American Journal of Lifestyle Medicine最新文献

Adolescents in rural communities are subject to higher rates of chronic diseases. Food literacy, the knowledge and skillset to make informed health behaviors, has been identified as a critical influence in disease prevention. This mixed-method experimental study evaluated the Food Literacy Boot Camp's effectiveness, feasibility, and likeability in promoting healthy lifestyle choices, including diet, physical activity, food preparation, and food safety skills among adolescents. Outcomes were assessed using the Expanded Food and Nutrition Education (EFNEP) 6th - 12th Grade EFNEP Youth Questionnaire, distributed before and after the intervention. Qualitative methods assessed likeability. Following the program, participants had statistically significant improvements in sugar-sweetened beverage intake (P = 0.004), healthy eating choices when dining out (P = 0.002), physical activity (P = 0.010), hand washing (P = 0.028), inclination to wash fruits and vegetables (P = 0.008) and using separate cutting boards for raw meats and fresh produce (P = 0.046). Four major qualitative themes emerged: (1) Comprehensive Health and Wellness Education, (2) Practical Skill Development, (3) Knowledge and Behavior Change, and (4) Successful Student Engagement and Positive Endorsement. Overall, the Food Literacy Boot Camp successfully improved participants' food literacy skills.

Dementia and cognitive decline are concerning conditions, especially because they coincide with great uncertainty and have no cure. Scientists continue to explore these conditions in order to better understand their causes and identify potential treatments. Numerous interventions have been studied, from various diets to medications, supplements, and vitamins. There are many scientific and nonscientific articles that discuss what may lead to these conditions and how to address them. However, researchers are still trying to understand the actual and complex causes of dementia and cognitive decline; the available medications primarily focus on symptoms but do not "cure" the conditions (and also come with their own controversies); and much of the nonscientific literature contains recommendations that are not supported by strong empirical evidence. This article briefly reviews the data about how vitamin B and E in dementia and cognitive decline.

Background: This study aims to provide a general overview of cancer risk perceptions and reported sunburns to prevent sunburn and reduce the long-term risk of developing skin cancer.

Methods: Data were obtained from the 2022 Health Information National Trends Survey 6 and analysis was carried out with SPSS. Descriptive statistics were conducted to explore sociodemographic characteristics, cancer risk perceptions, and behaviors surrounding sunburns in our sample. Associations between number of sunburns and sociodemographic variables were reported using multinomial regression analysis.

Results: When asked how confident patients felt about their ability to take good care of their own health, most respondents felt either very confident (44.0%) or completely confident (27.3%). When asked how often they experienced a sunburn in the past 12 months, 2.1% reported experiencing more than 6 sunburns, 30.3% reported having between 1-5 sunburns, and 67.6% reported experiencing no sunburns. Using multinomial regression analysis, statistically significant associations were reported between number of sunburns and age, gender, occupation status, marital status, education, Hispanic origin, race, and income level.

Conclusion: The results of our study reinforce the need for public health interventions that effectively disseminate information on skin cancer risk across ethnic minority groups, especially in underserved communities within the U.S.

Registered Dietitian Nutritionists (RDNs) are uniquely positioned to lead in Lifestyle Medicine, Culinary Medicine and Food is Medicine, overlapping initiatives currently gaining momentum in health care. To become a credentialed practitioner, RDNs must demonstrate competency as outlined in The Scope and Standards of Practice defined by the Commission on Dietetic Registration (CDR), the credentialing agency for the Academy of Nutrition and Dietetics. Many CDR competencies align with the interventional and operational components necessary to deliver and direct effective Lifestyle Medicine (LM) and Culinary Medicine (CM) initiatives. Capitalizing on the skills and expertise of RDNs trained in LM and CM is an effective strategy to address the Quintuple Aim of better health care outcomes, lower cost, improved patient satisfaction, improved provider wellbeing and the advancement of health equity. Successful examples like Cooking with Plants, Trinity Health Ann Arbor's virtual CM series, showcase the positive impact of RDN-led CM initiatives on culinary literacy and health behavior change. This article provides an overview of the Cooking with Plants program and practical guidance for initiating similar programs at other institutions. Guidance includes strategies for assessing community needs, identifying funding sources, engaging stakeholders, and developing and evaluating curriculum.

Metabolic syndrome (MetS) is associated with increased cancer risk and poor cancer prognosis. The current study applied a mixed methods approach to better understand attitudes about making lifestyle changes and current dietary and physical activity behaviors among cancer patients with MetS at a cancer center and to explore the suitability of brief lifestyle questionnaires to help providers understand their patients' lifestyle attitudes and habits. Qualitative interviews were used to obtain patients' perspectives about lifestyle changes, and 3 quantitative questionnaires-the Readiness Ruler, Rate Your Plate, and the International Physical Activity Questionnaire-Short Form (IPAQ-SF)-were used to measure patients' readiness for lifestyle change, dietary habits, and physical activity levels, respectively. Nineteen patients participated in interviews, and 18 patients completed the questionnaires. Interview findings indicated that patients generally prioritized lifestyle changes over medication use, desired collaboration and coordination between multidisciplinary care teams and patient, and desired tailored interventions and practical implementation strategies to manage MetS. Questionnaire findings indicated that most patients agreed with the importance of lifestyle changes and expressed confidence in making them, reporting healthy food choices and high physical activity levels. A multidisciplinary approach tailored to patients' readiness, preferences, and constraints is recommended for effective MetS management in patients with cancer.

We conducted a clinical trial on nature prescriptions measuring baseline moderate-to-vigorous physical activity (MVPA). 433 children between 6-16 years old completed baseline measures (49.2% female, 50.8% male). Participants self-identified as Latino (88.2%), African-American (9.7%), Asian (0.5%), and other or unknown (1.6%). The mean BMI% was 94.9 (SD 6.2), and mean age is 10.4 years (SD 2.7). The mean MVPA was 16.6 minutes, the mean daily accelerometer wear time was 728.8 minutes (SD 126.6), and the average number of days the participant wore the accelerometer for >8 hours (per day) was 6.8 (SD 3.8). Multivariate regression analysis showed that age was not associated with MVPA. However, boys engaged in 38 more minutes of MVPA per week than girls (P < .0001). Season was associated with MVPA with 5.4 more minutes of MVPA/day in the Fall (P < .01) and 4.8 more minutes in Spring (P < .01) as compared to winter and summer. Participant attitude toward nature was significantly associated with MVPA. One unit of positive increase in individual attitude toward nature was associated with 3 additional minutes of MVPA per day (β = 3.1, P < .001), or 21.7 minutes per week.

Objective: To determine whether dietary intake and restrictions on diet are correlated with sleep, academic achievement, and/or mental health in a college population. Methods: We used Qualtrics to survey a large public university in the Northeast for Fall 2022, Spring 2023, and Fall 2023 academic semesters (n = 98;104;90) for campus demographics, diet quality, dietary restrictions, food insecurity, sleep quality and quantity, stress (PSS), anxiety (GAD-7), depression (PHQ-9), and academic success (GPA). We performed Spearman rho and Pearson r analyses (IBM SPSS, alpha = 0.05). Results: Diet quality correlated positively with GPA (Rho = 0.265, P < 0.05), dietary restrictions (Rho = 0.498, P < 0.05), and sleep hours (r = 0.284, P < 0.05), but negatively with anxiety (Rho = -0.300, P < 0.01), stress (r = -0.225, P < 0.05), and depression (r = -0.434, P < 0.05). Food insecurity correlated positively with anxiety (Rho = 0.488, P < 0.001), stress (r = 0.557, P < 0.001), and depression (r = 0.489, P < 0.001), but negatively with GPA (Rho = -0.390, P < 0.05). Sleep quality correlated negatively with stress (r = -0.269, P = 0.008), depression (r = -0.350, P < 0.001), and anxiety (Rho = -0.248, P = 0.014). Conclusions: Correlations among diet, food insecurity, dietary restrictions, sleep, and mental health metrics suggest that improvements in diet benefit students' lifestyles. However, more restrictive diets do not appear to be deleterious, implying a reduced need for dietary interventions in this population.

The gut microbiome (gMicrobiome)-a dynamic ecosystem of microorganisms-is emerging as a correlate of healthy lifestyle. Patients may not be aware of this. General Internal Medicine patients completed surveys evaluating gMicrobiome knowledge, lifestyle knowledge, dietary intake, physical activity, sleep, and stress. Surveys were given pre-/post-education (n = 112) and at 1 month follow-up (n = 60). The educational-module comprised a video and handout describing how lifestyle enhances gMicrobiome and health outcomes. Post-educational-module, 9 of 19 (47%) statements showed favorable change in knowledge (P < 0.05). Two statements reached statistical significance at 1-month follow-up: "Exercise influences the types of bacteria present in the digestive system" [7 (12%) to 24 (41%), P = 0.004] and "An inactive lifestyle promotes the growth of healthy types of digestive system bacteria" [12 (20%) to 24 (41%), P = 0.035]. We observed a small but favorable change in knowledge but not behavior. Large lifestyle changes are challenging to adopt, and education alone is necessary but insufficient for change. Our results confirm that education is a viable first step to establish the importance of pursuing lifestyle changes, perhaps moving from pre-contemplation to contemplation. Baseline knowledge in our participants was higher than anticipated, indicating that this intervention may have been too introductory. Future interventions should investigate baseline knowledge.

The American College of Lifestyle Medicine was founded just over 20 years ago. As the organization grew, it incubated an impressive array of structures and processes to foster professional standards, training, credentialing, networking, and scholarship. A compelling and accelerating drumbeat of peer-reviewed publications has demonstrated the advancing base of evidence in which lifestyle medicine practice is rooted. Despite all this good effort, however, the indicators of population health that matter most-longevity and vitality and healthspan, years in life and life in years-have largely trended away from, rather than toward, aspirations. The life course of ACLM has introduced an area of great allure and tremendous promise to health professionals seeking beyond reactive disease care. The processes, structures, and knowledge are in place to advance the goals of vitality and longevity at the population level. Needed, still, are the means of translating that accumulated knowledge into the power of routine, and effective action. Those of us committed to the full potential of lifestyle both in and as medicine have promises yet to keep and miles to go before we sleep. We can, however, see the light on the horizon from here.