Lifestyle medicine (Hoboken, N.J.)最新文献

{"title":"Meeting Abstract","authors":"","doi":"10.1002/lim2.70001","DOIUrl":"https://doi.org/10.1002/lim2.70001","url":null,"abstract":"","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.70001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142245012","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":"Analysis of Canadian Physician Obituaries Between 2000 and 2023 to Investigate Trends in Death Between Specialties: A Retrospective Cross-Sectional Study","authors":"Angela Li,&nbsp;Amir-Ali Golrokhian-Sani,&nbsp;Maya Morcos,&nbsp;Marc Morcos","doi":"10.1002/lim2.114","DOIUrl":"https://doi.org/10.1002/lim2.114","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>A physician's work environment varies greatly depending on their medical specialty. As such, it may dictate their stress levels, work-life balance, satisfaction, and, ultimately, expected age of death. This paper aims to determine trends in Canadian physician deaths and determine the median age of death for different specialties.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We examined physician obituaries from the <i>Canadian Medical Association Journal</i> (<i>CMAJ</i>) published between 2000 and 2023, extracting age at death and medical specialty.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The median age of death for doctors had a steady incline between 1999 and 2023 with a median age of 80 years. Careers in psychiatry (<i>p</i> = 0.020, 95% confidence interval [CI] [1.00, 4.00]) and emergency medicine (<i>p</i> = 0.025, 95% CI [7.00, 26.00]) were associated with decreased average ages of death, while careers in surgery (<i>p</i> &lt; 0.001, 95% CI [−4.00, −2.00]), internal medicine (<i>p</i> = 0.038, 95% CI [−3.00, −1.00]), and public health (<i>p</i> = 0.016. 95% CI [−9.00, −2.00]) correlated with older ages of death. Of the statistically significant specialties, emergency medicine physicians had the lowest median age at death (59 years) while surgery and public health had the highest (81.5 and 83.5, respectively).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Our findings indicate that the median age of death differs across different medical specialties. Moving forward, the <i>CMAJ</i> should report physician obituaries consistently in a standardized format as it holds the most extensive obituary dataset despite missing significant data between 2008 and 2022.</p>\u0000 </section>\u0000 </div>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.114","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142007212","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":"Defining the Traditional Mediterranean Lifestyle: Joint International Consensus Statement","authors":"Labros S Sidossis,&nbsp;Rob Lawson,&nbsp;Emmanuel Aprilakis,&nbsp;Bernardo C. Barata,&nbsp;Alicja Baska,&nbsp;Anastasia Beneka,&nbsp;Robert Bird,&nbsp;Fraser Birrell,&nbsp;Charistoula Chatzinikola,&nbsp;Maria Chondronikola,&nbsp;George P Chrousos,&nbsp;Russell Conduit,&nbsp;Constantina Constantinou,&nbsp;Barbora de Courten,&nbsp;Jelena Helene Cvejic,&nbsp;Andrew M Davis,&nbsp;Christiana A. Demetriou,&nbsp;Linda Errington,&nbsp;Jack Feehan,&nbsp;Catalina Figueroa,&nbsp;Mary M. Flynn,&nbsp;Beth Frates,&nbsp;Robel Hussen Kabthymer,&nbsp;Leonidas G Karagounis,&nbsp;Leila Karimi,&nbsp;Gerard A. Kennedy,&nbsp;Ourania Kolokotroni,&nbsp;Darinka Korovljev,&nbsp;Antigone Kouris-Blazos,&nbsp;Mehdi Kushkestani,&nbsp;Tassos C. Kyriakides,&nbsp;Emanuela Mercore Hutanu,&nbsp;Maria Cecilia Mosquera,&nbsp;Elena Nikiphorou,&nbsp;Nicola O'Brien,&nbsp;Elena Philippou,&nbsp;Karolina Piątek,&nbsp;Simon Poole,&nbsp;Dana Popescu-Spineni,&nbsp;Sue Radd-Vagenas,&nbsp;Amalia Sidossis,&nbsp;Magdalena Simonis,&nbsp;Helen Soultanakis,&nbsp;Aleksandra Telinga,&nbsp;Audrey Tierney,&nbsp;Anna Tkacz,&nbsp;Dimitris Vlachopoulos,&nbsp;Gulnur Yaman-Dent,&nbsp;Yang Yap,&nbsp;Zoe Zervides,&nbsp;Catherine Itsiopoulos","doi":"10.1002/lim2.115","DOIUrl":"https://doi.org/10.1002/lim2.115","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The term “Mediterranean lifestyle” has gained increasing prominence in recent years, yet a specific definition remains elusive. In response, the Mediterranean Lifestyle Medicine Institute Board of Directors convened a multidisciplinary panel comprising international experts and leaders in lifestyle medicine. Their goal was to review existing literature and formulate a consensus definition of the “traditional Mediterranean lifestyle (tMedL),” referring to the historical way of living of the people in the Mediterranean region. This paper presents the agreed consensus statement and a comprehensive holistic definition of the term “traditional Mediterranean lifestyle.”</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Major medical and social sciences electronic databases from inception to February 2023 were searched, employing keywords relevant to the Mediterranean lifestyle and its constituent elements (diet, physical activity, sleep, stress, socialization). Subsequently, definitions for each pillar were created and synthesized to derive a comprehensive definition of the “traditional Mediterranean lifestyle.”</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>This proposed definition received ratification from the Mediterranean Lifestyle Medicine Institute's expert working group during the First International Mediterranean Lifestyle Medicine Conference held in June 2023 on the island of Leros, Greece. “The traditional Mediterranean lifestyle is characterized by its diverse and adaptable nature. Key facets encompass conviviality, lifelong social connectedness, purposeful living, strong community and familial bonds, harmony with nature and the environment, profound spirituality, adherence to religious practices, preservation of local customs, resilience cultivated through adversity, and a commitment to moderation across all spheres of life.”</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This definition comprehensively outlines the primary lifestyle factors ingrained in Mediterranean inhabitants across generations. Its holistic nature furnishes a crucial conceptual framework for directing lifestyle medicine practitioners in assisting patients to mitigate diseases, promote overall well-being, devise research initiatives to investigate the health ramifications of this lifestyle, and inform curriculum development.</p>\u0000 </section>\u0000 </div>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.115","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141994183","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":"Type 2 Diabetic Patients and Their Awareness About Obstructive Sleep Apnea in Diabetic Centers of Riyadh City","authors":"Ahmed H. Mujamammi,&nbsp;Essa M. Sabi,&nbsp;Faisal M. Alsaawi,&nbsp;Naif A. Alfahed,&nbsp;Omar A. Alrajhi,&nbsp;Hamad A. Alshaalan,&nbsp;Mohamed F. Alqahtani,&nbsp;Mohammed A. Alamer","doi":"10.1002/lim2.116","DOIUrl":"https://doi.org/10.1002/lim2.116","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>Lack of obstructive sleep apnea (OSA) awareness both directly and indirectly causes a medical and financial burden worldwide. The objective of this study is to provide new insights, focusing on type 2 diabetics and their knowledge levels about OSA in King Khalid University Hospital (KKUH), Riyadh, Saudi Arabia, and to recognize obesity as a common risk factor contributing to OSA in type 2 diabetes mellitus (T2DM) participants.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An analytical cross-sectional study was conducted from July 2022 to December 2022 with a convenience sampling method of 386 participants (18 years old and above). The study was done face-to-face using an electronic questionnaire. The inclusion criterion was all T2DM patients at the waiting area of KKUH Diabetes Center in Riyadh, excluding participants with other metabolic disorders.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Overall knowledge levels were poor, with 70.2% of participants not knowledgeable about the disease and 81.3% of participants having no knowledge concerning the bidirectional relationship between T2DM and OSA. Statistical significance was found between the risk of developing OSA symptoms and body mass index ≥30 (<i>p</i> ≤ 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The majority have very little to no knowledge regarding OSA and its bidirectional relationship with T2DM, indicating the need to put more effort into improving participant's awareness in this regard. Moreover, obesity should be considered as a common risk factor, recommending patients to practice healthier habits to minimize the risks and decrease mortality.</p>\u0000 </section>\u0000 </div>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.116","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141980290","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":"How Did the COVID-19 Pandemic Change Cigarette Smoking Behavior?","authors":"Jason Semprini","doi":"10.1002/lim2.117","DOIUrl":"https://doi.org/10.1002/lim2.117","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Cigarette smoking is the leading cause of preventable death in the United States. Although smoking rates have been declining, it is unclear how the COVID-19 pandemic impacted smoking behaviors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>With population-based data from the Behavioral Risk Factor Surveillance System (2010–2023), we will analyze four outcomes: (1) currently smoking, (2) started smoking in the past year, (3) number of cigarettes per day, and (4) quit smoking in the past year. By estimating a two-way fixed effect regression model to account for state-level factors and temporal trends, this study identifies the effect of exposure to the COVID-19 pandemic by comparing the change over time in an unexposed group (interviewed January 1–March 20, 2020) to the change over time in the exposed group (interviewed January 1–March 31, 2021–2023). This stage 1-registered report conducts a Power and pilot analysis with an exploratory outcome: being uninsured.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Pilot Results</h3>\u0000 \u0000 <p>Our power analysis calculates a minimum detectable effect size = 0.7%. The pilot analysis indicates that exposure to the COVID-19 pandemic was associated with a statistically significant decline in the probability of being uninsured (Est. = −2.2%; CI = −3.5, −1.1). There is little evidence that the early and late survey wave cohorts differed before the pandemic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications</h3>\u0000 \u0000 <p>This registered report outlines a study aimed at investigating the direct impact of the COVID-19 pandemic on smoking behaviors related to prevalence, initiation, intensity, and cessation. The findings will provide valuable insights into the effects of public health crises on health-related behaviors and inform future public health interventions. The preregistration of the study design and analysis plan ensures transparency, trust, and replicability of the results. Quantifying whether and how smoking behaviors changed, and in whom, can inform ongoing tobacco control efforts to continue the downward trend in cigarette smoking.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Preregistration</h3>\u0000 \u0000 <p>https://osf.io/vq8m4</p>\u0000 </section>\u0000 </div>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.117","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141967593","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":"Implementation and Scalability of Physical Activity Interventions Delivered Within Primary Care: A Narrative Review","authors":"Jimi Osinaike,&nbsp;Anna Myers,&nbsp;Anna Lowe,&nbsp;Robert J Copeland,&nbsp;Sarah J Hardcastle","doi":"10.1002/lim2.113","DOIUrl":"https://doi.org/10.1002/lim2.113","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Primary Aim</h3>\u0000 \u0000 <p>To describe the features of implementation in the setting of primary care (PC) for physical activity (PA) interventions that improved total and moderate to vigorous PA (MVPA).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Secondary Aim</h3>\u0000 \u0000 <p>To assess the scalability potential of effective PC PA interventions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A comprehensive search was conducted across multiple electronic databases to identify relevant studies published between 2012 and 2023. Implementation-related features were extracted, and the scalability potential of effective PC PA interventions was assessed using the Intervention Scalability Tool (ISAT) as a framework.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Twenty-six studies met the inclusion criteria after screening. Analysis of the implementation-related features revealed that effective PC PA interventions showed promising reach with a mean participation rate of 43%. Effective PC PA interventions that increased PA were mostly delivered by nurses and were underpinned by the behavioural change techniques (BCTs) of goal setting, feedback and self-monitoring. The scalability assessment revealed that remote-based interventions and those delivered by nurses had moderate to high scores in the scalability domains of fidelity, reach and acceptability, delivery setting and workforce, implementation infrastructure and sustainability.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>PC PA interventions, whether delivered remotely or face-to-face, show promise for increasing PA, especially when incorporating BCTs like goal setting and feedback. Using the ISAT, most interventions displayed promise for implementation at scale, but further examination is needed concerning the delivery setting, implementation infrastructure and sustainability of these interventions. Remote-based (automated PA advice and mailed instructions) PA interventions and those delivered in contact with a nurse showed high scalability potential. Further work that examines the acceptability and effectiveness of other healthcare professionals in intervention delivery would be worthwhile, and more work is needed to assess the utility and effectiveness of remote-based PA interventions in PC.</p>\u0000 </section>\u0000 </div>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.113","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141966571","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":"Effect of Hormonal Changes Through 7 Days of Osho Dynamic Meditation Among Healthy Nepalese Participants","authors":"Vijay Kumar Sharma,&nbsp;Apeksha Niraula,&nbsp;Eans Tara Tuladhar,&nbsp;Raju Kumar Dubey,&nbsp;Aseem Bhattarai,&nbsp;Mithileshwer Raut,&nbsp;Nikita Kharal,&nbsp;Anuradha Kadel,&nbsp;Srijana Sapkota,&nbsp;Prakash Pokhrel,&nbsp;Namrata Sharma","doi":"10.1002/lim2.112","DOIUrl":"https://doi.org/10.1002/lim2.112","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Context</h3>\u0000 \u0000 <p>Meditation and related relaxation techniques are good means of alleviating stress and maintaining good health. Osho dynamic meditation decreases several psychopathological variables such as anxious-depressive syndrome, aggressive behaviors, and depression which is practiced in Nepal and all over the world. Various studies have shown alteration in different hormone levels due to meditation by strengthening adaptive mechanisms.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The aim of this study was to evaluate the effect of Osho meditation on serum hormonal levels in pre- and postmeditation participants.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A pre–post study was conducted among 70 healthy volunteers (42 male and 28 female) where various types of Osho dynamic meditation techniques were incorporated together to understand their combined effects on serum hormone levels in participants attending the 7 days meditation camp. Serum hormones such as cortisol, estrogen, progesterone, free triiodothyronine (fT3), free thyroxine (fT4), thyroid-stimulating hormone (TSH), testosterone, and growth hormone were measured by chemiluminescence immunoassay.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Out of 70 participants, 68 participants (97%) had subjective opinion of Osho dynamic meditation being effective in alleviating stress, depression, and anger. Also, there was a significant decline in body weight and body mass index in both male and female populations after a strict vegetarian diet and meditation. Likewise, a significant rise in the level of estrogen (<i>p</i> &lt; 0.001), progesterone (<i>p</i> &lt; 0.001), growth hormone (<i>p</i> &lt; 0.001), testosterone (<i>p</i> = 0.002), and fT3 (<i>p</i> = 0.049) in postmeditation male participants indicates the importance of Osho dynamic meditation on elevating sex hormones such as estrogen, progesterone, testosterone as well as fT3, and growth hormones among Osho meditation practicing participants.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Our findings suggest significant changes in the hormonal levels and improvement in stress and depression in participants undergoing Osho meditation.</p>\u0000 </section>\u0000 </div>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.112","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141967531","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 Greco-Roman Contribution to Lifestyle Medicine","authors":"Konstantine Panegyres","doi":"10.1002/lim2.111","DOIUrl":"https://doi.org/10.1002/lim2.111","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Lifestyle has become a major and well-recognized aspect of modern healthcare, but there is little awareness of the origins of lifestyle medicine.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>This paper shows that a major contribution to lifestyle medicine was made by Greco-Roman physicians. Ancient Greek and Roman doctors placed considerable emphasis on the role lifestyle played in determining the state of their patients’ health.</p>\u0000 </section>\u0000 </div>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.111","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141967528","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":"Delivery of Interventions for Multiple Lifestyle Factors in Primary Healthcare Settings: A Narrative Review Addressing Strategies for Effective Implementation","authors":"Callum J. Leese,&nbsp;Hussain Al-Zubaidi,&nbsp;Blair H. Smith","doi":"10.1002/lim2.110","DOIUrl":"https://doi.org/10.1002/lim2.110","url":null,"abstract":"<p>The escalating burden of lifestyle-related diseases stands as a critical global public health challenge, contributing substantially to the prevalence of chronic conditions and a large portion of premature mortality. Despite this, concise evidence-based lifestyle interventions targeting physical inactivity, nutrition, alcohol and smoking continue to be underutilised. Although good evidence exists for addressing the four lifestyle-related risk factors independently, rarely do these present in isolation. Evidence is lacking regarding how to integrate interventions targeting multiple risk factors. Consequently, this paper aims to provide an overview of the evidence for delivering multiple interventions in primary healthcare settings.</p><p>Different lifestyle factors are inter-related, with decisions around ordering of the delivery of multiple lifestyle interventions an important consideration. There is evidence supporting the effectiveness of addressing some lifestyle factors simultaneously (e.g., physical activity and nutrition), although smoking cessation may be delivered best in a sequential approach. While the World Health Organisation highlights four key lifestyle factors (nutrition, physical activity, alcohol and smoking), incorporating additional elements such as sleep, mental well-being and social connectedness offers a holistic framework for promoting well-being.</p><p>Despite the presentation of multiple behaviour risk factors being commonplace in healthcare settings, the evidence (outlined in the paper) for how best to deliver interventions to address this is limited, with further research and subsequent clinical guidance required.</p><p>In order to address the barriers to delivering lifestyle interventions in primary care, innovation will be required. The use of non-medical personnel, social prescribers and health coaches has the potential to alleviate time constraints, whilst mounting evidence exists for group consultations for addressing lifestyle-related non-communicable diseases (NCDs). If the challenges to implementation can be addressed, and if healthcare systems can adapt for the promotion of healthy lifestyles, the impact of NCDs can be mitigated.</p>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.110","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141608001","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 Post-Treatment Combined Lifestyle Interventions on Quality of Life in Colorectal Cancer Patients – A Systematic Review","authors":"Anke H. C. Gielen,&nbsp;Britt J. M. Thomassen,&nbsp;Tim J. Bult,&nbsp;Jarno Melenhorst,&nbsp;Merel L. Kimman,&nbsp;Stephanie O. Breukink","doi":"10.1002/lim2.109","DOIUrl":"https://doi.org/10.1002/lim2.109","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Colorectal cancer is identified as a lifestyle-related type of cancer. There is an increasing emphasis on lifestyle interventions targeting pivotal lifestyle factors such as excess weight, cigarette smoking, alcohol consumption, poor diet and physical inactivity as primary and tertiary prevention. Furthermore, modifying these lifestyle factors has the potential to improve quality of life for cancer patients. We aim to identify, appraise and synthesise the available evidence regarding the effect of combined lifestyle interventions on quality of life in colorectal cancer survivors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Pubmed, Ovid Embase and the Cochrane Library were searched for studies reporting on quality of life in post-treatment colorectal cancer patients. The systematic literature search was performed according to the Preferred Reporting Items for systematic reviews and meta-analysis (PRISMA) guidelines.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Five articles reporting on 719 individual patients were included. Two studies reported significantly better results in (cancer-specific) quality-of-life questionnaires for patients after combined lifestyle interventions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>We conclude that there is some evidence that combined lifestyle interventions could have beneficial effects on the quality of life of colorectal cancer survivors. Future randomised controlled trials reporting on quality of life of combined lifestyle interventions in colorectal cancer survivors are warranted.</p>\u0000 </section>\u0000 </div>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.109","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141536612","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}