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

{"title":"TUG and Six-Minute Walk Test in Vietnamese Community-Dwelling Elderly","authors":"Luc Viet Tran,&nbsp;Thu Thi Hoai Nguyen,&nbsp;Hoa Trung Dinh,&nbsp;Thanh Xuan Nguyen,&nbsp;Tam Ngoc Nguyen,&nbsp;Huong Thi Thu Nguyen,&nbsp;Anh Lan Nguyen,&nbsp;Linh Vu Huyen Ha,&nbsp;Thang Pham,&nbsp;Anh Trung Nguyen,&nbsp;Huyen Thi Thanh Vu","doi":"10.1002/lim2.70031","DOIUrl":"https://doi.org/10.1002/lim2.70031","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>To apply the Time Up and Go test (TUG) and Six-Minute Walk test (6MWT) as tools to screen community-dwelling older people for fall risk in Vietnam.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This cross-sectional study was conducted among community-dwelling elders aged 60 and over living in Soc Son district, Vietnam. The TUG and 6MWT were used to assess the risk of falls. The protocol was approved by the National Geriatric Hospital Ethicsal Board (reference no. 35/2017), and all participants provided written informed consent in accordance with the Declaration of Helsinki.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 487 participants were included the mean age was 70.9 years (<i>SD</i> = 8.3). There were 67.1% of participants with a high risk of falling according to the TUG, and 5.1% lower than the limits of the norm with the 6MWT test. A statistically significant difference of the TUG was found in the variables of a fall during the past 12 months, fear of falling, narrow indoor path, and indoor light mobility barriers (<i>p</i> &lt; 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>A high prevalence of fall risk was observed among older adults residing in the community. The findings can be helpful in conducting further community-based studies in Vietnam.</p>\u0000 </section>\u0000 </div>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":"6 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.70031","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144558055","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":"Domain-Specific Diabetes Self-Management Correlates of Quality of Life Among Adults With Diabetes Mellitus in Routine Care at a Tertiary Hospital in Ghana","authors":"Kwadwo Faka Gyan,&nbsp;Priscilla Abrafi Opare-Addo,&nbsp;Harris Osei-Mensah,&nbsp;Felix Andy Boateng,&nbsp;Isaac Nyanor,&nbsp;Kojo Awotwi Hutton-Mensah,&nbsp;Enoch Agyenim-Boateng,&nbsp;Elliot Koranteng Tannor","doi":"10.1002/lim2.70032","DOIUrl":"https://doi.org/10.1002/lim2.70032","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Diabetes self-management practices may improve the quality of life of patients with diabetes mellitus. This study sought to explore the correlation between specific domains of self-management and quality of life in patients with diabetes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This was a cross-sectional study involving 360 adults attending the diabetes clinic in a tertiary hospital in Kumasi, Ghana. Clinical variables were obtained through medical record review, and diabetes self-management practices and quality of life were assessed using standardized tools. A multivariable linear regression analysis between self-management and quality of life, followed by Pearson and Spearman correlation analysis between self-management domain scores and quality of life domain scores, was used to explore the relationship.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The mean fasting blood sugar was 9.0 ± 4.8 mmol/L, with 40.8% having good glycaemic control. The mean quality of life score increases by 3.7 units for each unit increase in diabetes self-management score (coefficient = 3.7, 95% confidence interval = 2.95–4.50, <i>p</i> &lt; 0.001). The diabetes self-management sum score correlated moderately with the total quality of life score (<i>r</i> = 0.385, <i>p</i> &lt; 0.001). The strongest correlation of self-management with quality of life was observed in the physical activity domain (<i>r</i> = 0.473, <i>p</i> &lt; 0.001) and the weakest in the glucose management domain (<i>r</i> = 0.181, <i>p</i> &lt; 0.001). Glucose management correlated with the environment domain, dietary control with the psychological domain, physical activity with the physical health domain and healthcare use with the psychological domain of quality of life, respectively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Improvement in diabetes self-management has a corresponding linear increase in quality of life in patients with diabetes. Self-management practices uniquely influence various domains of quality of life, highlighting the need for comprehensive self-management interventions in order to enhance the overall quality of life of patients with diabetes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":"6 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.70032","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144537149","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":"Higher Saliva pH Among Vegetarians Compared With Nonvegetarians in Hong Kong","authors":"Princess-Lisa Cofie,&nbsp;Hildemar Dos Santos,&nbsp;Josileide Gaio,&nbsp;Alicia Carranza,&nbsp;Wenes P. Reis,&nbsp;Peter Chuk","doi":"10.1002/lim2.70030","DOIUrl":"https://doi.org/10.1002/lim2.70030","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>An optimal salivary pH level above 5.5 is crucial for maintaining oral health and preventing tooth decay. Furthermore, oral health may correlate with a reduced risk of chronic conditions such as diabetes and heart disease. This cross-sectional study aims to compare the differences in salivary pH levels between vegetarians and nonvegetarians.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>During a vegetarian health festival in Hong Kong, we invited participants to complete a health questionnaire and measure their saliva pH 30 min after meals. Approximately 237 individuals volunteered for the study, consisting of 79 vegetarians and 158 nonvegetarians.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>An Independent Samples <i>t-</i>test showed that vegetarians exhibited a pH of 7.07, whereas nonvegetarians had a pH of 6.61 (<i>p</i> &lt; 0.001). The contrasting dietary patterns between the two groups indicated that vegetarians consumed a higher quantity of beans and nuts, while nonvegetarians favored meats and beverages such as coffee, sodas, and juices. In a distinct analysis independent of dietary categorization, foods linked with a higher pH level included beans and vegetables.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>A higher saliva pH was observed in vegetarians compared to nonvegetarians. The primary component of the vegetarian diet potentially accounting for this difference is beans, which were found to be independently associated with elevated pH levels in our study. Furthermore, vegetables were also identified as foods contributing to this increase in pH. However, further experimental and longitudinal studies are required to validate these findings.</p>\u0000 </section>\u0000 </div>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":"6 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.70030","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144514946","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":"Knowledge, Attitude, Practice and Barriers of Exercise Among Postpartum Women in a Low-Resource Setting","authors":"Dorothy Ekua Adjabu,&nbsp;Jonathan Quartey,&nbsp;Tawagidu Mohammed,&nbsp;Mubarak Abdul-Rahman,&nbsp;Diphale Joyce Mothabeng","doi":"10.1002/lim2.70028","DOIUrl":"https://doi.org/10.1002/lim2.70028","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Physical inactivity predisposes mothers to untoward physical and mental health outcomes. Acquiring requisite knowledge pertaining to postpartum exercise promotes a good attitude and facilitates participation in exercises in spite of the presence of barriers. This study aimed to determine the knowledge, attitude, practice and barriers to postpartum exercises among women within 6 weeks to 1 year after childbirth.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This is a quantitative, cross-sectional study involving 146 postpartum women at a tertiary hospital in Accra, Ghana. Respondents completed an adapted survey tool–Knowledge, attitude and practice of postpartum exercise. The Statistical Package for Social Sciences (SPSS) 27 was used to perform all analyses 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>Sixty-five percent reported a low general knowledge of postpartum exercise, 63% had an average knowledge of the benefits of exercise whilst 94% had a high knowledge of contraindications of exercise. Eighty-four percent of the respondents revealed a good attitude, although only 36% participated in postpartum exercises. Fifty-two percent of the postpartum women indicated that lack of time was a barrier for them, whilst 42% reported that lack of information was a barrier. Significant associations were discovered between general knowledge of postpartum exercise and practice (𝛘2 = 14.157, <i>p</i>-value = 0.001) as well as attitude and barriers (𝛘2 = 9.114, <i>p</i>-value = 0.003).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study highlights a low knowledge and practice of exercise among postpartum women at a single tertiary centre in Ghana, although they exhibit a good attitude towards exercise amidst major barriers. Findings suggest that health professionals in maternal healthcare should provide information regarding postpartum exercises as an essential aspect of postpartum care plans in low-resource settings to promote health outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":"6 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.70028","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144281568","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":"An Exploratory Study Into the Effects of Regular Cold-Water Sea Swimming on Daily Indices of Mental Health","authors":"Jill Forsten,&nbsp;Mark A. Wetherell","doi":"10.1002/lim2.70029","DOIUrl":"https://doi.org/10.1002/lim2.70029","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>There is an emerging literature demonstrating the physical and psychological benefits of cold-water swimming. The majority of this research, however, is qualitative or assesses effects across several months. As daily changes in mood contribute to overall well-being, the current study sought to explore more proximal changes by adopting a diary approach to investigate the effects of regular cold-water swimming.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data were collected from an opportunistic sample of healthy, regular, female swimmers (<i>N</i> = 13) in the United Kingdom. Participants completed online questionnaires twice daily. They reported whether it was a swim day or a non-swim day and then completed questions assessing state, cognitive and somatic anxiety, self-confidence (morning and evening) and feelings of wellness and sleep quality the night before (morning only). Analysis of variance was conducted to assess differences between swim and non-swim days.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Cold-water swimming led to significant reductions in anxiety and increases in self-confidence on the day of a swim and improved self-reported sleep and lower levels of next-morning anxiety.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This exploratory study is the first to utilise a daily diary method to capture proximal changes in regular cold-water swimmers. These results provide further evidence of the beneficial effects of cold-water swimming on factors that contribute to psychological well-being.</p>\u0000 </section>\u0000 </div>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":"6 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.70029","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144281384","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 Correlation of Work-Related Stress, Sleep Quality, and Physical Activity Among Academic Staff in a Nigerian Medical School: A Cross-Sectional Study","authors":"Uzoamaka Nwakaego Akobundu,&nbsp;Sochima Johnmark Obiekwe,&nbsp;Jennifer Ezeigwe,&nbsp;Amaechi Ifeoma Adaigwe,&nbsp;Uchenna Prosper Okonkwo,&nbsp;Ada Jovita Daniel,&nbsp;Christopher Olusanjo Akosile","doi":"10.1002/lim2.70027","DOIUrl":"https://doi.org/10.1002/lim2.70027","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The interrelationship of stress and sleep disorders has long been established with physical activity (PA) proven effective in their management. Academic staff in medical schools may face heightened stress levels when compared with staff in other disciplines as a result of the rigorous academic environment in medical schools, in addition to other possible work stressors. This study aimed to investigate the levels of stress, sleep disorders, and PA among academic staff at the medical school of Nnamdi Azikiwe University, Awka, Nigeria, and to determine the relationship between these variables.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This cross-sectional study consecutively recruited 92 adult lecturers at the study site. Data were collected using the Short Form of International Physical Activity Questionnaire (IPAQ-SF), Pittsburgh Quality of Sleep Index (PSQI), and the Health and Safety Work-Related Stress Questionnaire. Data were analyzed using the Statistical Package for Social Sciences (SPSS) version 26. The Spearman's rank correlation coefficient was used to assess the association between variables at a significance level of 0.05.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The mean age of the participants was 40.00 ± 7.34 years. The mean score for work-related stress, sleep quality, and PA was 66.09 ± 6.58, 7.84 ± 3.48 (poor quality), and 1219.34 ± 827.83 (moderate PA), respectively. There was a significant positive correlation between work-related stress and PA levels (<i>ρ</i> = 0.22, <i>p</i> = 0.03). Also, there was no significant correlation between sleep quality and work-related stress (<i>ρ</i> = −0.16, <i>p</i> = 0.11) and between work-related stress and sleep quality (<i>ρ</i> = 0.19, <i>p</i> = 0.06).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>In conclusion, high concerns of work stress, poor sleep quality, and moderate PA were observed among the study participants. Targeted interventions to promote PA, improve sleep hygiene practices, and alleviate work-related stress among academic staff are recommended.</p>\u0000 </section>\u0000 </div>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":"6 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.70027","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144126011","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":"Understanding Gender Disparities in Quality of Life Among Patients With Type 2 Diabetes in Ethiopia: An Institutional-Based Study","authors":"Enguday Demeke Gebeyaw,&nbsp;Girma Deshimo Lema","doi":"10.1002/lim2.70025","DOIUrl":"https://doi.org/10.1002/lim2.70025","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Health-related quality of life (HRQoL) is a multidimensional concept that reflects an individual's perception of their overall health. In Ethiopia, research on diabetes has generally focused on the clinical aspects of the disease, such as glucose control, medication, and complications. However, social factors like gender have not been given a focus. This study aimed to assess gender differences in HRQoL and identify gender-specific factors contributing to poor HRQoL.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Research Design and Methods</h3>\u0000 \u0000 <p>A cross-sectional study was conducted among 380 type 2 diabetes mellitus patients (190 males and 190 females) at Debre Berhan public hospitals from January 1 to March 30, 2024. HRQoL was measured using the revised version diabetic-specific quality of life questionnaire (RV-DQoL13) scale. Chi-squared tests were utilized to analyze gender differences in HRQoL, while logistic regression was employed to identify gender-specific factors influencing HRQoL. A significant association was declared at a <i>p</i>-value less than 0.05.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Female patients reported significantly poorer HRQoL than their male counterparts. From HRQoL domains, women reported higher levels of worry and lower satisfaction scores, whereas men had higher impact scores. Among males, factors associated with poor HRQoL included age &gt; 60 years, lower educational status, and diabetes complications, whereas being privately employed was related to better HRQoL. For females, lower educational status, duration of diabetes &gt; 5 years and diabetes complications were significant determinants of poor HRQoL, while being married and having a normal body mass index were associated with better HRQoL.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Gender differences in HRQoL among type 2 diabetes patients at Debre Berhan public hospitals are influenced by a complex interplay of sociodemographic, behavioral, and clinical variables. The study highlights the need for considering both gender-specific and general factors when assessing HRQoL. Healthcare professionals may need to adopt gender-sensitive healthcare practices to address the unique needs of men and women.</p>\u0000 </section>\u0000 </div>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":"6 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.70025","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143904874","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 ASSIST Trial: Acute Effects of Manipulating Strength Exercise Volume on Insulin Sensitivity in Adults Living With Obesity: A Randomized Controlled, Crossover, Clinical Trial","authors":"Luis Filipe Rocha Silva,&nbsp;Paulo H. Evangelista Silva,&nbsp;Jordan Ottoni do Carmo,&nbsp;Bruna Caroline Chaves Garcia,&nbsp;Elizabethe Adriana Esteves,&nbsp;Zachary Aaron Mang,&nbsp;Fabiano Trigueiro Amorim,&nbsp;Marco Fabrício Dias-Peixoto,&nbsp;Fernando Gripp,&nbsp;Valmor Tricoli,&nbsp;Flavio de Castro Magalhaes","doi":"10.1002/lim2.70024","DOIUrl":"https://doi.org/10.1002/lim2.70024","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>To investigate the influence of exercise volume on the transient increase in insulin sensitivity and β-cell function that occurs in the hours following an acute bout of strength exercise.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and methods</h3>\u0000 \u0000 <p>Fifteen (14 females) adults living with obesity (47.4 ± 9.7 years, 44.3 ± 4.1% body fat) performed three randomized sessions separated by at least four washout days: (1) high volume (21 sets); (2) low volume (7 sets), and (3) control. An oral glucose tolerance test (OGTT) was performed the following morning, and indexes of insulin sensitivity and β-cell function were calculated using glucose, insulin, and C-peptide assessed during the OGTT. Every participant completed each arm of the experiment and was included in the data analysis (<i>n</i> = 15). Researchers who conducted data and statistical analysis were blinded to individuals and sessions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>One-way repeated measure analysis of variance followed by Tukey as post hoc showed that indexes of insulin sensitivity improved after the high-volume session (<i>p</i> &lt; 0.05) but not after the low-volume session (<i>p</i> &gt; 0.05) (effect size [EF] for high and low volume, respectively): insulin area under the curve (AUC) [−0.53 and −0.05], C-peptide AUC [0.58 and 0.18], Cederholm index [0.59 and 0.11], skeletal muscle index [0.89 and 0.60], Gutt index [0.78 and 0.20], Stumvoll index [0.81 and 0.18], and the simple index [0.52 and 0.16]). β-cell function showed a strong tendency to improve (<i>p</i> &lt; 0.06) after the high-volume session (EF for high and low volume, respectively): C-peptidogenic index [0.58 and −0.20], C-peptide oral disposition index [0.72, −0.33]. No adverse effects were observed during data collection.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These results suggest that adults living with obesity who are seeking to improve insulin sensitivity should perform high-volume strength exercises.</p>\u0000 </section>\u0000 </div>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":"6 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.70024","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143888881","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":"Impact of COVID-19 on Mental Health: Post-Traumatic Stress and Coping Strategies Among Thai University Students Using Ordinal Logistic Regression Analysis","authors":"Peeradech Thichanpiang,&nbsp;Anuchart Kaunnil,&nbsp;Pornlada Nuchnoi,&nbsp;Chutikorn Nopparat,&nbsp;Khanokporn Donjdee,&nbsp;Kannika Permpoonputtana","doi":"10.1002/lim2.70023","DOIUrl":"https://doi.org/10.1002/lim2.70023","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>COVID-19 disrupted education globally, resulting in the closure of schools and universities and the transition to distance learning. This shift heightened concerns about contracting the virus and increased insecurity in daily life and online education. The primary objective of this study is to investigate post-traumatic stress, perceived stress, coping strategies, and quality of life (QOL) among Thai university students, while also examining the relationships among coping strategies, stress levels, mental illness history, and overall QOL.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study utilized a cross-sectional survey method, engaging 400 students through an online self-reported survey. The survey instruments included the post-traumatic stress disorder (PTSD) checklist for DSM-5, the Thai Version of the Perceived Stress Scale, the Brief Coping Orientation to Problems Experienced Inventory, and the WHOQOL Instrument-Short Form.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The study found that 21.25% of Thai university students likely experienced PTSD during the pandemic, with 74% reporting moderate stress and 4.25% experiencing high stress. Common coping strategies included acceptance, planning, active coping, self-distraction, and positive reframing, whereas self-blame was more prevalent among students with higher stress levels. QOL assessments showed that 2.75% of students rated their QOL as poor, 55.75% as moderate, and 41.50% as good. A strong negative correlation was observed between QOL and stress levels, indicating that students with lower QOL experienced higher stress. Additionally, maladaptive coping strategies, such as self-blame, denial, and behavioral disengagement, were positively associated with increased stress. Ordinal logistic regression analysis identified QOL as a significant predictor of perceived stress levels (odds ratios [OR] = 3.607), accounting for 31% of the variability in stress levels.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Students with poorer QOL experienced higher stress levels, underscoring the need for enhanced psychosocial services to support their mental health and overall well-being.</p>\u0000 </section>\u0000 </div>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":"6 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.70023","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143888880","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":"A Lifestyle Medicine Intervention to Reduce GERD Symptoms and Medication Use","authors":"Emily Senay,&nbsp;Maya Korin,&nbsp;Elizabeth Garland,&nbsp;Michael S. Smith,&nbsp;John D. Meyer","doi":"10.1002/lim2.70019","DOIUrl":"https://doi.org/10.1002/lim2.70019","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <p>Lifestyle modifications (LMs) are recommended as first-line therapy for gastroesophageal reflux disease (GERD). This study aims to evaluate in a population with a high burden of GERD a lifestyle medicine intervention aimed at reducing GERD symptoms and medication use through patient-driven health goal setting, health coaching, and SMART LM prescribing. First responders to the attacks at the World Trade Center on September 11, 2001 have a high GERD burden associated with exposures at Ground Zero and lifestyle. An LM GERD-specific intervention, delivered virtually and integrating health technology for data capture, will be implemented in this cohort with the goal of reducing GERD symptoms and/or medication use. This study aims to investigate the value, feasibility, and satisfaction of full LM six-pillar of health intervention that includes patient-driven health goal setting and health coaching over a 6-month period in the treatment of GERD. A nonrandomized, noncontrolled prospective intervention will be implemented in patients with GERD who expressed interest in LMs. All participants will complete a self-administered (delivered via text) baseline American College of Lifestyle Medicine six-pillars of health survey and monthly GERD-Health Related Quality of Life (HRQL) symptom and medication use questionnaires. Participants will receive seven telemedicine visits over 6 months with LM physicians that will include an initial GERD history evaluation and health coaching on GERD-specific modifications. Additionally, participants will self-rate confidence in achieving three LM modifications of high interest and SMART prescriptions will be written. Monthly coaching sessions to monitor progress with LM modifications will be provided and progress tracked over the 6-month study period. A satisfaction survey will be completed approximately 1 week after study completion. Outcome measures include GERD-HRQL scores and medication use. Patient satisfaction, feasibility, and acceptability will be surveyed at the end of the intervention.</p>\u0000 </section>\u0000 </div>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":"6 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.70019","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143717444","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}