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

{"title":"How can patient partnership help to improve equality as COVID-19 moves from pandemic to endemic?","authors":"Natasha Treagust","doi":"10.1002/lim2.74","DOIUrl":"10.1002/lim2.74","url":null,"abstract":"<p>One of the stated aims of the National Health Service (NHS) within its constitution is the promotion of equality. However, there is evidence inequality has increased over the last decade and the COVID-19 pandemic has exacerbated this. The current pressures on healthcare mean that there is a case for a shift in approach as we transition to living with endemic COVID-19. This article sets out how putting patient partnership front and centre at an individual, systems and national level has the potential to improve equality and assist the NHS in achieving its founding principles.</p>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.74","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10274189","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":"Influences on technology use and interpretation among young people living with type 1 diabetes","authors":"Laura N. Cushley,&nbsp;Aniela Krezel,&nbsp;Katie Curran,&nbsp;Kathryn Parker,&nbsp;Sarinda Millar,&nbsp;Tunde Peto","doi":"10.1002/lim2.73","DOIUrl":"10.1002/lim2.73","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>To characterise continuous glucose monitor and flash glucose monitor use and related issues (both positive and negative) in the population of children and young people living with type 1 diabetes in the Southern Health and Social Care Trust (SHSCT), Northern Ireland.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Four focus groups were conducted in the SHSCT with people with type 1 diabetes and their families, to assess opinions of diabetes technology. In addition, questionnaires were distributed to diabetes specialist nurses (DSNs), young people and their families about use and access to diabetes technology.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Questionnaires were completed by 68 children, young people (0–18 years) and their parents/guardians. Nearly all (98.5%) had access to their own diabetes related data, and 70.6% used diabetes data systems, for example, Libreview. Most of those using these systems found them beneficial and easy for daily use and clinical review.</p>\u0000 \u0000 <p>Most DSNs (83.9%) agreed that the systems were easy to use, and 82.3% were confident in interpreting the data accurately. DSNs felt virtual review was beneficial in over half of young people with 62.9% advising changes to diabetes management based on the data.</p>\u0000 \u0000 <p>Focus groups participants deemed diabetes technology a ‘<i>gamechanger</i>’ and <i>‘lifechanging’</i>. Some drawbacks included <i>‘disruptive’</i> alarms, self-confidence issues, visible diabetes technology and problems in school.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Most young people, their families and healthcare professionals reported they were confident in interpreting diabetes data and technology was easy to use. Diabetes technology could improve access to care through virtual clinics, improve clinical outcomes and enhance quality of life.</p>\u0000 </section>\u0000 </div>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.73","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47127336","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 effects of mantra-based AMI Meditation on burnout, secondary traumatic stress, and compassion satisfaction levels in healthcare providers","authors":"Mark Pettus,&nbsp;Beth Netter,&nbsp;Leonard Perlmutter,&nbsp;Jenness Cortez Perlmutter,&nbsp;Akiko S. Hosler","doi":"10.1002/lim2.72","DOIUrl":"10.1002/lim2.72","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Importance</h3>\u0000 \u0000 <p>There is an abundance of research demonstrating the growing challenge of burnout in healthcare professionals. This has been further exacerbated by the COVID-19 pandemic. The use of meditation using various techniques has shown promising results in the reduction of stress and its sequelae.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To determine the efficacy of a mantra-based meditation protocol developed by the American Meditation Institute to reduce caregiver stress by evaluating changes in burnout and secondary traumatic stress (components of compassion fatigue) and compassion satisfaction with the application of the meditation protocol.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design, Setting, and Participation</h3>\u0000 \u0000 <p>This pre–post cohort analysis was conducted on prospective enrollees of the Continuing Medical Education (CME)-accredited American Meditation Institute's annual <i>Heart and Science of Yoga</i>^® Conference, a comprehensive training in Yoga Science as Holistic Mind/Body Medicine for physicians and other healthcare providers held in October in Lenox, Massachusetts. Enrollees were trained in mantra-based <i>A</i>MI Meditation at the conference and monitored during the 6-month period following the conference.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Interventions</h3>\u0000 \u0000 <p>The mantra-based <i>A</i>MI Meditation intervention included a 5-day in-person training, a daily practice of a guided mantra-based <i>A</i>MI Meditation using a 20-min CD or MP3 recording, and receipt of a monthly motivational letter. Study participants completed the Professional Quality of Life (ProQOL) Measure (a survey) and a demographic survey at baseline, and the ProQOL Measure and an informational survey at 3 and 6 months.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Main Outcomes and Measures</h3>\u0000 \u0000 <p>The primary outcome was a change from baseline in participants’ level of burnout using the ProQOL assessed at baseline and 3 and 6 months. Secondary outcomes included change from baseline in participants’ level of secondary traumatic stress and compassion satisfaction assessed at 3 and 6 months using the ProQOL Measure. Qualitative data were also collected from participant feedback, via the informational surveys, at 3 months and after completion of the program at 6 months.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of the 54 participants who en","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.72","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43320381","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":"Embedding social relations into primary care: A population-based approach. What matters most? Population practice of social ecology in medicine and communities","authors":"Helen Mary Kingston,&nbsp;Frances da Cunha","doi":"10.1002/lim2.71","DOIUrl":"10.1002/lim2.71","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The importance of social connectedness has long been an area of research in medical research. The damaging impact of social isolation is recognised and proven. This article describes our experiences of embedding routine enquiry about networks of support into routine clinical care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>The majority of care happens through the strength of bonds and support between the network of immediate family and friends. Acknowledging these networks and actively working to support them is central to health and wellbeing.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In parallel, working to improve professional networks builds trust, shared understanding and stronger relationships that benefit us all. The strengthening of bonds across and between teams delivering health care can benefit those working within them and lead to improved outcomes for both staff and patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Developing Frome as a compassionate community has enabled improved patient care, improved staff wellbeing and financial savings for the health community.</p>\u0000 </section>\u0000 </div>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":"3 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.71","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48323262","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":"Is the lack of appropriate cognitive demand the primary driver of dementia risk?","authors":"Thomas R. Wood,&nbsp;Josh Turknett","doi":"10.1002/lim2.70","DOIUrl":"10.1002/lim2.70","url":null,"abstract":"<p>With the general trend of increasing lifespan alongside population-level success in reducing the mortality from cardiovascular and cerebrovascular diseases, the population burden of Alzheimer's disease (AD) has steadily accelerated. In the United States, the mortality rate due to AD has increased from less than 0.5 per 100,000 in 1980 to approximately 30 per 100,000 in 2019.<span>¹</span> Worldwide, the number of individuals with dementia is expected to at least triple by 2050,<span>²</span> with some reports suggesting that AD has the potential to bankrupt healthcare systems.<span>³</span> At the same time, the development of, and investment in, multiple pharmacological agents directed toward modifying the pathological “hallmarks” of AD have yielded disappointing results. Existing pharmaceuticals offer modest symptomatic benefits, at best, without modifying the course of the disease. Taken together, these factors highlight the urgent need for a critical reappraisal of the underlying risk factors for AD and potential interventions.</p><p>In an attempt to reframe potential preventative and therapeutic approaches to AD, we recently proposed a model that suggests demand–function coupling in the brain is the critical upstream factor driving long-term cognitive function.<span>⁴</span> In this model, we describe how the health and function of any tissue, including the brain, is shaped by the demands placed upon it. In the setting of increased demand, demand–function coupling drives increases in growth and function, but also upregulates processes of cellular repair and regeneration. The result is a tissue that is more resilient, plastic, and with a greater capacity for increased work output in the face of increased requirements. In this way, we propose that the structure and function of the brain are driven by the demands placed upon it, much as cardiac and skeletal muscles respond to exercise. And as muscle or cardiovascular function decline with bed rest or detraining, the structure and function of the brain decline in a coupled manner when adequate demands are not placed upon it. Cognitive decline is then essentially an expression of “frailty” of the brain - defined as lacking additional capacity to function above basic requirements - as a result of reduced demand. Although it may appear subtle, this reframing of the cascade may be critical in understanding the disease process and intervening as healthcare providers. Whereas the prevailing explanations to date have described cognitive activity as a mitigating force; in this model, we propose that cognitive demand instead impacts the primary pathogenetic process. In fact, given the established phenomenon of demand coupling in neural tissue, we believe that this model provides the most parsimonious account of disease pathogenesis.</p><p>In order to explain the approach, we first made two suggestions for a cognitive framework that we believe are essential i","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":"3 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.70","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45996131","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 ground-up community development from a practice perspective","authors":"Cormac Russell","doi":"10.1002/lim2.69","DOIUrl":"10.1002/lim2.69","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <p>This article offers a practice perspective on Community Development from the ground up regarding health and well-being. It advocates for a departure from traditional Community Engagement approaches, arguing that they fall short of relocating authority to communities as influential health producers. The author affirms that Asset-Based Community Development (ABCD) approaches are preferable Community Engagement practices, as they offer more authentic pathways toward community-centred population health and wellbeing. The article concludes that once effective ground-up community development has been initiated supplementary efforts at reform and relief are more likely to have desired and sustained impact.</p>\u0000 </section>\u0000 </div>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":"3 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.69","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41319590","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 pediatric global burden of stunting: Focus on Latin America","authors":"Clara Rojas Montenegro,&nbsp;Gabriel Gomez,&nbsp;Oscar Hincapie,&nbsp;Svyatoslav Dvoretskiy,&nbsp;Tiffany DeWitt,&nbsp;Daniela Gracia,&nbsp;Juan Diego Misas","doi":"10.1002/lim2.67","DOIUrl":"10.1002/lim2.67","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Stunting is a devastating consequence of poor nutrition from before birth to early childhood. While the prevalence of stunting is decreasing over the past 30 years, approximately 144 million children still suffer from stunting globally and 5 million in Latin America (LATAM).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>The purpose of this review is to provide an overview of stunting globally, with a focus on LATAM. Stunting can impact child development, lead to greater susceptibility to infections, increase functional impairments, and increase mortality risks. Furthermore, the economic negative impact of stunting is large, as stunted children will likely suffer from productivity losses due to chronic diseases in adulthood. The reduction in per capita income of the labor force due to stunting is close to 5% in LATAM; therefore, there is a continued need for comprehensive approaches to address stunting in this region and around the globe.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>A multisectoral comprehensive approach to address stunting is required, with nutritional intervention being a key part of that process.</p>\u0000 </section>\u0000 </div>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":"3 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.67","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49491678","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":"Juggling two pandemics: The simultaneous necessity and difficulty of practising lifestyle medicine during the COVID-19 era","authors":"Alexandra Shipley,&nbsp;Ellen Fallows","doi":"10.1002/lim2.68","DOIUrl":"10.1002/lim2.68","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <p>Since early 2020, COVID-19 has dominated headlines, claimed millions of lives, crippled global economies, overwhelmed health services, attracted multi-disciplinary scientific attention and transformed our daily lives. Unsurprisingly, the Lifestyle Medicine field has not been immune to the pandemic's wide-reaching influence. Although COVID-19 highlighted the necessity of maintaining healthy behaviours, the associated lockdowns and social distancing measures challenged our ability to do so. Attempts to mitigate the spread of COVID-19 may, therefore, have exacerbated the obesity pandemic and other diseases associated with unhealthy lifestyle habits. One hopes this devastating virus provides the impetus for policymakers, clinicians and patients to collaborate in tackling the diseases of modern life. This commentary explores how lifestyle-correlated conditions (which are closely intertwined with socioeconomic factors) rendered much of the UK population vulnerable to COVID-19 infection, morbidity and mortality. Subsequently, we consider the impact of lockdown measures on the accessibility of healthy living, focussing on eating behaviours, physical activity, relationships, sleep and substance abuse, as well as the social demographics particularly affected. Approaching the aftermath of this vicious cycle with optimism, we discuss why the post-Covid era presents a unique opportunity for Lifestyle Medicine, as an evidence-based approach to supporting patients to adopt and sustain healthy behaviours.</p>\u0000 </section>\u0000 </div>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":"3 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9539232/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9916118","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":"Insights into optimising education for patients living with diabetes mellitus: A model for the post-pandemic era, informed by survey data","authors":"Petra Hanson,&nbsp;Dilan Parmar,&nbsp;Pranay Deo,&nbsp;Daniella Whyteoshodi,&nbsp;Charlotte Gotts,&nbsp;Paul J. O'Hare,&nbsp;Harpal Randeva,&nbsp;Thomas M. Barber","doi":"10.1002/lim2.64","DOIUrl":"10.1002/lim2.64","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Patient education represents the key element in the management of diabetes mellitus (DM) and has changed dramatically during the last 3 years. Uptake of structured education is poor, and patient perception of received education varies greatly. The purpose of this study was to assess patients’ perception of adequacy of delivered education, barriers to attending structured courses and preferences for ongoing DM-related education.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Patients living with Type 2 DM attending diabetes clinics were invited to complete a questionnaire about their understanding of DM, adequacy of offered education and desired features of future courses, following their clinic appointment at University Hospitals Coventry and Warwickshire (UHCW). Those interested (<i>n</i> = 146) completed this questionnaire.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Participants’ mean age was 58.2 years (standard deviation [SD] 13.6, median 59, interquartile range [IQR] 50–66), mean body mass index 34.5 Kgm^–2 (SD 9.1, median 33.7 Kgm^–2, IQR 29.8–41.7) and duration of T2DM was 13 years (SD 10, median 10 years, IQR 3–19). Thirty-one per cent of participants received no education at the time of their diagnosis with 51% of participants reporting no ongoing DM-related education. Thirty-seven per cent of participants did not understand the meaning of HbA1c. Preference for face-to-face versus remote delivery of DM-related education was roughly split, with 51% preferring the former. Attention to self-compassion and mental health needs were identified as key elements currently missing from DM-related education.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The provision of DM-related education pre-pandemic did not meet patients’ needs. Gaining insight and understanding into the gaps within current DM-related educational provision and patient preferences for its delivery are key strategies in the development of reformed DM-related education that will ultimately equip patients with improved self-management skills.</p>\u0000 </section>\u0000 </div>","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":"3 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.64","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46399979","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":"Promoting physical activity within eyecare: Addressing the research–policy gap","authors":"Rosie K. Lindsay,&nbsp;Peter M. Allen,&nbsp;Lee Smith","doi":"10.1002/lim2.66","DOIUrl":"10.1002/lim2.66","url":null,"abstract":"<p>On 3 April 2018, <i>Eye</i> published a review titled ‘Physical activity, visual impairment, and eye disease’. The review concluded there was evidence that physical activity may protect against vision loss, and that vision loss causes a decline in physical activity.<span>¹</span> There is also undisputed evidence that physical activity is generally good for us.<span>²</span> Regular physical activity reduces the risk of several leading chronic conditions, and the risk of premature mortality by 20%–30%.<span>³</span></p><p>However, both the ‘Standards of practice for optometrists and dispensing opticians’<span>⁴</span> and ‘The College of Optometrists clinical guidance’<span>⁵</span> do not explicitly state that eyecare professionals should discuss physical activity with patients. Similarly, whilst the Royal College of Ophthalmologists guidance document titled ‘low vision: the essential guide for ophthalmologists’ references physical activity, by stating ‘four modifiable behaviours – smoking, physical inactivity, poor diet and drinking alcohol have been shown to be associated with reduced vision’, the preceding article focuses on smoking cessation with no further mention of physical activity.<span>⁶</span> This is the research–policy gap. There is research to support that physical activity is good for patients; however, there are limited policies designed to promote physical activity to patients within eyecare.</p><p>As of 12 June 2022, if you search PubMed for ‘healthcare policy change’, you will get 69,885 results; if you run the same search replacing ‘healthcare’ with the term ‘eyecare’, you will get eight results. Of course, there are more rigorous methods of searching the literature, but the point is that compared to research exploring how to implement policy change within general healthcare, there is surprisingly scarce literature that focuses on implementing policy change within eyecare. Perhaps it is not surprising then that there is a research–policy gap in the promotion of physical activity within eyecare. However, eyecare can learn from research conducted in other healthcare settings. The following article proposes how to get from stage 1: evidence that physical activity is good for patients, to stage 2: eyecare professionals promoting physical activity to patients.</p><p>However, persuading eyecare professionals to promote physical activity should not stop in the elevator. People are diverse, and messages reach and resonate with different people dependent on their delivery. For example, sharing patient's stories of how physical activity benefited them, visual infographics depicting the benefits of physical activity, physical activity champions (peers who support their fellow colleagues to promote physical activity to patients), and social media can be used to encourage professionals to promote physical activity.<span>⁹</span></p><p>Eyecare professionals nee","PeriodicalId":74076,"journal":{"name":"Lifestyle medicine (Hoboken, N.J.)","volume":"3 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lim2.66","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43127488","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}