Lifestyle Medicine Treatment","authors":"John H. Kelly, Liana Lianov, Dexter Shurney, Sley Tanigawa Guimarães, Mechelle Palma, Caldwell Esselstyn, Scott Stoll, Padmaja Patel, Brenda Rea, Koushik Reddy, George Guthrie, Michelle Reiss, Micaela C. Karlsen","doi":"10.1177/15598276241230237","DOIUrl":"https://doi.org/10.1177/15598276241230237","url":null,"abstract":"ObjectiveThe objective of this expert consensus process was to define performance measures that can be used to document remission or long-term progress following lifestyle medicine (LM) treatment.MethodsExpert panel members with experience in intensive, therapeutic lifestyle change (ITLC) developed a list of performance measures for key disease states, using an established process for developing consensus statements adapted for the topic. Proposed performance measures were assessed for consensus using a modified Delphi process.ResultsAfter a series of meetings and an iterative Delphi process of voting and revision, a final set of 32 performance measures achieved consensus. These were grouped in 10 domains of diseases, conditions, or risk factors, including (1) Cardiac function, (2) Cardiac risk factors, (3) Cardiac medications and procedures, (4) Patient-centered cardiac health, (5) Hypertension, (6) Type 2 diabetes and prediabetes, (7) Metabolic syndrome, (8) Inflammatory conditions, (9) Inflammatory condition patient-centered measures, and (10) Chronic kidney disease.ConclusionThese measures compose a set of performance standards that can be used to evaluate the effectiveness of LM treatment for these conditions.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139952015","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}

引用次数: 0

Mindfulness-Based Interventions Targeting Modifiable Lifestyle Behaviors Associated With Brain Health: A Systematic Review and Meta-Analysis 针对与脑健康相关的可改变生活方式行为的正念干预：系统回顾与元分析

IF 1.9

American Journal of Lifestyle Medicine Pub Date : 2024-01-31 DOI: 10.1177/15598276241230467

Ryan A. Mace, Matthew J. Stauder, Sarah W. Hopkins, Joshua E. Cohen, Malvina O. Pietrzykowski, Lisa L. Philpotts, Christina M. Luberto, Ana-Maria Vranceanu

{"title":"Mindfulness-Based Interventions Targeting Modifiable Lifestyle Behaviors Associated With Brain Health: A Systematic Review and Meta-Analysis","authors":"Ryan A. Mace, Matthew J. Stauder, Sarah W. Hopkins, Joshua E. Cohen, Malvina O. Pietrzykowski, Lisa L. Philpotts, Christina M. Luberto, Ana-Maria Vranceanu","doi":"10.1177/15598276241230467","DOIUrl":"https://doi.org/10.1177/15598276241230467","url":null,"abstract":"A systematic review and meta-analysis investigated randomized clinical trials (RCTs) of mindfulness-based interventions (MBIs) targeting lifestyle behaviors commonly associated with brain health in adults. Data sources included Ovid Medline, Ovid PsycINFO, CINAHL [EBSCO], Embase, Cochrane Library [Ovid], Web of Science, and https://ClinicalTrials.gov . Studies were screened using Covidence 2.0. A total of 79 published RCTs of MBIs for adults (18+, patient and non-patient populations) targeting one or more lifestyle behavior (physical activity, sleep, diet, alcohol use, tobacco cessation, and social and mental activities) met eligibility criteria. MBIs were associated with reduced sleep disturbance (40/54 RCTs; 3537 participants; SMD = −.53; 95% CI = −.74 to −.32; I 2 = 78%), increased physical activity (9/17 RCTs analyzed; 685 participants; SMD = .72; 95% CI = .04 to 1.40; I 2 = 89%), improved tobacco cessation (8/12 RCTs; 1234 participants; OR = 2.11; 95% CI = 1.12 to 3.97; I 2 = 55%), and lowered alcohol use (4/6 RCTs; 261 participants; SMD = −.39; 95% CI = −.45 to −.32; I 2 = 0%). This review found moderate to high-quality evidence for MBIs targeting sleep, physical activity, alcohol use, and tobacco cessation. Heterogeneity for these outcomes and insufficient data to analyze diet, mental activities, and cognitive functioning limit our ability to draw definitive conclusions about the effects of MBIs on brain health.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139956144","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}

引用次数: 0

Healthcare Workers’ Perceptions of Work-Related Stress and Burnout: Strategies and Barriers for Self-Care 医护人员对工作压力和职业倦怠的看法：自我保健的策略和障碍

IF 1.9

American Journal of Lifestyle Medicine Pub Date : 2024-01-29 DOI: 10.1177/15598276241230043

Michelle Kober, Yu-Ping Chang

{"title":"Healthcare Workers’ Perceptions of Work-Related Stress and Burnout: Strategies and Barriers for Self-Care","authors":"Michelle Kober, Yu-Ping Chang","doi":"10.1177/15598276241230043","DOIUrl":"https://doi.org/10.1177/15598276241230043","url":null,"abstract":"Background: There is little research providing critical understanding of how healthcare professionals perceive and manage work-related stress. This study aims to understand healthcare workers’ perspectives regarding work-related stress and burnout, strategies and barriers for self-care, and organizational support for self-care and resiliency. Methods: A qualitative descriptive approach was used. Individual, semi-structured interviews were conducted with healthcare workers from 5 organizations in New York State. Data was analyzed using Braun and Clarke’s Thematic Analysis. Results: Interviews were conducted with 27 healthcare workers from various disciplines. Findings indicated that healthcare workers experienced high levels of stress and burnout, which negatively impacts their mental health, quality of work, relationships with coworkers, and patient care. Many participants expressed an interest in self-care activities, and there were apparent differences among respondents regarding perceived organizational support. Five themes were identified, including: staff shortages, coworker conflict and interactions, strategies to mitigate stress, impacts of work-related stress, and managing stress and burnout in the workplace. Conclusion: Workplace stress affects patient care, but workers feel that there is limited support from leadership. It is critical that healthcare organizations and governments prioritize providing support along with other resources to healthcare workers to address burnout and assist with mental health concerns.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139952014","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}

引用次数: 0

Lifestyle Factors and Heart Health: Exploring Effect Modification Using Behavioral Risk Factor Surveillance System Survey Data 生活方式因素与心脏健康：利用行为风险因素监测系统调查数据探索效应修正

IF 1.9

American Journal of Lifestyle Medicine Pub Date : 2024-01-19 DOI: 10.1177/15598276241226930

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}

引用次数: 1

Long-Term Medication Changes After Hypertension-Focused Lifestyle Medicine Shared Medical Appointment Program 以高血压为重点的生活方式医学共享医疗预约计划后的长期用药变化

IF 1.9

American Journal of Lifestyle Medicine Pub Date : 2024-01-17 DOI: 10.1177/15598276241227890

Jacob B. Mirsky

引用次数: 0

Association of MyPlate Diet and Exercise with Diabetes in African American Women MyPlate 饮食和运动与非裔美国妇女糖尿病的关系

IF 1.9

American Journal of Lifestyle Medicine Pub Date : 2023-12-26 DOI: 10.1177/15598276231222472

Brandi Jones

引用次数: 0

Predictors of Patient Engagement With an Interprofessional Lifestyle Medicine Program 患者参与跨专业生活方式医学计划的预测因素

IF 1.9

American Journal of Lifestyle Medicine Pub Date : 2023-12-23 DOI: 10.1177/15598276231222877

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}

引用次数: 0

Making Life Look Perfect and Glorifying the Sorority Chapter: A Content Analysis of Body Image, Social Media Use, and Disordered Eating in College Women 让生活更完美，美化联谊会分会：女大学生身体形象、社交媒体使用和饮食失调的内容分析

IF 1.9

American Journal of Lifestyle Medicine Pub Date : 2023-12-21 DOI: 10.1177/15598276231222195

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}

引用次数: 0

Predictors of Progressing Toward Lifestyle Change Among Participants of an Interprofessional Lifestyle Medicine Program 跨专业生活方式医学项目参与者逐步改变生活方式的预测因素

IF 1.9

American Journal of Lifestyle Medicine Pub Date : 2023-12-21 DOI: 10.1177/15598276231222868

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}

引用次数: 0

Letter re: On Dietary Habits of Healthcare Workers and Association With Burnout 关于：医护人员的饮食习惯及其与职业倦怠的关系的信件

IF 1.9

American Journal of Lifestyle Medicine Pub Date : 2023-12-19 DOI: 10.1177/15598276231223483

I. K. Ng

引用次数: 0