Subjects -> MEDICAL SCIENCES (Total: 8196 journals)
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MEDICAL SCIENCES (2241 journals)                  1 2 3 4 5 6 7 8 | Last

Showing 1 - 200 of 3562 Journals sorted alphabetically
16 de Abril     Open Access   (Followers: 1)
3D Printing in Medicine     Open Access   (Followers: 5)
4 open     Open Access  
AADE in Practice     Hybrid Journal   (Followers: 2)
AAS Open Research     Open Access  
ABCS Health Sciences     Open Access   (Followers: 3)
Abia State University Medical Students' Association Journal     Full-text available via subscription   (Followers: 1)
AboutOpen     Open Access  
ACIMED     Open Access  
ACM Transactions on Computing for Healthcare     Hybrid Journal  
ACS Medicinal Chemistry Letters     Hybrid Journal   (Followers: 41)
Acta Bio Medica     Open Access   (Followers: 1)
Acta Bioethica     Open Access  
Acta Bioquimica Clinica Latinoamericana     Open Access   (Followers: 1)
Acta Herediana     Open Access  
Acta Marisiensis - Seria Medica     Open Access  
Acta Medica (Hradec Králové)     Open Access  
Acta Medica Bulgarica     Open Access  
Acta Medica Colombiana     Open Access   (Followers: 1)
Acta Médica Costarricense     Open Access   (Followers: 2)
Acta Medica Indonesiana     Open Access  
Acta Medica International     Open Access  
Acta Medica Iranica     Open Access  
Acta medica Lituanica     Open Access  
Acta Medica Martiniana     Open Access  
Acta Medica Peruana     Open Access   (Followers: 1)
Acta Scientiarum. Health Sciences     Open Access   (Followers: 2)
Acupuncture & Electro-Therapeutics Research     Full-text available via subscription   (Followers: 3)
Acupuncture and Herbal Medicine     Open Access   (Followers: 6)
Addiction Science & Clinical Practice     Open Access   (Followers: 9)
Addictive Behaviors Reports     Open Access   (Followers: 8)
Adıyaman Üniversitesi Sağlık Bilimleri Dergisi / Health Sciences Journal of Adıyaman University     Open Access  
Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi     Open Access  
Advanced Health Care Technologies     Open Access   (Followers: 12)
Advanced Journal of Professional Practice     Open Access  
Advanced NanoBiomed Research     Open Access   (Followers: 1)
Advanced Science, Engineering and Medicine     Partially Free   (Followers: 4)
Advanced Therapeutics     Hybrid Journal   (Followers: 1)
Advances in Bioscience and Clinical Medicine     Open Access   (Followers: 6)
Advances in Cell and Gene Therapy     Hybrid Journal   (Followers: 1)
Advances in Clinical Chemistry     Full-text available via subscription   (Followers: 23)
Advances in Clinical Radiology     Full-text available via subscription   (Followers: 4)
Advances in Life Course Research     Hybrid Journal   (Followers: 7)
Advances in Medical Education and Practice     Open Access   (Followers: 29)
Advances in Medical Sciences     Hybrid Journal   (Followers: 7)
Advances in Medicine     Open Access   (Followers: 3)
Advances in Microbial Physiology     Full-text available via subscription   (Followers: 3)
Advances in Parkinson's Disease     Open Access   (Followers: 2)
Advances in Preventive Medicine     Open Access   (Followers: 6)
Advances in Protein Chemistry and Structural Biology     Full-text available via subscription   (Followers: 18)
Advances in Regenerative Medicine     Open Access   (Followers: 3)
Advances in Therapy     Hybrid Journal   (Followers: 5)
Advances in Traditional Medicine     Hybrid Journal   (Followers: 3)
Advances in Virus Research     Full-text available via subscription   (Followers: 7)
Advances in Wound Care     Hybrid Journal   (Followers: 15)
Aerospace Medicine and Human Performance     Full-text available via subscription   (Followers: 25)
African Health Sciences     Open Access   (Followers: 6)
African Journal of Biomedical Research     Open Access  
African Journal of Clinical and Experimental Microbiology     Open Access  
African Journal of Laboratory Medicine     Open Access   (Followers: 2)
African Journal of Medical and Health Sciences     Open Access  
Afrimedic Journal     Open Access   (Followers: 3)
AIDS Research and Human Retroviruses     Hybrid Journal   (Followers: 10)
Airway     Open Access   (Followers: 4)
AJOB Empirical Bioethics     Hybrid Journal   (Followers: 3)
AJSP: Reviews & Reports     Hybrid Journal  
Aktuelle Ernährungsmedizin     Hybrid Journal   (Followers: 3)
AkupunkturPraxis     Full-text available via subscription   (Followers: 7)
Al-Azhar Assiut Medical Journal     Open Access   (Followers: 1)
Al-Qadisiah Medical Journal     Open Access  
Alerta : Revista Científica del Instituto Nacional de Salud     Open Access  
Alexandria Journal of Medicine     Open Access  
Allgemeine Homöopathische Zeitung     Hybrid Journal   (Followers: 1)
ALTEX : Alternatives to Animal Experimentation     Open Access   (Followers: 1)
American Journal of Biomedical Engineering     Open Access   (Followers: 10)
American Journal of Biomedical Research     Open Access   (Followers: 2)
American Journal of Biomedicine     Full-text available via subscription  
American Journal of Chinese Medicine, The     Hybrid Journal   (Followers: 2)
American Journal of Clinical Medicine Research     Open Access   (Followers: 5)
American Journal of Family Therapy     Hybrid Journal   (Followers: 6)
American Journal of Law & Medicine     Full-text available via subscription   (Followers: 10)
American Journal of Lifestyle Medicine     Hybrid Journal   (Followers: 5)
American Journal of Managed Care     Full-text available via subscription   (Followers: 13)
American Journal of Medical Case Reports     Open Access  
American Journal of Medical Sciences and Medicine     Open Access   (Followers: 2)
American Journal of Medicine     Hybrid Journal   (Followers: 44)
American Journal of Medicine and Medical Sciences     Open Access   (Followers: 1)
American Journal of Medicine Open     Open Access   (Followers: 7)
American Journal of Medicine Studies     Open Access   (Followers: 3)
American Journal of Medicine Supplements     Full-text available via subscription   (Followers: 3)
American Journal of the Medical Sciences     Hybrid Journal   (Followers: 11)
American Journal on Addictions     Hybrid Journal   (Followers: 11)
American medical news     Free   (Followers: 3)
Amrita Journal of Medicine     Open Access   (Followers: 4)
Amyloid: The Journal of Protein Folding Disorders     Hybrid Journal   (Followers: 6)
Anales de la Facultad de Medicina     Open Access  
Anales de la Facultad de Medicina, Universidad de la República, Uruguay     Open Access  
Anales del Sistema Sanitario de Navarra     Open Access   (Followers: 1)
Analgesia & Resuscitation : Current Research     Hybrid Journal   (Followers: 5)
Anatolian Clinic the Journal of Medical Sciences     Open Access  
Anatomica Medical Journal     Open Access  
Anatomical Science International     Hybrid Journal   (Followers: 3)
Anatomical Sciences Education     Hybrid Journal   (Followers: 1)
Anatomy     Open Access   (Followers: 3)
Anatomy Research International     Open Access   (Followers: 4)
Androgens : Clinical Research and Therapeutics     Open Access  
Angewandte Nuklearmedizin     Full-text available via subscription   (Followers: 7)
Angewandte Schmerztherapie und Palliativmedizin     Hybrid Journal  
Angiogenesis     Hybrid Journal   (Followers: 1)
Animal Diseases     Open Access   (Followers: 1)
Annales de Pathologie     Full-text available via subscription  
Annales françaises d'Oto-rhino-laryngologie et de Pathologie Cervico-faciale     Full-text available via subscription   (Followers: 2)
Annals of 3D Printed Medicine     Open Access  
Annals of African Medicine     Open Access   (Followers: 2)
Annals of Anatomy - Anatomischer Anzeiger     Hybrid Journal   (Followers: 2)
Annals of Biomedical Engineering     Hybrid Journal   (Followers: 18)
Annals of Biomedical Sciences     Full-text available via subscription   (Followers: 3)
Annals of Clinical and Medical Case Reports     Open Access  
Annals of Clinical Hypertension     Open Access  
Annals of Clinical Microbiology and Antimicrobials     Open Access   (Followers: 9)
Annals of Family Medicine     Open Access   (Followers: 14)
Annals of Health Research     Open Access   (Followers: 2)
Annals of Ibadan Postgraduate Medicine     Open Access  
Annals of Medical and Health Sciences Research     Open Access   (Followers: 5)
Annals of Medicine     Hybrid Journal   (Followers: 11)
Annals of Medicine and Surgery     Open Access   (Followers: 7)
Annals of Medicine and Surgery Case Reports     Open Access   (Followers: 1)
Annals of Medicine and Surgery Protocols     Open Access  
Annals of Microbiology     Open Access   (Followers: 9)
Annals of Musculoskeletal Medicine     Open Access  
Annals of Rehabilitation Medicine     Open Access   (Followers: 1)
Annals of Saudi Medicine     Open Access  
Annals of the College of Medicine, Mosul     Open Access  
Annals of the National Academy of Medical Sciences (India)     Open Access  
Annals of the New York Academy of Sciences     Hybrid Journal   (Followers: 5)
Annals of The Royal College of Surgeons of England     Full-text available via subscription   (Followers: 3)
Annals of the RussianAacademy of Medical Sciences     Open Access  
Annals of Vascular Surgery - Brief Reports and Innovations     Full-text available via subscription  
Annual Reports in Medicinal Chemistry     Full-text available via subscription   (Followers: 6)
Annual Reports on NMR Spectroscopy     Full-text available via subscription   (Followers: 4)
Annual Review of Medicine     Full-text available via subscription   (Followers: 16)
Anthropological Review     Open Access   (Followers: 27)
Anthropologie et santé     Open Access   (Followers: 4)
Antibiotics     Open Access   (Followers: 11)
Antibodies     Open Access   (Followers: 3)
Antibody Reports     Open Access  
Antibody Therapeutics     Open Access  
Anuradhapura Medical Journal     Open Access  
Anwer Khan Modern Medical College Journal     Open Access  
Apmis     Hybrid Journal   (Followers: 1)
Apparence(s)     Open Access   (Followers: 1)
Applied Clinical Informatics     Hybrid Journal   (Followers: 4)
Applied Medical Informatics     Open Access   (Followers: 11)
Arab Journal of Nephrology and Transplantation     Open Access   (Followers: 2)
Arabian Journal of Scientific Research / المجلة العربية للبحث العلمي     Open Access  
Archive of Biomedical Science and Engineering     Open Access  
Archive of Clinical Medicine     Open Access   (Followers: 1)
Archives Medical Review Journal / Arşiv Kaynak Tarama Dergisi     Open Access  
Archives of Asthma, Allergy and Immunology     Open Access   (Followers: 1)
Archives of Clinical Hypertension     Open Access  
Archives of Medical and Biomedical Research     Open Access   (Followers: 2)
Archives of Medical Laboratory Sciences     Open Access  
Archives of Medicine and Health Sciences     Open Access   (Followers: 5)
Archives of Organ Transplantation     Open Access  
Archives of Preventive Medicine     Open Access   (Followers: 1)
Archives of Pulmonology and Respiratory Care     Open Access  
Archives of Renal Diseases and Management     Open Access  
Archives of Trauma Research     Open Access   (Followers: 4)
Arquivos de Medicina     Open Access  
Ars Medica : Revista de Ciencias Médicas     Open Access  
ARS Medica Tomitana     Open Access  
Art Therapy: Journal of the American Art Therapy Association     Hybrid Journal   (Followers: 14)
Arterial Hypertension     Open Access  
Artificial Intelligence in Medicine     Hybrid Journal   (Followers: 19)
Artificial Organs     Hybrid Journal   (Followers: 1)
ASA Monitor     Full-text available via subscription   (Followers: 5)
Asia Pacific Journal of Clinical Nutrition     Full-text available via subscription   (Followers: 10)
Asian Bioethics Review     Full-text available via subscription   (Followers: 2)
Asian Journal of Cell Biology     Open Access   (Followers: 4)
Asian Journal of Health     Open Access   (Followers: 3)
Asian Journal of Medical and Biological Research     Open Access   (Followers: 3)
Asian Journal of Medical and Pharmaceutical Researches     Open Access  
Asian Journal of Medical Sciences     Open Access   (Followers: 2)
Asian Journal of Medicine and Health     Open Access   (Followers: 1)
Asian Journal of Population Sciences     Open Access   (Followers: 4)
Asian Journal of Research in Medical and Pharmaceutical Sciences     Open Access  
Asian Journal of Scientific Research     Open Access   (Followers: 2)
Asian Journal of Social Health and Behavior     Open Access   (Followers: 4)
Asian Journal of Transfusion Science     Open Access  
Asian Medicine     Hybrid Journal   (Followers: 5)
Asian Pacific Journal of Health Sciences     Open Access   (Followers: 2)
ASPIRATOR : Journal of Vector-borne Disease Studies     Open Access  
Atención Primaria     Open Access   (Followers: 2)
Atención Primaria Práctica     Open Access  
Atti della Accademia Peloritana dei Pericolanti - Classe di Scienze Medico-Biologiche     Open Access  
Auris Nasus Larynx     Full-text available via subscription  
Australasian Journal of Ultrasound in Medicine (AJUM)     Hybrid Journal   (Followers: 1)
Australian Family Physician     Full-text available via subscription   (Followers: 3)
Australian Journal of Medical Science     Full-text available via subscription   (Followers: 4)
Autopsy and Case Reports     Open Access  

        1 2 3 4 5 6 7 8 | Last

Similar Journals
Journal Cover
American Journal of Lifestyle Medicine
Journal Prestige (SJR): 0.431
Citation Impact (citeScore): 1
Number of Followers: 5  
 
  Hybrid Journal Hybrid journal (It can contain Open Access articles)
ISSN (Print) 1559-8276 - ISSN (Online) 1559-8284
Published by Sage Publications Homepage  [1174 journals]
  • Future Directions for Health Equity and Lifestyle Medicine: Insights from
           Former US Surgeons General

    • Free pre-print version: Loading...

      Authors: Richard Carmona, Dexter Shurney
      Abstract: American Journal of Lifestyle Medicine, Ahead of Print.
      Lifestyle medicine practices address root causes in the realm of patient care, healthcare systems, community health, and public health policy. It often takes consistent messaging and robust scientific evidence to buy in support of patients, health administrators, community leaders, and government officials. Four former U.S. surgeons general—the Honorable Admiral David Satcher, MD; Vice Admiral M. Joycelyn Elders, MS; Vice Admiral Antonia Novella, MD; and Vice Admiral Richard Carmona, MD, MPH, FACS—participated in a town hall during the American College of Lifestyle Medicine’s 2021 annual conference to discuss health equity and its relationship to LM. Moderated by Dexter Shurney, MD, MBA, MPH, immediate-past president of the American College of Lifestyle Medicine and president of the Blue Zones Well-Being Institute, the discussion also explored the challenging role and responsibilities of the nation’s top medical officer, the emergence of LM as an undervalued but high-potential tool for addressing complex issues such as health disparities, and specific actions—especially related to leadership—that would accelerate wider adoption of LM. In this article, Drs. Shurney and Carmona share their insights and highlights from the conversation and consider future directions of LM.
      Citation: American Journal of Lifestyle Medicine
      PubDate: 2022-06-14T12:34:16Z
      DOI: 10.1177/15598276221087681
       
  • Incorporating Mental Health Into Lifestyle Medicine

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      Authors: Liana Abascal, Alyssa Vela, Steve Sugden, Samuel Kohlenberg, April Hirschberg, Allison Young, Karen Lane, Gia Merlo
      Abstract: American Journal of Lifestyle Medicine, Ahead of Print.
      The evidence-based interconnection between mental health with lifestyle medicine practice is discussed. The extent to which physical health, and mental and behavioral health overlap are significant, and their interaction is seen in many ways. These bidirectional influences form a continuous thread through all lifestyle medicine pillars. The intersection of mental health and lifestyle should be considered and applied to provide optimal evidence-based lifestyle medicine for all patient populations who will benefit from the specific attention to diet, physical activity, relationships, stress, sleep, and substance use. Lifestyle medicine can be utilized to directly address and treat a range of mental health symptoms and disorders, and physical illnesses. In addition, behavior change skills and addressing the psychological factors contributing to barriers are crucial to helping patients reach their lifestyle medicine goals. Approaches to practice that attend to, and address, mental and behavioral health are relevant to and necessary for all types of providers who work within the lifestyle medicine framework.
      Citation: American Journal of Lifestyle Medicine
      PubDate: 2022-06-03T10:32:07Z
      DOI: 10.1177/15598276221084250
       
  • Lifestyle Medicine in Diabetes Care: The Lifedoc Health Model

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      Authors: Ramfis Nieto-Martinez, Claudia Neira, Diana de Oliveira, Andrés Velasquez-Rodriguez, Andres Neira, Pedro Velasquez-Rodriguez, Gabriela Garcia, Juan P. González-Rivas, Jeffrey I. Mechanick, Pedro Velasquez-Mieyer
      Abstract: American Journal of Lifestyle Medicine, Ahead of Print.
      IntroductionThe relevance of lifestyle medicine in diabetes treatment is now incorporated in clinical practice guidelines but finding an exemplar for the creation of a Lifestyle Medicine Program (LMP) is a difficult task.AimTo use Lifedoc Health (LDH) as a LMP exemplar by describing their multidisciplinary team (MDT) approach to diabetes care along with tactics to address sustainability challenges.ResultsThe LDH model facilitates early activation of patients with diabetes and other cardiometabolic risk factors, MDT approaches, and protocols/policies that are able to overcome barriers to equitable healthcare in the community. Specific programmatic targets are clinical outcomes, effective dissemination, economic viability, and sustainability. Infrastructure centers on patient-driven problem-based visits, shared medical appointments, telemedicine, and patient tracking. Further discussions on program conceptualization and operationalization are provided.ConclusionEven though strategic plans for LMPs that specialize in diabetes care are well represented in the literature, implementation protocols, and performance metrics are lacking. The LDH experience provides a starting point for those healthcare professionals interested in translating ideas into action.
      Citation: American Journal of Lifestyle Medicine
      PubDate: 2022-06-03T03:23:43Z
      DOI: 10.1177/15598276221103470
       
  • COVID-19 and Health Equity

    • Free pre-print version: Loading...

      Authors: James M. Rippe
      Abstract: American Journal of Lifestyle Medicine, Ahead of Print.

      Citation: American Journal of Lifestyle Medicine
      PubDate: 2022-06-03T02:39:32Z
      DOI: 10.1177/15598276221081472
       
  • An Innovative Approach to Health Promotion and Wellness for University
           Students with Intellectual and Physical Disabilities: A Case Series

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      Authors: Jennifer Tucker, Steve Korte, Brittany Kilduff, Patrick Pabian
      Abstract: American Journal of Lifestyle Medicine, Ahead of Print.
      A university setting offers a unique opportunity to address physical activity for individuals with disabilities. The purpose of this case series was to highlight the development of a formal student-assisted exercise program and examine its impact on the perceived quality of life, exercise confidence, and functional mobility of college-aged individuals with intellectual and physical disabilities. Data from twelve participants was analyzed. Seven participants demonstrated an improvement in scores on the Self-Efficacy to Exercise scale and eight improved in functional measures associated with strength. Thus, a collaborative assisted exercise program in a university setting may positively impact health and physical activity, and exercise participation in young adults with physical and/or intellectual disabilities.
      Citation: American Journal of Lifestyle Medicine
      PubDate: 2022-06-02T05:13:42Z
      DOI: 10.1177/15598276221105786
       
  • Transcultural Lifestyle Medicine in Type 2 Diabetes Care: Narrative Review
           of the Literature

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      Authors: Juan P. González-Rivas, Iuliia Pavlovska, Anna Polcrova, Ramfis Nieto-Martínez, Jeffrey I. Mechanick
      Abstract: American Journal of Lifestyle Medicine, Ahead of Print.
      Disparities in type 2 diabetes (T2D) care is a global problem across diverse cultures. The Dysglycemia-Based Chronic Disease (DBCD) model promotes early and sustainable interventions along the insulin resistance (stage 1), prediabetes (stage 2), T2D (stage 3), and complications (stage 4) spectrum. In this model, lifestyle medicine is the cornerstone of preventive care to reduce DBCD progression and the socioeconomic/biological burden of disease. A comprehensive literature review, spanning 2000 to 2021, was performed and 55 studies were included examining the effects of lifestyle medicine and their cultural adaptions with different prevention modalities. In stage 1, primordial prevention targets modifiable primary drivers (behavior and environment), unhealthy lifestyles, abnormal adiposity, and insulin resistance with educational and motivational health promotion activities at individual, group, community, and population-based scales. Primary, secondary, and tertiary prevention targets individuals with mild hyperglycemia, severe hyperglycemia, and complications, respectively, using programs that incorporate structured lifestyle interventions. Culturally adapted lifestyle change in primary and secondary prevention improved quality of life and biomarkers, but with a limited impact of tertiary prevention on cardiovascular events. In conclusion, lifestyle medicine with cultural adaptations is an integral part of preventive care in patients with T2D. However, considerable research gaps exist, especially for tertiary prevention.
      Citation: American Journal of Lifestyle Medicine
      PubDate: 2022-06-01T12:30:38Z
      DOI: 10.1177/15598276221095048
       
  • The Time is Now For Lifestyle Medicine: Lesson From Lifestyle Medicine
           Leaders

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      Authors: Cate Collings, Elizabeth Pegg Frates, Dexter Shurney
      Abstract: American Journal of Lifestyle Medicine, Ahead of Print.
      The time is NOW for Lifestyle Medicine. In this review based on a presentation at the American College of Lifestyle Medicine (ACLM) 2021 annual conference, ACLM Current President Cate Collings, MD, Immediate Past-President Dexter Shurney, MD, and President Elect Beth Frates, MD, share insights on the current state of lifestyle medicine (LM). Interest in LM has greatly advanced in the face of disruptions from the COVID-19 pandemic, expanded educational opportunities in the field, and a rapidly changing healthcare landscape. With growing access to virtual care, advancing technologies, growing emphasis on home-based chronic care, continuing corporate healthcare mergers and acquisitions, and widening adoption of personalized, patient-empowered treatments, the time is ripe for LM interventions to move to the mainstream. As health investments and costs skyrocket, and new players enter the scene, traditional models of payments, reimbursements, and incentives are slowly being upended. Companies and healthcare systems are finally recognizing the scientific evidence and powerful but undervalued potential of LM to accelerate healthy outcomes while controlling costs. Taken together, the lessons from the COVID-19 pandemic, the growth in LM educational opportunities, and the evolving “business of medicine landscape” signal that the time for lifestyle medicine is NOW.
      Citation: American Journal of Lifestyle Medicine
      PubDate: 2022-06-01T12:29:03Z
      DOI: 10.1177/15598276221088807
       
  • Lifestyle Behaviors, Depression, and Anxiety Among Individuals Living in
           Canada During the COVID-19 Pandemic

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      Authors: Mario Simjanoski, Taiane de Azevedo Cardoso, Bianca Wollenhaupt-Aguiar, Bianca Pfaffenseller, Raquel B. De Boni, Vicent Balanzá-Martínez, Benicio N. Frey, Luciano Minuzzi, Flavio Kapczinski
      Abstract: American Journal of Lifestyle Medicine, Ahead of Print.
      The aim of our study was to investigate the association between lifestyle behaviors and symptoms of depression and anxiety during the COVID-19 pandemic in Canada. A web survey was conducted between July 3–August 3, 2020, across Canada. The main outcomes considered were a positive screening for depression, as evaluated by the PHQ-2 and positive screening for anxiety, as evaluated by the GAD-7. Lifestyle behaviors were assessed using the Short Multidimensional Lifestyle Inventory Evaluation—Confinement (SMILE-C), an instrument adapted for lifestyle behaviors during the COVID-19 pandemic. The total sample size included 404 participants, of which 24.3% had a positive screen for depression, 20.5% for anxiety, and 15.5% for both. We found significant differences in SMILE-C scores between individuals with a positive and individuals with a negative screen for depression (P < .001). Likewise, there were significant differences in SMILE-C scores between individuals with a positive and individuals with a negative screen for anxiety (P < .001). We found an association between unhealthy lifestyle behaviors and symptoms of depression and anxiety during the COVID-19 lockdown in Canada. The findings highlight the importance of lifestyle medicine (LM) education and targeted lifestyle interventions to promote healthy behaviors and help reduce the burden of mental disorders.
      Citation: American Journal of Lifestyle Medicine
      PubDate: 2022-05-31T03:51:18Z
      DOI: 10.1177/15598276221102097
       
  • Lifestyle Medicine: Patient Centered, Value-Based, Outcome Driven

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      Authors: James M. Rippe
      Abstract: American Journal of Lifestyle Medicine, Ahead of Print.

      Citation: American Journal of Lifestyle Medicine
      PubDate: 2022-05-26T06:34:58Z
      DOI: 10.1177/15598276221093041
       
  • Six Applications of Plant Based Diets for Health Promotion

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      Authors: Saray Stancic, Josh Cullimore, Neal Barnard
      Abstract: American Journal of Lifestyle Medicine, Ahead of Print.
      The field of medicine, despite its prominent influence in society, has invested little to promote healthy lifestyle choices. The consequence of this is reflected in our ever-rising chronic disease statistics, most notably obesity and diabetes rates. This is especially regrettable considering overwhelming evidence confirms most non-communicable disease is preventable by modifying our diets. In light of this critical knowledge that optimizing our nutrition could save innumerable lives, one would naturally assume physicians would be readily practicing its promotion with their patients. Yet, that is far from true. By no fault of their own. Medical schools, entrusted with the responsibility of educating our future healthcare leaders, have managed to largely bypass the topic of nutrition, arguably the most powerful healthcare intervention known to mankind. In fact, on average, medical schools offer an anemic number of hours of nutrition education over 4 years. What little is offered is focused on biochemistry and nutrient deficiencies, none of which prepares a physician in training for meaningful application in clinical care. This lapse in nutrition education continues throughout post-graduate training; in a recent survey of more than 600 cardiologists, 90% reported they had not received needed nutrition education during training. Although we agree that not all physicians must be experts in nutrition, in the very least all should have knowledge of rudimentary and essential facts. We offer this commentary on six vital clinical topics, to increase awareness amongst physicians as to the importance of diet and its role in human health.
      Citation: American Journal of Lifestyle Medicine
      PubDate: 2022-05-26T03:38:16Z
      DOI: 10.1177/15598276221104023
       
  • The Comprehensive School Physical Activity Program: An Invited Review

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      Authors: Collin A. Webster
      Abstract: American Journal of Lifestyle Medicine, Ahead of Print.
      Physical inactivity is a global challenge that necessitates early intervention during childhood. Schools are positioned to make a significant impact on children’s current and future physical activity behavior, but numerous barriers hinder the implementation and sustainability of school-based physical activity opportunities. The purpose of this invited article is to provide an overview of the comprehensive school physical activity program (CSPAP) as a concept, framework, and promising approach to institutionalizing physical activity within the school environment. Despite the availability of numerous published reviews on the topic, a broad, up-to-date panorama of the CSPAP literature that encompasses and consolidates historical, conceptual, empirical, and practical perspectives is currently lacking. Contained within this article is an explanation of the public health context that undergirds the CSPAP concept, a historical perspective of the concept’s origins and evolution, examples of CSPAP research, recommendations for advancing the knowledge base, and evidence-informed frameworks and principles for professional practice.
      Citation: American Journal of Lifestyle Medicine
      PubDate: 2022-05-25T01:20:26Z
      DOI: 10.1177/15598276221093543
       
  • Bringing the “Joy of Healthy Eating” to Advanced Medical Students:
           Utilizing a Remote Learning Platform to Teach Culinary Medicine: Findings
           from the First Online Course Based on the ACLM’s Whole-Food Plant-Based
           Culinary Medicine Curriculum

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      Authors: Natalie M. Yousef, Robert J. Wallace, Gregory A. Harlan, Elizabeth Beale
      Abstract: American Journal of Lifestyle Medicine, Ahead of Print.
      Over 80% of chronic disease is caused by lifestyle practices, including an unhealthy diet. Despite this, most medical students in the United States graduate having received minimal nutrition education, guidance towards improving their nutrition, or skills needed to coach patients to adopt a healthier diet. This study aimed to educate fourth-year medical students in evidence-based knowledge regarding a delicious, whole-food plant-based diet while introducing practical culinary skills and patient coaching skills. We adapted an open-source culinary medicine curriculum designed for in-person teaching of pre-clinical medical students to provide a novel 1-month online elective to fourth-year medical students. We used a 26-item pre/post questionnaire to assess change in evidence-based knowledge regarding nutrition, culinary skills, patient coaching skills, and attitudes toward a whole-food plant-based diet. In addition, we reviewed narrative comments by the student participants, course directors, and medical-school administrators. Scores in all 4 domains were tested, and for all individual questions, they showed statistically significant improvement following the course. Most narrative responses were positive, and areas for improvement were also identified. We successfully adapted an open-source whole-food plant-based culinary medicine curriculum for advanced medical students into a 1-month elective taught on a virtual platform. This course filled a need for training in nutrition and counseling for these students as they start their professional careers.
      Citation: American Journal of Lifestyle Medicine
      PubDate: 2022-05-25T01:19:07Z
      DOI: 10.1177/15598276221092971
       
  • A Remote Diet and Exercise Intervention for Surgical Patients With
           Prefrailty and Frailty During the COVID-19 Pandemic

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      Authors: Marianne Desir, Otmara Soberanes, Fei Tang, Veronica M. Garcia
      Abstract: American Journal of Lifestyle Medicine, Ahead of Print.
      Objectives: To facilitate the success of surgical patients with prefrailty and frailty in meeting diet and exercise goals in the context of the COVID-19 pandemic, and to encourage patient satisfaction with remote care. Methods: In the setting of the COVID-19 pandemic, surgical patients with prefrailty and frailty were offered remote visits with a geriatrician and a remote diet and exercise coaching program. Results: The coaching participants set a mean of 37 (±15) individualized dietary goals and 17 (±11) individualized exercise goals. 75% of the coaching participants met at least 65% of their dietary goals and 75% met at least 50% of their exercise goals. All patients met at least one diet goal and at least one exercise goal. Patients endorsed high levels of satisfaction with the program. Discussion: Diet and exercise interventions for surgical patients with prefrailty and frailty have potential for adaptation to remote formats. Such interventions may facilitate patients’ meeting of individualized diet and exercise goals and may also encourage patient satisfaction.
      Citation: American Journal of Lifestyle Medicine
      PubDate: 2022-05-24T12:47:18Z
      DOI: 10.1177/15598276221093929
       
  • Healthy From the Start—Lifestyle Interventions in Early Childhood

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      Authors: Michelle Dalal, Yamileth Cazorla-Lancaster, Cherie G. Chu, Neeta Agarwal
      Abstract: American Journal of Lifestyle Medicine, Ahead of Print.
      Lifestyle interventions are effective from the earliest years of childhood. To best promote health, lifestyle factors should be implemented for children and their families from birth. This includes introducing families to the benefits of a whole-food plant-based (WFPB) or plant-predominant diet, daily physical activity, positive family and peer social connections, avoidance of risky substances for caregivers, optimal sleep habits, and stress management and mindfulness for all family members. Through attention to these six pillars of lifestyle medicine, children and their families can succeed in initiating and maintaining optimal lifelong physical and mental health.
      Citation: American Journal of Lifestyle Medicine
      PubDate: 2022-05-24T12:43:16Z
      DOI: 10.1177/15598276221087672
       
  • The Complete Health Improvement Program and Physical Activity

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      Authors: Vincent Relli-Dempsey, Bhakti Chavan, David Drozek
      Abstract: American Journal of Lifestyle Medicine, Ahead of Print.
      Background: The Complete Health Improvement Program (CHIP) has demonstrated effectiveness in improving multiple cardiovascular disease risk factors. CHIP promotes physical activity, as well as a plant-based whole-food diet. The study objective is to evaluate the effectiveness of CHIP on improving levels of physical activity. Methods: CHIP participants had biomarkers measured at baseline and after the 11th session, consisting of level of physical activity, blood pressure (BP), body mass index (BMI), fasting blood sugar (FBS), and lipid panel. Pre and post data were analyzed using paired t-tests. Results. CHIP demonstrated significant increase in level of physical activity (P < .001) and decreased BMI, FBS, total cholesterol, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, and triglycerides (all P < .001). Increased levels of physical activity correlated with decreased BMI (P < .001), but not with other biomarkers. Conclusion: CHIP is effective in producing increased level of physical activity and improvement in multiple biomarkers. The increase in physical activity is correlated with decreased BMI.
      Citation: American Journal of Lifestyle Medicine
      PubDate: 2022-05-24T12:19:36Z
      DOI: 10.1177/15598276221089884
       
  • Meeting Specific 24-Hour Movement Guidelines Is Associated With BMI Among
           University Students With Overweight/Obesity

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      Authors: Caitlin P. Bailey, Loretta DiPietro, Laura L. Hayman, Zohaa Ahmad, Melissa A. Napolitano
      Abstract: American Journal of Lifestyle Medicine, Ahead of Print.
      Background: Approximately 40% of college/university students have overweight/obesity; physical activity and sleep play a role. To address these interrelated behaviors, Canada recently released 24-Hour Movement Guidelines. This study aimed to determine (1) the percent of students with overweight/obesity meeting Canadian 24-Hour Movement Guidelines, (2) whether health behaviors differ by demographics, and (3) whether meeting guidelines is associated with BMI. Methods: University students 18–35 years (n = 459) enrolled in a randomized controlled weight management trial completed 1 week of ActiGraph measured activity, self-reported sleep duration, researcher-measured height/weight, and demographics at baseline. ANOVA and t-tests determined differences in student demographics and BMI among those meeting vs not meeting each guideline. Results: Of the analytic sample (n = 403), 341 (84.6%) met the MVPA guideline, 284 (70.5%) met the LIPA guideline, 236 (58.6%) met the sleep guideline, 62 (15.4%) met the sedentary time guideline, and 34 (8.4%) met all guidelines. Students meeting MVPA (30.8±4.3 vs 32.5±4.5, P = .008) or sleep (30.7±4.4 vs 31.6±4.3, P = .04) guidelines had significantly lower BMIs compared to those not meeting each guideline. Percent of students meeting sleep (P = .039) or all guidelines (P = .012) differed by race/ethnicity. Conclusion: Meeting MVPA/sleep guidelines is associated with lower BMI; these behaviors are important targets for future weight management programs.
      Citation: American Journal of Lifestyle Medicine
      PubDate: 2022-05-24T02:41:32Z
      DOI: 10.1177/15598276221090190
       
  • Cardio-Respiratory Fitness and Cardiovascular Disease Risk Factors Among
           South African Medical Students

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      Authors: Georgia Torres, Neil F Gordon, Demitri Constantinou
      Abstract: American Journal of Lifestyle Medicine, Ahead of Print.
      Cardiovascular disease (CVD) risk factors have been associated with CVD mortality, and physicians use CVD risk factor profiles (smoking, dyslipidemia, hypertension, etc.) to address patient health. Furthermore, cardio-respiratory fitness (CRF) has been shown to be an independent risk factor for CVD and all-cause mortality. Cardio-respiratory fitness is also the risk factor that contributes the highest percentage to all-cause deaths when compared to other traditional risk factors. In addition, studies have reported that adding CRF to established CVD risk factors improves the precision of prediction for CVD morbidity and mortality. Medical students tend to adopt sedentary and unhealthy lifestyles during the course of their education that negatively affect CVD risk factors and CRF. The majority of research on CVD risk, health status and lifestyle factors of medical students has used self-reported data and questionnaires for CVD risk factors and not included CRF in the health status measurements. In addition, studies have found that future medical doctors’ own health and lifestyle practices influence their counselling activities. Allowing future medical doctors to assess their personal CVD risk factors and CRF may thus be important in their use of physical activity counselling with patients’ lifestyle management for health benefits and improvement. A descriptive, cross-sectional cohort study design was used with the aim to determine CVD risk factors using CRF measures and physical activity levels in a cohort of South African medical students. The most significant finding was that they were not meeting the PA levels recommended to maintain health and lower CVD risk.
      Citation: American Journal of Lifestyle Medicine
      PubDate: 2022-05-23T09:05:50Z
      DOI: 10.1177/15598276221089888
       
  • Physician Nutrition Advice and Referrals to Registered Dietitians

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      Authors: Rachele Pojednic, Edward Phillips, Amal Shehadeh, Alexandria Muller, Elizabeth Metallinos-Katsaras
      Abstract: American Journal of Lifestyle Medicine, Ahead of Print.
      Purpose. This study aims to examine the frequency and content of healthcare providers’ nutrition recommendations and referrals Registered Dietitian Nutritionists (RDN). Methods. Physicians, physician assistants, nurses, and other providers (> 18 years of age) currently practicing primarily in the United States received an email survey that assessed dietary recommendations for diabetes, hypertension, dyslipidemia, overweight/obesity, and general wellbeing, frequency and comfort level of providing nutrition advice, and RDN referrals. Chi-square and Student’s t-tests were used for analysis. Results. 154 physicians (61%), registered nurses/nurse practitioners/physician assistants (19.5%), and other providers (19.5%) were included. Those with nutrition education gave nutrition advice more than those without for some, but not all, conditions (P = .01). The Mediterranean diet was most frequently recommended, except for hypertension. The DASH diet was recommended to 47.7% of patients with hypertension. More providers gave dietary advice than referred to RDNs. Dietary advice was associated with RDN referrals for diabetes (P = .01) and wellbeing (P = .05). Providers with an RDN in their practice provided advice for diabetes more than those without (P = .01). Conclusion. Healthcare providers gave nutrition recommendations consistent with evidence-based guidance. RDN referrals occur in conjunction with dietary recommendations, not as replacement.
      Citation: American Journal of Lifestyle Medicine
      PubDate: 2022-05-23T08:45:54Z
      DOI: 10.1177/15598276221092304
       
  • Nudging as a Support for Behavioral Change in Lifestyle Medicine

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      Authors: Simon Matthews
      Abstract: American Journal of Lifestyle Medicine, Ahead of Print.
      The practice of lifestyle medicine and its emphasis on behavioral change continues to grow around the world. Yet much of the burden of disease weighing on healthcare systems from chronic, modifiable conditions remains stubbornly present. From a behavior change perspective, efforts to date have primarily focused on public health messaging and public health campaigns (global approaches) to interventions such as health coaching (individual approaches). There exists an opportunity to consider contextual elements which support behavioral change. The practice of “nudging” behavior in primary care and allied health settings is proposed as a means of responding to these contextual opportunities. Nudging does not assure change; however, it can invite curiosity about change and small behavioral efforts in the direction of a desired change. Furthermore, its nature conserves autonomy and patient choice while inviting a health-creating behavior. As such, when considered and applied in the context of public health and individual treatment options, it creates a consistent milieu in which behavior change is facilitated.
      Citation: American Journal of Lifestyle Medicine
      PubDate: 2022-05-19T10:25:30Z
      DOI: 10.1177/15598276221103476
       
  • The Transformative Potential of Lifestyle Medicine

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      Authors: Neha Pathak, Melissa Mondala
      Abstract: American Journal of Lifestyle Medicine, Ahead of Print.

      Citation: American Journal of Lifestyle Medicine
      PubDate: 2022-05-18T06:13:35Z
      DOI: 10.1177/15598276221088264
       
  • Older Adult and Healthcare Provider Beliefs About Fall Prevention
           Strategies

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      Authors: Ankita Henry, Yara Haddad, Gwen Bergen
      Abstract: American Journal of Lifestyle Medicine, Ahead of Print.
      Introduction: Older adults reported about 36 million falls in 2018. Although effective strategies are available to address risk factors and minimize fall risk, little is known about older adults’ and healthcare providers’ awareness of these strategies. This study describes and compares healthcare providers’ and older adults’ beliefs about fall prevention and strategies. Methods: Demographic and fall-related data for older adults were obtained from the 2019 fall cohort of Porter Novelli ConsumerStyles. Similar data from primary care practitioners, nurse practitioners, and physician assistants were gathered from the 2019 cohort of DocStyles. Results: Most providers (91.3%) and older adults (85.1%) believed falls can be prevented. Both providers and older adults were most likely to consider strength and balance exercises (90.7% and 82.8%, respectively) and making homes safer (90.5% and 79.9%, respectively) as strategies that help prevent falls. More providers reported that managing medications (84.2%) and tai chi (45.7%) can prevent falls compared to older adults (24.0% and 21.7%, respectively; P < .0001). Conclusion: More healthcare providers than older adults indicated evidence-based strategies exist to reduce falls. Increased patient and provider communication can increase awareness about the benefits of evidence-based strategies such as tai chi, strength and balance exercises, and medication management.
      Citation: American Journal of Lifestyle Medicine
      PubDate: 2022-05-17T10:08:00Z
      DOI: 10.1177/15598276221100431
       
  • Sport: A Holistic Approach to Lifestyle Medicine

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      Authors: David W. Walsh, Morgan Ferrara, Katherine R. Arlinghaus, Craig A. Johnston
      Abstract: American Journal of Lifestyle Medicine, Ahead of Print.
      Sport represents a holistic health tool that unifies multiple pillars of lifestyle medicine. Sport can mitigate both the ongoing health disparities in communities that were present before COVID-19 and those exacerbated after COVID-19. The significance of this recommendation is highlighted by the impact sport participation has on creating healthy relationships, managing stress, and delivering physical activity among diverse populations. Importantly, sport can offer meaning and value to its participants, particularly when COVID-19 has limited people’s ability for purposeful activity and social interaction. Clinicians are urged to consider the broad utility of sport for the prevention and treatment of unhealthy behaviors.
      Citation: American Journal of Lifestyle Medicine
      PubDate: 2022-05-16T12:28:14Z
      DOI: 10.1177/15598276221090470
       
  • Living Your Best Life: Lifestyle Medicine for All Women

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      Authors: John McHugh, Megan Alexander, Rashmi Kudesia, Jessica Krant, Amy Comander, Michelle Tollefson, Cynthia Geyer
      Abstract: American Journal of Lifestyle Medicine, Ahead of Print.
      In an era of ever-increasing healthcare expenditures, yet simultaneously worsening outcomes, many of our patients choose between traditional medical care or often unproven alternative therapies. While the recognition of lifestyle change in addressing cardiovascular and metabolic disease grows, there is less understanding of the impact of lifestyle change on issues facing women every day. Millions of women around the globe struggle with infertility, cancer, sexual dysfunction, and dermatologic needs. Yet, research on the benefits of lifestyle change on these conditions is scarce, and gaps exist both in our understanding of evidence-based approaches to address these issues, as well as adequate provider education when evidence exists. The Women’s Health Member Interest Group convened medical experts in these areas that affect women’s lives to provide insights and meaningful education applicable not only for our patients, but also in our own lives.
      Citation: American Journal of Lifestyle Medicine
      PubDate: 2022-05-16T07:11:28Z
      DOI: 10.1177/15598276221087677
       
  • Lifestyle Medicine Interventions for Personal and Planetary Health: The
           Urgent Need for Action

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      Authors: Neha Pathak, Kathryn J. Pollard, Amanda McKinney
      Abstract: American Journal of Lifestyle Medicine, Ahead of Print.
      The deterioration of planetary health—from threats such as climate change, environmental pollution, biodiversity loss, and ocean acidification—are a growing hazard to the foundation of health and the “healthspan.” For those with chronic conditions—a large and growing subset of the global population—the health dangers are even greater. Climate change is a threat to the very pillars of lifestyle medicine that we rely on to prevent and manage chronic disease. Already, the planetary crisis is limiting our ability to prescribe healthy nutrition, safe outdoor physical activity, stress management strategies, social connection, restorative sleep, and toxic substance avoidance. In this article, we discuss the proceedings of our workshop at the American College of Lifestyle Medicine (ACLM) annual conference LM2021, “Lifestyle Medicine for Personal and Planetary Health.” We examine how lifestyle medicine (LM) interventions are a prescription for individual, community, and planetary health. Our prescriptions work to not only restore the health of individuals and families, but also to bolster health equity while allowing us to mitigate and adapt to the health impacts of the planetary crises.
      Citation: American Journal of Lifestyle Medicine
      PubDate: 2022-05-16T06:07:29Z
      DOI: 10.1177/15598276221090887
       
  • “Incorporating a Gym Facility in a Lifestyle Medicine Practice for
           Patients with Diabetes Mellitus”

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      Authors: Karl Nadolsky, Austin Baraki, Spencer Nadolsky
      Abstract: American Journal of Lifestyle Medicine, Ahead of Print.
      Incorporating a gym or fitness facility into a lifestyle-focused clinic is potentially one of the most critical facets of the patient-focused care, especially for those with obesity, cardiometabolic disease, and all types of diabetes mellitus. The evidence for prioritizing physical activity and exercise as medicine is well-researched and universally recommended as first-line therapy plus prevention of many chronic disease states. Having a fitness center on-site as part of any clinic could improve patient utilization, reduce barrier to entry, and decrease hesitation to engage in exercise like resistance training. While the conceptualization may seem simple, the pragmatic application and implementation takes proper planning. Developing such a gym will depend upon gym size preference, program development, cost, and available personnel. Thought needs to be put into deciding which type of exercise and ancillary equipment, ranging from aerobic or resistance machines to free weights, will be included and in what format. Fee and payment options should be carefully considered to assure the budget works financially for both the clinic and patient population. Finally, graphic examples of clinical gyms are described to convey the potential reality of such an optimal setting.
      Citation: American Journal of Lifestyle Medicine
      PubDate: 2022-05-16T05:39:07Z
      DOI: 10.1177/15598276221089898
       
  • Vaccine Equity: Lessons Learned from the COVID-19 Pandemic

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      Authors: Nicole D. White, Hannah Grimm
      Abstract: American Journal of Lifestyle Medicine, Ahead of Print.
      The COVID-19 pandemic has disproportionately affected racial and ethnic minorities, a group who is also less likely to be fully vaccinated. Vaccine hesitancy and vaccine access both play a role in the vaccine inequities observed during the COVID-19 pandemic. Strategies to improve access and reduce hesitancy are discussed.
      Citation: American Journal of Lifestyle Medicine
      PubDate: 2022-05-14T06:22:52Z
      DOI: 10.1177/15598276221090451
       
  • Shared Medical Appointments in Weight Management: A Culturally Responsive
           Process for Aboriginal Women. Translational Trial Results

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      Authors: John Stevens, Bob Morgan, Firth Willow, Garry Egger
      Abstract: American Journal of Lifestyle Medicine, Ahead of Print.
      Introduction: This paper presents a secondary analysis of data from a study of 216 people participating in a trial of program shared medical appointments (PSMA) in weight management. The focus of this paper is the Aboriginal women who participated in this translational research project and who were not reported on specifically in the primary analysis and publication. This paper, therefore, examines the use of PSMA as a culturally safe and responsive procedure to facilitate weight management. Method: Twogroups, totalling 25 Aboriginal women, participated in a 6-session 12-week culturally responsive weight management PSMA. Repeated weight and satisfaction measures at 3, 6 and 12 months were collected. Results: 19 of 25 (76%) Aboriginal women completed the MYU. 16 (84%) lost some weight, and 5 (26%) lost clinically significant weight (> 5%), sustained for 1 year. The participants and providers rated the procedure> 4 on 5-point Likert scales for satisfaction. 95% reported that they preferred MYUs for weight management over 1:1 consultations with their general practitioner. Conclusion: The data indicates that programmed shared medical appointments appear to be a culturally safe and responsive procedure to support the Aboriginal women, in this study, to manage their weight.
      Citation: American Journal of Lifestyle Medicine
      PubDate: 2022-05-11T09:26:44Z
      DOI: 10.1177/15598276221088246
       
  • Neurological Health: Not Merely the Absence of Disease: Current Wellbeing
           Instruments Across the Spectrum of Neurology

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      Authors: Benjamin Ziegeler, Wendyl D’ Souza, Anita Vinton, Sarah Mulukutla, Cameron Shaw, Ross Carne
      Abstract: American Journal of Lifestyle Medicine, Ahead of Print.
      Objective. Well-being and quality of life can vary independently of disease. Instruments measuring well-being and quality of life are commonly used in neurology, but there has been little investigation into the extent in which they accurately measure wellbeing/quality of life or if they merely reflect a diseased state of an individual. Design. Systematic searches, thematic analysis and narrative synthesis were undertaken. Individual items from instruments represented in ≥ 5 publications were categorised independently, without prior training, by five neurologists and one well-being researcher, as relating to ‘disease-effect’ or ‘Well-being’ with a study-created instrument. Items were additionally categorised into well-being domains. Data sources. MEDLINE, EMBASE, EMCARE and PsycINFO from 1990 to 2020 were performed, across the 13 most prevalent neurological diseases. Results. 301 unique instruments were identified. Multiple sclerosis had most unique instruments at 92. SF-36 was used most, in 66 studies. 22 instruments appeared in ≥ 5 publications: 19/22 ‘well-being’ outcome instruments predominantly measured disease effect (Fleiss kappa = .60). Only 1/22 instruments was categorised unanimously as relating to well-being. Instruments predominantly measured mental, physical and activity domains, over social or spiritual. Conclusions. Most neurological well-being or quality-of-life instruments predominantly measure disease effect, rather than disease-independent well-being. Instruments differed widely in well-being domains examined.
      Citation: American Journal of Lifestyle Medicine
      PubDate: 2022-05-05T01:46:24Z
      DOI: 10.1177/15598276221086584
       
  • The Role of Nutrition in COVID-19: Taking a Lesson from the 1918 H1N1
           Pandemic

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      Authors: Hana Kahleova, Neal D. Barnard
      Abstract: American Journal of Lifestyle Medicine, Ahead of Print.
      In looking for solutions to the COVID-19 pandemic, important lessons come from the H1N1 influenza pandemic of 1918–1919. During the H1N1 influenza pandemic, the soldiers had better outcomes than the civilian populations, but the best outcomes were reported by a Seventh-day Adventist seminary, where a plant-based diet was provided. The diet has been described as including grains, fruits, nuts, and vegetables. A few clinical trials have also assessed the role of nutrition in COVID-19. One study with almost six hundred thousand participants showed that those with a high consumption of fruits and vegetables had a reduced risk of COVID-19 of any severity by 9% and a reduced risk of severe COVID-19 by 41%. Another study in healthcare workers who were frequently exposed to COVID-19 in their clinical practice has demonstrated that those who reported being on a plant-based diet had a 73% lower risk of moderate-to-severe COVID-19. Based on the lessons from 1918 and the recent nutrition research in COVID-19, it seems plausible that a healthful plant-based diet may be a powerful tool to decrease the risk of severe COVID-19 and should be promoted as one of the public health safety measures.
      Citation: American Journal of Lifestyle Medicine
      PubDate: 2022-05-02T12:32:10Z
      DOI: 10.1177/15598276221097621
       
  • AJLM LM2021 Conference Wrap-up

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      Authors: Cate Collings
      Abstract: American Journal of Lifestyle Medicine, Ahead of Print.

      Citation: American Journal of Lifestyle Medicine
      PubDate: 2022-04-30T01:39:09Z
      DOI: 10.1177/15598276221076101
       
  • Testing Theory-Based Expressive Writing Interventions to Reduce Disordered
           Eating Behaviors and Cognitions

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      Authors: Christine Skubisz, Angelina N Seeney, Carly R Pacanowski
      Abstract: American Journal of Lifestyle Medicine, Ahead of Print.
      Disordered eating includes both behaviors and cognitions and can cause many of the same negative health outcomes as clinically diagnosed eating disorders (e.g., growth retardation, nutritional deficiencies, and psychosocial disturbances). Compared to the general population, disordered eating is more common in college-age women. An experiment was conducted to test 8 expressive writing interventions in the context of disordered eating. Interventions were drawn from theory-based prevention programs, which included cognitive behavioral therapy, peer and media risk reduction, and cognitive dissonance theory. Dependent variables included emotions (e.g., sadness and hope), evaluation of the expressive writing interventions (e.g., engagement, clarity, ease, and interest), and re-evaluation of disordered eating behaviors and cognitions. Results show that 62.90% of participants had observed disordered eating in their peers. Sadness, with an action tendency related to increased inward evaluation, was the most typical emotional response upon completion of the expressive writing tasks. Interventions that were based on the principles of cognitive behavioral therapy led to the most positive outcomes including engagement and re-evaluation of current disordered eating behaviors and cognitions. Overall, it was concluded that expressive writing interventions are effective in eliciting emotions and causing a re-evaluation of harmful behaviors and cognitions in the context of disordered eating.
      Citation: American Journal of Lifestyle Medicine
      PubDate: 2022-04-27T05:48:19Z
      DOI: 10.1177/15598276221082604
       
  • Impact of Aerobic High-Intensity Interval Training Intervention and
           Mediterranean Diet Recommendations on Health-Related Quality of Life and
           Lifestyle Modification in Post-Myocardial Infarction Patients: Results
           From the INTERFARCT Surveys

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      Authors: Jon A. Jayo-Montoya, Borja Jurio-Iriarte, Gualberto R. Aispuru, Beatriz Villar-Zabala, Sonia Blanco-Guzman, Sara Maldonado-Martin
      Abstract: American Journal of Lifestyle Medicine, Ahead of Print.
      This study aims to determine the impact of 2 (low vs high volume) high-intensity interval training (HIIT) programs with Mediterranean diet (MedDiet) recommendations on health-related quality of life (HRQoL) and lifestyle modification, and to examine the relationships between the changes in anxiety and depression with HRQoL and lifestyle variables after myocardial infarction (MI). Participants (n = 80) were randomized to attention control or one of the two supervised HIIT groups (2 d/weeks). Surveys before and after intervention (16 weeks): HRQoL (SF-36), anxiety and depression (HADS), MedDiet adherence (MEDAS), and physical activity (PA) and sedentary behavior (SB) levels. After intervention, there were improvements (P < .05) in HRQoL, HADS scores, and MedDiet adherence, with higher PA level in both HIIT groups with no between-HIIT group differences. The HADS score decline correlated (P < .05) with both the increase in physical component of SF-36 (r = .42), the overall metabolic expenditure (r = .26), and adherence to the MedDiet (r = .24), and the reduction in the SB (r = .35). HIIT exercise intervention with MedDiet recommendations improved HRQoL, along with reduced anxiety and depression symptoms, and a healthier lifestyle after MI. Better mental health was related to higher values of PA and MedDiet adherence.
      Citation: American Journal of Lifestyle Medicine
      PubDate: 2022-04-27T01:32:14Z
      DOI: 10.1177/15598276221087628
       
  • The Negative Impact of Routine, Dietary Pattern, and Physical Activity on
           Obesity and Dysglycemia During the COVID-19 Pandemic

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      Authors: Justina L. Ray, Reshmi Srinath, Jeffrey I. Mechanick
      Abstract: American Journal of Lifestyle Medicine, Ahead of Print.
      The global coronavirus disease 2019 (COVID-19) pandemic, caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) outbreak, has disrupted routines in education, work, exercise, and dining habits. To prevent viral spread, communal spaces including offices, schools, restaurants, and gyms have closed or drastically limited their capacity. Additionally, government-mandated lockdown orders have forced people to spend more time at home. Studies have shown that these COVID-19 restrictions have led to unhealthier eating patterns, increased sedentary behaviors, and decreased physical activity, leading to weight gain, dysglycemia, and increased metabolic risk. While strict social distancing measures have been necessary to curb the spread of the SARS-CoV-2 virus, people have been forced to adapt by altering their daily routines. Based on existing literature, a model is proposed for intentionally creating daily routines to ensure healthy habits, minimize weight gain, and prevent worsening dysglycemia.
      Citation: American Journal of Lifestyle Medicine
      PubDate: 2022-04-21T09:02:04Z
      DOI: 10.1177/15598276221084923
       
  • BASE: Pragmatic Injury Prevention for Practitioners

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      Authors: Benjamin K. Barton, Brian J. Pugliese
      Abstract: American Journal of Lifestyle Medicine, Ahead of Print.
      Unintentional injury remains a leading health problem in developed nations, making injury prevention imperative. Practitioners are primary stakeholders in the injury prevention process but rarely can devote significant time to complicated prevention efforts. Furthermore, theory-based approaches to support injury prevention are less common than atheoretical approaches. We propose a simple method for injury prevention grounded in concepts found in antecedent models. Barriers, attitudes, social context, and environmental factors (or BASE) are suggested as a simple injury prevention model practitioners can follow when working with patients. We present each component of BASE and offer examples of how the approach can be applied to risk factors associated with several types of injury risk behavior.
      Citation: American Journal of Lifestyle Medicine
      PubDate: 2022-04-15T11:47:10Z
      DOI: 10.1177/15598276221083566
       
  • A Randomized, Crossover Trial of a Nutritional Intervention for Rheumatoid
           Arthritis

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      Authors: Neal D. Barnard, Susan Levin, Lee Crosby, Rosendo Flores, Richard Holubkov, Hana Kahleova
      Abstract: American Journal of Lifestyle Medicine, Ahead of Print.
      To investigate the effects of a dietary intervention on arthritis pain and disease severity, 44 adults previously diagnosed with rheumatoid arthritis were randomly assigned to a Diet phase (vegan diet for 4 weeks, elimination of additional foods for 3 weeks, and then reintroduction of the eliminated foods individually over 9 weeks) or a Supplement (placebo) phase for 16 weeks. After a 4-week washout, they then switched to the opposite phase. The Disease Activity Score-28 (DAS28) decreased from 4.5 to 2.5 (P < .001) in the Diet phase and from 3.2 to 2.9 (P = .41) in the Supplement phase (between-group P = .01). The mean number of swollen joints decreased from 7.0 to 3.3 in the Diet phase (P = .03) and increased from 4.7 to 5 in the Supplement phase (P = .63; between-group P = .047).In a subanalysis excluding individuals who increased medications during the study, DAS28 decreased 1.9 points in the Diet phase (P = .003) and .4 points in the Supplement phase (P = .27; between-group P = .04). In a further subanalysis limited to participants making no medication changes, DAS28 decreased 1.5 points in the Diet phase (P = .009) and .3 points in the Supplement phase (P = .40, between-group P = .11). We conclude that the dietary intervention was associated with symptomatic improvements. TRIAL REGISTRATION: Clinicaltrials.gov NCT01544101, NCT01700881, NCT03417648, and NCT03580681
      Citation: American Journal of Lifestyle Medicine
      PubDate: 2022-04-04T03:02:14Z
      DOI: 10.1177/15598276221081819
       
  • A Health Behavior and Lifestyle Intervention Pilot Trial for Childbearing
           Adolescents

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      Authors: Karen Wambach, Ann M. Davis, Eve-Lynn Nelson, Rebecca Swinburne Romine, Karman Romero, Rachel Muzzy, Megan Murray, Dana Bakula
      Abstract: American Journal of Lifestyle Medicine, Ahead of Print.
      We pilot tested a multiple health behavior change (MHBC) intervention to improve breastfeeding rates, healthy eating/active living, and depression prevention among pregnant and parenting adolescent mothers. We also assessed utility of the MHBC mHealth approach by examining health behavior coaction and intervention acceptability. We used a longitudinal randomized controlled trial to compare the tablet-delivered momHealth to a control condition (usual care). Delivered between 32 weeks of pregnancy and one month postpartum, momHealth included nine multi-media education modules, simultaneous daily educational text messaging, and weekly videoconferences for individual and group support. Main outcomes included “any” and “exclusive” breastfeeding initiation and continuation for 5 weeks and 3 months postpartum; number of fruit and vegetable servings; minutes of moderate/vigorous physical activity per day; and depressive symptoms. Sixty-two adolescents aged 16–19 having their first baby were randomized. Compared to Control, more momHealth participants were still breastfeeding at 5 weeks (chi-square = 3.91, df = 1, P = .048). Mothers who breastfed for 3 months were more likely to eat adequate daily fruits/vegetables. Participants positively rated the intervention. momHealth positively affected early breastfeeding continuation and trended toward positive outcomes in healthy living and depressive symptoms. A fully powered trial is planned to test the intervention more effectively.
      Citation: American Journal of Lifestyle Medicine
      PubDate: 2022-03-23T10:16:33Z
      DOI: 10.1177/15598276221080367
       
  • Improving Health through Action on Economic Stability: Results of the
           Finances First Randomized Controlled Trial of Financial Education and
           Coaching in Single Mothers of Low-Income

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      Authors: Nicole White, Kathleen Packard, Julie Kalkowski, Ryan Walters, Ann Ryan Haddad, Kathy Flecky, Lorraine Rusch, Jennifer Furze, Lisa Black, Julie Peterson
      Abstract: American Journal of Lifestyle Medicine, Ahead of Print.
      Objectives. Evaluate the health impact of a novel financial education and coaching program in single mothers of low-income in Omaha, Nebraska. Methods. Employed, single mothers earning no more than 200% of the 2017 Federal Poverty Level (n = 345) enrolled in the study between April 2017 and August 2020 and were randomized to receive a novel financial education and coaching program, the Financial Success Program (FSP) or no intervention control. Demographics, biometrics, financial strain, health behaviors and healthcare utilization were assessed at baseline and the 12-month study visits. Results. Participants who completed the FSP demonstrated significantly reduced financial strain, an increased rate of smoking cessation, and a reduction in avoidance of medical care due to cost compared to participants in the control group. Conclusions. The FSP represents an effective model in promoting economic stability in vulnerable individuals through a reduction in financial strain. Health behavior changes including an increased rate of smoking cessation were demonstrated within the first 12 months of intervention.
      Citation: American Journal of Lifestyle Medicine
      PubDate: 2022-03-08T02:23:04Z
      DOI: 10.1177/15598276211069537
       
  • Incorporating Lifestyle Medicine Into Primary Care Practice: Perceptions
           and Practices of Family Physicians

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      Authors: Rajani Bharati, Kevin A. Kovach, Jonathan P. Bonnet, Polina Sayess, Elizabeth Polk, Keisha Harvey, Lauren Vorbeck
      Abstract: American Journal of Lifestyle Medicine, Ahead of Print.
      Introduction: Lifestyle medicine (LM) uses therapeutic lifestyle behavior change to address the root causes of chronic diseases. The purpose of this study was to assess family physicians’ perceptions and utilization of LM principles in their primary care practices, as well as identify reported barriers to implementation. Methods: A survey was administered to 5770 family physicians registered with the American Academy of Family Physicians (AAFP). The survey questions assessed the gap between perception and practice of LM core competencies and the 6 domains of LM. Results: The responses from 447 family physicians were included in the study. Respondents’ perceived importance and reported practice was higher for clinical skills compared to the community partnerships and advocacy. There was a substantial gap in the reported comfort with and practice of certain LM domains, such as sleep (47%) and relationships (39.4%). However, LM board-certified physicians had a significantly higher frequency of practice in these domains. The majority of participants identified both difficulty with changing patient behavior (89%) and having limited time (81%) as major barriers to incorporate LM into their practice. Conclusion: Lifestyle medicine concepts resonate strongly with family physicians although gaps exist surrounding engaging in community partnerships, advocacy, and certain domains of LM.This study assesses family physicians’ perceptions and utilization of LM principles in their primary care practices, and identifies reported barriers to implementation.
      Citation: American Journal of Lifestyle Medicine
      PubDate: 2022-03-03T05:00:49Z
      DOI: 10.1177/15598276211072506
       
  • Physical Activity as an Adjunct Treatment for People Living with HIV'

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      Authors: Elizabeth Enichen, Robert B. Adams, Barbara Demmig-Adams
      Abstract: American Journal of Lifestyle Medicine, Ahead of Print.
      This review evaluates physical activity as a candidate for an adjunct treatment, in conjunction with antiretroviral therapy (ART), for people living with HIV (PLWH). Evidence is summarized that chronic, non-resolving inflammation (a principal feature of immune system dysfunction) and a dysfunctional state of the gut environment are key factors in HIV infection that persist despite treatment with ART. In addition, evidence is summarized that regular physical activity may restore normal function of both the immune system and the gut environment and may thereby ameliorate symptoms and non-resolving inflammation-associated comorbidities that burden PLWH. Physicians who care for PLWH could thus consider incorporating physical activity into treatment plans to complement ART. It is also discussed that different types of physical activity can have different effects on the gut environment and immune function, and that future research should establish more specific criteria for the design of exercise regimens tailored to PLWH.
      Citation: American Journal of Lifestyle Medicine
      PubDate: 2022-03-03T03:28:28Z
      DOI: 10.1177/15598276221078222
       
  • Dosing of Health and Wellness Coaching for Obesity and Type 2 Diabetes:
           Research Synthesis to Derive Recommendations

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      Authors: Gary A. Sforzo, Miranda P. Kaye, Aubrey Faber, Margaret Moore
      Abstract: American Journal of Lifestyle Medicine, Ahead of Print.
      Health and wellness coaching (HWC) is an effective intervention for lifestyle disease such as obesity and type 2 diabetes. The evolving HWC profession needs recommendations to guide clinical practice, particularly the appropriate dose of coaching. The purpose of this paper was to systematically review and synthesize HWC literature to derive HWC programming recommendations. Of 102 papers retrieved, 88 were retained with data extracted determining HWC session number, frequency, duration, program length, and total coaching load. Differential analysis yielded no statistical difference in programming variables for randomized control trials and other designs, nor for studies with significant findings v. those not finding statistical significance, allowing these data to be pooled. The HWC intervention for obesity was slightly more intense (15 sessions over 7-8 mo) than the diabetes programming (12 sessions over 9-10 mo). On average, HWC programming applied in the peer-reviewed literature was 12-15 sessions of 35-40 min duration over 7-9 months. These recommendations for HWC programming variables are put forth as initial practice guidelines and should be examined with comparative effectiveness study for optimization. HWC best practice guidelines for other patient groups (e.g., heart disease, cancer, and chronic pain) should also be studied once an adequate literature data base is available.
      Citation: American Journal of Lifestyle Medicine
      PubDate: 2022-03-02T07:01:35Z
      DOI: 10.1177/15598276211073078
       
  • Preliminary Effectiveness Study of a Community-Based Wellness Coaching for
           Cancer Survivors Program

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      Authors: Nicole J. Berzins, Michael Mackenzie, Mary Lou Galantino, Nicole Pickles, Sean Hebbel, Tara Leonard, Diane Beneck, Michael Peterson
      Abstract: American Journal of Lifestyle Medicine, Ahead of Print.
      Purpose: Substantial cancer burden may be prevented through lifestyle modifications. The purpose of this study was to determine the preliminary effectiveness of health coaching for the improvement of health, fitness, and overall well-being of cancer survivors in a community setting. Methods: Participants were recruited from Cancer Support Community Delaware locations. Health coaching was provided to people diagnosed with cancer anywhere along the survivorship continuum. Coaches provided 6 individual sessions. Surveys were sent pre- and post-intervention on topics including fitness, eating habits, sleep, perceived stress, anxiety, depression, and quality of life. Results were analyzed using multilevel modeling. Results: 48 participants completed an average of 85% of health coaching sessions. Coaching participants noted improvements in weekly physical activity frequency, including moderate–vigorous physical activity. Increases were found in healthy eating behavior. Participants reported improvements in the quality of their sleep, including changes in sleep duration and sleep efficiency. Significant reductions were found in perceived stress, anxiety, and depression. Importantly, participants reported improved quality of life, particularly in areas of physical and emotional well-being, as well as functional and total well-being. Conclusion: Preliminary findings indicate significant behavior change in measured outcomes and suggest health coaching may be an important tool for cancer survivorship.
      Citation: American Journal of Lifestyle Medicine
      PubDate: 2022-03-01T04:07:06Z
      DOI: 10.1177/15598276221076040
       
  • A Self-Determination Theory Application to Physical Activity in Charity
           Sports Events

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      Authors: John A Bernhart, Sara Wilcox, Brooke W. McKeever, Diane K. Ehlers, Jennifer R. O’Neill
      Abstract: American Journal of Lifestyle Medicine, Ahead of Print.
      Charity sports events, specifically 5K events, reach large numbers of people and may help promote physical activity (PA). Few studies exist applying Self-Determination Theory (SDT) to participation in these events. This study examined changes in SDT constructs of Autonomy, Competence, and Relatedness satisfaction in participants (n = 207) of charity 5K events and (2) examined relationships among post-event SDT constructs, PA, and intention to complete future events. Participants completed online surveys before and after a charity 5K event using the Psychological Needs Satisfaction in Exercise Scale, Behavioral Regulation in Exercise Questionnaire-2, and International Physical Activity Questionnaire-Short Form. Repeated measures analysis of covariance analyzed the first purpose and regression the second. Competence satisfaction increased (P = .04) and relatedness satisfaction decreased (P = .04). Higher post-event relatedness satisfaction was associated with intention to complete future charity 5K events (OR = 1.05, 95% CI: 1.00, 1.11). Higher post-event autonomy, competence, and relatedness satisfaction and intrinsic motivation were associated with greater post-event MET-minutes of PA (all P < .05).Findings may be useful for promoting PA and helping organizations increase participation. Specifically, events facilitating relatedness among participants may lead to repeat participation as these events have opportunities to fulfill SDT outcomes and increase post-event PA.
      Citation: American Journal of Lifestyle Medicine
      PubDate: 2022-02-28T08:15:49Z
      DOI: 10.1177/15598276221077204
       
  • Universal Meals: A Novel Program to Provide Healthful Nutrition to Diverse
           Communities

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      Authors: Neal D. Barnard, Natalie Hardcastle, Lilian Correa, YaQutullah Ibraheem Muhammad, Aarti Batavia, Vanita Rahman, Rabbi Shmuly Yanklowitz, Susan Levin, Allison E. Lenthall, Dustin Harder andHana Kahleova
      Abstract: American Journal of Lifestyle Medicine, Ahead of Print.
      Healthcare professionals recommending dietary changes to patients often find that institutional settings—businesses, universities, long-term care facilities, correctional institutions, among others—may not provide the healthful foods that healthcare professionals recommend. Moreover, such institutions encounter an increasing diversity of dietary restrictions, based on allergies, intolerances, religious mandates, or other reasons, that may be challenging to satisfy. To address these issues, experts in health, dietetics, culinary arts, religion, and ethics developed a simple set of guidelines that aim to meet the widest possible range of dietary needs. Three culinary teams then used these guidelines to create “Universal Meals”—simple recipes that were then adapted to larger production sizes for institutional use. The healthfulness of representative sets of meals drawn from these recipes was assessed using the Alternative Healthy Eating Index-2010 and found to be superior to that of a meal pattern based on National Health and Nutrition Examination Survey data.
      Citation: American Journal of Lifestyle Medicine
      PubDate: 2022-02-17T08:21:40Z
      DOI: 10.1177/15598276211062163
       
  • Using Social Media for More Engaged Users and Enhanced Health
           Communication in Diabetes Care

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      Authors: Zijian H. Gong, Conrad Lyford
      Abstract: American Journal of Lifestyle Medicine, Ahead of Print.
      Background: Recent literature identified social media message features predictive of user engagement. Desired information from a patient perspective and use of social media information from a provider perspective in diabetes care is less clear. Purpose: Our study analyzed diabetes patients’ desired information from social media and how such information could be used in conjunction with doctor–patient communication to enhance compliance with recommended care. Methods: A survey examined diabetic patients’ interests in searching for various diabetes information on social media and assessed the potential impact of social media sourced information on doctor–patient communication. This survey was followed by a content analysis of major US diabetes organizations’ Facebook pages, which were considered for effectiveness in their communication with diabetes patients. Results: Survey participants were most interested in diabetes management recommendations. Diabetes knowledge positively correlated with interests in diabetes management recommendations but negatively correlated with prior use of social media for diabetes information. 70.9% of patients had discussed information from social media with their doctor. The content analysis showed narrative evidence and updates on diabetes-related research findings, and medical policies generated a higher level of user engagement. Conclusion: While survey participants showed greatest interests in health recommendations and tips, only 11.7% of the analyzed social media posts included such information. Posts that included diabetes-related information led to higher engagement than posts that emphasized social values. Patients in general have asked doctors about information received on social media which suggests that social media can be a useful platform for communicating diabetes care information.
      Citation: American Journal of Lifestyle Medicine
      PubDate: 2022-01-21T06:08:51Z
      DOI: 10.1177/15598276211064832
       
  • Food Culture in Youth Athletics: Exploration of the Beliefs in USA
           Stakeholders

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      Authors: Jenna M. Marx, Dara R. Musher-Eizenman
      Abstract: American Journal of Lifestyle Medicine, Ahead of Print.
      Objectives. The present study examined beliefs surrounding food culture in youth athletics. Design. Qualitative research. Methods. Coaches (n = 62), parents (n = 161), and youth athletes (n = 40) in the USA completed questionnaires that explored aspects of the food environment of youth athletics, including practices related to food and beverage consumption and perspectives on the nutritional value of available foods and beverages. Results. Coaches, parents, and athletes all reported a high number of available foods and beverages, and were mixed both about whether these were healthy or unhealthy, and whether the availability of unhealthy foods and beverages was problematic. Conclusions. This study aimed to add to the literature an examination of multiple perspectives on the current food culture in youth athletics. Participant perspectives suggest that the food environment of youth sport may be an unhealthy mismatch with the physical, social, and psychological benefits of participation. Further research could aim to identify optimal environments for promoting health in youth sport. Limitations and additional directions for future research are discussed.
      Citation: American Journal of Lifestyle Medicine
      PubDate: 2022-01-15T12:21:38Z
      DOI: 10.1177/15598276211068413
       
  • Yoga for Preventive Health: A Holistic Approach

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      Authors: Shobhit Madan, Jasraj Sembhi, Navpreet Khurana, Kanika Makkar, Priya Byati
      Abstract: American Journal of Lifestyle Medicine, Ahead of Print.
      Yoga has been prevalent for over 5000 years; it originated in India and has become an essential lifestyle ingredient for achieving optimal health. The goal of this article in lifestyle modification is to increase awareness about the benefits of yoga and how its practice can reduce the overall risk of chronic diseases. Yoga has been proven to be therapeutic for enhancing immunity and support management of chronic diseases such as cardiovascular, respiratory, endocrine disorders, obesity, cancer, and metabolic syndrome. Yoga techniques called asanas, such as pranayama for breathing regulation and dhyana for meditation, boost innate immune response, interrupt inflammation, and thereby prevent the manifestation of chronic diseases. Yoga also provides symptomatic relief for chronic arthritis by increasing joint flexibility and microcirculation. Yoga and meditation regulate neurotransmitters, neuropeptides, hormones, and cytokines that mediate interactions between the central nervous system and the immune system. These techniques reduce the psychological and physiological effects of chronic stress. Serotonin, oxytocin, and melatonin released directly due to practicing yoga have been shown to better manage anxiety and fear, especially during the pandemic. We believe the current trends of chronic disease management will become more effective with the implementation of lifestyle changes using yoga.
      Citation: American Journal of Lifestyle Medicine
      PubDate: 2022-01-04T08:39:00Z
      DOI: 10.1177/15598276211059758
       
  • Nutrition Benefits and Considerations for Whole Foods Plant-Based Eating
           Patterns

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      Authors: Monica K. Esquivel
      First page: 284
      Abstract: American Journal of Lifestyle Medicine, Ahead of Print.
      Whole foods plant-based approaches to eating place an emphasis on the intake of fruits, vegetables, whole grains, and legumes and have many health benefits. While there are key nutrients and phytochemicals that can contribute to the purported health benefits, practitioners and patients should also be advised of key nutrients for which intake may be compromised when following this dietary pattern. With careful planning and utility of dietary supplements, individuals can achieve optimal intake of calcium, iron, vitamin D, omega 3 fatty acid—docosahexaenoic acid (DHA), and vitamin B12 and experience the health benefits of a dietary fiber and a host of phytochemicals. This article presents the health benefits of these food substances and approaches for overcoming nutrients of concern when following whole food plant-based eating patterns.
      Citation: American Journal of Lifestyle Medicine
      PubDate: 2022-04-22T04:09:09Z
      DOI: 10.1177/15598276221075992
       
  • Incorporating Nutrition Counseling into Lifestyle Medicine

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      Authors: Aliye B. Cepni, Christine Crumbley, Saad Nadeem, Tracey A. Ledoux, Craig A. Johnston
      First page: 291
      Abstract: American Journal of Lifestyle Medicine, Ahead of Print.
      Despite considerable evidence that plant-based diets can significantly improve health, medical professionals seldom discuss this with their patients. This issue might occur due to minimal training received in medical education, lack of time, and low self-efficacy for counseling patients about diet. Nutrition and lifestyle change should be considered a core competency for all physicians and health professionals looking for cost-effective ways to improve patient health outcomes and reduce nutrition-related chronic diseases. Strategies for health professionals to acquire nutrition counseling skills in medical training and clinical practices are discussed.
      Citation: American Journal of Lifestyle Medicine
      PubDate: 2022-05-05T05:20:27Z
      DOI: 10.1177/15598276221077224
       
  • Vitamin B12 and Plant-Predominant Diets

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      Authors: Nicole D. White
      First page: 295
      Abstract: American Journal of Lifestyle Medicine, Ahead of Print.
      Vitamin B12 deficiencies are common in individuals consuming plant-predominant diets, including those who consume diary and/or eggs. Deficiencies can lead to megaloblastic anemia and peripheral neuropathy, among other multi-system manifestations. The prevalence, assessment and prevention of vitamin B12 deficiency in patients following plant-predominant diets will be discussed.
      Citation: American Journal of Lifestyle Medicine
      PubDate: 2022-05-04T07:41:34Z
      DOI: 10.1177/15598276221076102
       
  • From the ACLM President’s Desk

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      Authors: Cate Collings
      First page: 298
      Abstract: American Journal of Lifestyle Medicine, Ahead of Print.

      Citation: American Journal of Lifestyle Medicine
      PubDate: 2022-05-13T09:40:41Z
      DOI: 10.1177/15598276221097661
       
  • Dietary Interventions to Treat Type 2 Diabetes in Adults with a Goal of
           Remission: An Expert Consensus Statement from the American College of
           Lifestyle Medicine

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      Authors: Richard M. Rosenfeld, John H. Kelly, Monica Agarwal, Karen Aspry, Ted Barnett, Brenda C. Davis, Denise Fields, Trudy Gaillard, Mahima Gulati, George E. Guthrie, Denee J. Moore, Gunadhar Panigrahi, Amy Rothberg, Deepa V. Sannidhi, Lorraine Weatherspoon, Kaitlyn Pauly, Micaela C. Karlsen
      First page: 342
      Abstract: American Journal of Lifestyle Medicine, Ahead of Print.
      Objective:The objective of this Expert Consensus Statement is to assist clinicians in achieving remission of type 2 diabetes (T2D) in adults using diet as a primary intervention. Evidence-informed statements agreed upon by a multi-disciplinary panel of expert healthcare professionals were used.Methods:Panel members with expertise in diabetes treatment, research, and remission followed an established methodology for developing consensus statements using a modified Delphi process. A search strategist systematically reviewed the literature, and the best available evidence was used to compose statements regarding dietary interventions in adults 18 years and older diagnosed with T2D. Topics with significant practice variation and those that would result in remission of T2D were prioritized. Using an iterative, online process, panel members expressed levels of agreement with the statements, resulting in classification as consensus, near-consensus, or non-consensus based on mean responses and the number of outliers.Results:The expert panel identified 131 candidate consensus statements that focused on addressing the following high-yield topics: (1) definitions and basic concepts; (2) diet and remission of T2D; (3) dietary specifics and types of diets; (4) adjuvant and alternative interventions; (5) support, monitoring, and adherence to therapy; (6) weight loss; and (7) payment and policy. After 4 iterations of the Delphi survey and removal of duplicative statements, 69 statements met the criteria for consensus, 5 were designated as near consensus, and 60 were designated as no consensus. In addition, the consensus was reached on the following key issues: (a) Remission of T2D should be defined as HbA1c
      Citation: American Journal of Lifestyle Medicine
      PubDate: 2022-05-18T09:51:46Z
      DOI: 10.1177/15598276221087624
       
 
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