Journal of lifestyle medicine最新文献

{"title":"Eyes on Screens: Exploring the Ocular Health Consequences of Smartphone Use in Medical Students.","authors":"Sadia Nazir, Shahir Muhammad Ibne Rasa, Minahil Munir, Insha Noor Al Majid, Minahil Khan, Mahnoor Azam, Maryam Umer","doi":"10.15280/jlm.2026.16.2.56","DOIUrl":"10.15280/jlm.2026.16.2.56","url":null,"abstract":"<p><strong>Background: </strong>Smartphones have become essential tools in education, particularly in medical studies. However, their prolonged use has been associated with digital eye strain (DES) and various ocular health problems. The present study aimed to measure the duration and pattern of smartphone use and assess the effects of smartphone use on ocular health among medical students.</p><p><strong>Methods: </strong>A descriptive cross-sectional study was conducted on 345 medical students (first to final year) from private medical and dental colleges using nonprobability convenience sampling. The sociodemographics, usage patterns, and ocular symptoms were evaluated using a validated questionnaire. Data were analyzed using SPSS version 26 (IBM Co.); the chi-square test was used to assess associations (p < 0.05).</p><p><strong>Results: </strong>All study participants reported smartphone use, with 53.9% initiating between the ages of 12 and 18 years. Excessive usage was perceived by 79.4%, and 41.2% reported > 8 hours/day. Academic and recreational use was common (91.9%). Reduced blinking (< 15-20/min) was reported by 75.9%, and 40.6% never rested their eyes. The frequency of ocular symptoms was high [itching (82.0%), dryness (81.7%), redness (79.7%), photophobia (79.1%), and lacrimation (73.9%)]; eye fatigue occurred in 63.5%. A screen time of > 8 hours was significantly associated with dryness (p = 0.02), lacrimation (p = 0.04), and itching (p = 0.03). Infrequent rest was correlated with dryness (p < 0.001) and itching (p = 0.05). The symptoms occurred irrespective of refractive status.</p><p><strong>Conclusion: </strong>Smartphone use is universal among medical students, with substantial daily screen exposure and poor digital health resulting in a high prevalence of DES. Awareness campaigns promoting the \"20-20-20 rule,\" regular blinking, and ergonomic practices are essential.</p>","PeriodicalId":73805,"journal":{"name":"Journal of lifestyle medicine","volume":"16 2","pages":"56-62"},"PeriodicalIF":0.0,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13554669/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148922028","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":"Mental Health and Smoking Cessation: Anxiety and Depression Among Participants in a Public Control Program in Southern Brazil.","authors":"Kelser de Souza Kock, Maria Luiza Ataide Cardoso, Victória Pietsch, João Vithor Martins Dias, Cíntia Dos Santos Fagundes Cardoso, João Felipe Demeneck Belen, Rodrigo Vasquez da Silva, Daniella Da Rosa Colares, Solange de Souza Castelini","doi":"10.15280/jlm.2026.16.2.49","DOIUrl":"10.15280/jlm.2026.16.2.49","url":null,"abstract":"<p><strong>Background: </strong>Smoking cessation programs are designed to support individuals in quitting tobacco and improving their health. Psychological factors, including anxiety and depression symptoms, can affect cessation outcomes, emphasizing the need to investigate their influence in public program settings. Objective is to assess how anxiety and depression symptoms influence therapeutic success in a public smoking cessation program and to identify associated clinical and behavioral factors.</p><p><strong>Methods: </strong>A longitudinal study was conducted from January to April 2025 with 80 participants enrolled in the Smoking Cessation Program of the municipality of Tubarão, Santa Catarina. The Fagerström test for nicotine dependence, Beck Anxiety Inventory, and Beck Depression Inventory were administered at baseline, 30, and 90 days. Data were analyzed using descriptive statistics and association tests (p < 0.05).</p><p><strong>Results: </strong>The participants showed a cessation rate of 40%; 26.3% of them dropped out, while 33.8% did not quit. The non-quitters were older (58.6±11.4 years) and had a higher tobacco exposure (47.7±25.3 pack years; p < 0.01) than the quitters (49.0±10.2 years; 29.5±18.6 pack years). The mean Fagerström score decreased among the quitters (0.05±0.2 vs. 2.5±1.1; p < 0.001). Higher anxiety at 90 days was associated with cessation failure (10.2 vs. 3.7; p < 0.001), whereas depression showed a similar but nonsignificant trend (p = 0.08).</p><p><strong>Conclusion: </strong>Anxiety negatively affected cessation success, whereas depression showed a comparable pattern. Older age and greater tobacco exposure were associated with increased vulnerability. Thus, psychological assessments and multidisciplinary support in public cessation programs are essential.</p>","PeriodicalId":73805,"journal":{"name":"Journal of lifestyle medicine","volume":"16 2","pages":"49-55"},"PeriodicalIF":0.0,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13554672/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148922109","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 3.0: From Disease Prevention to Human Health Optimization.","authors":"In Deok Kong","doi":"10.15280/jlm.2026.16.2.67","DOIUrl":"10.15280/jlm.2026.16.2.67","url":null,"abstract":"","PeriodicalId":73805,"journal":{"name":"Journal of lifestyle medicine","volume":"16 2","pages":"67-69"},"PeriodicalIF":0.0,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13554698/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148922031","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":"Effectiveness and Safety of Mud Therapy (Pelotherapy) for Musculoskeletal Disorders: A Systematic Review and Meta-Analysis.","authors":"Suhas Balakrishna, Prajwal Hansoge Manjanna, Nitesh Mudalahippe Kumaraswamy, Vidyasagar Metty, Abhay Kumar Singh, Abhijith Kottapalla Bhaskaran","doi":"10.15280/jlm.2026.16.2.39","DOIUrl":"10.15280/jlm.2026.16.2.39","url":null,"abstract":"<p><p>Mud therapy (pelotherapy)-the therapeutic application of natural mineral-rich mud, peat, or clay-is practiced in at least 40 countries as a non-pharmacological adjunct for musculoskeletal disorders (MSDs). This systematic review synthesized evidence on the effectiveness and safety of pelotherapy in adults with MSDs. PubMed, CENTRAL, Embase, CINAHL, Scopus, LILACS, SCI, and SSCI were searched from inception to April 2026 without language restrictions. Randomized and controlled clinical trials comparing pelotherapy with sham, usual care, or no treatment in adults with confirmed MSDs were eligible. Two reviewers independently conducted screening, data extraction, and risk-of-bias assessment using Cochrane RoB 2. Random-effects meta-analyses calculated standardized mean differences (SMDs; Hedges' g) with 95% confidence intervals (CIs), and certainty was assessed using GRADE. The protocol was prospectively registered in PROSPERO. Thirty-three studies (n = 2,651) were included in the qualitative synthesis, and 28 randomized controlled trials (n = 2,186) contributed to meta-analysis. Pelotherapy significantly reduced pain post-intervention (SMD -0.74; 95% CI -0.91 to -0.57; I² = 62%; moderate certainty), with sustained effects at 3 months (SMD -0.61; 95% CI -0.81 to -0.41) and 6 months (SMD -0.49; 95% CI -0.71 to -0.27). Physical function also improved (SMD -0.69; 95% CI -0.87 to -0.51). Osteoarthritis demonstrated the largest effects, particularly knee OA (SMD -0.86). The most common adverse events were skin erythema (6.5%) and transient fatigue (4.8%), with no significant increase in serious adverse events (RR 0.98; 95% CI 0.61-1.58). Pelotherapy provides clinically meaningful and sustained reductions in pain and disability, with a generally favorable safety profile. Evidence is strongest for osteoarthritis, supporting its use as an adjunct in naturopathic and integrative medicine.</p>","PeriodicalId":73805,"journal":{"name":"Journal of lifestyle medicine","volume":"16 2","pages":"39-48"},"PeriodicalIF":0.0,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13554675/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148921979","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":"Rapid Reversal of Severe Hyperglycemia Through a Structured 90-Day Lifestyle Intervention: A Case Report.","authors":"Lalzo S Thangjom","doi":"10.15280/jlm.2026.16.2.63","DOIUrl":"10.15280/jlm.2026.16.2.63","url":null,"abstract":"<p><p>Lifestyle modification is essential for the management of type 2 diabetes; however, without structured routines, long-term adherence remains challenging. A 46-year-old man presented with severe hyperglycemia (fasting glucose, 342 mg/dL; postprandial glucose, 298 mg/dL; glycated hemoglobin [HbA1c], 12.1%), body weight of 95 kg, and a waist circumference of 38 inches. His blood pressure was 148/96 mmHg. Symptoms included fatigue, low energy, and joint discomfort. A structured 90-day lifestyle program involving timed meals, regular physical activity, adequate hydration, and regulated sleep was implemented without pharmacological treatment. After program completion, his fasting glucose, postprandial glucose, and HbA1c decreased to 101 mg/dL, 123 mg/dL, and 5.5%, respectively. His weight decreased to 80.5 kg, his waist circumference decreased to 34 inches, and his blood pressure improved to 112/71 mmHg. Structured daily routines may result in rapid and clinically significant improvements in metabolic parameters among individuals with poorly controlled diabetes.</p>","PeriodicalId":73805,"journal":{"name":"Journal of lifestyle medicine","volume":"16 2","pages":"63-66"},"PeriodicalIF":0.0,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13554670/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148922152","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":"The Effect of Gratitude on the Mental Health of Healthcare Workers as Measured by Burnout and Depression.","authors":"Haley S Fujimori, Erika McCarthy, Erika Barber, Jay Jamieson, Jason Brumitt","doi":"10.15280/jlm.2026.16.1.6","DOIUrl":"10.15280/jlm.2026.16.1.6","url":null,"abstract":"<p><p>Burnout and depression have been considered long-standing issues among healthcare workers worldwide. Current interventions for managing poor mental health include exercise, medical treatments, mindfulness, and workplace changes. The practice of gratitude has shown significant improvements in mental health in the general population, and it has been proposed as a potential intervention for healthcare workers. This scoping review aimed to assess the effect of gratitude on the mental health of healthcare workers as measured by burnout and depression. The Cumulative Index to Nursing and Allied Health Literature and Medical Literature Analysis and Retrieval System Online databases were searched using medical subject headings (e.g., gratitude journaling and burnout). Studies that were not published in a peer-reviewed journal, included non-healthcare workers, did not implement gratitude interventions, or had outcomes unrelated to burnout and/or depression were excluded. Twelve studies met the inclusion criteria. The practice of gratitude resulted in improvements in burnout and depression in the heterogeneous populations of healthcare workers. Practicing gratitude, alone or in combination with another practice, has been shown to potentially improve and/or prevent burnout and depression among healthcare workers.</p>","PeriodicalId":73805,"journal":{"name":"Journal of lifestyle medicine","volume":"16 1","pages":"6-17"},"PeriodicalIF":0.0,"publicationDate":"2026-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12977322/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147446158","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":"Illuminating Insomnia: A Scientometric Exploration of Complementary and Alternative Medicine in Treatment Research.","authors":"Alok Singh, Sudip Bhattacharya, Niraj Nayan Rishi, Sneha Bharti, Sandeep Kumar Gupta, Nirma Gupta, Sunita Sahish, Pushkar Sahu, Himanshu Sahu, Astha Amrute, Nikita Sharma, Surendra Kumar, Tripti Nalge, Arti Sharma","doi":"10.15280/jlm.2026.16.1.18","DOIUrl":"10.15280/jlm.2026.16.1.18","url":null,"abstract":"<p><p>Insomnia is a prevalent sleep disorder characterized by difficulty initiating or maintaining sleep, resulting in significant daytime impairment and frequently co-occurring with depression and anxiety. Although cognitive-behavioral therapy for insomnia is the standard intervention, its accessibility remains limited. Consequently, complementary and alternative medicine (CAM) therapies including yoga, Ayurveda, acupuncture, and melatonin have gained interest, despite the lack of robust supporting evidence. This study provides a scientometric evaluation of global research on CAM for insomnia, mapping publication trends, major contributors, and emerging research themes. A total of 2,204 articles and reviews published between 1970 and August 2024 were retrieved from the Scopus database. Data were analyzed using Scopus analytics, R, and VOSviewer to assess publication growth, subject areas, international collaborations, and contributions from journals, authors, and institutions. Publication output has steadily increased, with a marked rise since 1998. Research activity is primarily concentrated in medicine, pharmacology, and nursing. The USA leads global output and maintains extensive collaborations with the United Kingdom, China, and India. Harvard Medical School is a key institution, while the <i>Journal of Alternative and Complementary Medicine</i> serves as a major outlet. Emerging research foci include Ayurveda, yoga, and acupuncture, particularly in relation to cancer and chronic pain management. Overall, CAM research for insomnia continues to expand and shows potential; however, rigorous, high-quality clinical trials are still needed to establish efficacy and safety. Enhanced collaboration and increased funding are essential to further advance this field.</p>","PeriodicalId":73805,"journal":{"name":"Journal of lifestyle medicine","volume":"16 1","pages":"18-24"},"PeriodicalIF":0.0,"publicationDate":"2026-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12977316/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147446245","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":"Association between Eating Disorders, Academic Stress with Menstrual Dysfunction among College Female Students: A Cross-Sectional Study.","authors":"Danishta, Mayank Kumar, Anchit Gugnani, Shantanu Sharma, Ruma Rajbhar, Neelofar Mohiuddin, Sonam Nidhi, Aasma Sharma, Richa Uniyal, Nandini Kuswaha","doi":"10.15280/jlm.2026.16.1.25","DOIUrl":"10.15280/jlm.2026.16.1.25","url":null,"abstract":"<p><strong>Background: </strong>Academic stress and disordered eating behaviors are emerging as significant health concerns among female students in health-related fields, potentially leading to menstrual dysfunction. Physiotherapy students may be particularly vulnerable owing to the combination of academic, physical, and clinical demands. However, data on this triad in the context of Indian physiotherapy students remain limited.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted among 216 full-time female physiotherapy students (aged 18-28 years) at NIMS University, Rajasthan. A self-administered questionnaire comprising demographic information, the Eating Attitudes Test-26, a menstrual dysfunction checklist, and the Perceived Stress Scale was completed by the participants. Statistical analysis was conducted using IBM SPSS Statistics version 22 (IBM Co.), and the chi-square test was used to examine associations between variables.</p><p><strong>Results: </strong>Of the participants, 68.83% showed symptoms of eating disorders, 96.74% experienced moderate academic stress, and 35.81% reported irregular menstrual cycles. The findings indicated a significant association between academic stress and menstrual dysfunction (χ² = 11.59, p < 0.005) and between eating disorders and menstrual dysfunction (χ² = 106.47, p < 0.005). However, the study found no significant difference between undergraduate and postgraduate students, possibly due to the small sample size of postgraduate students (n = 8).</p><p><strong>Conclusion: </strong>The findings highlight a strong interrelationship between academic stress, disordered eating, and menstrual irregularities among female physiotherapy students. Early identification, stress management, and the implementation of integrated wellness programs within academic institutions can help safeguard the physical and mental well-being of future healthcare professionals.</p>","PeriodicalId":73805,"journal":{"name":"Journal of lifestyle medicine","volume":"16 1","pages":"25-31"},"PeriodicalIF":0.0,"publicationDate":"2026-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12977317/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147446167","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":"Symposium Commemorating the 10th Anniversary of the Korean Society of Lifestyle Medicine.","authors":"Baikhwan Cho, Soowan Chae, Tae Sun Park, In Deok Kong, Byung-Il Yeh","doi":"10.15280/jlm.2026.16.1.1","DOIUrl":"https://doi.org/10.15280/jlm.2026.16.1.1","url":null,"abstract":"","PeriodicalId":73805,"journal":{"name":"Journal of lifestyle medicine","volume":"16 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2026-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12977314/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147446165","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":"Accelerated Muscle Strength Decline and Reduced Lean Mass in Adults with Treated Inflammatory Bowel Disease: A NHANES Study.","authors":"Muhanad Alzahrani, Abdullah Alabbasi, Mohammed Sayes, Rayyan Fahad Hamoud Altemani, Ziyad Alzahrani, Faris Sultan","doi":"10.15280/jlm.2026.16.1.32","DOIUrl":"10.15280/jlm.2026.16.1.32","url":null,"abstract":"<p><strong>Background: </strong>Muscle loss is associated with chronic systemic inflammation and metabolic stress in the context of inflammatory bowel disease (IBD). However, studies that assessed the population-level effects of treated IBD on muscle health are limited.</p><p><strong>Methods: </strong>In this study, pooled National Health and Nutrition Examination Survey 2011-2014 data of adults aged 20-59 years were analyzed through dual-energy X-ray absorptiometry and grip strength measurements. The treated IBD status was determined using prescription medication records, prioritizing specificity to capture individuals with clinically treated diseases rather than all IBD cases. Survey-weighted regression models were used to assess the associations with grip strength, appendicular lean mass index (ALMI), and muscle quality, including an IBD × age interaction.</p><p><strong>Results: </strong>Among 5,522 adults, 25 were treated with IBD, requiring careful interpretation due to the limited effective sample size. IBD was associated with significantly lower grip strength and reduced ALMI after adjusting for age, sex, and body mass index. A significant interaction indicated a steeper age-related decline in grip strength among adults with IBD. No significant differences in muscle quality were observed between the groups.</p><p><strong>Conclusion: </strong>Muscle loss in patients with treated IBD was related to reduced lean body mass and a pattern consistent with faster age-related neuromuscular loss. These findings highlight an opportunity for the early identification of functional vulnerability using continuous muscle phenotypes and emphasize the potential role of modifiable lifestyle interventions, including physical activity, resistance training, and nutritional optimization, in preserving muscle health and improving long-term functional decline in adults with IBD.</p>","PeriodicalId":73805,"journal":{"name":"Journal of lifestyle medicine","volume":"16 1","pages":"32-38"},"PeriodicalIF":0.0,"publicationDate":"2026-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12977315/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147446216","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}