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

{"title":"Assembling a ‘good’ and ‘bad’ night's sleep: A multifactorial proposition","authors":"R. Ogeil, Mai‐Tram Nguyen, M. Savic, D. Lubman","doi":"10.1002/lim2.48","DOIUrl":"https://doi.org/10.1002/lim2.48","url":null,"abstract":"","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46919959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Educational collaboration can empower patients, support doctors in training and future‐proof medical education","authors":"F. Birrell, Ann Johnson, L. Scott, Alison Irvine, Robina Shah","doi":"10.1002/lim2.49","DOIUrl":"https://doi.org/10.1002/lim2.49","url":null,"abstract":"","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43420773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors associated with low medication adherence in patients with Type 2 diabetes mellitus attending a tertiary hospital in Bangladesh","authors":"S. Islam, M. Islam, R. Uddin, Tania Tansi, S. Talukder, F. Sarker, K. Mamun, S. Adibi, L. Rawal","doi":"10.1002/lim2.47","DOIUrl":"https://doi.org/10.1002/lim2.47","url":null,"abstract":"","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/lim2.47","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44428555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Noncommunicable disease risk factors among the trainee doctors of a tertiary level diabetes hospital in Bangladesh","authors":"Tonima Sultana, M. Faruque, P. Banik, S. Sultana, Feroz Amin, M. M. Zaman","doi":"10.1002/lim2.45","DOIUrl":"https://doi.org/10.1002/lim2.45","url":null,"abstract":"","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/lim2.45","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48982161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Supported self-care is integral to lifestyle medicine: Can virtual group consultations promote them both?","authors":"Emily Symington,&nbsp;Austen El-Osta,&nbsp;Fraser Birrell","doi":"10.1002/lim2.43","DOIUrl":"10.1002/lim2.43","url":null,"abstract":"<p>There is a rising burden of lifestyle-related non-communicable disease across all age groups around the world that is reaching epidemic proportions. Over half (58%) of the UK population over 60 is living with one or more long-term conditions,<span>¹</span> and this prevalence is expected to increase significantly in the next decade. By their very nature, lifestyle-related conditions have an insidious onset and a protracted period of morbidity that negatively impacts quality of life. This places significant pressure on individuals, health systems, economies and society.</p><p>The current pandemic has highlighted how significantly more vulnerable people with long-term conditions are to other health challenges. Those living with diabetes and obesity have a higher risk of attending hospital and an increased case-fatality rate for COVID-19 when compared to non-diabetic and non-obese individuals of the same age.<span>²</span> Self-care and personal lifestyle behaviours that improve metabolic health could lead to better health outcomes from infectious disease and, as previously highlighted in this journal, at a population level are an important aspect of pandemic preparedness.<span>³</span></p><p>A key question for healthcare practitioners and healthcare systems today is how to turn the tide on lifestyle-related conditions in a way that is person-centred. This challenge is even more prescient now in the context of the post-COVID era, as virtual care has quickly become the new normal.</p><p>There are more than 139 definitions of self-care in the academic literature.<span>⁴</span> The Self Care Forum UK describes self-care as ‘the actions that individuals take for themselves, on behalf of and with others in order to develop, protect, maintain and improve their health, well-being or wellness.’<span>⁵</span></p><p>The World Health Organisation (WHO) and the International Self-Care Foundation (ISF) have varying definitions of self-care. Perhaps more helpful is to conceptualise self-care as a series of activities, which can be conveniently grouped into the seven pillars of self-care<span>⁶</span> as follows: (1) knowledge and health literacy, (2) mental well-being, (3) physical activity, (4) healthy eating, (5) risk avoidance, (6) good hygiene practices and (7) the rational service use of products and services.<span>⁷</span> These bear very clear resemblance and overlap to the six pillars of lifestyle medicine such that the antecedents and interventions are closely related: (1) healthy eating, (2) physical activity, (3) avoiding toxins, (4) managing stress, (5) sleep and (6) nurturing relationships.<span>⁸</span></p><p>Until recently, self-care was not much talked about in the context of healthcare. It was often implied that self-caring was tantamount to ‘no care’ due to an abdication of responsibility by health professionals, leaving patients to ‘fend for themselves’ w","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":"2 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/lim2.43","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44581413","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":"Trend in the utilization of antenatal care during pregnancy among the adolescents in Bangladesh: Evidence from national survey data 2012/2013 and 2019","authors":"Md. Sabbir Ahmed","doi":"10.1002/lim2.42","DOIUrl":"10.1002/lim2.42","url":null,"abstract":"Introduction: Pregnancy during adolescence is a global health problem and the leading cause of maternal mortality. This study was aimed to explore the trends of the utilization of prenatal care or antenatal care (ANC) services during 2012/2013 and 2019, and to identify the factors associated with the use of ANC among adolescents in Bangladesh. Methods: This study was based on the secondary data set of two consecutive surveys of Bangladesh Multiple Indicator Cluster Survey (MICS) 2012/2013 and 2019. Results: The prevalence of utilizing ANC among Bangladeshi adolescents is in increasing trend; however, as per WHO recommendation, the prevalence of utilizing 4 + ANC visitswasverylowin2019(34.1%),whichwas26.2%in2012/2013.Educationalstatus of the adolescents, area of residence, household wealth status, administrative division, and status of watching television were independent predictors of receiving 4 + ANC visits among the pregnant adolescent girls in Bangladesh. Conclusions: The status of ANC among Bangladeshi adolescents is still very low. Awareness building programs among adolescents and their family members through health education interventions should be taken.","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":"2 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/lim2.42","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48969499","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":"Factors associated with dietary diversity and physical activity of pregnant women in Bangladesh: A cross-sectional study at an antenatal care setting","authors":"Satyajit Kundu,&nbsp;Dilruba Easmin Jharna,&nbsp;Md. Hasan Al Banna,&nbsp;Md Shafiqul Islam Khan","doi":"10.1002/lim2.41","DOIUrl":"10.1002/lim2.41","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Both dietary diversity and physical activity during pregnancy are very important since they are known to affect pregnancy and birth outcomes. However, little is documented on dietary diversity and physical activity among pregnant women in Bangladesh. Accordingly, this study was designed to assess the dietary diversity and physical activity level, as well as their associated factors, among pregnant women at an antenatal care setting in Bangladesh.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An institution-based cross-sectional study was conducted with 96 randomly selected pregnant women who sought antenatal care at a hospital in Khulna City, Bangladesh in July 2020. Dietary diversity and physical activity were assessed using the 24-h dietary recall method of consuming seven food groups, and standardized Pregnancy Physical Activity Questionnaire (PPAQ), respectively. Simple and multivariable logistic regressions were conducted to determine the factors associated with dietary diversity and physical activity among pregnant women.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Around 70% of participants had high dietary diversity and 58.3% were physically active. Being job holders, getting counseling on diet, and being from higher income and food-secured families were identified as potential determinants of the high dietary diversity of participants. Having higher secondary education, being job holders, and being from families with a size of below five were more likely to be physically active compared to others.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>In light of these findings, there is a need to support existing policies and devise new policies targeting these variables. Improving awareness on the importance of dietary diversity during pregnancy, incorporating counseling services, ensuring household food security especially during this pandemic situation, and providing women with diet counseling are recommended to increase pregnant women's dietary diversity and physical activity level.</p>\u0000 </section>\u0000 </div>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":"2 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/lim2.41","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45940054","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":"To disclose or not to disclose? Caregivers experiences of disclosure of HIV status of children living with HIV in Accra, Ghana","authors":"Delight Abla Klutsey Clinical Psycholgy,&nbsp;Margaret Amankwah-Poku Health Psychology,&nbsp;Kwaku Oppong Asante Psychology","doi":"10.1002/lim2.40","DOIUrl":"10.1002/lim2.40","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Status disclosure remains a major challenge for most caregivers of children living with HIV/AIDS, and it remains suboptimal, resulting in reduced adherence and negative psychological and physical outcomes in these children. This study explored caregivers’ experiences of disclosure of the HIV status of their affected children within the Greater Accra Region of Ghana.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Using the interpretive phenomenological qualitative approach, in-depth interviews were conducted among 15 caregivers (aged 27–55 years) who were either the biological parents or guardians of children living with HIV (aged 6–15 years) from three main hospitals giving antiretroviral care in the Greater Accra Region. Interviews focused on the reasons for disclosure, the process of disclosure, and the aftermaths of disclosure. The interviews were recorded, transcribed, and subsequently analyzed thematically.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Three main themes emerged from the analysis: “The Despair of HIV Diagnosis,” “The Dilemma and Nuances of Disclosure,” and “Aftermaths of Disclosure” Generally, the diagnosis of HIV in the children came as a shock to most caregivers which led to subsequent testing and diagnosis of caregivers. Two forms of disclosure were observed from the narratives: partial and full disclosure. Reasons for full disclosure were the child's curiosity, non-adherence to antiretroviral therapy, and transition to high school. Non-disclosure was as a result of stigma, the child been too young, and a lack of skill to disclose. Overall, caregivers reported that disclosure improved adherence and well-being in their children; and helped reduce tension and anxiety among caregivers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These findings suggest disclosure of HIV status to children living with HIV/AIDS has the potential to positively influence health outcomes in these children. However, caregivers need to be educated to initiate disclosure with the needed assistance from health care providers.</p>\u0000 </section>\u0000 </div>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":"2 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/lim2.40","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45875462","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":"Narrative review of the role of inflammation in gastroesophageal reflux disease. Can food allergies play a part?","authors":"Lucy Kensett Swain MSc. BSc.(Hons) Dip. NT Dip. BSLM/IBLM","doi":"10.1002/lim2.35","DOIUrl":"10.1002/lim2.35","url":null,"abstract":"<p>Acid suppression is the accepted treatment for gastroesophageal reflux disease, despite being ineffective in one third of patients. Certain conditions presenting as reflux may later be attributed to food allergy (infant cow's milk allergy; eosinophilic esophagitis), but the role of food allergy in adult reflux disease has rarely been investigated. The mechanisms of gastroesophageal reflux disease are examined to explore potential subgroups within the population, such as undisclosed food allergy, which may determine the responsiveness to treatment. The relevant literature was searched systematically using ProQuest Dialog, yielding 113 papers that were evaluated for quality. The extracted evidence was formed into a mechanistic diagram representing the processes of disease. As yet, insufficient research exists to evaluate the relationship between food allergies and reflux in adults. Of significance, however, is the potential for multiple variables to affect the integrity of the esophageal mucosa, thereby allowing symptoms to emerge which are independent of acid exposure. Where nonacidic drivers of inflammation exist, acid suppression is unlikely to offer adequate symptom resolution and may serve to explain the high proportion of nonresponders in this group. The review concludes that symptoms of gastroesophageal reflux may emerge in response to the coexistence of physiological reflux and esophageal mucosal inflammation. The latter may arise due to reflux-induced acid erosion, or due to alternative endogenous sources of inflammation. When a patient presents with refractory reflux and a history of allergic disease, the role of antigen-induced inflammation should be considered for further investigation. Nonallergic individuals presenting with refractory reflux symptoms may benefit from further analysis of relevant co-morbidities that have the capacity to compromise mucosal integrity, including obesity or psychological stress. The identification of specific mediators of inflammation in refractory reflux disease may enable the development of personalized treatment regimes which improve outcomes and reduce the reliance on acid suppressants.</p>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":"2 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/lim2.35","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48271717","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":"Psychosocial barriers to well‐being and quality of life among type 2 diabetes patients in Ghana","authors":"M. Amankwah‐Poku, J. Akpalu, A. Sefa-Dedeh, A. Amoah","doi":"10.1002/LIM2.33","DOIUrl":"https://doi.org/10.1002/LIM2.33","url":null,"abstract":"Introduction: Managing type 2 diabetes can cause psychosocial distress, which can negatively impact patients’ well-being and quality of life. This study investigated how psychosocial barriers and clinical variables may be associated with general well-being and quality of life of people with type 2 diabetes. Method: One hundred sixty-two patients from four interdisciplinary hospital-based diabetes clinics in Accra, the capital of Ghana, were studied by assessing psychosocial barriers (e.g. diabetes-related distress, family support), clinical variables (e.g. duration of diabetes, diabetes control), general well-being and quality of life using standardised measures. Result: Results showed that increased levels of psychological distress (diabetes distress, depressive symptoms) were associated with poorer general well-being and reduced quality of life in the different domains (physical health, psychological health, social relationships, environment), whereas social distress (as measured by non-supportive family behaviours) was positively correlated with only general well-being and physical health but not the other dimensions of quality of life. Analysis of clinical variables showed that higher glycaemic levels were associated with poorer physical, psychological and environmental quality of life, but longer duration of diabetes diagno-siswasassociatedwithbetterpsychologicalqualityoflife.Inaddition,increasedadher- ence to dietary regimen was associated with better general well-being and environ-mentalqualityoflife,whereasincreasedadherencetoexerciseregimenwasassociated with better physical, psychological and environmental quality of life. Conclusion: Psychosocial support and education/adherence counselling are needed in the treatment of type 2 diabetes to reduce or eliminate psychosocial distress and to improve self-care management, thereby improving diabetes control and ultimately, quality of life of patients.","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/LIM2.33","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47742590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}