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Physical Activity in Natural Settings: An Opportunity for Lifestyle Medicine 自然环境中的体育活动:生活方式医学的机遇
IF 1.9 Q2 Medicine Pub Date : 2024-05-11 DOI: 10.1177/15598276241253211
Jay E. Maddock, Howard Frumkin
Physical activity is a well-known behavior for promoting health and preventing a variety of chronic diseases. Despite widespread knowledge of the benefits of physical activity, most Americans do not engage in sufficient physical activity. Over the past decade, there has been increasing recognition of the health benefits of spending time in nature, mediated in part through physical activity. This has led to new partnerships across health, parks and recreation, public lands, and environmental organizations to increase time spent, and physical activity, in natural settings. This review assesses the current evidence around physical activity in natural settings (PANS), strategies for promoting PANS including health professional engagement, and current gaps in the research literature.
体育锻炼是一种众所周知的促进健康和预防各种慢性疾病的行为。尽管人们普遍了解体育锻炼的益处,但大多数美国人并没有参加足够的体育锻炼。在过去的十年中,人们越来越认识到在大自然中度过的时间对健康的益处,这部分是通过体育锻炼来实现的。这促使健康、公园与娱乐、公共土地和环保组织之间建立了新的合作关系,以增加在自然环境中的时间和体育活动。本综述评估了当前有关自然环境中的体育活动(PANS)的证据、促进自然环境中的体育活动(PANS)的策略(包括卫生专业人员的参与)以及当前研究文献中存在的差距。
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引用次数: 0
Healthy Lifestyle Behaviors Among First-Year College Students Attending a University in Mississippi 密西西比州一所大学一年级学生的健康生活方式
IF 1.9 Q2 Medicine Pub Date : 2024-05-08 DOI: 10.1177/15598276241249951
Hannah Horaist, Mayantoinette Watson
IntroductionThe promotion of healthy lifestyle behaviors among college students is a significant interest for public health, especially in Mississippi where 1 in 4 individuals have inadequate access to food supply. A study at a major Mississippi university found that 45% of their students reported food insecurity. More recently, research has highlighted a higher risk of unhealthy lifestyle habits among college students in the Southeastern US.MethodsThis study utilized a descriptive quantitative study design to survey first-year college students (n = 196) enrolled at a University in Southern Mississippi. The relationship between lifestyle and health among first-year college students was measured using the Fantastic Lifestyle Checklist. Data were analyzed utilizing bivariate analysis to determine significant correlations.ResultsOnly 19% of the students reported eating a balanced diet regularly, while 54% reported being active less than twice a week. Although 91% of the students perceived themselves as having an overall healthy lifestyle, 79% reported feelings of sadness or depression. The Fantastic Lifestyle Checklist correlated significantly ( P < .05) with gender out of all demographic variables.ConclusionsInterventions promoting healthy lifestyle behaviors should be encouraged among first-year college students who are vulnerable to contributing factors that can increase health risks. Interventions such as evaluation of risks, health promotion resources, and health promotion behavior awareness should be brought to bear in an effort to improve healthy lifestyle habits among students.
导言:在大学生中推广健康的生活方式行为是公共卫生领域的一项重要工作,尤其是在密西西比州,每 4 人中就有 1 人无法获得充足的食物供应。密西西比州一所重点大学的一项研究发现,该校 45% 的学生报告称食物无保障。本研究采用描述性定量研究设计,调查了密西西比州南部一所大学的一年级新生(n = 196)。使用 "奇妙生活方式清单 "测量了大学一年级学生的生活方式与健康之间的关系。结果只有 19% 的学生表示经常均衡饮食,54% 的学生表示每周活动少于两次。虽然 91% 的学生认为自己拥有整体健康的生活方式,但 79% 的学生表示有悲伤或抑郁情绪。在所有人口统计学变量中,"美妙生活方式清单 "与性别显著相关(P <.05)。结论应鼓励对大学一年级学生采取促进健康生活方式行为的干预措施,因为他们很容易受到会增加健康风险的因素的影响。应采取风险评估、健康促进资源和健康促进行为意识等干预措施,努力改善学生的健康生活习惯。
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引用次数: 0
Improvement in Nutritional Knowledge Confidence and Food-Agency: Outcomes of the First French-Speaking Culinary Medicine Courses Among Medical Students 提高营养知识信心和食品代理能力:医科学生首届法语烹饪医学课程的成果
IF 1.9 Q2 Medicine Pub Date : 2024-05-08 DOI: 10.1177/15598276241252612
Sylvie Dodin, Catherine Bégin, Michel Lucas
BackgroundMedical students often lack sufficient nutrition education, leading to confidence gaps and an inability to address this healthcare aspect. Culinary Medicine (CM) courses offer an innovative solution.MethodsWe tested the first French-speaking CM courses among 2 groups of second-third year medical students, compared to a control group (CG). The objectives were to assess if an optional CM course could enhance their confidence in both nutritional knowledge and providing nutritional advice, and improve their food agency (CAFPAS: Cooking and Food Provisioning Action Scale). The analysis examines changes in scores by comparing post-session to pre-session questionnaire measurements.ResultsOf the 22 CM students and 6 in CG, predominantly aged 20-25 years, Caucasian, and female, the majority (CG = 100%, CM = 86.4%) reported <5 hours of nutrition education. Almost all expressed dissatisfaction with nutrition education provided in medicine, both quantitatively and qualitatively. CM students reported significantly increased confidence in their knowledge and ability to advise about nutrition during the sessions. We also observed improvements in their CAFPAS scores, which measure food agency, while the control group exhibited no change in confidence or CAFPAS scores.ConclusionThe findings highlight CM as practical strategy for integrating nutrition education into medical curricula, offering insights for enhancing future physicians’ knowledge.
背景医科学生往往缺乏足够的营养教育,导致信心不足,无法解决这一医疗保健方面的问题。烹饪医学(CM)课程提供了一种创新的解决方案。方法我们在两组二年级至三年级的医学生中测试了首个讲法语的烹饪医学课程,并与对照组(CG)进行了比较。我们的目标是评估选修 CM 课程是否能增强学生对营养知识和提供营养建议的信心,并提高他们的食物代理能力(CAFPAS:烹饪和食物供应行动量表)。通过比较课后与课前的问卷测量,分析了得分的变化。结果在 22 名 CM 学生和 6 名 CG 学生中,大多数(CG = 100%,CM = 86.4%)表示接受过 5 个小时的营养教育。无论是从数量上还是质量上看,几乎所有学生都对医学营养教育表示不满。中医学学生表示,在课程期间,他们对营养知识和建议能力的信心明显增强。我们还观察到他们的 CAFPAS 分数(衡量食物代理能力)有所提高,而对照组的信心或 CAFPAS 分数均无变化。
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引用次数: 0
Corrigendum to “Content and Face Validation of the Lifestyle Medicine Assessment” 生活方式医学评估的内容和面貌验证 "的更正
IF 1.9 Q2 Medicine Pub Date : 2024-04-30 DOI: 10.1177/15598276241244950
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引用次数: 0
Physician Education and Lifestyle Medicine: A Key to the Future 医生教育与生活方式医学:通向未来的钥匙
IF 1.9 Q2 Medicine Pub Date : 2024-04-30 DOI: 10.1177/15598276241249679
James M. Rippe
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引用次数: 0
Building your Tailored Business Case for Lifestyle Medicine-A Template for Success 为生活方式医学量身定制商业案例--成功模板
IF 1.9 Q2 Medicine Pub Date : 2024-04-30 DOI: 10.1177/15598276241241290
Lisa Mauch
Most healthcare professionals agree on the “why” behind encouraging administrators to embrace Lifestyle Medicine as a means of treating chronic conditions and improving health. It is the “how” that often evades us. How do we build our business case to justify the sustained commitment to this approach to care? Each entity has unique obstacles and opportunities inherent in their business model and organizational culture. Attempts to position Lifestyle Medicine as a fundamental means for reshaping healthcare sometimes fall flat despite the value of the requests. Advance preparation including strategic planning and a well-designed approach can make the difference by addressing barriers and opening doors. Each business case will be unique, but there are critical elements that should be common to every strategic plan. We can identify foundational tactics to substantiate the need for integration of Lifestyle Medicine as a critical part of healthcare institutions and their financial plans. Given the momentum in Lifestyle Medicine as a discipline, recommendations can be based on successful practices in the development of business cases, program pilots, sustained budgets and outcomes that justify expansion.
大多数医疗保健专业人员都同意鼓励管理者接受生活方式医学作为治疗慢性病和改善健康的一种手段背后的 "原因"。但 "如何 "往往是我们所回避的。我们如何建立我们的商业案例,以证明对这种护理方法的持续承诺?每个实体都有其业务模式和组织文化中固有的独特障碍和机遇。将生活方式医学定位为重塑医疗保健的基本手段的尝试有时会落空,尽管这些要求很有价值。提前做好准备,包括战略规划和精心设计的方法,可以消除障碍,打开大门,使情况大为改观。每个商业案例都是独一无二的,但每个战略计划都应具备一些共同的关键要素。我们可以确定基本策略,以证明将生活方式医学整合为医疗机构及其财务计划的重要组成部分的必要性。鉴于生活方式医学作为一门学科的发展势头,我们可以根据在制定商业案例、项目试点、持续预算和成果方面的成功实践提出建议,以证明扩展的合理性。
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引用次数: 0
Physical Activity in Older Adults: What Every Internist Needs to Know 老年人的体育锻炼:每位内科医生需要了解的知识
IF 1.9 Q2 Medicine Pub Date : 2024-04-29 DOI: 10.1177/15598276241249681
Katrina L. Piercy, Malorie Polster, Bianca Macias, Alison Vaux-Bjerke
The Physical Activity Guidelines for Americans (Guidelines) advises older adults to be as active as possible. Yet, despite the many benefits of physical activity, less than 15% of people ages 65 years and older meet the Guidelines. To address this, the U.S. Department of Health and Human Services developed a Midcourse Report focused on the strategies and settings that can help increase physical activity levels among older adults. Internists are well positioned to encourage older adults to be more physically active. Health care providers can leverage this position to talk about the importance of regular physical activity; assess physical activity levels; share information and resources about how to safely get started; and provide counseling, guidance, and/or referrals to additional providers or programs for further support. This article provides an overview of the recently released Physical Activity Guidelines for Americans Midcourse Report: Implementation Strategies for Older Adult and highlights the role of internists and other health care providers to encourage and support their patients to be more physically active.
美国人体育活动指南》(简称《指南》)建议老年人尽可能多参加体育活动。然而,尽管体育锻炼好处多多,但只有不到 15%的 65 岁及以上老年人达到了《指南》的要求。为了解决这个问题,美国卫生与公众服务部制定了一份《中期报告》,重点关注有助于提高老年人体育锻炼水平的策略和环境。内科医生完全有能力鼓励老年人加强体育锻炼。医疗服务提供者可以利用这一优势来谈论定期进行体育锻炼的重要性;评估体育锻炼水平;分享有关如何安全地开始体育锻炼的信息和资源;以及提供咨询、指导和/或转介到其他医疗服务提供者或计划以获得进一步的支持。本文概述了最近发布的《美国人体育活动指南中期报告》:老年人的实施策略》,并强调了内科医生和其他医疗服务提供者在鼓励和支持患者加强体育锻炼方面的作用。
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引用次数: 0
Lifestyle Medicine 2023: Walking the Walk, Talking the Talk, Sharing the Comradery, Passion and Commitment in Denver 生活方式医学 2023:在丹佛 "行"、"说"、"分享 "友谊、激情和承诺
IF 1.9 Q2 Medicine Pub Date : 2024-04-25 DOI: 10.1177/15598276241246246
Cheryl True, Hugo Ortega
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引用次数: 0
Associations Between Resistance Training and All-Cause Mortality: NHANES 1999-2006 阻力训练与全因死亡率之间的关系:1999-2006 年全国健康调查
IF 1.9 Q2 Medicine Pub Date : 2024-04-23 DOI: 10.1177/15598276241248107
Robert Booker, Mandy Wong, William Boyer, Jessica Gorzelitz, Mercedes R Carnethon, S. Alexandria
Background: The Physical Activity Guidelines 2nd Edition recommends ≥2 days of resistance training (RT). Evidence supports a dose-response relation between RT volume and cardiometabolic health. We examined whether RT guidelines and volume were associated with lower all-cause mortality. Methods: Participants from the 1999-2006 NHANES cycles (N = 5855) self-reported the past 30 days of physical activity including the number of sessions, average session duration in minutes, and activity type. Mortality was ascertained from the linked National Death Index through the end of 2019. Cox proportional hazards regression was used to estimate hazard ratios for all-cause mortality by RT Guideline adherence and per 1000 MET-minutes of monthly RT volume. Results: Approximately 1-in-10 participants met the RT Guidelines (n = 612, 11.6%). The mean monthly RT volume was 2033.3 ± 2487.7 MET-minutes. Mortality incidence was 10.6% (n = 886). Neither meeting the Guidelines (HR [95% CI]; 1.02 [.74, 1.41], compared to not meeting the Guidelines) nor monthly RT volume per 1000 MET-minutes (1.02 [.92, 1.14]) was associated with all-cause mortality in adjusted models, with no evidence of effect modification by sex or age. Conclusions: The present study did not find an association between RT and all-cause mortality. These results do not support the RT canon, warranting further investigation.
背景:体力活动指南》第二版建议进行≥2 天的阻力训练(RT)。有证据表明,阻力训练量与心脏代谢健康之间存在剂量-反应关系。我们研究了阻力训练指南和阻力训练量是否与降低全因死亡率有关。研究方法1999-2006 年 NHANES 循环的参与者(N = 5855)自我报告了过去 30 天的体育锻炼情况,包括锻炼次数、平均持续时间(分钟)和活动类型。截至 2019 年底的死亡率是根据相关的国家死亡指数确定的。采用考克斯比例危险回归法估算了RT指南遵守情况和每月RT量每1000 MET-分钟的全因死亡率危险比。结果:大约十分之一的参与者符合 RT 指南(n = 612,11.6%)。平均每月 RT 量为 2033.3 ± 2487.7 MET-分钟。死亡率为 10.6%(n = 886)。在调整模型中,符合《指南》(与不符合《指南》相比,HR [95% CI]; 1.02 [.74,1.41])或每月每 1000 MET 分钟的 RT 量(1.02 [.92,1.14])均与全因死亡率无关,没有证据表明性别或年龄会对效果产生影响。结论:本研究未发现 RT 与全因死亡率之间存在关联。这些结果不支持 RT 教规,值得进一步研究。
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引用次数: 0
Lifestyle Medicine as a Curricular Thread in Occupational Therapy Education: A Scoping Review and Discussion of Feasibility 将生活方式医学作为职业疗法教育的课程主线:范围审查和可行性讨论
IF 1.9 Q2 Medicine Pub Date : 2024-04-20 DOI: 10.1177/15598276241247759
Alyssa L. Phillips, Anu M. Räisänen, Trevor T. St. Clair
Occupational therapists (OT) are trained in interventions related to health and well-being, facilitating individuals in achieving occupational balance. This scoping review explored the current methods of disseminating Lifestyle Medicine (LM) knowledge in post-secondary health education and assessed the potential integration of LM principles into OT education. The review covered publications related to LM implementation in post-secondary health professions curricula. Six databases were searched. The authors conducted initial blind reviews of titles and abstracts, followed by a similar screening of full-text articles. Included full-text articles were obtained from university databases with the assistance of systematic review software. Among the 304 abstracts reviewed, 60 full-text articles were assessed, with 16 included in this scoping review. However, none of the programs in the literature were OT programs. The results show that the six pillars of lifestyle medicine were not equally emphasized in the reviewed programs, with social connection being the least addressed. However, OT education places importance on social connections, and the other pillars align well with the 2018 standards set by Accreditation Council of OT Education (ACOTE) and the parameters outlined in OT Practice Framework 4th Edition (OTFP-4). This alignment can be valuable for OT programs in meeting their accreditation requirements.
职业治疗师(OT)接受过与健康和幸福相关的干预培训,可帮助个人实现职业平衡。本范围界定综述探讨了目前在中学后健康教育中传播生活方式医学(LM)知识的方法,并评估了将 LM 原则纳入职业治疗师教育的可能性。综述涵盖了与在中学后健康专业课程中实施 LM 相关的出版物。共检索了六个数据库。作者首先对标题和摘要进行了盲审,然后对全文进行了类似的筛选。在系统性综述软件的帮助下,作者从大学数据库中获取了收录的全文文章。在审查的 304 篇摘要中,对 60 篇全文进行了评估,其中 16 篇被纳入本次范围界定审查。然而,文献中没有一个项目是加时赛项目。研究结果表明,生活方式医学的六大支柱在被综述的项目中并未得到同等重视,其中社会联系是最少被提及的。然而,OT 教育重视社会联系,其他支柱与 2018 年 OT 教育认证委员会(ACOTE)制定的标准以及 OT 实践框架第四版(OTFP-4)中概述的参数非常一致。这种一致性对于职业技术教育项目满足其认证要求非常有价值。
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引用次数: 0
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American Journal of Lifestyle Medicine
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