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

{"title":"Correction to “Pre-Stroke Frailty and Lifestyle Factors Predict Functional Recovery after Endovascular Treatment in Vietnamese Patients With Ischemic Stroke”","authors":"","doi":"10.1002/lim2.70060","DOIUrl":"https://doi.org/10.1002/lim2.70060","url":null,"abstract":"<p>Y. M. H. Trang, H. T. Dinh, L. V. H. Ha, et al. “Pre-Stroke Frailty and Lifestyle Factors Predict Functional Recovery after Endovascular Treatment in Vietnamese Patients With Ischemic Stroke.” <i>Lifestyle Medicine</i> 7, no. 1 (2026): e70054. https://doi.org/10.1002/lim2.70054</p><p>In the author affiliation section, the institution for the co-author Trang Thi Minh Nguyen was listed as “University of Medicine and Pharmacy, Ho Chi Minh” as presented in the journal style. The correct and official name of the institution is “University of Medicine and Pharmacy at Ho Chi Minh City.”</p><p>This has now been corrected in the published article.</p><p>We apologize for this error.</p>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":"7 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.70060","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147686010","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":"Correction to “Pre-Stroke Frailty and Lifestyle Factors Predict Functional Recovery after Endovascular Treatment in Vietnamese Patients With Ischemic Stroke”","authors":"","doi":"10.1002/lim2.70060","DOIUrl":"https://doi.org/10.1002/lim2.70060","url":null,"abstract":"<p>Y. M. H. Trang, H. T. Dinh, L. V. H. Ha, et al. “Pre-Stroke Frailty and Lifestyle Factors Predict Functional Recovery after Endovascular Treatment in Vietnamese Patients With Ischemic Stroke.” <i>Lifestyle Medicine</i> 7, no. 1 (2026): e70054. https://doi.org/10.1002/lim2.70054</p><p>In the author affiliation section, the institution for the co-author Trang Thi Minh Nguyen was listed as “University of Medicine and Pharmacy, Ho Chi Minh” as presented in the journal style. The correct and official name of the institution is “University of Medicine and Pharmacy at Ho Chi Minh City.”</p><p>This has now been corrected in the published article.</p><p>We apologize for this error.</p>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":"7 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.70060","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147686894","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":"Modifiable Geriatric Risk Factors Identified by CGA Predict Adverse Outcomes in Frail Vietnamese Older Adults: A 12-Month Longitudinal Study","authors":"Huong Thi Mai Nguyen,&nbsp;Huong Thi Thu Nguyen,&nbsp;Tam Ngoc Nguyen,&nbsp;Thanh Xuan Nguyen,&nbsp;Thu Thi Hoai Nguyen,&nbsp;Linh Ha Vu Huyen,&nbsp;Hoa Trung Dinh,&nbsp;Anh Trung Nguyen,&nbsp;Thang Pham,&nbsp;Huu Cong Nguyen,&nbsp;Huyen Thi Thanh Vu","doi":"10.1002/lim2.70062","DOIUrl":"https://doi.org/10.1002/lim2.70062","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Vietnam's rapidly aging population faces a growing burden of frailty. Comprehensive geriatric assessment (CGA) is a key tool for identifying modifiable risk factors like malnutrition and physical inactivity, but prospective evidence of its predictive utility in Vietnam is lacking. This evidence gap hinders the integration of targeted, person-centered interventions into routine clinical practice to improve health outcomes for this vulnerable population.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To prospectively evaluate associations between geriatric syndromes identified by baseline CGA and 12-month adverse outcomes, including hospitalization and falls, among frail older adults in Vietnam.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This 12-month longitudinal study included 280 frail older adults (aged ≥60 years) identified via Fried's phenotype criteria. A baseline CGA assessed multiple geriatric syndromes. Associations with 12-month outcomes were examined using multilevel logistic regression, adjusted for sociodemographic covariates.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Significant predictors of increased hospitalization included multimorbidity (OR = 2.17), dependency in activities of daily living (ADL) (OR = 1.80), and malnutrition (OR = 1.70). A high baseline fall-risk index strongly predicted subsequent fall incidence (OR = 1.84). Unexpectedly, hearing impairment was associated with a lower likelihood of falls (OR = 0.46), and depression was linked to a reduced odds of recurrent falls (OR = 0.40).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>CGA is a valuable predictive tool for identifying high-risk older adults in Vietnam. Key modifiable risk factors (multimorbidity, functional dependency, malnutrition, and depression) are strong predictors of adverse outcomes and represent priority targets for lifestyle-based non-pharmacological interventions. Integrating CGA into routine care can guide proactive strategies to mitigate adverse outcomes and improve quality of life.</p>\u0000 </section>\u0000 </div>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":"7 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.70062","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147686828","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":"Modifiable Geriatric Risk Factors Identified by CGA Predict Adverse Outcomes in Frail Vietnamese Older Adults: A 12-Month Longitudinal Study","authors":"Huong Thi Mai Nguyen,&nbsp;Huong Thi Thu Nguyen,&nbsp;Tam Ngoc Nguyen,&nbsp;Thanh Xuan Nguyen,&nbsp;Thu Thi Hoai Nguyen,&nbsp;Linh Ha Vu Huyen,&nbsp;Hoa Trung Dinh,&nbsp;Anh Trung Nguyen,&nbsp;Thang Pham,&nbsp;Huu Cong Nguyen,&nbsp;Huyen Thi Thanh Vu","doi":"10.1002/lim2.70062","DOIUrl":"https://doi.org/10.1002/lim2.70062","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Vietnam's rapidly aging population faces a growing burden of frailty. Comprehensive geriatric assessment (CGA) is a key tool for identifying modifiable risk factors like malnutrition and physical inactivity, but prospective evidence of its predictive utility in Vietnam is lacking. This evidence gap hinders the integration of targeted, person-centered interventions into routine clinical practice to improve health outcomes for this vulnerable population.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To prospectively evaluate associations between geriatric syndromes identified by baseline CGA and 12-month adverse outcomes, including hospitalization and falls, among frail older adults in Vietnam.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This 12-month longitudinal study included 280 frail older adults (aged ≥60 years) identified via Fried's phenotype criteria. A baseline CGA assessed multiple geriatric syndromes. Associations with 12-month outcomes were examined using multilevel logistic regression, adjusted for sociodemographic covariates.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Significant predictors of increased hospitalization included multimorbidity (OR = 2.17), dependency in activities of daily living (ADL) (OR = 1.80), and malnutrition (OR = 1.70). A high baseline fall-risk index strongly predicted subsequent fall incidence (OR = 1.84). Unexpectedly, hearing impairment was associated with a lower likelihood of falls (OR = 0.46), and depression was linked to a reduced odds of recurrent falls (OR = 0.40).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>CGA is a valuable predictive tool for identifying high-risk older adults in Vietnam. Key modifiable risk factors (multimorbidity, functional dependency, malnutrition, and depression) are strong predictors of adverse outcomes and represent priority targets for lifestyle-based non-pharmacological interventions. Integrating CGA into routine care can guide proactive strategies to mitigate adverse outcomes and improve quality of life.</p>\u0000 </section>\u0000 </div>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":"7 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.70062","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147686827","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":"Physical Activity Levels, Self-Efficacy and Exercise Readiness Among Postpartum Women in a Tertiary Hospital in Accra, Ghana","authors":"Dorothy Ekua Adjabu,&nbsp;Jonathan Quartey,&nbsp;Tawagidu Mohammed,&nbsp;Mubarak Abdul-Rahman,&nbsp;Diphale Joyce Mothabeng","doi":"10.1002/lim2.70059","DOIUrl":"https://doi.org/10.1002/lim2.70059","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Participation in physical activity (PA) is essential to promote maternal physical and mental well-being and is linked to significant contributory factors such as sociodemographic characteristics, self-efficacy and exercise readiness. This study aimed to determine the PA levels and their associated influencing factors among postpartum women in a tertiary health facility in Accra, Ghana.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional study was conducted at the 37 Military Hospital between October 2022 and January 2023, involving 146 postpartum women. A data capture sheet was used to gather sociodemographic data of participants, while the International Physical Activity Questionnaire (IPAQ), Readiness of PA stages of change scale and Self-Efficacy for Physical Activity questionnaires collected information on the PA levels, exercise readiness and self-efficacy, respectively. Data were analysed with SPSS software version 27 using descriptive and inferential statistics with significance at a <i>p</i>-value of ≤ 0.05.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The majority of participants had a low PA level (93.25%, <i>n</i> = 136), low self-efficacy (63.7%) and low readiness, with the majority (62.8%) now contemplating exercising in the next 6 months. Marital status (OR [95 CI]: 5 [1.20–24.15], <i>p</i>-value = 0.03) and exercise readiness (OR [95 CI]: 4 [1.06–15.91], <i>p</i>-value = 0.04) emerged as correlates of PA levels. Significant associations were also observed between self-efficacy and readiness (𝛘² = 7.37, <i>p</i>-value = 0.02) and readiness and postpartum month (𝛘² = 6.98, <i>p</i>-value = 0.01).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Findings from this study showed that the majority of postpartum women have a low PA level, self-efficacy and exercise readiness. Marital status and exercise readiness were revealed as contributory factors to PA, with self-efficacy having an important link to exercise readiness. It is envisaged that health professionals, policymakers and other key stakeholders will consider these variables in interventions to promote PA levels among postpartum women.</p>\u0000 </section>\u0000 </div>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":"7 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.70059","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147563752","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":"Physical Activity Levels, Self-Efficacy and Exercise Readiness Among Postpartum Women in a Tertiary Hospital in Accra, Ghana","authors":"Dorothy Ekua Adjabu,&nbsp;Jonathan Quartey,&nbsp;Tawagidu Mohammed,&nbsp;Mubarak Abdul-Rahman,&nbsp;Diphale Joyce Mothabeng","doi":"10.1002/lim2.70059","DOIUrl":"https://doi.org/10.1002/lim2.70059","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Participation in physical activity (PA) is essential to promote maternal physical and mental well-being and is linked to significant contributory factors such as sociodemographic characteristics, self-efficacy and exercise readiness. This study aimed to determine the PA levels and their associated influencing factors among postpartum women in a tertiary health facility in Accra, Ghana.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional study was conducted at the 37 Military Hospital between October 2022 and January 2023, involving 146 postpartum women. A data capture sheet was used to gather sociodemographic data of participants, while the International Physical Activity Questionnaire (IPAQ), Readiness of PA stages of change scale and Self-Efficacy for Physical Activity questionnaires collected information on the PA levels, exercise readiness and self-efficacy, respectively. Data were analysed with SPSS software version 27 using descriptive and inferential statistics with significance at a <i>p</i>-value of ≤ 0.05.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The majority of participants had a low PA level (93.25%, <i>n</i> = 136), low self-efficacy (63.7%) and low readiness, with the majority (62.8%) now contemplating exercising in the next 6 months. Marital status (OR [95 CI]: 5 [1.20–24.15], <i>p</i>-value = 0.03) and exercise readiness (OR [95 CI]: 4 [1.06–15.91], <i>p</i>-value = 0.04) emerged as correlates of PA levels. Significant associations were also observed between self-efficacy and readiness (𝛘² = 7.37, <i>p</i>-value = 0.02) and readiness and postpartum month (𝛘² = 6.98, <i>p</i>-value = 0.01).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Findings from this study showed that the majority of postpartum women have a low PA level, self-efficacy and exercise readiness. Marital status and exercise readiness were revealed as contributory factors to PA, with self-efficacy having an important link to exercise readiness. It is envisaged that health professionals, policymakers and other key stakeholders will consider these variables in interventions to promote PA levels among postpartum women.</p>\u0000 </section>\u0000 </div>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":"7 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.70059","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147563751","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":"Improved Mood Following Cold-Water Immersion: A Comparison of Differing Exposure Durations","authors":"John Stephen Kelly,&nbsp;Natalie Davidson,&nbsp;Joseph Peter Delaney","doi":"10.1002/lim2.70048","DOIUrl":"10.1002/lim2.70048","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Cold-water therapy is gaining popularity as a mood-enhancing intervention. However, immersion protocols vary, particularly in terms of temperature and duration. This study examined whether different durations of cold-water immersion produce differential effects on mood.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>One hundred and forty participants with self-reported low mood were randomly assigned to one of four groups: a control group or immersion groups exposed to seawater at 13.6°C ± 0.3°C for 5, 10 or 20 min. Participants in the immersion groups completed the Profile of Mood States (POMS) 7 days before and immediately after immersion; control participants completed the same measures at matched intervals. Skin temperature and heart rate were recorded before and during immersion, and heart rate variability (HRV) was analysed in 10 participants from the 5-min group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Total mood disturbance (TMD) significantly improved across cold-water immersion groups. The greatest reduction was observed in the 20-min group (mean change −15.9 points; 49.7 ± 18.8 to 33.8 ± 10.8, <i>p </i>&lt; 0.0005), followed by the 5-min group (−14.7 points; 47.6 ± 19.9 to 32.9 ± 13.7, <i>p </i>&lt; 0.0005) and the 10-min group (−8.8 points; 41.8 ± 15.5 to 33.0 ± 12.3, <i>p </i>= 0.001). No significant change in TMD was observed in the control group (−1.9 points; 41.5 ± 9.5 to 39.6 ± 6.4, <i>p </i>= 0.156). Immersion significantly reduced skin temperature by 10.7°C, (<i>t</i>₍₄₈₎ = 21.8, <i>p </i>&lt; 0.0005) and increased heart rate by 33 bpm, (<i>t</i>₍₄₈₎ = –17.76, <i>p </i>&lt; 0.0005). HRV showed reduced root mean square of successive differences (RMSSD) (48.8 to 28 ms) and total power (4197 to 1812 ms²), indicating a shift from parasympathetic to sympathetic dominance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Cold-water immersion appears to effectively improve mood, with benefits observed across all durations. A 5-min immersion was as effective as longer exposures, offering a practical option for implementation. While safe in healthy, screened individuals under controlled conditions, caution is advised in less structured environments or with individuals with pre-existing health conditions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":"7 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.70048","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147569935","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":"Improved Mood Following Cold-Water Immersion: A Comparison of Differing Exposure Durations","authors":"John Stephen Kelly,&nbsp;Natalie Davidson,&nbsp;Joseph Peter Delaney","doi":"10.1002/lim2.70048","DOIUrl":"https://doi.org/10.1002/lim2.70048","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Cold-water therapy is gaining popularity as a mood-enhancing intervention. However, immersion protocols vary, particularly in terms of temperature and duration. This study examined whether different durations of cold-water immersion produce differential effects on mood.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>One hundred and forty participants with self-reported low mood were randomly assigned to one of four groups: a control group or immersion groups exposed to seawater at 13.6°C ± 0.3°C for 5, 10 or 20 min. Participants in the immersion groups completed the Profile of Mood States (POMS) 7 days before and immediately after immersion; control participants completed the same measures at matched intervals. Skin temperature and heart rate were recorded before and during immersion, and heart rate variability (HRV) was analysed in 10 participants from the 5-min group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Total mood disturbance (TMD) significantly improved across cold-water immersion groups. The greatest reduction was observed in the 20-min group (mean change −15.9 points; 49.7 ± 18.8 to 33.8 ± 10.8, <i>p </i>&lt; 0.0005), followed by the 5-min group (−14.7 points; 47.6 ± 19.9 to 32.9 ± 13.7, <i>p </i>&lt; 0.0005) and the 10-min group (−8.8 points; 41.8 ± 15.5 to 33.0 ± 12.3, <i>p </i>= 0.001). No significant change in TMD was observed in the control group (−1.9 points; 41.5 ± 9.5 to 39.6 ± 6.4, <i>p </i>= 0.156). Immersion significantly reduced skin temperature by 10.7°C, (<i>t</i>₍₄₈₎ = 21.8, <i>p </i>&lt; 0.0005) and increased heart rate by 33 bpm, (<i>t</i>₍₄₈₎ = –17.76, <i>p </i>&lt; 0.0005). HRV showed reduced root mean square of successive differences (RMSSD) (48.8 to 28 ms) and total power (4197 to 1812 ms²), indicating a shift from parasympathetic to sympathetic dominance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Cold-water immersion appears to effectively improve mood, with benefits observed across all durations. A 5-min immersion was as effective as longer exposures, offering a practical option for implementation. While safe in healthy, screened individuals under controlled conditions, caution is advised in less structured environments or with individuals with pre-existing health conditions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":"7 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.70048","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147569936","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":"Group Consultations for Type 2 Diabetes Management in Danish General Practice: Perceived Benefits, Needs, and Optimal Design Perceived by Future Users","authors":"Rasmus Dahl-Larsen,&nbsp;Pernille Ravn Jakobsen,&nbsp;Jens Søndergaard,&nbsp;Jan Erik Henriksen,&nbsp;Elisabeth Assing Hvidt","doi":"10.1002/lim2.70058","DOIUrl":"https://doi.org/10.1002/lim2.70058","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Group consultations (GCs) are increasingly proposed to support lifestyle-related chronic conditions such as Type 2 diabetes (T2D) in primary care, yet evidence on how to design and implement GCs in Danish general practice is limited.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To explore how patients with T2D and general practitioners perceive the purpose, benefits, and optimal design of GCs, using a participatory design (PD) approach to inform program development.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>As an exploratory phase of a PD project, we conducted semi-structured interviews with 21 participants: 10 general practitioners, one practice nurse, and 10 patients with T2D recruited from general practices across Denmark. Interviews covered purpose, organization, group composition, facilitation, and sharing of experiences and clinical data. Data were analyzed using systematic text condensation and translated into design-relevant insights to support subsequent co-design.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Participants described two models: an add-on GC supplementing existing care and an integrated GC embedded in routine T2D management. Across models, stakeholders anticipated benefits from peer support, shared learning, and increased motivation for lifestyle change. Concerns focused on confidentiality, fear of feeling exposed, and sharing personal clinical data—raised mainly by clinicians, whereas patients generally expressed fewer reservations. Key design requirements included a clearly communicated purpose; groups of approximately 8–10 participants; continuity of membership; skilled facilitation by healthcare professionals; and explicit agreements on confidentiality and what clinical data may be shared.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>GCs for T2D should be designed with explicit attention to purpose, setup, and data-sharing practices. Early involvement of patients and clinicians through PD provides actionable guidance for developing context-sensitive, acceptable GC programs in Danish general practice and informs subsequent co-design and testing.</p>\u0000 </section>\u0000 </div>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":"7 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.70058","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147288423","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":"Group Consultations for Type 2 Diabetes Management in Danish General Practice: Perceived Benefits, Needs, and Optimal Design Perceived by Future Users","authors":"Rasmus Dahl-Larsen,&nbsp;Pernille Ravn Jakobsen,&nbsp;Jens Søndergaard,&nbsp;Jan Erik Henriksen,&nbsp;Elisabeth Assing Hvidt","doi":"10.1002/lim2.70058","DOIUrl":"https://doi.org/10.1002/lim2.70058","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Group consultations (GCs) are increasingly proposed to support lifestyle-related chronic conditions such as Type 2 diabetes (T2D) in primary care, yet evidence on how to design and implement GCs in Danish general practice is limited.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To explore how patients with T2D and general practitioners perceive the purpose, benefits, and optimal design of GCs, using a participatory design (PD) approach to inform program development.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>As an exploratory phase of a PD project, we conducted semi-structured interviews with 21 participants: 10 general practitioners, one practice nurse, and 10 patients with T2D recruited from general practices across Denmark. Interviews covered purpose, organization, group composition, facilitation, and sharing of experiences and clinical data. Data were analyzed using systematic text condensation and translated into design-relevant insights to support subsequent co-design.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Participants described two models: an add-on GC supplementing existing care and an integrated GC embedded in routine T2D management. Across models, stakeholders anticipated benefits from peer support, shared learning, and increased motivation for lifestyle change. Concerns focused on confidentiality, fear of feeling exposed, and sharing personal clinical data—raised mainly by clinicians, whereas patients generally expressed fewer reservations. Key design requirements included a clearly communicated purpose; groups of approximately 8–10 participants; continuity of membership; skilled facilitation by healthcare professionals; and explicit agreements on confidentiality and what clinical data may be shared.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>GCs for T2D should be designed with explicit attention to purpose, setup, and data-sharing practices. Early involvement of patients and clinicians through PD provides actionable guidance for developing context-sensitive, acceptable GC programs in Danish general practice and informs subsequent co-design and testing.</p>\u0000 </section>\u0000 </div>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":"7 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.70058","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147288424","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}