Pub Date : 2023-12-12DOI: 10.1177/15598276231221118
Sussan Askari, Chetan P. Phadke, Juan Antonio Fernandez, E. Frates
Background: Stroke is the leading cause of disability and the second-most leading cause of mortality. Stroke has both physical and psychological impact on the lives of stroke survivors. Lifestyle modifications have a pivotal role in post-stroke management care. The Paving the Path to Wellness Program (PPWP) is a 12-week program offered to stroke survivors at Spaulding Rehabilitation Center following discharge. The program encompasses the following domains: physical activity, nutrition, stress management, time-outs, energy, sleep, purpose, and social connections. Objective: The purpose of this pilot study was to evaluate the effectiveness of the PPWP on the recovery of stroke survivors. Methods: Three stroke survivors who participated in the program were interviewed following completion of the program. Results: The results showed the PPWP had a positive impact on physical health (e.g., increased physical activity, weight loss, nutrition awareness, and better stress management); helped to create a new purpose (e.g., happiness, satisfaction, and well-being); and improved the social life of the participants (better awareness and importance of friends and family). Conclusions: Next steps are to study this program in a larger stroke population and examine long-term effects.
{"title":"Paving the Path to Wellness for Stroke Survivors: A Lifestyle Medicine Group Intervention","authors":"Sussan Askari, Chetan P. Phadke, Juan Antonio Fernandez, E. Frates","doi":"10.1177/15598276231221118","DOIUrl":"https://doi.org/10.1177/15598276231221118","url":null,"abstract":"Background: Stroke is the leading cause of disability and the second-most leading cause of mortality. Stroke has both physical and psychological impact on the lives of stroke survivors. Lifestyle modifications have a pivotal role in post-stroke management care. The Paving the Path to Wellness Program (PPWP) is a 12-week program offered to stroke survivors at Spaulding Rehabilitation Center following discharge. The program encompasses the following domains: physical activity, nutrition, stress management, time-outs, energy, sleep, purpose, and social connections. Objective: The purpose of this pilot study was to evaluate the effectiveness of the PPWP on the recovery of stroke survivors. Methods: Three stroke survivors who participated in the program were interviewed following completion of the program. Results: The results showed the PPWP had a positive impact on physical health (e.g., increased physical activity, weight loss, nutrition awareness, and better stress management); helped to create a new purpose (e.g., happiness, satisfaction, and well-being); and improved the social life of the participants (better awareness and importance of friends and family). Conclusions: Next steps are to study this program in a larger stroke population and examine long-term effects.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139006949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-12DOI: 10.1177/15598276231221112
Franklin S. Ly, T. Santander, Stephany Pavlov, Jiayang Zhao, Minghao Zhang, Dahyana Arroyo, Sergio Sokolovskiy, Anirudh Iyer, Yanis Yankauskas, John Chen, Michael B. Miller, Linda Petzold, Henry T. Yang, P. Hansma
In this study, we investigated the use of novel, home-use and portable biofeedback devices in a remote program for managing chronic pain. In three separate 4-week pilot studies, participants engaged in twice-daily, 10-minute biofeedback sessions, with self-assessed reductions in anxiety and pain levels using the 6-item State-Trait Anxiety Inventory (STAI-6) and Visual Analogue Scale (VAS), respectively, in Studies 2 and 3. Among these 113 (Study 2) and 237 (Study 3) biofeedback sessions, 81 (∼72%) and 130 (∼55%) showed reductions in pain, while 93 (∼82%) and 184 (∼78%) experienced reductions in anxiety. A positive relationship was found between anxiety and pain reduction, indicating that larger reductions in anxiety correspond to larger reductions in pain. In Study 1, only anxiety reductions were measured: across 143 biofeedback sessions, 127 experienced reductions in anxiety (∼89%). Participants in all studies demonstrated reductions in baseline to final results in pain, anxiety, and showed increases in satisfaction and recovery. Our results provide strong evidence that portable biofeedback devices can enhance pain management programs by helping to alleviate anxiety and pain in individuals living with chronic conditions. This study can provide a basis for the integration of biofeedback devices into the expanding research of lifestyle and integrative medicine.
{"title":"Home-Use and Portable Biofeedback Lowers Anxiety and Pain in Chronic Pain Subjects","authors":"Franklin S. Ly, T. Santander, Stephany Pavlov, Jiayang Zhao, Minghao Zhang, Dahyana Arroyo, Sergio Sokolovskiy, Anirudh Iyer, Yanis Yankauskas, John Chen, Michael B. Miller, Linda Petzold, Henry T. Yang, P. Hansma","doi":"10.1177/15598276231221112","DOIUrl":"https://doi.org/10.1177/15598276231221112","url":null,"abstract":"In this study, we investigated the use of novel, home-use and portable biofeedback devices in a remote program for managing chronic pain. In three separate 4-week pilot studies, participants engaged in twice-daily, 10-minute biofeedback sessions, with self-assessed reductions in anxiety and pain levels using the 6-item State-Trait Anxiety Inventory (STAI-6) and Visual Analogue Scale (VAS), respectively, in Studies 2 and 3. Among these 113 (Study 2) and 237 (Study 3) biofeedback sessions, 81 (∼72%) and 130 (∼55%) showed reductions in pain, while 93 (∼82%) and 184 (∼78%) experienced reductions in anxiety. A positive relationship was found between anxiety and pain reduction, indicating that larger reductions in anxiety correspond to larger reductions in pain. In Study 1, only anxiety reductions were measured: across 143 biofeedback sessions, 127 experienced reductions in anxiety (∼89%). Participants in all studies demonstrated reductions in baseline to final results in pain, anxiety, and showed increases in satisfaction and recovery. Our results provide strong evidence that portable biofeedback devices can enhance pain management programs by helping to alleviate anxiety and pain in individuals living with chronic conditions. This study can provide a basis for the integration of biofeedback devices into the expanding research of lifestyle and integrative medicine.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139007864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-08DOI: 10.1177/15598276231220614
P. Vlastarakos, Angeliki Gkouvali, E. Tavoulari, Despoina Katsochi
Introduction/Aims: Smoking is the biggest cause of preventable death and ill health in the developed world. The present study investigated the association between socio-demographic, and attitudinal factors with smoking initiation, and cessation in Greece, and gained an insight pertaining the main source of information about smoking. The research hypothesis that smoking is continued, because of ensuing dependence, and stopped, following doctors’ warnings of possible nearing onset for serious illness development was also tested. Materials/Methods: Internet-based survey in people belonging to the AKOS anti-cancer institute registry. Chi-squared, t-test and ANOVA investigated the relations, or compared the differences between categorical variables. Multiple binary logistic-regression models investigated the relation of selected result variables with potential predictor factors. Results/Conclusion: 1618 adults participated, yielding a response rate of 83.3%. Smokers, ex-, and non-smokers differed in age, and sector of employment. There was a gender effect in several factors pertaining smoking initiation/duration/cessation efforts. Discontinuation efforts were more likely in systematic smokers (OR = 1.473) and were positively associated with smoking duration (OR = 1.025), emotional distress as the primary reason for smoking initiation (OR = 2.165), anti-smoking campaign through television (OR = 1.637), and keynote lectures (OR = 2.307). Younger age of smoking initiation (OR = .939), and a reprimanding attitude towards smokers (OR = .472) negatively influenced cessation efforts.
{"title":"Attitudes and Parameters Influencing the Smoking Epidemic in Greece: What is Important?","authors":"P. Vlastarakos, Angeliki Gkouvali, E. Tavoulari, Despoina Katsochi","doi":"10.1177/15598276231220614","DOIUrl":"https://doi.org/10.1177/15598276231220614","url":null,"abstract":"Introduction/Aims: Smoking is the biggest cause of preventable death and ill health in the developed world. The present study investigated the association between socio-demographic, and attitudinal factors with smoking initiation, and cessation in Greece, and gained an insight pertaining the main source of information about smoking. The research hypothesis that smoking is continued, because of ensuing dependence, and stopped, following doctors’ warnings of possible nearing onset for serious illness development was also tested. Materials/Methods: Internet-based survey in people belonging to the AKOS anti-cancer institute registry. Chi-squared, t-test and ANOVA investigated the relations, or compared the differences between categorical variables. Multiple binary logistic-regression models investigated the relation of selected result variables with potential predictor factors. Results/Conclusion: 1618 adults participated, yielding a response rate of 83.3%. Smokers, ex-, and non-smokers differed in age, and sector of employment. There was a gender effect in several factors pertaining smoking initiation/duration/cessation efforts. Discontinuation efforts were more likely in systematic smokers (OR = 1.473) and were positively associated with smoking duration (OR = 1.025), emotional distress as the primary reason for smoking initiation (OR = 2.165), anti-smoking campaign through television (OR = 1.637), and keynote lectures (OR = 2.307). Younger age of smoking initiation (OR = .939), and a reprimanding attitude towards smokers (OR = .472) negatively influenced cessation efforts.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138587945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-07DOI: 10.1177/15598276231218939
Jennifer Bleck, Kasia Smith, Jasmine Mansouri, Caroline Early
The health and wellness coaching profession has been rapidly growing. This study explored associations between demographic, employment, and coaching characteristics with financial earnings among coaches. A cross-sectional survey was analyzed using bivariate analyses and multivariate regression modeling. Amongst 740 coaches, 62% reported working part-time. Coaches reported a mean hourly salary of $40.30 (SD = 22.23), and 26.2% of coaches reported an annual income from coaching of $50,000 or more. A higher proportion of full-time coaches reported earning over $50,000 annually (55.9% vs 8.1%); however, part-time coaches had a higher mean hourly wage in non-private practice settings ($46.25 vs $34.62). No differences were found regarding client fee per hour in private practice between part-time ($96.61) and full-time ($99.93) coaches. Coaches who manage other coaches, work in corporate/employee wellness, and have higher average weekly caseloads were likelier to report an annual income of $50,000 or more. Moreover, coaches working at a digital health company made less per hour. In contrast, coaches at corporate/employee wellness programs and coaches targeting women earned higher hourly salaries. The findings identify trends among coaches about salary. Recognizing these trends provides an opportunity to expand efforts to standardize the profession and advance diversity.
{"title":"Exploring the Link Between Demographic, Employment, and Coaching Characteristics With Financial Earning Among Health and Wellness Coaches","authors":"Jennifer Bleck, Kasia Smith, Jasmine Mansouri, Caroline Early","doi":"10.1177/15598276231218939","DOIUrl":"https://doi.org/10.1177/15598276231218939","url":null,"abstract":"The health and wellness coaching profession has been rapidly growing. This study explored associations between demographic, employment, and coaching characteristics with financial earnings among coaches. A cross-sectional survey was analyzed using bivariate analyses and multivariate regression modeling. Amongst 740 coaches, 62% reported working part-time. Coaches reported a mean hourly salary of $40.30 (SD = 22.23), and 26.2% of coaches reported an annual income from coaching of $50,000 or more. A higher proportion of full-time coaches reported earning over $50,000 annually (55.9% vs 8.1%); however, part-time coaches had a higher mean hourly wage in non-private practice settings ($46.25 vs $34.62). No differences were found regarding client fee per hour in private practice between part-time ($96.61) and full-time ($99.93) coaches. Coaches who manage other coaches, work in corporate/employee wellness, and have higher average weekly caseloads were likelier to report an annual income of $50,000 or more. Moreover, coaches working at a digital health company made less per hour. In contrast, coaches at corporate/employee wellness programs and coaches targeting women earned higher hourly salaries. The findings identify trends among coaches about salary. Recognizing these trends provides an opportunity to expand efforts to standardize the profession and advance diversity.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138592331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-07DOI: 10.1177/15598276231218187
Joshua Toan Nguyen, S. Srivastava
Mental health conditions range from mood disturbances like depression and bipolar disorder to anxiety and psychotic disorders, eating disorders, and ADHD. Treatment plans traditionally involve pharmaceutical interventions. However, the emerging concept of lifestyle medicine can be an additive strategy for mental health management. The primary aim of this article is to dive into the use of medication in treating different mental health disorders and also highlight lifestyle changes, such as dietary adjustments and physical activity, as a means to enhance mental well-being, mitigate medication side effects, and address comorbid side effects like diabetes and obesity. The comprehensive approach of lifestyle medicine is presented as a promising complementary option, aiming for better symptom control and improved quality of life alongside medication in managing complex mental health conditions.
{"title":"The Synergy of Mediation and Lifestyle Medication: A New Horizon in Mental Health Treatment","authors":"Joshua Toan Nguyen, S. Srivastava","doi":"10.1177/15598276231218187","DOIUrl":"https://doi.org/10.1177/15598276231218187","url":null,"abstract":"Mental health conditions range from mood disturbances like depression and bipolar disorder to anxiety and psychotic disorders, eating disorders, and ADHD. Treatment plans traditionally involve pharmaceutical interventions. However, the emerging concept of lifestyle medicine can be an additive strategy for mental health management. The primary aim of this article is to dive into the use of medication in treating different mental health disorders and also highlight lifestyle changes, such as dietary adjustments and physical activity, as a means to enhance mental well-being, mitigate medication side effects, and address comorbid side effects like diabetes and obesity. The comprehensive approach of lifestyle medicine is presented as a promising complementary option, aiming for better symptom control and improved quality of life alongside medication in managing complex mental health conditions.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138590214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-07DOI: 10.1177/15598276231220559
Bryce T. Daniels, Robert E. Davis, Erin K. Howie
Background: Students’ yearly visits to university counseling centers have increased, concurrent with an increase in diagnosed anxiety and depression. Physical activity (PA) has positive effects on mental health. PA referral may be an option to utilize PA in university mental healthcare. However, clinicians’ perceptions and capacity of PA referral need to be established before implementation. Methods: Using a qualitative descriptive design, 14 licensed mental health professionals across seven southern universities participated in semi-structured virtual interviews to explore perceptions of prescribing PA to patients and referring patients to a PA specialist. Results: Thematic analysis revealed professionals perceived PA to be important for mental health, support prescribing PA to patients, face barriers to prescribing PA, professionals support referring patients to a PA specialist, and professionals face barriers referring to a PA specialist. Conclusions: Professionals agreed that PA was important for mental health and referring to a PA specialist would be the most feasible strategy to incorporate PA in their therapeutic work for patients struggling with physical inactivity and mental health. Future studies should investigate a PA referral system's implementation within university counseling centers and how this system can affect the mental health and PA of college students seeking mental health treatment.
{"title":"Physical Activity as a Potential Tool in Therapeutic Works of University Mental Health Professionals in the United States","authors":"Bryce T. Daniels, Robert E. Davis, Erin K. Howie","doi":"10.1177/15598276231220559","DOIUrl":"https://doi.org/10.1177/15598276231220559","url":null,"abstract":"Background: Students’ yearly visits to university counseling centers have increased, concurrent with an increase in diagnosed anxiety and depression. Physical activity (PA) has positive effects on mental health. PA referral may be an option to utilize PA in university mental healthcare. However, clinicians’ perceptions and capacity of PA referral need to be established before implementation. Methods: Using a qualitative descriptive design, 14 licensed mental health professionals across seven southern universities participated in semi-structured virtual interviews to explore perceptions of prescribing PA to patients and referring patients to a PA specialist. Results: Thematic analysis revealed professionals perceived PA to be important for mental health, support prescribing PA to patients, face barriers to prescribing PA, professionals support referring patients to a PA specialist, and professionals face barriers referring to a PA specialist. Conclusions: Professionals agreed that PA was important for mental health and referring to a PA specialist would be the most feasible strategy to incorporate PA in their therapeutic work for patients struggling with physical inactivity and mental health. Future studies should investigate a PA referral system's implementation within university counseling centers and how this system can affect the mental health and PA of college students seeking mental health treatment.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138591553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-06DOI: 10.1177/15598276231212825
James M. Rippe
There is no longer any serious doubt that daily habits and actions profoundly impact on both short- and long-term health and quality of life. An overwhelming body of scientific and medical literature supports this contention. Thousands of studies support the concept that regular physical activity, healthy nutrition and maintaining a healthy body weight, not smoking cigarettes, obtaining healthy sleep, reducing stress and maintaining positive connections with other individuals all profoundly impact on health. The scientific literature the supports the health impact of these daily habits and actions is underscored by its incorporation into virtually every evidence-based clinical guideline in the area of metabolic diseases. Thus, the scientific basis for lifestyle medicine rests on an enormous body of evidence-based literature. The key issue in lifestyle medicine is to provide an overall framework where these studies, which are often spread over scientific literature in multiple disciplines, can be made accessible to the medical community and to the public at large. This is the essence of the field of lifestyle medicine. The academic basis of lifestyle medicine is robust and needs to be emphasized by all practitioners of lifestyle medicine. This is the key to moving this field forward into the future.
{"title":"The Academic Basis of Lifestyle Medicine","authors":"James M. Rippe","doi":"10.1177/15598276231212825","DOIUrl":"https://doi.org/10.1177/15598276231212825","url":null,"abstract":"There is no longer any serious doubt that daily habits and actions profoundly impact on both short- and long-term health and quality of life. An overwhelming body of scientific and medical literature supports this contention. Thousands of studies support the concept that regular physical activity, healthy nutrition and maintaining a healthy body weight, not smoking cigarettes, obtaining healthy sleep, reducing stress and maintaining positive connections with other individuals all profoundly impact on health. The scientific literature the supports the health impact of these daily habits and actions is underscored by its incorporation into virtually every evidence-based clinical guideline in the area of metabolic diseases. Thus, the scientific basis for lifestyle medicine rests on an enormous body of evidence-based literature. The key issue in lifestyle medicine is to provide an overall framework where these studies, which are often spread over scientific literature in multiple disciplines, can be made accessible to the medical community and to the public at large. This is the essence of the field of lifestyle medicine. The academic basis of lifestyle medicine is robust and needs to be emphasized by all practitioners of lifestyle medicine. This is the key to moving this field forward into the future.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138595890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-01DOI: 10.1177/15598276231216392
Laura Faustino Gonçalves, Karina Mary de Paiva, Marcos José Machado, Raquel Caroline FerreiraLopes Fontanelli, Luciana B. Cigana, Patrícia Haas
Background: Age-related hearing loss, also known as hearing loss, is an important and increasingly prevalent public health problem worldwide, as it induces disability and social isolation. Objective: To verify the association between eating habits and hearing loss in the older population. Methods: A cross-sectional study with data analysis of older patients treated in an Outpatient Hearing Health Service accredited to the Unified Health System. Older people aged 60 years and over who attended the Health Service to begin adaptation in the study. The audiological evaluation was performed through Tonal and Vocal Audiometry exams, the auditory rehabilitation process was done using the Individual Sound Amplification Device, and eating habits based on the Dietary Guide for the Brazilian Population. Results: The sample included (n = 654) participants, aged between 60 and 97 years. The type of hearing loss revealed a higher prevalence of sensorineural of moderate degree. Individuals with higher consumption of tea, non-fatty meats, rice, fish, and fruits presented better hearing compared to participants with lower consumption of these types of foods. Conclusion: A higher consumption of foods high in anti-inflammatories and antioxidants may decrease the risk of age-related hearing loss. A higher consumption of foods high in anti-inflammatories and antioxidants may decrease 50% of the risk of age-related hearing loss. The findings also indicate the hypothesis that a pro-inflammatory diet could increase the risk of hearing loss. Antioxidants are believed to counteract the deleterious effects of reactive oxygen species and may be effective in treating diseases related to oxidative stress, including hearing loss.
{"title":"Association of Hearing Loss and Eating Habits in the Older Population","authors":"Laura Faustino Gonçalves, Karina Mary de Paiva, Marcos José Machado, Raquel Caroline FerreiraLopes Fontanelli, Luciana B. Cigana, Patrícia Haas","doi":"10.1177/15598276231216392","DOIUrl":"https://doi.org/10.1177/15598276231216392","url":null,"abstract":"Background: Age-related hearing loss, also known as hearing loss, is an important and increasingly prevalent public health problem worldwide, as it induces disability and social isolation. Objective: To verify the association between eating habits and hearing loss in the older population. Methods: A cross-sectional study with data analysis of older patients treated in an Outpatient Hearing Health Service accredited to the Unified Health System. Older people aged 60 years and over who attended the Health Service to begin adaptation in the study. The audiological evaluation was performed through Tonal and Vocal Audiometry exams, the auditory rehabilitation process was done using the Individual Sound Amplification Device, and eating habits based on the Dietary Guide for the Brazilian Population. Results: The sample included (n = 654) participants, aged between 60 and 97 years. The type of hearing loss revealed a higher prevalence of sensorineural of moderate degree. Individuals with higher consumption of tea, non-fatty meats, rice, fish, and fruits presented better hearing compared to participants with lower consumption of these types of foods. Conclusion: A higher consumption of foods high in anti-inflammatories and antioxidants may decrease the risk of age-related hearing loss. A higher consumption of foods high in anti-inflammatories and antioxidants may decrease 50% of the risk of age-related hearing loss. The findings also indicate the hypothesis that a pro-inflammatory diet could increase the risk of hearing loss. Antioxidants are believed to counteract the deleterious effects of reactive oxygen species and may be effective in treating diseases related to oxidative stress, including hearing loss.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138609027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hyperuricemia (HUA) is a metabolic disease with an increasing prevalence in China and worldwide. Few studies have focused on the relationship between daily dietary quality and hyperuricemia in China. Data were obtained from the China Health and Nutrition Survey (CHNS). Adults with complete dietary survey and uric acid data were selected for the study, along with complete data on covariates about demographics, lifestyle, and history of disease. The Chinese Healthy Eating Index (CHEI) was used to reflect the quality of daily diet. The logistic regression model and weighted quantile sum (WQS) regression model were used to explore the relationship between CHEI score and risk of HUA. WQS regression models can also further assess the contribution of the various dietary components of CHEI in reducing the risk of HUA. There was a not-significant trend in protective effect between higher CHEI scores and HUA risk in the logistic regression model. In the WQS model, higher CHEI scores showed a significant protective effect on the HUA (OR: .601,0.298-.907). Fruits, tubers, and dairy were top contributor in the protective effect of CHEI (26.81%, 14.34%, and 12.95%, respectively). Higher CHEI associated with lower HUA risk in Chinese adults, and more attention should be paid to fruits, tubers, and dairy.
{"title":"Higher Chinese Healthy Eating Index Scores are Associated with a Lower Risk of Hyperuricemia: A Large Cross-Sectional Survey Based in China","authors":"Guixian Yang, Yinyuan Wang, Haixiang Zhang, Zhong Li, Yadi Zhang, Jiaqi Nie","doi":"10.1177/15598276231210810","DOIUrl":"https://doi.org/10.1177/15598276231210810","url":null,"abstract":"Hyperuricemia (HUA) is a metabolic disease with an increasing prevalence in China and worldwide. Few studies have focused on the relationship between daily dietary quality and hyperuricemia in China. Data were obtained from the China Health and Nutrition Survey (CHNS). Adults with complete dietary survey and uric acid data were selected for the study, along with complete data on covariates about demographics, lifestyle, and history of disease. The Chinese Healthy Eating Index (CHEI) was used to reflect the quality of daily diet. The logistic regression model and weighted quantile sum (WQS) regression model were used to explore the relationship between CHEI score and risk of HUA. WQS regression models can also further assess the contribution of the various dietary components of CHEI in reducing the risk of HUA. There was a not-significant trend in protective effect between higher CHEI scores and HUA risk in the logistic regression model. In the WQS model, higher CHEI scores showed a significant protective effect on the HUA (OR: .601,0.298-.907). Fruits, tubers, and dairy were top contributor in the protective effect of CHEI (26.81%, 14.34%, and 12.95%, respectively). Higher CHEI associated with lower HUA risk in Chinese adults, and more attention should be paid to fruits, tubers, and dairy.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139266519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-15DOI: 10.1177/15598276231215271
Giuseppe Gazzellone, Sarah Lanteigne, Kimberley Gammage, Val A. Fajardo, David S. Ditor
Research has shown that an anti-inflammatory diet can reduce inflammation and improve health outcomes in individuals with neurological disability, however, long term adherence is challenging. This study aimed to determine the effects of a 2-part dietary consultation, targeted at identified barriers for adherence in this population, on self-efficacy for adhering to an anti-inflammatory diet, as well as adherence and health outcomes one-month post-intervention. Eleven individuals (10 female, age 51.5±12.6 years) with neurological disability (7 multiple sclerosis, 3 spinal cord injury, 1 muscular dystrophy; 20.5 ± 10.6 years post-injury/diagnosis) participated. The intervention group (n = 7) received recipes for an anti-inflammatory diet and the consultation, while controls (n = 4) received the recipes only. The consultation included a home-visit involving cooking and accessible kitchen equipment demonstrations, and an accompanied trip to the grocery store. Task and barrier self-efficacy improved immediately following the consultation with trends for improvement one-month post-intervention. The consultation was also associated with increased dietary adherence one-month post-intervention and decreased depressive symptoms. Changes in dietary adherence (r = −.61; P = .045), and barrier self-efficacy (r = −.77; P = .009) were negatively correlated to changes in depression. Thus, a consultation targeted at barriers related to anti-inflammatory eating can improve self-efficacy for adherence as well as actual adherence and depressive symptomology one-month later.
研究表明，抗炎饮食可以减轻炎症并改善神经残疾患者的健康状况，但长期坚持抗炎饮食却具有挑战性。本研究旨在确定由两部分组成的饮食咨询对坚持抗炎饮食的自我效能以及干预后一个月的坚持情况和健康状况的影响。11名神经残疾人士（10名女性，年龄为51.5±12.6岁）（7名多发性硬化症患者，3名脊髓损伤患者，1名肌肉萎缩症患者；受伤/确诊后20.5±10.6年）参加了此次研究。干预组（7 人）接受抗炎饮食食谱和咨询，对照组（4 人）仅接受食谱。咨询包括一次家访，包括烹饪和无障碍厨房设备演示，以及一次陪同去杂货店的旅行。咨询结束后，任务和障碍自我效能感立即得到改善，干预一个月后有改善趋势。咨询还与干预后一个月饮食依从性的提高和抑郁症状的减少有关。饮食依从性（r = -.61; P = .045）和障碍自我效能感（r = -.77; P = .009）的变化与抑郁症的变化呈负相关。因此，针对与抗炎饮食相关的障碍进行咨询可以提高坚持饮食的自我效能，并改善一个月后的实际坚持情况和抑郁症状。
{"title":"The Effects of an Anti-inflammatory Dietary Consultation on Self-efficacy, Adherence and Selected Health Outcomes: A Randomized Control Trial","authors":"Giuseppe Gazzellone, Sarah Lanteigne, Kimberley Gammage, Val A. Fajardo, David S. Ditor","doi":"10.1177/15598276231215271","DOIUrl":"https://doi.org/10.1177/15598276231215271","url":null,"abstract":"Research has shown that an anti-inflammatory diet can reduce inflammation and improve health outcomes in individuals with neurological disability, however, long term adherence is challenging. This study aimed to determine the effects of a 2-part dietary consultation, targeted at identified barriers for adherence in this population, on self-efficacy for adhering to an anti-inflammatory diet, as well as adherence and health outcomes one-month post-intervention. Eleven individuals (10 female, age 51.5±12.6 years) with neurological disability (7 multiple sclerosis, 3 spinal cord injury, 1 muscular dystrophy; 20.5 ± 10.6 years post-injury/diagnosis) participated. The intervention group (n = 7) received recipes for an anti-inflammatory diet and the consultation, while controls (n = 4) received the recipes only. The consultation included a home-visit involving cooking and accessible kitchen equipment demonstrations, and an accompanied trip to the grocery store. Task and barrier self-efficacy improved immediately following the consultation with trends for improvement one-month post-intervention. The consultation was also associated with increased dietary adherence one-month post-intervention and decreased depressive symptoms. Changes in dietary adherence (r = −.61; P = .045), and barrier self-efficacy (r = −.77; P = .009) were negatively correlated to changes in depression. Thus, a consultation targeted at barriers related to anti-inflammatory eating can improve self-efficacy for adherence as well as actual adherence and depressive symptomology one-month later.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139270800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：