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

{"title":"Compassionate communities as the foundation of the next healthcare revolution","authors":"Julian Abel,&nbsp;Thomas R. Wood","doi":"10.1002/lim2.89","DOIUrl":"10.1002/lim2.89","url":null,"abstract":"<p>Community matters, a lot. More than individual choices and more than most medicines. As we will show in this special issue, community and harmonious social relationships are deeply embedded into all of animal evolution but particularly in humans, the most social of animals. Community matters because our survival as a species is dependent on it. This has always been the case and is the case now, for the survival of our planet and life on it. A sense of belonging is one of the most powerful human drives we seek, and this can be found in relationships with family, friends, communities, workplaces and educational institutions, amongst others. But where is the evidence that community matters to the health of the individual and society as a whole? Once you look for it, it is everywhere. It is found in meta-analyses showing the beneficial impact of good social relationships and the detrimental impact of loneliness and social isolation. It is found in our biochemistry, our genomics, our immune system and our emotions. It is found in public health and community development research. And when community is seen as a therapeutic tool and applied to individuals and community alike, the results are transformative. This is not just for people who are unwell but for everyone.</p><p>Despite the accumulation of evidence, we appear to have forgotten the impact that communities have on our health. At least, some of us have. Many Indigenous cultures know the importance of community and have done for tens of thousands of years. This knowledge is passed down from generation to generation in their history, their culture and their stories. It is local, with wisdom of how to thrive in a connected state within nature, within the ecology of food. Community, and our interconnectedness with others, is where we can find greater meaning and purpose in our lives, which themselves are significant contributors to individual health. As the evidence presented in this special issue suggests, however, this is no longer the case in many Westernised individualistic societies, where the burden of non-communicable disease related to a lack of social support and community now threatens entire healthcare systems.</p><p>This special issue of <i>Lifestyle Medicine</i> brings together world-leading researchers in the fields of community and social connection who have summarised their latest findings. The topics covered build a full picture of the impact of community on health, starting with the extraordinary findings on the impact of positive social relationships by Julianne Holt-Lunstad and colleagues. Professors Slavich and Cole, along with Summer Mendelkoch, describe the intricate web of how social relationships affect the internal workings of the body in their ground-breaking work on human social relationships. Along with Julian Abel, Professor Allan Kellehear, the founding father of compassionate cities and public health palliative care, discusses the implications for the practice of p","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":"4 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.89","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42959514","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":"Attitudes of hospital patients regarding removal of processed and unprocessed red meats from menus to support sustainable healthcare targets: A single-centre survey","authors":"Melissa Truman,&nbsp;Laura-Jane Smith,&nbsp;Shireen Kassam","doi":"10.1002/lim2.87","DOIUrl":"10.1002/lim2.87","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The production and consumption of red and processed meat negatively impacts individual and planetary health. The 2021 Lancet countdown on health and climate change report stated that 842,000 deaths annually are due to excess red meat consumption, whilst its production is responsible for more than 50% of food-related greenhouse gas emissions. As part of the National Health Service's net-zero emissions strategy, King's College Hospital has committed to transitioning to a plant-based food environment and removing processed red meat from menus.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>To ascertain patients' attitudes to the removal of processed and unprocessed red meat from menus</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Material and methods</h3>\u0000 \u0000 <p>We conducted a survey of 118 patients using in-person interviews.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Most patients did not consider serving processed red meat (74%) or unprocessed red meat (66.1%) important to them and most patients (77.9%) were neutral or supportive of removing processed red meat from menus to reduce the risk of cancer. Most patients (67%) were also supportive of removing unprocessed red meat from menus to combat climate change. The majority would choose chicken or fish in place of red meat.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>These data show that patients would support the removal of red meat from hospital menus, but more education is required to support patients to select plant-based options.</p>\u0000 </section>\u0000 </div>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":"4 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.87","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49322246","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":"Patient partnerships, equality and the ‘long tail’ of the COVID-19 pandemic","authors":"Jai Prashar","doi":"10.1002/lim2.86","DOIUrl":"10.1002/lim2.86","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Patient partnerships are vitally important in improving healthcare delivery, however they are underutilised for this purpose.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Here, I discuss how the COVID-19 pandemic has presented challenges for health equity but has also presented unique opportunities for enhancing the role of the service user in driving evidence generation, tackling inequality and service design.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The COVID-19 pandemic has highlighted and exacerbated inequality in healthcare. Existing legislation and literature on patient involvement and inequality is largely limited in scope. However, co-production of evidence with service users and carers, as well as incorporating advocacy and involving these groups in service design, all have significant potential to achieve meaningful integration of their views and preferences in healthcare.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>There is significant scope to move beyond ‘lip service’ in patient involvement within healthcare. The COVID-19 pandemic has highlighted the importance of, as well as the potential for, substantive participation of patients and the public in healthcare design and delivery.</p>\u0000 </section>\u0000 </div>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":"4 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.86","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43616691","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 – Barriers and facilitators to promotion of physical activity in primary care","authors":"Callum Leese,&nbsp;Kirstin Abraham,&nbsp;Blair H Smith","doi":"10.1002/lim2.81","DOIUrl":"10.1002/lim2.81","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> The objective</h3>\u0000 \u0000 <p>to provide an overview of the literature on the barriers and facilitators to physical activity (PA) promotion in primary care, as experienced by practitioners and patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A search strategy of the English-language literature was conducted in EMBASE, MEDLINE and the COCHRANE LIBRARY. Search terms were primary care OR general practice OR family medicine OR family practitioner AND physical activity OR exercise AND barriers OR facilitators. Databases were searched from inception until 21 October 2022.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>After screening, 63 articles were included within the summary and content analysis of this review. Analysis of the barriers to the implementation of PA highlighted four main themes perceived by practitioners: time, knowledge/skills, resources/support and financial implications. Analysis of the patient perspective identified themes which were categorised into individual (pre-existing health conditions, knowledge of benefits of PA, time/capacity), societal (social support and cultural norms) and environmental (availability of facilities and weather).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>As the importance of PA increases through the manifestation of sedentary behaviour-related disease, a combined primary care and public health approach to increase PA is required. By identifying the main barriers to PA promotion in primary care, resources and funding can be directed to address this. This is particularly relevant in the United Kingdom, with the re-negotiation of the primary care contract and the changes to healthcare delivery as a consequence of the Covid-19 pandemic. Throughout this review, we have explored ways of addressing the identified barriers through evidence-based interventions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":"4 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.81","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47793214","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":"Scaling group consultations – the fourth healthcare revolution: A call to action to save primary care","authors":"Fraser Birrell,&nbsp;Denis Collen,&nbsp;Muir Gray","doi":"10.1002/lim2.80","DOIUrl":"10.1002/lim2.80","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <p>Compelling arguments support scaling of group consultations across the National Health Service (NHS) and globally. We need to recognise self-care is the most important type of care for people with long-term health problems. Healthcare systems like the NHS are essential for diagnosis, acute care and initiating optimal therapy but people are on their own over 99.95% of waking hours. We must accept and encourage the contribution that other people with the same long-term health problems can make and enable both types of care through face-to-face and virtual group consultations.  Patients and communities need agency and choice to implement and access these patient-centred and codesigned care models. This can bring system benefits, mapped to healthcare's quintuple aim, to those electing to use group consultations and even those who do not. The process of both training and delivering group consultation models can create and sustain compassionate communities and this ‘Fourth Healthcare Revolution’ may be exactly what is needed to save primary care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":"4 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.80","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45415650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How do caregivers of children living with HIV/AIDS cope, and where do they get support?: A qualitative study in Ghana","authors":"Gideon Awenabisa Atanuriba,&nbsp;Felix Apiribu,&nbsp;Timothy Tienbia Laari,&nbsp;Adwoa Bemah Boamah Bonsu,&nbsp;Veronica Millicent Dzomeku,&nbsp;Richard Adongo Afaya,&nbsp;Yakubu Salifu,&nbsp;Philemon Adoliwine Amooba","doi":"10.1002/lim2.79","DOIUrl":"10.1002/lim2.79","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Caring for children living with human immunodeficiency virus and acquired immunodeficiency syndrome (HIV/AIDS) is challenging and has a tremendous impact on the physical and psychological health of caregivers. Caregivers of children with HIV/AIDS need to adopt coping mechanisms to navigate these complexities as it influences the quality of care provided. The literature on coping strategies and support (formal and informal) available to caregivers of children living with HIV/AIDS is scant. This study aimed to explore the coping strategies and support systems for caregivers of children living with HIV/AIDS.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A phenomenological study design was adopted. A total of nine participants across three hospitals in the Tamale metropolis were interviewed using purposive sampling. The interviews were audio recorded, transcribed verbatim and analysed using Colaizzi's approach.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Four main themes emerged from the analyses: (1) coping strategies, (2) types of support activities, (3) support from informal institutions and (4) support from formal institutions. The caregivers navigated the caring process with much spiritual coping. The caregivers had little or no support from informal institutions such as immediate family, faith and community leaders. Non-governmental organizations were not visible in support, and there were no support groups for caregivers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Support for caregivers and the active involvement of the immediate family in paediatric HIV care is imperative.</p>\u0000 </section>\u0000 </div>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":"4 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.79","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48752708","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":"Lifestyle Medicine list of reviewers","authors":"","doi":"10.1002/lim2.78","DOIUrl":"10.1002/lim2.78","url":null,"abstract":"<p><i>Lifestyle Medicine</i> would like to thank the following people for their invaluable contribution to the peer-review process during 2022.</p><p>Abel, Julian <i>United Kingdom</i></p><p>Bakhat, Zain <i>United Kingdom</i></p><p>Donnelly, Cain <i>United Kingdom</i></p><p>Eastland, Katie-May <i>United Kingdom</i></p><p>El-Osta, Austen <i>United Kingdom</i></p><p>Fama, Marcela <i>Colombia</i></p><p>Fasanmade, Olufemi A. <i>Nigeria</i></p><p>Findlater, Hannah <i>United Kingdom</i></p><p>Fuchs, Julia <i>United Kingdom</i></p><p>Hendrixson, Taylor <i>United States</i></p><p>Irvine, Alison <i>United Kingdom</i></p><p>Johnson, Peter <i>United Kingdom</i></p><p>Jóhannsson, Guðmundur <i>Iceland</i></p><p>Keenan, Riley <i>United Kingdom</i></p><p>Lawson, Rob <i>United Kingdom</i></p><p>Massahikhaleghi, Parissa <i>Iran (the Islamic Republic of)</i></p><p>Menon, Sangeetha <i>India</i></p><p>Mineviciene, Egle <i>Lithuania</i></p><p>Penlington, Chris <i>United Kingdom</i></p><p>Pipe, Teri <i>United States</i></p><p>Qocha, Bontu <i>United Kingdom</i></p><p>Roper, Megan <i>United Kingdom</i></p><p>Samandika Saparamadu, Amarasinghe Arachchige Don Nalin <i>Singapore</i></p><p>Schmitt-Egenolf, Marcus <i>Sweden</i></p><p>Sliz, Daniel <i>Poland</i></p><p>Tokell, Marisa <i>United Kingdom</i></p><p>Valentine, Gregory <i>United States</i></p><p>Woolley, Kate <i>United Kingdom</i></p>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":"4 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.78","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42832362","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":"Maternal feeding styles and the risk of overweight in a cohort of Caribbean infants","authors":"Amika S. Wright,&nbsp;Marshall K. Tulloch-Reid,&nbsp;Susan M. Chang,&nbsp;Susan P. Walker","doi":"10.1002/lim2.77","DOIUrl":"10.1002/lim2.77","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Parental feeding styles in the first years of life may increase childhood overweight risk. There are few studies on this association in children under 2 years. The current study aimed to investigate the association between maternal feeding styles and Caribbean infants’ risk of overweight at 18 months and determine whether maternal depression is an important confounder in the association.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>It is a prospective study of mother–child dyads that participated in a three-island parenting trial. Maternal and infant characteristics were collected at infant age 6–10 weeks with maternal depression assessed using the Center for Epidemiologic Studies Depression (CES-D) scale questionnaire. Feeding styles were measured using items from the Toddler Feeding Behaviour Questionnaire at 12 months. Infant weight and length were measured at 18 months, and infants at risk of overweight were defined as weight-for-length <i>z</i>-scores (WLZ) &gt; 1. Factor analysis was used to identify feeding styles and associations with overweight risk assessed using multilevel logistic regression accounting for country and health clinic. Logistic regression models were adjusted for infant and maternal covariates, with a final model including depressive symptom scores.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of 366 infants assessed, 18.9% were affected by the risk of overweight. Five feeding styles were identified—uninvolved, indulgent, forceful, restrictive and responsive. Only restrictive feeding was associated with an increased risk of overweight (OR [95% CI], 1.61 [1.22, 2.13]). The association strengthened after adjusting for maternal depressive symptoms (OR [95% CI], 1.79 [1.30, 2.30]), representing an 11.18% increase in the risk of overweight odds.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Interventions that address restrictive feeding may be one strategy to reduce overweight risk among Caribbean maternal–infant dyads.</p>\u0000 </section>\u0000 </div>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":"4 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.77","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43151914","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":"Human social genomics: Concepts, mechanisms, and implications for health","authors":"George M. Slavich,&nbsp;Summer Mengelkoch,&nbsp;Steven W. Cole","doi":"10.1002/lim2.75","DOIUrl":"10.1002/lim2.75","url":null,"abstract":"<p>The exciting field of human social genomics provides an evolutionarily informed, multilevel framework for understanding how positive and negative social–environmental experiences affect the genome to impact lifelong health, well-being, behavior, and longevity. In this review, we first summarize common patterns of socially influenced changes in the expression of pro-inflammatory and antiviral immune response genes (e.g., the Conserved Transcriptional Response to Adversity), and the multilevel psychological, neural, and cell signaling pathways by which social factors regulate human gene expression. Second, we examine how these effects are moderated by genetic polymorphisms and the specific types of social–environmental experiences that most strongly affect gene expression and health. Third, we identify positive psychosocial experiences and interventions that have been found to impact gene expression. Finally, we discuss promising opportunities for future research on this topic and how health care providers can use this information to improve patient health and well-being.</p>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":"4 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.75","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9584948","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":"Public health reimagined","authors":"Julian Abel,&nbsp;Allan Kellehear","doi":"10.1002/lim2.76","DOIUrl":"10.1002/lim2.76","url":null,"abstract":"<p>This essay offers a critical assessment and reflection on the field of public health based on policy directions and themes gleaned from the historical story of John Snow and the Broad Street pump in 19th century London and recent international responses to Covid-19. Dominant public health strategies, especially for infectious disease emergencies, demonstrate a persistent tendency towards authoritarian claims about science that marginalise concerns about human rights, showing disregard for interprofessional and partnership working, antipathy toward critical voices and a retreat into old ideas about death and dying as medical failure. There is also neglect of the fundamental importance of social relationships as a primary source of health and well-being. Recommendations for a more positive approach for the future of public health are made. These include restoration of, and recommitment to, partnership working with communities, experiential literacy, the prioritising of social support and incentives over negative sanctions, and the acknowledgement and support of end-of-life experiences as a focus for special and overdue public health attention. These suggestions advocate for the application of ‘new’ public health priorities to address and rebalance the limitations of the old, usual approach.</p>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.76","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41738231","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}