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

{"title":"Sociodemographic and Psychosocial Determinants Associated With Low Back Pain Severity in Ukrainian Sample","authors":"Iryna Mazhak,&nbsp;Nataliya Fister","doi":"10.1002/lim2.70016","DOIUrl":"https://doi.org/10.1002/lim2.70016","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Most people have experienced low back pain, which significantly deteriorates their quality of life and causes a financial burden on society. Understanding the associations of low back pain severity with sociodemographic and psychosocial determinants in a sample of Ukrainians experiencing low back pain is essential for improving treatment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The cross-sectional study was conducted using convenience sampling (<i>N</i> = 341) through an online survey questionnaire among Ukrainian refugees in Czechia. Self-reported physical and mental health, depression (PHQ-9), anxiety (BAI), and sociodemographic factors were measured. Linear regressions were conducted to understand the association between self-reported physical and mental health determinants, anxiety, depression, sociodemographic characteristics, and low back pain.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Most participants with low back pain experienced moderate to concerning levels of anxiety (97.1%) and moderate to severe depression (92%). They estimated their physical and mental health from fair to very bad. The links between low back pain severity and having some limitations in everyday life or being disabled; lifestyle; age; socioeconomic status; and self-reported physical health status were revealed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The study identified the prevalence of symptoms of depression and anxiety, as well as self-reported physical and mental health statuses, and found psychosocial determinants of health associated with low back pain in the Ukrainian sample.</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/lim2.70016","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143717445","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":"Exploring the Effects of Ikigai on Mental, Physical, and Social Health: A Scoping Review","authors":"Ijeoma Ijeaku,&nbsp;Armaan Zare,&nbsp;Ola Egu,&nbsp;Ihuoma Chukwueke,&nbsp;Onyinye Onwuzulike","doi":"10.1002/lim2.70018","DOIUrl":"https://doi.org/10.1002/lim2.70018","url":null,"abstract":"<p>There has been growing recognition of the importance of cultural factors in shaping health outcomes. There is an established interconnectedness among meaning, purpose, and health. Understanding cultural factors, which support a positive linear effect on health, could help establish their role in medical practice and lifestyle practices across various cultures. Ikigai is a Japanese term coined from two words—“iki” meaning “to live” and “gai” meaning “reason”—and became a concept in the early 20th century. Mieko Kamiya, a Japanese psychiatrist, pioneered Ikigai research in 1966, and most of the research studies supporting its usefulness have come from Japanese communities.</p><p>In this first-ever scoping review of the effects of Ikigai on various aspects of health, as defined by the World Health Organization, we report findings from 86 articles after an extensive review process involving a validated website-based screening and data extraction tool. By examining the available evidence in a scoping review, we aim to provide a comprehensive overview of the current knowledge regarding Ikigai and its implications for clinical practice and future research. Although our primary focus is on mental health outcomes, we examined the potential impact on physical and social health measures.</p><p>Findings indicate that Ikigai positively influences depression scores, helps cultivate a sense of purpose, and enhances well-being and life satisfaction. Further, Ikigai is associated with a reduced risk of all-cause mortality and functional disability, additionally increasing social connectedness and participation in recreation and employment. Through this effort, this review aims to bridge the gap between non-traditional philosophies and traditional approaches to mental health treatment, fostering a more inclusive and culturally sensitive framework for promoting psychological well-being and health in diverse populations.</p>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":"6 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.70018","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143698776","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 Scoping Review of School-Based Nutrition Interventions Conducted in Spain","authors":"Basil H. Aboul-Enein,&nbsp;Nada Benajiba,&nbsp;Stephen Gambescia,&nbsp;Silvana Blanco,&nbsp;Teresa Keller","doi":"10.1002/lim2.70020","DOIUrl":"https://doi.org/10.1002/lim2.70020","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The prevalence of childhood obesity is increasing in Europe, including Spain, leading to early onset chronic diseases. Two enduring risk factors in this phenomenon are unhealthy nutrition and lack of physical activity. The aim of this review is to examine and appraise the literature on the nature and extent (inputs, activities, outputs) of research conducted in school-based nutrition intervention programs in Spain and their effectiveness (outcomes and impact).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A review of published studies (2000–2024) using the PRISMA-ScR guidelines across 14 databases was conducted. Thirty-one studies met the inclusion criteria, involving a range of 28–2516 youth across many schools in various cities in Spain. Study designs ranged from randomized controlled trials to descriptive projects.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Studies addressed a spectrum of dietary behaviors and knowledge aimed at promoting a healthy lifestyle overall, good nutrition, and adequate physical activity. Almost all studies produced positive changes in youths’ nutrition behavior.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>School nutrition intervention programs in Spain have shown significant promise in promoting healthier dietary behaviors and reducing obesity-related risks among children and adolescents. These programs improved adherence to the Mediterranean diet, increased fruit and vegetable intake, and better body mass index and body composition outcomes. To enhance impact and scalability, future efforts should focus on consistent methodologies and extended follow-up.</p>\u0000 </section>\u0000 </div>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":"6 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.70020","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143689418","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 Open Letter to the Secretary of State for Health","authors":"","doi":"10.1002/lim2.70017","DOIUrl":"https://doi.org/10.1002/lim2.70017","url":null,"abstract":"<p>Dear Secretary of State for Health and Social Care</p><p>Congratulations on The Labour Party's victory at the last election and your appointment as Secretary of State for Health.</p><p>In your speech to the Labour Party Conference on 25 September 2024, you reiterated your manifesto pledge to shift hospital care into the community. Moving care from the most expensive part of the NHS to primary care, and supporting the development of general practice, is a laudable aim. However, the history of successfully achieving this across the United Kingdom is very poor. For instance, despite the NHS Improvement Plan of 2004 aiming to reducing hospital, emergency admissions to hospitals increased by 42% between 2006 and 2018.</p><p>The principal aim to reduce hospital care by increasing primary care capacity is unrealistic without promoting the health of the nation. This aim can only be achieved if we move away from an illness service, that is, reactive to people when they become unwell, to one that is more focused on improving health and well-being as a ‘health’ service.</p><p>It is globally recognised that the single biggest driver of health, as opposed to disease management, is good social relationships [<span>1</span>]. Evidence shows that good social relationships are four times more effective at reducing all-cause mortality over a 7.5-year period than treating hypertension and more effective than giving up smoking, abstinence from alcohol, losing weight or taking healthy exercise [<span>1</span>]. The reason for this is that humans evolved to be kind. We survived in small groups of 25–100 people over a 2-million-year period through cooperation and care. In this regard, <i>survival of the kindest</i> is a much better phrase than ‘survival of the fittest’ at describing how evolutionary processes work. It is no surprise that the impact of good social relationships is so large when this is used in a therapeutic manner, given that it is mediated through biological pathways, from morphology to the level of gene expression [<span>2</span>].</p><p>Good social relationships and belonging have a positive impact on health and well-being [<span>3</span>], with communities based on belonging and connection being a major key to health. Therefore, if the health of the nation is to improve, the emphasis must be on developing strong and supportive communities. The approaches of Compassionate Communities and community development create environments that encourage health promotion [<span>4</span>]. Reorientation of healthcare services in the context of supporting strong communities is in keeping with the five action points of the Ottawa Charter of Health Promotion [<span>4</span>]. Without developing communities and linking this to healthcare, a goal of significantly reducing hospital care is no more than a pipe dream. Simply increasing the workload and workforce in primary care will not resolve the problem of unnecessary health service usage. Rather, health promotion","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":"6 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.70017","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143481538","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 Inadequate Fruit and Vegetable Consumption Among Adults in Bangladesh: Evidence From a Nationally Representative Cross-Sectional Survey","authors":"Rakhi Dey,&nbsp;Satyajit Kundu,&nbsp;Md. Salauddin Khan","doi":"10.1002/lim2.70015","DOIUrl":"https://doi.org/10.1002/lim2.70015","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Understanding the variables that contribute to low fruit and vegetable (FAV) intake is necessary to create effective strategies to enhance FAV consumption. However, there is a paucity of literature on this issue in Bangladesh. Therefore, we aimed to determine the factors associated with low FAV intake among adults in Bangladesh.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The World Health Organization's (WHO) 2018 STEPwise approach to surveillance (STEPS) survey dataset was used that covered participants aged 18–69 years. The low FAV intake was the outcome of interest and a daily average consumption of &lt;5 servings of FAVs (nearly 400 grams) was regarded as low FAV intake. Multilevel logistic regression analysis was employed to determine the factors associated with low FAV consumption among Bangladeshi adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The prevalence of low FAV intake among Bangladeshi adults was 67.75%. In the regression analysis, factors that were found to be associated with higher odds of having low FAV were as follows: having no knowledge of recommended FAV servings (adjusted odds ratio [AOR]: 6.81, 95% confidence interval [CI]: 5.54–8.38), no intake of daily snacks (AOR: 1.48, 95% CI: 1.19–1.85) or only once a day (AOR: 1.46, 95% CI: 1.18–1.81), absence of abdominal obesity (AOR: 1.36, 95% CI: 1.09–1.70), being from urban areas (AOR: 1.35, 95% CI: 1.07–1.69), and Chittagong and Rangpur division. Conversely, younger individuals showed lower odds of low FAV intake than those aged 60–69.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The findings of this study highlight the importance of increasing knowledge and awareness to have daily recommended servings to promote overall FAV intake.</p>\u0000 </section>\u0000 </div>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":"6 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.70015","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143455802","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":"Parent's Motivation and Behaviour to Protect Their Children From COVID-19: A Prospective Test of Self-Determination Theory","authors":"Derwin K. C. Chan,&nbsp;Alison W. L. Wan,&nbsp;Chun-Qing Zhang,&nbsp;Martin S. Hagger","doi":"10.1002/lim2.70013","DOIUrl":"https://doi.org/10.1002/lim2.70013","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>This two-wave prospective study aims to apply self-determination theory (SDT) to understand how parents are motivated to protect their young children from COVID-19. We hypothesised that psychological need support from society and autonomous motivation from parents were predictive of parent's future engagement in preventive behaviours against COVID-19 for their children.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Participants were 689 US parents or legal caregivers of 3- to 8-year-old children. They completed an online survey comprising previously validated measures of psychological need support, autonomous motivation from SDT and behavioural adherence to COVID-19 prevention at baseline and a 1-month follow-up. Confirmatory factor analysis and structural equation modelling were employed to test the hypothesised relationships.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Structural equation modelling revealed that psychological need support and autonomous motivation at baseline were positively related to parents’ adherence to COVID-19 preventive behaviours at follow-up.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The findings suggest that the provision of autonomy-supportive and need-satisfying social environments may promote greater COVID-19 preventive behaviours in parents for their children and provide formative evidence to inform future interventions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":"6 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.70013","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143455803","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":"Predictors of Adherence to Diabetes Self-Care Management Among Diabetes Patients in Public Health Facilities of Central Ethiopia: A Multicenter Cross-Sectional Study","authors":"Arega Abebe Lonsako,&nbsp;Bereket Samuel,&nbsp;Abdurehman Ayele,&nbsp;Tsehaynew Kasse,&nbsp;Addisalem Haile","doi":"10.1002/lim2.70014","DOIUrl":"https://doi.org/10.1002/lim2.70014","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Diabetes mellitus is a global public health challenge. Adherence to self-care management is critical to reducing complications. Evidence on adherence levels and influencing factors among diabetes patients in central Ethiopia is scarce. This study assessed adherence levels and predictors among diabetes patients in Kembata Zone, Central Ethiopia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A multicenter cross-sectional study was conducted from May 1 to 30, 2024, involving 414 diabetes patients. Data were collected via interviewer-administered questionnaires and analyzed using Statistical Package for Social Science (SPSS) version 26. Systematic random sampling was employed, and multivariable logistic regression identified adherence predictors. Adjusted odds ratios (AORs) with 95% confidence intervals (CIs) were calculated, with statistical significance set at <i>p</i> &lt; 0.05.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Overall good adherence to diabetes self-care was 24.4% (95% CI: 20.3–28.5). Adherence by domain was 35.5% for dietary management, 20.5% for exercise, 42.3% for hypoglycemia management, 24.9% for insulin administration, and 29.7% for blood glucose testing. Urban residence (AOR = 1.70, 95% CI: 1.02–2.84) and diabetes duration of 1–5 years (AOR = 2.99, 95% CI: 1.39–6.48) positively predicted adherence, whereas primary education was negatively associated (AOR = 0.33, 95% CI: 0.15–0.74).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Adherence to diabetes self-care management in the study area was low, particularly in exercise and insulin administration. Urban residence and shorter diabetes duration were positive predictors, whereas lower education hindered adherence. Urgent health education tailored to rural and less-educated populations is needed, emphasizing exercise and insulin management to improve outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":"6 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.70014","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143404495","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 Cold Water Swimming and Pregnancy: A Scoping Review and Consensus Recommendations","authors":"","doi":"10.1002/lim2.70011","DOIUrl":"https://doi.org/10.1002/lim2.70011","url":null,"abstract":"<p>J. Shawe, M. Felton, J. Harper, et al., “Cold Water Swimming and Pregnancy: A Scoping Review and Consensus Recommendations,” <i>Lifestyle Medicine</i> 6 (2025): e70009, https://doi.org/10.1002/lim2.70009.</p><p>In the abstract, the article mistakenly states that four studies were identified, however six were identified. The information in the rest of the article and PRISMA diagram are correct.</p><p>We apologize for this error.</p>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":"6 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.70011","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143389021","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":"Low Back Pain in the Third Trimester: Social Implications for Pregnant Women in Nigerian Suburban Hospitals","authors":"Uzoamaka Nwakaego Akobundu,&nbsp;Sochima Johnmark Obiekwe,&nbsp;Ginika Lovelyn Okonkwo,&nbsp;Uchenna Prosper Okonkwo,&nbsp;Ifeoma Adaigwe Amaechi,&nbsp;Ebere Yvonne Ihegihu,&nbsp;Nnaemeka Charles Ani,&nbsp;Joseph Onuwa Umunnah","doi":"10.1002/lim2.70010","DOIUrl":"https://doi.org/10.1002/lim2.70010","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Low back pain (LBP) is one of the most common complications of pregnancy, especially during the third trimester, and can occur as a result of different pregnancy-related physiological changes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To examine the social impact of LBP during the third trimester among pregnant women in selected hospitals in Nnewi North, Anambra State, Nigeria.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A cross-sectional study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Pregnant women in their third trimester and attending antenatal care in some selected hospitals in Nnewi were selected conveniently. The participants completed a self-administered Oswestry Disability Index (ODI), from which their data were obtained, summarized and analysed using descriptive statistics and inferential statistics of chi-square (<i>χ</i>²), respectively. The alpha level was set at 0.05.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 104 women with a mean age and number of pregnancies of 33.89 ± 9.37 and 3.53 ± 1.66, respectively. The mean ODI score was 30.06 ± 17.85, respectively. All the participants revealed that they had LBP, and 39.4% reported pain of moderate intensity. The pain impacted their physical function, social activities and work; 35.6% were unable to walk more than 2 km, and 42.3% experienced increased pain during travel. The numbers of pregnancies, maternal age, occupations and educational level during the third trimester of pregnancy were not significantly associated (<i>p</i> &gt; 0.05) with the severity of LBP.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>LBP has a significant social impact on pregnant women during their third trimester of pregnancy as normal activities such as basic activities of daily living, travelling, sex life, social life and work result in exacerbation of pain. It is necessary to carry out thorough assessments and counselling, provide education on proper ergonomics and incorporate thorough pain management techniques into standard prenatal treatment.</p>\u0000 </section>\u0000 </div>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":"6 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.70010","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143362450","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":"Cold Water Swimming and Pregnancy: A Scoping Review and Consensus Recommendations","authors":"J Shawe,&nbsp;M Felton,&nbsp;JC Harper,&nbsp;C Mark Harper,&nbsp;R Stidson,&nbsp;M Tipton,&nbsp;S Blowers,&nbsp;K Fraser,&nbsp;S Hingley,&nbsp;E McGrath,&nbsp;G Bainbridge,&nbsp;Massey Heather","doi":"10.1002/lim2.70009","DOIUrl":"https://doi.org/10.1002/lim2.70009","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Cold water swimming has increased in popularity and women wish to swim throughout pregnancy. There is a lack of evidenced-based guidance to make decisions about the safety of immersion in cold water during pregnancy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Closed social media groups were asked for specific questions in relation to cold water swimming and pregnancy. This highlighted concerns including water temperature, risks to the mother and fetus, and water quality. To find evidence-based answers, a series of meetings brought together clinicians and researchers with expertise in cold water physiology, exercise physiology, fertility, obstetrics, neonatology, midwifery, water epidemiology, public health and representatives from the Open Water Swimming Society and an Open Water swimming social enterprise.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Published data were examined via a scoping review process and four studies and eight reports were identified. Recommendations were made with evidence graded (mostly grade 4 expert opinion).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Research gaps highlight the need for research to enable accurate advice to determine whether it is safe for pregnant women to swim outdoors in cold water.</p>\u0000 </section>\u0000 </div>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.70009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143114801","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}