American Journal of Lifestyle Medicine最新文献

Objective: To estimate the proportion of female patients from Mayo Clinic Family Medicine and Community Internal Medicine clinics who are aware of alcohol use as a breast cancer (BC) risk factor.

Patients and methods: One thousand women aged 21 to 70 completed a survey collecting information on demographics, medical/family history, frequency and quantity of alcohol consumption, and other health behaviors. Participants were also asked to grade how likely certain factors were to increase lifetime BC risk.

Results: Most participants (844/990 [85.3%]) identified a family history of BC as a BC risk factor. In contrast, 48.4% (475/982) identified alcohol use as a BC risk factor. The remaining 51.6% (507/982) reported either they were not sure about alcohol consumption as a risk factor (341/982 [34.7%]), believed that there was no association (143/982 [14.6%]), or believed that alcohol consumption decreases the risk of BC (23/982 [2.3%]). In multivariable analyses, factors associated with awareness of alcohol consumption and BC risk included having never been pregnant (P = 0.048), more education (P < 0.001), and higher frequency of alcohol consumption in the past 12 months (P = 0.005).

Conclusion: Further education of patients and the public is needed to promote awareness of alcohol as a risk factor for BC.

The aim of this study is to investigate whether there are associations between physical fitness and loneliness in older adults, and whether these associations are mediated by psychological distress, an important factor which remains still controversial in this population. One hundred and thirteen older adults (71.71 ± 6.66 years; 75 women), were evaluated of physical fitness (cardiorespiratory fitness, balance, and upper limb strength), loneliness, and psychological distress (depression, anxiety, and stress). Independent mediation analyses were run with PROCESS macro for SPSS. Cardiorespiratory fitness, balance, and upper limb strength significantly and negatively predicted depression (all P < 0.050). Balance predicted significantly and negatively anxiety (P < 0.050). Depression predicted significantly and positively loneliness. Although we did not find any direct effect between physical fitness and loneliness, mediation analyses indicated that lower levels of cardiorespiratory fitness, balance and upper limb strength were associated with higher loneliness via higher levels of depression. These findings support the idea that psychological distress (particularly depression) has an important role in the link between physical fitness and loneliness in older adults.

Gaps in competency-aligned lifestyle medicine (LM) training within graduate medical education (GME) have limited the systematic integration of evidence-based LM into physician training programs. The Lifestyle Medicine Residency Curriculum (LMRC) integrates 40 hours of interactive didactics with 60 hours of application activities, designed to be adaptable across specialties and delivery models. Iterative development from 2017 to 2026 (Beta, Versions 1 to 3) addressed institutional buy-in, faculty expertise, resident time, practicum access, and costs through champions, toolkits, asynchronous learning management system (LMS) units, partnerships with established programs, and tiered fee structures. The LMRC has been implemented in more than 200 institutions and over 450 residency or fellowship programs supported by low-threshold entry via a 6-unit Intro Package, faculty scholarships, and early resident membership support. The LMRC provides a practical, transferable blueprint for implementation and scaling of LM training in residency, with lessons learned and framework-based guidance to inform adoption in diverse settings.

Purpose: To evaluate usage of, satisfaction with, and barriers to a food prescription program (FPP) in under-resourced patients with food insecurity who were undergoing or had undergone metabolic and bariatric surgery (MBS) at our institution. Setting: A 867 bed teaching hospital and tertiary care center located in Hartford, CT. Intervention: Patients were written a prescription for the hospital-based FPP from May to October 2022. 33 patients completed an anonymous online survey addressing program strengths and barriers to program usage. Outcomes: 87.8% were female, 24.2% were African American, 21.2% Caucasian, and 45.4% were Latino. The mean age was 43.4 years and the mean BMI was 41.7 kg/m². Most (75.8%) had undergone MBS. Thirty patients (90.9%) visited the FPP at least once; 83% returned. Staff helpfulness, food quality, language spoken and convenience of location emerged as program strengths. Transportation, parking, operating hours, health issues, cultural appropriateness, and inadequate supplies of food plus inability to store or reheat food emerged as barriers to program usage. Lessons learned: Prescribing nutritious foods for patients with food insecurity and comorbidities does not ensure they can or will fully utilize the prescriptions. Compliance with food prescriptions should be managed in the same manner as medication prescriptions.

Background: Pregnant women with psychiatric disorders are vulnerable to mental health decline and obstetric complications. Although physical activity (PA) benefits pregnancy, little is known about how its domains-household, occupational, transport, leisure-manifest in this group and relate to outcomes. This study examined PA patterns across domains and their associations with psychiatric symptom severity and obstetric outcomes. Methods: This cross-sectional subanalysis included 64 pregnant women with psychiatric diagnoses at a public maternity hospital in Brazil. PA was measured using the Pregnancy Physical Activity Questionnaire, diagnosis via SCID-5-CV, and symptom severity with the Clinical Global Impression. Obstetric outcomes came from medical records. Only moderate-to-vigorous PA was analyzed. Results: Most participants (84.6%) met WHO recommendations for weekly PA, mainly through household activities (median: 315 min/week). Leisure, transport, and occupational domains showed minimal activity (median: 0 min/week). Higher household PA was linked to adverse obstetric outcomes (P = 0.009). Leisure-time PA was associated with gestational diabetes (P = 0.003). No significant correlations appeared with psychiatric severity. Conclusion: While overall PA volume met health recommendations, it was predominantly in the domestic sphere. These patterns reflect structural and gender-based vulnerabilities and underscore the importance of context and autonomy in evaluating the health impacts of physical activity during pregnancy in this population.

Arthritis is a chronic condition worsened by systemic inflammation, inactivity, poor nutrition, and disrupted sleep, yet it is often managed reactively with symptom focused pharmacologic care. Emerging evidence suggests lifestyle interventions may target root causes of disease, offering a proactive approach to reduce pain and preserve joint function. This narrative review examined the impact of lifestyle interventions on arthritis-related pain and joint health, focusing on osteoarthritis and rheumatoid arthritis. A search of PubMed, EMBASE, Cochrane Library, and Google Scholar (2000 to 2025) identified randomized trials, meta-analyses, and cohort studies on nutrition, supplementation, physical activity, and sleep. Outcomes included pain and function scores, inflammatory biomarkers, and imaging markers of joint integrity. Lifestyle interventions reduced pain, improved function, and supported joint health. Anti-inflammatory diets, such as the Mediterranean diet, were linked to lower inflammation and symptom severity. Supplements like curcumin, glucosamine, and Boswellia showed modest benefits with favorable safety. Resistance training and Tai Chi improved strength, mobility, and pain, with added benefits for balance. Poor sleep was associated with greater pain and inflammation, while behavioral sleep interventions improved outcomes. Lifestyle medicine is safe, effective, and feasible to integrate into arthritis care, with strong support for diet and movement therapies.

Background: Despite the documented success of medical-legal partnerships (MLPs), there is a dearth of robust experimental-based research on their efficacy. This review synthesizes the findings of MLP interventions and identifies opportunities for MLP expansion in vulnerable communities.

Methods: Articles were eligible if they tested the experimental effects of an MLP intervention on health-harming legal needs (HHLNs) and had full text for review. Two reviewers independently screened articles for inclusion and assessed the quality (risk of bias) of each study.

Results: Seven studies were eligible. Populations were largely women, of color, and of lower socioeconomic status. All studies demonstrated positive effects on primary endpoints including stress, diabetes, and immunization. Two studies were randomized controlled trials; each presenting with low risk of bias.

Conclusion: Studies highlighted the transdisciplinary impact of MLPs. However, additional research on efficacy is needed given the small number of studies in review.

Lifestyle medicine (LM) is a rapidly growing medical specialty that can be integrated into all aspects of care. LM is implemented across primary, specialty, inpatient, outpatient, community and home settings, with multiple modalities, including virtual, individual or group visits. This position paper outlines how LM achieves value, improves health outcomes, and meets the goals of the Quintuple Aim, thus providing a framework to guide LM stakeholders, including patients, providers, payers, employers, and community organizations. It is the position of the American College of Lifestyle Medicine (ACLM) that: (1) The LM care delivery model addresses the escalating chronic disease healthcare burden; (2) LM is a powerful catalyst for healthcare transformation that delivers the Quintuple Aim; (3) LM is whole-person care implemented for all populations, across various settings, intensities and modalities; (4) LM providers are trained, interdisciplinary experts in chronic disease care across the continuum, from prevention to treatment and remission of disease; (5) nine core elements are essential to an effective and evidence-based LM care framework.