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

{"title":"Concerns regarding “Association between intelligence quotient and obesity in England” and unjustifiable harm to people in bigger bodies","authors":"Sarah A. Redsell,&nbsp;Kiran Bains,&nbsp;Sarah Le Brocq,&nbsp;Romola Bucks,&nbsp;Lucie Byrne-Davis,&nbsp;Lesley Gray,&nbsp;Sarah Hotham,&nbsp;Marita Hennessy,&nbsp;Theodore K. Kyle,&nbsp;Amy McPherson,&nbsp;Fiona Quigley,&nbsp;Michelle Vicari,&nbsp;Sarah Zinn","doi":"10.1002/lim2.28","DOIUrl":"10.1002/lim2.28","url":null,"abstract":"<p>November 26, 2020</p><p>Dr. Fraser Birrell</p><p>Editor-in-Chief, <i>Lifestyle Medicine</i></p><p>We write to express our concern about a paper you recently published in your newly established journal. The paper examines the association of a non-modifiable measure, IQ, and its relationship to adult body mass index (BMI). We are academics, health professionals, health psychologists and lay experts in weight stigma and discrimination, public health, patient advocacy and risk communication. We believe the contents of this paper are likely to cause unjustifiable harm to people in bigger bodies, some of whom may not be in a position to raise their concerns with the authors or yourselves. We further assert that there are numerous ethical and methodological issues that should be brought to your attention, which limit the applicability of the results.</p><p>This paper goes against the stated aims and the scope of your journal. First, your journal states that you “advocate the principles of sound science publishing” and that “if the science is reliable and sound, you will publish.” Yet this paper suffers a number of methodological flaws and, in particular, breaches two ethical principles, namely, beneficence and justice that significantly detract from the soundness of the science. As we demonstrate below, on this occasion your journal has not upheld good scientific principles. Second, you state that your journal “examines clinical and scientific aspects of lifestyle medicine and its incorporation into clinical practice.” This suggests that you are interested in research that identifies potentially modifiable risk factors that might be addressed in clinical practice in a way that is beneficial to people. IQ is neither a \"lifestyle\" choice nor a modifiable variable (as noted by the authors themselves). IQ is a highly heritable trait,<span>¹</span> which can be influenced by environmental factors,<span>²</span> most of which are unmodifiable from an individual perspective. We outline our remaining concerns below, along with the scientific evidence that supports them.</p><p>The paper is openly available for anyone to read online, including practitioners, researchers, decision-makers, the general public, and media outlets. Indeed, such articles are often misinterpreted in the media, adding to inaccurate portrayals, and the stigmatisation and discrimination of people with bigger bodies.<span>³</span> The media frequently incorrectly attributes personal responsibility<span>⁴</span> to people with bigger bodies and we believe that this article feeds into an unhelpful narrative that associates weight and measures of intelligence<span>⁵</span> and policy decisions like barring children's admission to top schools because of their parents’ weight.<span>⁶</span></p><p>Publishing this study fuels negative stereotypes that people in bigger bodies lack intelligence—a dehumanizing stereotype that serves ","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/lim2.28","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46105584","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":"What the obesity epidemic does not need: A cancel culture","authors":"Thomas Wood,&nbsp;Sue Kenneally,&nbsp;Fraser Birrell","doi":"10.1002/lim2.27","DOIUrl":"10.1002/lim2.27","url":null,"abstract":"<p>A paper recently published in <i>Lifestyle Medicine</i> highlights the importance of informed and respectful debate as part of the scientific endeavour. Appearing in the first edition of the journal, Jacob et al.<span>¹</span> examined data from 7403 participants from the 2007 Adult Psychiatric Morbidity Survey (APMS), a nationally representative survey of the English adult population conducted by the National Centre for Social Research and Leicester University.<span>²</span> They found that there was a negative association between Verbal IQ, estimated using the National Adult Reading Test (NART), and obesity. During peer review, the manuscript was praised for its clear and robust statistical analyses. However, due to the nature of the topic, editorial review included assessing the manuscript for inappropriate or discriminatory language or conclusions, as well as ensuring both scientific and analytical merit in line with the journal's scope. Perhaps unsurprisingly, the paper still resulted in significant vocal debate on social media (Twitter), including calls for the paper's retraction. As Twitter does not uniformly allow for reasoned discussions, formal letters to the editor were solicited by Wiley to highlight any significant issues and allow for formal response by the original authors. This process is still an important aspect of moving scientific research forward, and as a journal we follow both International Committee of Medical Journal Editors (ICMJE)<span>³</span> and the Committee on Publication Ethics (COPE) publishing principles,<span>⁴</span> which include giving a platform for rebuttal to published articles and encouraging logical and reasoned scientific debate. Both the letter to the editor by Redsell et al.<span>⁵</span> and the response by Jacob et al.<span>⁶</span> are included in this issue. While we stand by the publication of the manuscript – as further outlined below – we believe that it is the job of the scientific community at large to iteratively move a field forward based on discussions such as those highlighted here. Therefore, to some extent, each reader can and will make up their own minds based on the evidence, following scientific principles to do so. We hope this commentary assists that process.</p><p>Using weight or normative estimators of body composition, such as the body mass index (BMI), as predictors of individual health or health outcomes is both controversial and highly emotive.<span>⁷</span> This is clear from the tone of both the letter by Redsell et al.<span>⁵</span> and the response by Jacob et al.<span>⁶</span> One thing that we feel is absolutely necessary in order to move discussions in this field forward is the separation of our personal feelings about a topic from the scientific arguments, as much as that is possible. In line with that, both the letter writers and article authors were given opportuni","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/lim2.27","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50889221","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":"Do interactions between patients’ psychological distress and adherence to dietary recommendation predict glycemic control among persons with type 2 diabetes in Ghana?","authors":"Be-Ikuu Dominic Doglikuu,&nbsp;Abubakari Abdulai,&nbsp;Mehdi Yaseri,&nbsp;Elham Shakibazadeh,&nbsp;Abolghassem Djazayery,&nbsp;Khadijeh Mirzaei","doi":"10.1002/lim2.22","DOIUrl":"10.1002/lim2.22","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Psychological distress is a pervasive mental condition among persons with chronic noncommunicable diseases.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To examine whether interactions between patients’ psychological distress and adherence to dietary recommendations predict glycemic controls among persons with type 2 diabetes mellitus in Ghana.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p> Facility-based cross-sectional study involving 530 persons with type 2 diabetes mellitus was conducted between October 2018 and September 2019. Six health facilities were randomly selected and normal-weight persons with type 2 diabetes mellitus (T2DM) at baseline consecutively recruited from patients’ registers. Structured questionnaires were used to collect sociodemographic data. Glycemic control was the main outcome variable, and was determined using HbA1c%. Statistical Package for Social Sciences version 22 was used in data analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Systolic blood pressure (mm Hg), diastolic blood pressure (mm Hg), total cholesterol, and fasting blood sugar were statistically significant for glycemic control (HbA1c%) (<i>p</i>-value &lt; 0.05). After adjusting for confounding variables, low adherence and moderate adherence to dietary recommendations were independently significant for poor glycemic control (high HbA1c%). Interaction between low psychological distress and low adherence to dietary recommendations was statistically significant for poor glycemic control (high HbA1c%). Interaction between low psychological distress and moderate adherence to dietary recommendations was also statistically significant for poor glycemic control (high HbA1c%), whereas interaction between moderate psychological distress and high adherence to dietary recommendations was statistically significant for poor glycemic control (high HbA1c%).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Interaction between psychological distress and adherence to dietary recommendations can influence glycemic controls among persons with T2DM.</p>\u0000 </section>\u0000 </div>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/lim2.22","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113923551","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":"Medical specialties and life expectancy: An analysis of doctors’ obituaries 1997–2019","authors":"Adam B. Brayne,&nbsp;Ralph P. Brayne,&nbsp;Alexander J. Fowler","doi":"10.1002/lim2.23","DOIUrl":"10.1002/lim2.23","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Previous studies have found emergency medicine physicians have a reduced life expectancy compared to other doctors, using small subsets of data from the obituary section of the British Medical Journal. Technological advances now allow the entire catalogue of obituaries to be interrogated, which allows exploration of the relationship between medical specialty, age at death and cause of death in doctors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Publicly available electronic records were obtained by web scraping and analysed with natural language processing algorithms. Obituaries published in the British Medical Journal between January 1997 and August 2019 were scraped and analysed for differences in age and cause of death and also relative survival analysis compared to the general U.K. population.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Data were extracted from 8156 obituaries. The specialties with the oldest average age at death were general practitioners (80.3, <i>SD</i> = 12.5, <i>n</i> = 2508), surgeons (79.9, <i>SD</i> = 13.6, <i>n</i> = 853) and pathologists (79.8, <i>SD</i> = 13.8, <i>n</i> = 394). The specialties with the youngest average age at death were emergency physicians (58.7, SD = 23.6, <i>n</i> = 43), anaesthetists (75.5, <i>SD</i> = 16.1, <i>n</i> = 473) and radiologists (75.8, <i>SD</i> = 14.5, <i>n</i> = 172). Cancer was the most common cause of death and did not differ by specialty. Doctors on average have an older age at death than the general U.K. population.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>A doctor's specialty has a significant association with their age at death, with general practitioners living the longest and emergency physicians the shortest, with proportionately more accidental deaths. Likely due to its recency as a separate specialty, the emergency physician group is the smallest, which may censor and falsely reduce this group's age at death. The observed increased life expectancy and the reduced cardiovascular disease in this cohort may be associated with lifestyle and socioeconomic factors.</p>\u0000 </section>\u0000 </div>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/lim2.23","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"111885871","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 interventions for healthy brain aging: A protocol for systematic review and meta-analysis","authors":"Shahid Bashir,&nbsp;Eman Nasim,&nbsp;Mohammad Uzair,&nbsp;Asim Niaz,&nbsp;Aneesa Zafar,&nbsp;Ghulam Murtaza,&nbsp;Imdad Kaleem,&nbsp;Muhammad Arshad,&nbsp;Fawaz Al-Hussain,&nbsp;Syed Shahid Habib","doi":"10.1002/lim2.24","DOIUrl":"10.1002/lim2.24","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The main objective of the present protocol is to assess the lifestyle interventions (eating habits, physical exercise, social and cultural participation) on the brain health as people age.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We will look at the following database sources, “The Cochrane Library, PubMed, EMBASE, Web of Science, and Google Scholar,” for this protocol, which is standardized by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Protocols. Only Alzheimer's disease (AD) patients will be eligible, and no restriction will be placed on participant's gender, age, education, ethnicity, or other demographic characteristics. All the studies based on the impact of active intervention centered on lifestyle interventions, including eating habits, sleep patterns, and physical exercise on the cognitive and functional status in the elderly populations. The primary outcome is the effects of nutrition and lifestyle interventions on the patients with AD, and secondary outcomes include body mass index, body fat percentage, and muscle mass.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In this study, we hope to find lifestyle interventions, which could have a preventive effect on brain health as people age, in particular AD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The conclusion of our study would suggest that a healthy lifestyle interventions, defined on the basis of proper nutrition, sleep patterns, physical exercise, and social and cultural activities, can positively influence the cognitive consequences of healthy brain aging.</p>\u0000 </section>\u0000 </div>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/lim2.24","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"106817469","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 psychiatry for depression and anxiety: Beyond diet and exercise","authors":"Madison C. Piotrowski MD,&nbsp;Julia Lunsford MD,&nbsp;Bradley N. Gaynes MD, MPH","doi":"10.1002/lim2.21","DOIUrl":"10.1002/lim2.21","url":null,"abstract":"<p>There are a range of lifestyle factors which can negatively affect both a person's physical and mental health, and there is increasing evidence that therapeutic lifestyle change can be useful for the prevention and treatment of depression and anxiety disorders. The six core features of lifestyle medicine—regular physical activity, a whole food and plant predominant diet, restorative sleep, stress management, avoidance of substance abuse, and positive social connection—are important foci for mental health providers trying to help patients make meaningful lifestyle changes to improve their well-being. Alongside these elements, there are likely many other aspects of lifestyle important to mental health. The aim of this paper is to provide an overview of five potential lifestyle targets which may play a role in the development and treatment of depression and anxiety, including financial stability, time in nature, pet ownership, materialistic values, and the use of social media. The paper will explore the evidence that these factors contribute to the burden of depression and anxiety in the modern world and will review the potential mechanisms of these effects and clinical implications of interventions targeting these factors.</p>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/lim2.21","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"99740819","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":"Living Well with Lifestyle Medicine: A group consultation approach to delivering Lifestyle Medicine Intervention in Primary Care","authors":"Caroline A. Gibson,&nbsp;Celia Mason,&nbsp;Clive J. Stones","doi":"10.1002/lim2.19","DOIUrl":"10.1002/lim2.19","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Increasing prevalence of chronic disease is raising demands on the healthcare system, and evidence-based cost-effective ways to address these are needed. This project piloted a novel approach of delivering lifestyle medicine in general practice by providing a holistic lifestyle medicine programme to patients at high risk of chronic diseases.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Eleven patients at high risk of chronic disease participated in a 6-week programme of General Practitioner (GP)-led group consultations, which delivered evidence-based lifestyle education and interventions across all the pillars of lifestyle medicine. Anthropometric data (including weight and body mass index (BMI)) and quality-of-life data (using the EuroQol-5D (EQ-5D-5L) tool) and patient's confidence and motivation were assessed at the beginning and end of the programme to assess impact. Cost-effectiveness was estimated by calculating the cost-per-quality-adjusted-life-year (QALY) for the EQ-5D-5L data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Seventy-three per cent of participants lost weight, with an average weight loss of 1.7 kg confidence interval (CI), –3.46 to –0.02 kg; <i>P</i> = 0.048), which resulted in an average BMI reduction of 0.56 (CI, –1.11 to –0.02; <i>P</i> = 0.043) over 6 weeks. Quality of Life scores show improvement, with EuroQol-visual analogue scale (EQ-VAS) score increase of 23 points (CI, +11.82 to +34.18; <i>P</i> = 0.002) and EQ-5D-5L scores show reduction in mobility problems, anxiety and depression and pain. Patient's self-rated confidence and motivation to make healthy lifestyle changes improved significantly over the programme.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Delivery of lifestyle medicine intervention via a GP-led group consultation model results in improvement in patients’ perceived health and well-being, along with reductions in weight, and reduced problems with mood and pain. Delivery of care in this way is cost-effective. The positive findings from this pilot-scale study support investment in a larger study to further develop and explore delivery of lifestyle medicine intervention in this way.</p>\u0000 </section>\u0000 </div>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/lim2.19","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"106370929","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":"Educational interventions to improve maternal-foetal outcomes in women with gestational diabetes","authors":"Silvia Gorbán de Lapertosa,&nbsp;Jorge F. Elgart,&nbsp;Claudio D. González,&nbsp;Jorge Alvariñas,&nbsp;Paula Camin,&nbsp;Leonardo Mezzabotta,&nbsp;Susana Salzberg,&nbsp;Juan J. Gagliardino","doi":"10.1002/lim2.18","DOIUrl":"10.1002/lim2.18","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>To evaluate improvement in gestational diabetes (GDM) outcomes for mothers and their offspring induced by education provided to the healthcare team (HCTM) and women with GDM, plus coordination between primary care units (PCU) and highly complex maternity (HCM) facilities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Pregnant women with GDM completing control visits from first appointment until delivery were recruited in participating PCU-HCM, in the cities of Corrientes and Buenos Aires; 263 women recruited from 2017 to mid-2018 were assigned to the control group (CG), and 432 women recruited from mid-2018 to 2019 to the intervention group (IG). The CG received standardized care/routine management and follow-up, including basic information on blood glucose monitoring and insulin injection when necessary, whereas the IG received an educational program targeting HCTM and women with GDM. These courses included standards of diagnosis, prevention and treatment of GDM, plus systematic registry of clinical and metabolic indicators (fasting blood glucose, serum cholesterol and triglyceride). Data on obstetric history, preeclampsia, gestation-induced hypertension, delivery method and newborn's body weight were also recorded</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Women in the IG showed significantly (<i>P</i> ≤ 0.05) lower BMI and weight gain during gestation, a trend towards lower triglyceride and caesarean sections and a significant increase in postnatal attendance for metabolic assessment. Their newborns showed significantly lower body weight and a trend towards fewer macrosomia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These data suggest that our educational intervention plus management changes induced a favourable impact on GDM outcomes for both mothers and offspring.</p>\u0000 </section>\u0000 </div>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/lim2.18","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"99236351","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":"Virtual group consultations offer continuity of care globally during Covid-19","authors":"Fraser Birrell,&nbsp;Rob Lawson,&nbsp;Marianne Sumego,&nbsp;Jessica Lewis,&nbsp;Angela Harden,&nbsp;Tracey Taveira,&nbsp;John Stevens,&nbsp;Alison Manson,&nbsp;Linda Pepper,&nbsp;Jeannette Ickovics","doi":"10.1002/lim2.17","DOIUrl":"10.1002/lim2.17","url":null,"abstract":"<p>Covid-19 has led to virtual care (mainly telephone consultations) becoming a default worldwide, despite well-documented shortcomings. Published evidence on virtual group consultations is limited, although interest and front-line experience have grown substantially since pandemic onset. Unpublished data are summarised showing feasibility of transitioning care to this model across different countries, care settings and conditions. An international webinar series has supported development and sharing of best practice and representative data on spread and utilisation of virtual groups. This model of care creates time and space for more questions and answers, so once engaged patients become staunch advocates. Group care supports personalised care and lifestyle medicine, which is growing very rapidly. In the current context, even healthcare providers under pressure can implement virtual group consultations. Most virtual group consultations have a facilitator, so this allows roles to be extended and support education of both students and new team members. These can confer greater access, continuity of care, peer support and timely information about Covid-19 and may result in better health outcomes. Given the rapid and widespread implementation of virtual care during this pandemic, data should be shared effectively and methodologically sound observational studies and clinical trials to test safety and effectiveness should be promoted now.</p>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/lim2.17","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48700146","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":"Sensor-measured physical activity is associated with decreased cardiovascular disease risk in African Americans","authors":"John A. Bernhart,&nbsp;Gabrielle M. Turner-McGrievy,&nbsp;Sarah Eustis,&nbsp;Mary J. Wilson,&nbsp;Brent Hutto,&nbsp;Sara Wilcox,&nbsp;Edward A. Frongillo,&nbsp;E. Angela Murphy","doi":"10.1002/lim2.16","DOIUrl":"https://doi.org/10.1002/lim2.16","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Few studies have examined relationships between sensor-measured physical activity (PA) and cardiovascular disease (CVD) risk among African Americans. This study described relationships between PA and CVD risk in NEW Soul study participants.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Participants completed a dual X-ray absorptiometry scan and measures of blood pressure, waist and hip circumference, height, and weight. Actigraph GTM accelerometers measured moderate to vigorous physical activity (MVPA). We assessed relationships between minutes/day of MVPA and total body fat percent, total lean body mass, total fat mass, total bone mass, total fat distribution, body mass index (BMI), systolic and diastolic blood pressure, and waist-to-hip ratio, adjusting for age, sex, and education.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Participants (N = 159) were mostly women (79%), overweight/obese (99%), and had stage 1 or 2 hypertension (60%). Participants’ means ± SD for MVPA were 14.3 ± 12.5 min/day, total body fat percent 44.6% ± 7.5%, total lean body mass 54.7 ± 10.5 kg, systolic blood pressure 133.5 ± 16.7 mmHg, diastolic blood pressure 83.1 ± 9.6 mmHg, waist-to-hip ratio 0.9 ± 0.1, and BMI 36.9 ± 6.9 kg/m². Every 10-min increase in MVPA minutes per day was associated with a 1.2 kg kg/m² decrease in BMI (<i>t</i> = –<i>P</i> = .02) and 2.0% decrease in total body fat percent (<i>P</i> ≤ .0001). MVPA also was negatively associated with total fat mass (<i>P</i> = .002) and total fat distribution (<i>P</i> = .003).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Findings confirmed protective relationships between PA and CVD risk, suggesting the importance of increasing PA among African Americans.</p>\u0000 </section>\u0000 </div>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/lim2.16","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72155351","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}