{"title":"Test the Child, Uncover the High-Risk Parent: A Call to Expand Universal Pediatric Lipid Screening.","authors":"Joshua Hyman, Benjamin Doolittle","doi":"10.1177/15598276261462923","DOIUrl":"10.1177/15598276261462923","url":null,"abstract":"<p><p>Pediatric lipid screening remains underutilized, despite recommendations from many professional societies. In particular, certain lipid disorders such as familial hypercholesterolemia and elevated lipoprotein (a) are highly heritable and detectable in childhood. This low uptake represents not only a missed opportunity to identify high-risk youth for atherosclerotic cardiovascular disease (ASCVD), but also a lost occasion to identify high-risk adult relatives through reverse cascade screening. Expanding universal pediatric lipid screening to include lipoprotein (a) can serve as an effective strategy to uncover undiagnosed ASCVD in their relatives. Early identification of affected, asymptomatic individuals could prevent ASCVD morbidity and mortality.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261462923"},"PeriodicalIF":1.9,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13286954/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148319731","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}
Catalina Muñoz-Strale, Frano Giakoni-Ramírez, Josivaldo de Souza-Lima, Javiera Alarcón-Aguilar, Rodrigo Yáñez-Sepúlveda, Andrés Godoy-Cumillaf, Guillermo Cortés-Roco, José Francisco López-Gil
{"title":"Physical Fitness and Body Composition as Predictors of Anxiety, Depression, and Stress in University Students.","authors":"Catalina Muñoz-Strale, Frano Giakoni-Ramírez, Josivaldo de Souza-Lima, Javiera Alarcón-Aguilar, Rodrigo Yáñez-Sepúlveda, Andrés Godoy-Cumillaf, Guillermo Cortés-Roco, José Francisco López-Gil","doi":"10.1177/15598276261455272","DOIUrl":"https://doi.org/10.1177/15598276261455272","url":null,"abstract":"<p><p>University students experience high levels of psychological distress, including anxiety, depression, and stress. Physical fitness and body composition have been proposed as potential protective factors against these conditions. This study aimed to examine the relationship between indicators of physical fitness and body composition with symptoms of anxiety, depression, and stress in Chilean university students, primarily enrolled in sport-related programs. A cross-sectional design was conducted with 281 participants (85.7% male; age = 20.85 ± 2.24 years). Assessments included muscle strength tests, body composition via bioimpedance, and estimated cardiorespiratory fitness (VO<sub>2</sub>max). Psychological symptoms were evaluated using the DASS-21 scale. After applying uniform Benjamini-Hochberg false discovery rate correction across 15 predictor-outcome tests (q = 0.05), no significant associations were found between physical fitness or body-composition indicators and anxiety, depression, or stress (all q ≥ 0.45). Descriptively, an inverse association between estimated VO<sub>2</sub>max and anxiety was observed, consistent with prior literature, but it did not remain significant after correction. These findings should be interpreted cautiously due to the cross-sectional design, indirect VO<sub>2</sub>max estimation, sex imbalance, and sport-enriched sample. Results are exploratory and hypothesis-generating, requiring confirmation in larger, more representative, and pre-registered studies.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261455272"},"PeriodicalIF":1.3,"publicationDate":"2026-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13264527/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148260018","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":"Tailoring and Evaluating a Culinary and Nutrition Curriculum for College Students: The College Cooking Connection.","authors":"Caitlyn Winn, Yanyan Li, Mona Therrien-Genest, Makenzie Barr, Kayla Parsons, Jade McNamara","doi":"10.1177/15598276261454939","DOIUrl":"https://doi.org/10.1177/15598276261454939","url":null,"abstract":"<p><p>This study focuses on the development and evaluation of a tailored culinary nutrition education pilot program targeting the diet quality and cooking self-efficacy of university students. This program, titled the College Cooking Connection (CCC), was informed by community-based participatory research (CBPR), social cognitive theory (SCT), and evidence-based curricula. Moreover, the CCC curriculum was preemptively evaluated by experts for perceived feasibility and acceptability in a college student population. Success of learner objectives and perceived change in skills and knowledge were assessed using post-lesson evaluations and surveys. Clarity and feasibility of lesson objectives and content were supported by expert reviewers, and most undergraduate participants accurately completed lesson evaluations. Furthermore, a majority of undergraduates reported a perceived improvement in culinary/nutrition skills and knowledge following completion of CCC. The greatest perceived increase in knowledge following completion of CCC was in the category of nutrition and mental health, while undergraduates found lesson topics related to cooking skills and budgeting to be the most valuable. The CCC contributes novel curriculum development methodology to the existing body of research targeting undergraduates' dietary behaviors, while highlighting the feasibility and efficacy of a community-tailored approach to undergraduate health programming.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261454939"},"PeriodicalIF":1.3,"publicationDate":"2026-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13264529/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148260054","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}
Betsy J Becker, Tessa M Wells, Kathleen G Volkman, Nicole Sleddens, Harlan Sayles, Kellie Gossman, Grace Johnson, Teresa M Cochran
{"title":"Integrating Lifestyle Medicine Into a Doctor of Physical Therapy Curriculum: A Four-Year Longitudinal Program Evaluation of Student Wellness, Psychological Capital, and Social Networks.","authors":"Betsy J Becker, Tessa M Wells, Kathleen G Volkman, Nicole Sleddens, Harlan Sayles, Kellie Gossman, Grace Johnson, Teresa M Cochran","doi":"10.1177/15598276261452640","DOIUrl":"https://doi.org/10.1177/15598276261452640","url":null,"abstract":"<p><p>Doctor of Physical Therapy (DPT) students encounter substantial academic and psychological challenges, yet there is limited consensus on effective interventions. This 4-year longitudinal program evaluation describes the integration of lifestyle medicine into both curricular and co-curricular components of a DPT program, and examines associated changes in student wellness, psychological capital, and social network development. Guided by the Social Ecological Model, the programmatic assessment highlights the multifaceted influences on student wellness, extending responsibility beyond the individual to include faculty, institutional leaders, external partners, and policy makers. Outcome measures comprised the 5 Factor Wellness Inventory (FFWEL), Psychological Capital (PsyCap) Questionnaire, and Social Network Peer Connection analyses across 4 student cohorts. Results revealed increased peer network connections and cohesion over time, emphasizing the significance of social support and collaborative learning. Improvements in FFWEL and PsyCap scores further indicate progress in well-being. These findings demonstrate the effectiveness of intentional, multi-level strategies for collective well-being, and underscore the utility of the Social Ecological Model. The results presented offer a foundation for preparing graduates to promote lifestyle medicine in varied professional contexts.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261452640"},"PeriodicalIF":1.3,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13259895/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148253741","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":"From Evidence to Integration: The Next Chapter for Lifestyle Medicine.","authors":"Josie H Bidwell, Jessica A Matthews","doi":"10.1177/15598276261457338","DOIUrl":"https://doi.org/10.1177/15598276261457338","url":null,"abstract":"","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261457338"},"PeriodicalIF":1.3,"publicationDate":"2026-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13236705/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200809","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":"Shifting the Paradigm of Health Care Through Lifestyle Medicine.","authors":"James M Rippe","doi":"10.1177/15598276261456112","DOIUrl":"https://doi.org/10.1177/15598276261456112","url":null,"abstract":"","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261456112"},"PeriodicalIF":1.3,"publicationDate":"2026-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13236710/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200854","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}
Erin Sinai, Guangying Zhou, Won Shin, Sonal Haerter
{"title":"An Analysis of Nutritional Knowledge and Importance in Medical Education.","authors":"Erin Sinai, Guangying Zhou, Won Shin, Sonal Haerter","doi":"10.1177/15598276261455262","DOIUrl":"https://doi.org/10.1177/15598276261455262","url":null,"abstract":"<p><p>The Nutrition and Medicine program at Creighton University School of Medicine aimed to bridge the gap between medical education and the role of nutrition in patient care. Recognizing the limited nutrition education in the medical curriculum, the program offered monthly workshops led by medical students and physicians. These sessions covered evidence-based nutrition topics, current trends, and the impact of social media on nutritional knowledge. The Nutrition and Medicine program hosted monthly student-led workshops to discuss current, evidence-based nutrition topics. Workshops were conducted and followed by pre- and post-session surveys assessing students' self-reported confidence in their nutritional knowledge, as well as their information sources and perceptions of social media's influence. Nutrition knowledge was not directly tested. Medical students demonstrated a statistically significant increase in self-reported confidence in their own nutritional knowledge following session attendance (<i>P</i> < .0001). Baseline surveys reflected low to moderate confidence, with post-session responses showing movement toward the \"confident\" range on a 5-point Likert scale. Structured, student-led nutrition programming was associated with improved self-reported confidence in nutritional knowledge among medical students. These findings suggest that scalable, peer-led educational initiatives may help address gaps in nutrition-related self-efficacy within medical training.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261455262"},"PeriodicalIF":1.3,"publicationDate":"2026-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13236708/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200785","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":"Integrating Lifestyle Medicine and the 4Ms in Interprofessional Older Adult Care.","authors":"Kristen J Neises","doi":"10.1177/15598276261455848","DOIUrl":"https://doi.org/10.1177/15598276261455848","url":null,"abstract":"<p><p>The rapid growth of the older adult population and the increasing burden of chronic disease require coordinated, prevention-focused models of care. Lifestyle medicine (LM) provides evidence-based therapeutic interventions that target nutrition, physical activity, restorative sleep, stress management, social connection, and avoidance of risky substances. At the same time, the Age-Friendly Health Systems initiative promotes the 4Ms framework, which includes What Matters, Medication, Mentation, and Mobility, to optimize outcomes for older adults. Although these approaches are conceptually aligned, they are often implemented independently. This manuscript describes an interprofessional framework integrating LM and the 4Ms to advance whole-person, age-friendly care. The framework positions <i>What Matters</i> at the center, organizes care through the remaining domains (Medication, Mentation, and Mobility), and embeds the 6 lifestyle pillars as modifiable drivers of health. Implementation across interdisciplinary educational initiatives-including case conceptualizations, Project ECHO (Extension for Community Healthcare Outcomes) participation, community health worker training, internships, an asynchronous LM course, and a culinary medicine teaching kitchen-demonstrates feasibility in academic and community settings. Descriptive evaluation findings indicate interdisciplinary engagement, high satisfaction, perceived relevance to practice, and reported improvements in confidence and clinical application. Integrating lifestyle medicine within interprofessional structures offers a scalable strategy to strengthen workforce development and support healthy longevity.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261455848"},"PeriodicalIF":1.3,"publicationDate":"2026-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13233590/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200847","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":"Transforming the Medicine Frontier: Advancing Lifestyle Medicine Through Leadership and the Donald A. Pegg Scholarship.","authors":"Isabelle S Ilan, Pamela Perepelitsky, Crystal Chukwurah, Ifrah Khurram, Beth Frates","doi":"10.1177/15598276261456167","DOIUrl":"https://doi.org/10.1177/15598276261456167","url":null,"abstract":"<p><p>Each year, the American College of Lifestyle Medicine (ACLM) grants the Donald A. Pegg Student Leadership Award to four medical students who have shown exceptional commitment to advancing lifestyle medicine at their schools and in their communities. The 2025 recipients, Isabelle Ilan of Albert Einstein College of Medicine, Ifrah Khurram of San Juan Bautista School of Medicine, Pamela Perepelitsky of Rosalind Franklin University of Medicine and Science, and Crystal Chukwurah of Yale School of Medicine, each arrived at lifestyle medicine through their own experiences and pursued it in ways that reflected the needs of their unique communities. Over the past year, their work took many forms: a student-run culinary medicine program bringing whole food cooking into the Bronx, a culturally grounded lifestyle medicine revival in Puerto Rico, a lifestyle medicine service at an interprofessional student-run free clinic in Lake County, Illinois, and a preconception nutrition initiative at one of the country's leading academic medical centers. What united them was a belief that medicine works best when it focuses on the whole person and addresses the conditions that make people sick, not just the sickness itself. This paper tells their stories and makes the case that student leadership, supported by the right resources, can change how the next generation of physicians thinks about health.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261456167"},"PeriodicalIF":1.3,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13229897/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148165219","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}
Krystal D Eskildsen, Hildemar Dos Santos, Ernesto Medina, Dixon Anjejo, W Lawrence Beeson
{"title":"The Association Between Non-exercise Activity Thermogenesis and Diabetes Status in U.S. Adults: NHANES 2013-2014.","authors":"Krystal D Eskildsen, Hildemar Dos Santos, Ernesto Medina, Dixon Anjejo, W Lawrence Beeson","doi":"10.1177/15598276261450525","DOIUrl":"10.1177/15598276261450525","url":null,"abstract":"<p><p>Non-exercise activity thermogenesis (NEAT), the energy expended through daily unstructured movement, may influence type 2 diabetes (T2D) risk but is rarely emphasized in diabetes care. Few studies have examined NEAT-diabetes associations using nationally representative data. We conducted a cross-sectional analysis of 4436 U.S. adults aged ≥18 years from NHANES 2013-2014 with ≥4 days of valid wrist accelerometer wear. Daily movement was quantified using Monitor-Independent Movement Summary (MIMS) units as a proxy for NEAT and categorized as low, moderate, or high. Multivariable logistic regression estimated adjusted odds ratios (ORs) for T2D across NEAT levels, controlling for key demographic and socioeconomic factors. Stratified models examined racial and ethnic differences. Low NEAT was associated with nearly threefold higher odds of diabetes compared with high NEAT (OR = 2.88). Moderate NEAT also showed elevated odds (OR = 1.61). Associations were significant among Hispanic, non-Hispanic White, and non-Hispanic Asian adults and marginal among non-Hispanic Black adults. Lower NEAT levels are strongly associated with higher odds of diabetes, highlighting NEAT as an accessible behavior that may support equitable diabetes prevention and management.</p>","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":" ","pages":"15598276261450525"},"PeriodicalIF":1.9,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13229904/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148165158","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}