Pub Date : 2024-03-07DOI: 10.1177/15598276241238170
Amanda N. Sacino, Dan Norvell, Anna Gorbacheva, Amal Sajid, August Avantaggio, Rod J. Oskouian, Jens R. Chapman
Up to 10,000 steps per day may be associated with lower risk of all-cause mortality as well as cancer and cardiovascular disease mortality. Here, we evaluate daily step count in patients seen in spine clinic and its association with step goal knowledge, step tracking, and physical factors affecting walking. Of the 575 clinic patients, 368 met criteria and agreed to participate (mean age range 60-69 years; 52% female; 54% prior spine surgery). Of the population surveyed for actual daily steps, 55% reported <2000 and 9% reported >8000. Patients with a higher knowledge of the ideal step goal and who possessed a step counter (64%) had a higher number of actual daily steps ( P < .001). The main prohibiting factor to actual walking was pain (64%). Prior spine surgery and the use of a walking assist was associated with less daily steps ( P < .04, 6% reported >8000 steps; and P < .001, 0% reported >8000 steps, respectively). Patients presenting for evaluation in spine clinic underestimate the recommended number of steps taken daily to help decrease all-cause mortality, and cancer and cardiovascular disease mortality.
{"title":"Association of Daily Step Count With Patient Knowledge, Step Tracking, and Physical Factors in Patients With Spine Pathology","authors":"Amanda N. Sacino, Dan Norvell, Anna Gorbacheva, Amal Sajid, August Avantaggio, Rod J. Oskouian, Jens R. Chapman","doi":"10.1177/15598276241238170","DOIUrl":"https://doi.org/10.1177/15598276241238170","url":null,"abstract":"Up to 10,000 steps per day may be associated with lower risk of all-cause mortality as well as cancer and cardiovascular disease mortality. Here, we evaluate daily step count in patients seen in spine clinic and its association with step goal knowledge, step tracking, and physical factors affecting walking. Of the 575 clinic patients, 368 met criteria and agreed to participate (mean age range 60-69 years; 52% female; 54% prior spine surgery). Of the population surveyed for actual daily steps, 55% reported <2000 and 9% reported >8000. Patients with a higher knowledge of the ideal step goal and who possessed a step counter (64%) had a higher number of actual daily steps ( P < .001). The main prohibiting factor to actual walking was pain (64%). Prior spine surgery and the use of a walking assist was associated with less daily steps ( P < .04, 6% reported >8000 steps; and P < .001, 0% reported >8000 steps, respectively). Patients presenting for evaluation in spine clinic underestimate the recommended number of steps taken daily to help decrease all-cause mortality, and cancer and cardiovascular disease mortality.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140074466","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 : 2024-02-29DOI: 10.1177/15598276241236417
Danielle E. Jake-Schoffman, T. Isaac White, Hannah A. Lavoie, Courtney M. Monroe, Demetra D. Christou
Behavioral interventions targeting moderate- to vigorous-intensity physical activity (MVPA) to ensure health benefits can be strengthened by a simple metric that helps adults understand if they are exercising at the target intensity. Laboratory studies have established that a cadence of 100 steps/min is equivalent to MVPA, but intervention application is largely unexplored. The aim of this narrative review was to describe how cadence has been implemented in behavioral interventions. PubMed, PsychInfo, and SCOPUS were searched with a standardized search string. Studies were included if peer-reviewed interventions reporting on targeting MVPA increases for adults through cadence or if non-intervention programs directly targeting cadence. Of 232 unique studies identified, 6 were included in the final sample. Cadence was monitored using subjective cues (n = 3), time-oriented goals (n = 2), step-counting (n = 2), auditory cues (n = 2), and visual cues (n = 2), and measured by pedometers (n = 5) or mp3 player (n = 1). No studies reported detailed participant instructions to teach cadence. Results suggest that use of cadence in behavioral interventions is feasible but nascent. Reviewed studies provided insufficient detail to replicate methods and there was no consensus on best practices for implementing cadence. Results point to the potential utility of cadence and offer approaches for future refinement and standardization.
{"title":"Cadence as a Behavioral Target in Physical Activity Interventions: A Narrative Review","authors":"Danielle E. Jake-Schoffman, T. Isaac White, Hannah A. Lavoie, Courtney M. Monroe, Demetra D. Christou","doi":"10.1177/15598276241236417","DOIUrl":"https://doi.org/10.1177/15598276241236417","url":null,"abstract":"Behavioral interventions targeting moderate- to vigorous-intensity physical activity (MVPA) to ensure health benefits can be strengthened by a simple metric that helps adults understand if they are exercising at the target intensity. Laboratory studies have established that a cadence of 100 steps/min is equivalent to MVPA, but intervention application is largely unexplored. The aim of this narrative review was to describe how cadence has been implemented in behavioral interventions. PubMed, PsychInfo, and SCOPUS were searched with a standardized search string. Studies were included if peer-reviewed interventions reporting on targeting MVPA increases for adults through cadence or if non-intervention programs directly targeting cadence. Of 232 unique studies identified, 6 were included in the final sample. Cadence was monitored using subjective cues (n = 3), time-oriented goals (n = 2), step-counting (n = 2), auditory cues (n = 2), and visual cues (n = 2), and measured by pedometers (n = 5) or mp3 player (n = 1). No studies reported detailed participant instructions to teach cadence. Results suggest that use of cadence in behavioral interventions is feasible but nascent. Reviewed studies provided insufficient detail to replicate methods and there was no consensus on best practices for implementing cadence. Results point to the potential utility of cadence and offer approaches for future refinement and standardization.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140033052","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 : 2024-02-27DOI: 10.1177/15598276241232359
Anne Kennard, Fiona M. Lindo, Melinda Ring, Bisi Alli, Noor Khan, Dineasha Potter-McQuilkin, Ginamarie Papia, Rebecca Teng, Reagan McKendree, Michelle Thompson-Olson, Michelle Tollefson
This paper is an literature evaluation of the treatments based on the 6 pillars of Lifestyle Medicine (nutrition, physical activity, restorative sleep, stress management, positive social connection, and avoidance of risky substances) to improve vasomotor symptoms. Main findings were: (1) the Mediterranean diet and other plant-forward approaches may effectively reduce vasomotor symptoms; (2) stress can directly impact menopausal symptoms by increasing the frequency and intensity of hot flashes and other symptoms; (3) the incidence of sleep disturbances are high during the menopause transition; (4) evidence on the impact of physical activity and exercise on vasomotor symptoms is mixed, although moderate activity and strength training may be better for vasomotor symptom optimization than vigorous exercise and part of a healthy aging process; (5) evidence on the impact of social support on VMS is mixed with some studies suggesting benefit; and (6) evidence on the impact of risky substances is mixed but appears stronger for the effects of tobacco cessation than for alcohol cessation. In summary, while there is a variety of quality of evidence depending on the pillar, lifestyle medicine may be generally considered to improve vasomotor symptoms for patients that cannot use or decline hormone therapy.
{"title":"Lifestyle Medicine and Vasomotor Symptoms: An Analytic Review","authors":"Anne Kennard, Fiona M. Lindo, Melinda Ring, Bisi Alli, Noor Khan, Dineasha Potter-McQuilkin, Ginamarie Papia, Rebecca Teng, Reagan McKendree, Michelle Thompson-Olson, Michelle Tollefson","doi":"10.1177/15598276241232359","DOIUrl":"https://doi.org/10.1177/15598276241232359","url":null,"abstract":"This paper is an literature evaluation of the treatments based on the 6 pillars of Lifestyle Medicine (nutrition, physical activity, restorative sleep, stress management, positive social connection, and avoidance of risky substances) to improve vasomotor symptoms. Main findings were: (1) the Mediterranean diet and other plant-forward approaches may effectively reduce vasomotor symptoms; (2) stress can directly impact menopausal symptoms by increasing the frequency and intensity of hot flashes and other symptoms; (3) the incidence of sleep disturbances are high during the menopause transition; (4) evidence on the impact of physical activity and exercise on vasomotor symptoms is mixed, although moderate activity and strength training may be better for vasomotor symptom optimization than vigorous exercise and part of a healthy aging process; (5) evidence on the impact of social support on VMS is mixed with some studies suggesting benefit; and (6) evidence on the impact of risky substances is mixed but appears stronger for the effects of tobacco cessation than for alcohol cessation. In summary, while there is a variety of quality of evidence depending on the pillar, lifestyle medicine may be generally considered to improve vasomotor symptoms for patients that cannot use or decline hormone therapy.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140026302","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 : 2024-02-26DOI: 10.1177/15598276241233237
Laura L. Hayman
Lifestyle medicine is a critically important part of optimizing holistic health across the life course of individuals. For children and adolescents, lifestyle medicine with the focus on developing healthy lifestyle behaviors, is initiated early in life and emphasizes multidisciplinary, multisectoral efforts. Central to these efforts is primordial prevention, with an emphasis on developing and maintaining healthy patterns of lifestyle behaviors. Viewed within a socio-ecological model of health and behavior, contexts including families, schools, and communities interact to influence and impact the health of children and adolescents. Nurses and nursing organizations and societies promote pediatric lifestyle medicine with the aim of promoting optimal health and development for all children.
{"title":"The Role of Nursing in Pediatric Lifestyle Medicine","authors":"Laura L. Hayman","doi":"10.1177/15598276241233237","DOIUrl":"https://doi.org/10.1177/15598276241233237","url":null,"abstract":"Lifestyle medicine is a critically important part of optimizing holistic health across the life course of individuals. For children and adolescents, lifestyle medicine with the focus on developing healthy lifestyle behaviors, is initiated early in life and emphasizes multidisciplinary, multisectoral efforts. Central to these efforts is primordial prevention, with an emphasis on developing and maintaining healthy patterns of lifestyle behaviors. Viewed within a socio-ecological model of health and behavior, contexts including families, schools, and communities interact to influence and impact the health of children and adolescents. Nurses and nursing organizations and societies promote pediatric lifestyle medicine with the aim of promoting optimal health and development for all children.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139978961","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 : 2024-02-26DOI: 10.1177/15598276241236115
Soyoung Kwon, Shahmir H. Ali, Ralph J. DiClemente
The relationship between family dynamics and health has been extensively studied, but the specific pathways involved are not yet fully understood. The role of intimate partner relationships in promoting and maintaining healthy lifestyle behaviors remains understudied, particularly in minority populations. This study addressed this gap by examining how frequent spousal and familial interactions affect healthy lifestyle behaviors in young Asian Americans. Survey data from Asian American adults aged 18 to 35, collected in March 2021, is used to compare two groups: one interacting most with an intimate partner and the other interacting most with other non-intimate family members. The results showed that young Asian Americans interact most with their spouses/partners and mothers. Participants who interacted most frequently with their spouses/partners reported a greater influence in maintaining a healthy lifestyle, particularly in the domains of exercise and sleep. Moreover, those who interacted more with their spouses/partners exhibited a greater sense of connectedness, which impacted spousal and personal influence on healthy lifestyle behaviors. The findings suggest that promoting interaction and fostering stronger spousal/partner relationships can positively influence the healthy lifestyle behaviors of young Asian Americans.
{"title":"Comparing the Influences of Spouses or Partners With Other Family Members in the Ability of Young Asian Americans to Maintain a Healthy Lifestyle","authors":"Soyoung Kwon, Shahmir H. Ali, Ralph J. DiClemente","doi":"10.1177/15598276241236115","DOIUrl":"https://doi.org/10.1177/15598276241236115","url":null,"abstract":"The relationship between family dynamics and health has been extensively studied, but the specific pathways involved are not yet fully understood. The role of intimate partner relationships in promoting and maintaining healthy lifestyle behaviors remains understudied, particularly in minority populations. This study addressed this gap by examining how frequent spousal and familial interactions affect healthy lifestyle behaviors in young Asian Americans. Survey data from Asian American adults aged 18 to 35, collected in March 2021, is used to compare two groups: one interacting most with an intimate partner and the other interacting most with other non-intimate family members. The results showed that young Asian Americans interact most with their spouses/partners and mothers. Participants who interacted most frequently with their spouses/partners reported a greater influence in maintaining a healthy lifestyle, particularly in the domains of exercise and sleep. Moreover, those who interacted more with their spouses/partners exhibited a greater sense of connectedness, which impacted spousal and personal influence on healthy lifestyle behaviors. The findings suggest that promoting interaction and fostering stronger spousal/partner relationships can positively influence the healthy lifestyle behaviors of young Asian Americans.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139978393","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 : 2024-02-21DOI: 10.1177/15598276241233204
Isabel Edge, Jo Marie Reilly, Ilana Simon Greenberg
Exercise is a pivotal tool in the prevention and management of chronic disease, a cornerstone of primary care. Yet, there is little formal exercise education in medical school and many medical students feel unprepared to effectively counsel patients about exercise. Since 2019, medical students in the Primary Care Program (PCP), a primary care-focused educational track, at the Keck School of Medicine (KSOM) of the University of Southern California (USC) have taught exercise classes to the local community as part of a service-learning experience. Students receive lectures on exercise from faculty and then deliver curated bilingual English/Spanish presentations and lead exercise classes for the community. Post participation in this program, students reported (1) increased knowledge of exercise principles, (2) increased predicted likelihood of counseling patients about exercise, (3) increased confidence in providing exercise counseling, and (4) intent to make positive changes in their own exercise habits. This curriculum provides a replicable lifestyle medicine model for other medical schools seeking to enhance exercise education and train the next generation of primary care physicians.
{"title":"Service-Learning Through Community-Based Exercise Teaching Enhances Medical Students’ Exercise Knowledge, Counseling Confidence, and Habits","authors":"Isabel Edge, Jo Marie Reilly, Ilana Simon Greenberg","doi":"10.1177/15598276241233204","DOIUrl":"https://doi.org/10.1177/15598276241233204","url":null,"abstract":"Exercise is a pivotal tool in the prevention and management of chronic disease, a cornerstone of primary care. Yet, there is little formal exercise education in medical school and many medical students feel unprepared to effectively counsel patients about exercise. Since 2019, medical students in the Primary Care Program (PCP), a primary care-focused educational track, at the Keck School of Medicine (KSOM) of the University of Southern California (USC) have taught exercise classes to the local community as part of a service-learning experience. Students receive lectures on exercise from faculty and then deliver curated bilingual English/Spanish presentations and lead exercise classes for the community. Post participation in this program, students reported (1) increased knowledge of exercise principles, (2) increased predicted likelihood of counseling patients about exercise, (3) increased confidence in providing exercise counseling, and (4) intent to make positive changes in their own exercise habits. This curriculum provides a replicable lifestyle medicine model for other medical schools seeking to enhance exercise education and train the next generation of primary care physicians.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139952181","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 : 2024-02-21DOI: 10.1177/15598276241233253
Elizabeth Moxley, Marc Conrad, Desale Habtezgi, Clayton Camic, Peter Joseph Chomentowski, Barrie P. Bode, Rachel Kowal, Troy Loeser, Sara Budhwani
IntroductionCardiovascular disease (CVD) impacts 50% of U.S. adults although few studies evaluate young adults’ cardiovascular disease risk. Early identification of cardiovascular disease risk may mitigate increased adulthood incidence. We analyzed (CVD) risk factors and their association with cardiovascular fitness ([Formula: see text] o2max) to devise effective strategies to improve cardiovascular health across the lifespan.MethodsA cross-sectional study evaluated the effect of a single bout of aerobic exercise on cardiovascular disease risk factors in adults aged 18 to 36 years. Glycemic control (HbA1C), cardiovascular fitness ([Formula: see text]o2max), percent body fat, lean body mass, waist circumference, and body mass index (BMI) were analyzed using correlation analysis and multiple linear regression.ResultsStatistically significant relationships were observed between percent body fat (r = .83, P < .001) and BMI, and waist circumference (r = .83, P < .001) and BMI. Percent body fat ( P < .001) and race ( P = .018) predicted exercise time, with Asians exercising the longest. Percent fat ( P < .001) and HbA1C ( P = .039) were identified as predictors of cardiovascular fitness which was low in spite of primarily normal average HbA1C levels.ConclusionsHbA1C and body fat negatively influence cardiovascular fitness ([Formula: see text] o2max) in young adults increasing adulthood cardiovascular disease risk. Research investigating the effect of HbA1C on cardiovascular health especially in youth is warranted.
{"title":"Associations Between Risk Factors of Cardiovascular Disease in Young Adults","authors":"Elizabeth Moxley, Marc Conrad, Desale Habtezgi, Clayton Camic, Peter Joseph Chomentowski, Barrie P. Bode, Rachel Kowal, Troy Loeser, Sara Budhwani","doi":"10.1177/15598276241233253","DOIUrl":"https://doi.org/10.1177/15598276241233253","url":null,"abstract":"IntroductionCardiovascular disease (CVD) impacts 50% of U.S. adults although few studies evaluate young adults’ cardiovascular disease risk. Early identification of cardiovascular disease risk may mitigate increased adulthood incidence. We analyzed (CVD) risk factors and their association with cardiovascular fitness ([Formula: see text] o<jats:sub>2</jats:sub>max) to devise effective strategies to improve cardiovascular health across the lifespan.MethodsA cross-sectional study evaluated the effect of a single bout of aerobic exercise on cardiovascular disease risk factors in adults aged 18 to 36 years. Glycemic control (HbA<jats:sub>1C</jats:sub>), cardiovascular fitness ([Formula: see text]o<jats:sub>2</jats:sub>max), percent body fat, lean body mass, waist circumference, and body mass index (BMI) were analyzed using correlation analysis and multiple linear regression.ResultsStatistically significant relationships were observed between percent body fat (r = .83, P < .001) and BMI, and waist circumference (r = .83, P < .001) and BMI. Percent body fat ( P < .001) and race ( P = .018) predicted exercise time, with Asians exercising the longest. Percent fat ( P < .001) and HbA<jats:sub>1C</jats:sub> ( P = .039) were identified as predictors of cardiovascular fitness which was low in spite of primarily normal average HbA<jats:sub>1C</jats:sub> levels.ConclusionsHbA<jats:sub>1C</jats:sub> and body fat negatively influence cardiovascular fitness ([Formula: see text] o<jats:sub>2</jats:sub>max) in young adults increasing adulthood cardiovascular disease risk. Research investigating the effect of HbA<jats:sub>1C</jats:sub> on cardiovascular health especially in youth is warranted.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139952017","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 : 2024-02-21DOI: 10.1177/15598276241230237
John H. Kelly, Liana Lianov, Dexter Shurney, Sley Tanigawa Guimarães, Mechelle Palma, Caldwell Esselstyn, Scott Stoll, Padmaja Patel, Brenda Rea, Koushik Reddy, George Guthrie, Michelle Reiss, Micaela C. Karlsen
ObjectiveThe objective of this expert consensus process was to define performance measures that can be used to document remission or long-term progress following lifestyle medicine (LM) treatment.MethodsExpert panel members with experience in intensive, therapeutic lifestyle change (ITLC) developed a list of performance measures for key disease states, using an established process for developing consensus statements adapted for the topic. Proposed performance measures were assessed for consensus using a modified Delphi process.ResultsAfter a series of meetings and an iterative Delphi process of voting and revision, a final set of 32 performance measures achieved consensus. These were grouped in 10 domains of diseases, conditions, or risk factors, including (1) Cardiac function, (2) Cardiac risk factors, (3) Cardiac medications and procedures, (4) Patient-centered cardiac health, (5) Hypertension, (6) Type 2 diabetes and prediabetes, (7) Metabolic syndrome, (8) Inflammatory conditions, (9) Inflammatory condition patient-centered measures, and (10) Chronic kidney disease.ConclusionThese measures compose a set of performance standards that can be used to evaluate the effectiveness of LM treatment for these conditions.
{"title":"Lifestyle Medicine Performance Measures: An Expert Consensus Statement Defining Metrics to Identify Remission or Long-Term Progress Following Lifestyle Medicine Treatment","authors":"John H. Kelly, Liana Lianov, Dexter Shurney, Sley Tanigawa Guimarães, Mechelle Palma, Caldwell Esselstyn, Scott Stoll, Padmaja Patel, Brenda Rea, Koushik Reddy, George Guthrie, Michelle Reiss, Micaela C. Karlsen","doi":"10.1177/15598276241230237","DOIUrl":"https://doi.org/10.1177/15598276241230237","url":null,"abstract":"ObjectiveThe objective of this expert consensus process was to define performance measures that can be used to document remission or long-term progress following lifestyle medicine (LM) treatment.MethodsExpert panel members with experience in intensive, therapeutic lifestyle change (ITLC) developed a list of performance measures for key disease states, using an established process for developing consensus statements adapted for the topic. Proposed performance measures were assessed for consensus using a modified Delphi process.ResultsAfter a series of meetings and an iterative Delphi process of voting and revision, a final set of 32 performance measures achieved consensus. These were grouped in 10 domains of diseases, conditions, or risk factors, including (1) Cardiac function, (2) Cardiac risk factors, (3) Cardiac medications and procedures, (4) Patient-centered cardiac health, (5) Hypertension, (6) Type 2 diabetes and prediabetes, (7) Metabolic syndrome, (8) Inflammatory conditions, (9) Inflammatory condition patient-centered measures, and (10) Chronic kidney disease.ConclusionThese measures compose a set of performance standards that can be used to evaluate the effectiveness of LM treatment for these conditions.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139952015","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 : 2024-01-31DOI: 10.1177/15598276241230467
Ryan A. Mace, Matthew J. Stauder, Sarah W. Hopkins, Joshua E. Cohen, Malvina O. Pietrzykowski, Lisa L. Philpotts, Christina M. Luberto, Ana-Maria Vranceanu
A systematic review and meta-analysis investigated randomized clinical trials (RCTs) of mindfulness-based interventions (MBIs) targeting lifestyle behaviors commonly associated with brain health in adults. Data sources included Ovid Medline, Ovid PsycINFO, CINAHL [EBSCO], Embase, Cochrane Library [Ovid], Web of Science, and https://ClinicalTrials.gov . Studies were screened using Covidence 2.0. A total of 79 published RCTs of MBIs for adults (18+, patient and non-patient populations) targeting one or more lifestyle behavior (physical activity, sleep, diet, alcohol use, tobacco cessation, and social and mental activities) met eligibility criteria. MBIs were associated with reduced sleep disturbance (40/54 RCTs; 3537 participants; SMD = −.53; 95% CI = −.74 to −.32; I 2 = 78%), increased physical activity (9/17 RCTs analyzed; 685 participants; SMD = .72; 95% CI = .04 to 1.40; I 2 = 89%), improved tobacco cessation (8/12 RCTs; 1234 participants; OR = 2.11; 95% CI = 1.12 to 3.97; I 2 = 55%), and lowered alcohol use (4/6 RCTs; 261 participants; SMD = −.39; 95% CI = −.45 to −.32; I 2 = 0%). This review found moderate to high-quality evidence for MBIs targeting sleep, physical activity, alcohol use, and tobacco cessation. Heterogeneity for these outcomes and insufficient data to analyze diet, mental activities, and cognitive functioning limit our ability to draw definitive conclusions about the effects of MBIs on brain health.
一项系统综述和荟萃分析调查了针对与成人大脑健康普遍相关的生活方式行为的正念干预（MBI）的随机临床试验（RCT）。数据来源包括 Ovid Medline、Ovid PsycINFO、CINAHL [EBSCO]、Embase、Cochrane Library [Ovid]、Web of Science 和 https://ClinicalTrials.gov。使用 Covidence 2.0 对研究进行筛选。共有 79 项已发表的针对成人（18 岁以上，患者和非患者人群）的 MBI 研究符合资格标准，这些研究针对一种或多种生活方式行为（体育锻炼、睡眠、饮食、饮酒、戒烟以及社交和心理活动）。MBIs 与减少睡眠障碍（40/54 项 RCTs；3537 名参与者；SMD = -.53；95% CI = -.74 至 -.32；I 2 = 78%）、增加体力活动（9/17 项 RCTs 分析；685 名参与者；SMD = .72；95% CI = .04 至 1.40；I 2 = 89%），提高戒烟率（8/12 项 RCTs；1234 名参与者；OR = 2.11；95% CI = 1.12 至 3.97；I 2 = 55%），降低饮酒率（4/6 项 RCTs；261 名参与者；SMD = -.39; 95% CI = -.45 至 -.32; I 2 = 0%）。本综述发现了针对睡眠、体育锻炼、饮酒和戒烟的 MBI 的中高质量证据。这些结果的异质性以及饮食、心理活动和认知功能分析数据的不足，限制了我们就MBI对大脑健康的影响得出明确结论的能力。
{"title":"Mindfulness-Based Interventions Targeting Modifiable Lifestyle Behaviors Associated With Brain Health: A Systematic Review and Meta-Analysis","authors":"Ryan A. Mace, Matthew J. Stauder, Sarah W. Hopkins, Joshua E. Cohen, Malvina O. Pietrzykowski, Lisa L. Philpotts, Christina M. Luberto, Ana-Maria Vranceanu","doi":"10.1177/15598276241230467","DOIUrl":"https://doi.org/10.1177/15598276241230467","url":null,"abstract":"A systematic review and meta-analysis investigated randomized clinical trials (RCTs) of mindfulness-based interventions (MBIs) targeting lifestyle behaviors commonly associated with brain health in adults. Data sources included Ovid Medline, Ovid PsycINFO, CINAHL [EBSCO], Embase, Cochrane Library [Ovid], Web of Science, and https://ClinicalTrials.gov . Studies were screened using Covidence 2.0. A total of 79 published RCTs of MBIs for adults (18+, patient and non-patient populations) targeting one or more lifestyle behavior (physical activity, sleep, diet, alcohol use, tobacco cessation, and social and mental activities) met eligibility criteria. MBIs were associated with reduced sleep disturbance (40/54 RCTs; 3537 participants; SMD = −.53; 95% CI = −.74 to −.32; I<jats:sup> 2</jats:sup> = 78%), increased physical activity (9/17 RCTs analyzed; 685 participants; SMD = .72; 95% CI = .04 to 1.40; I<jats:sup> 2</jats:sup> = 89%), improved tobacco cessation (8/12 RCTs; 1234 participants; OR = 2.11; 95% CI = 1.12 to 3.97; I<jats:sup> 2</jats:sup> = 55%), and lowered alcohol use (4/6 RCTs; 261 participants; SMD = −.39; 95% CI = −.45 to −.32; I<jats:sup> 2</jats:sup> = 0%). This review found moderate to high-quality evidence for MBIs targeting sleep, physical activity, alcohol use, and tobacco cessation. Heterogeneity for these outcomes and insufficient data to analyze diet, mental activities, and cognitive functioning limit our ability to draw definitive conclusions about the effects of MBIs on brain health.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139956144","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 : 2024-01-29DOI: 10.1177/15598276241230043
Michelle Kober, Yu-Ping Chang
Background: There is little research providing critical understanding of how healthcare professionals perceive and manage work-related stress. This study aims to understand healthcare workers’ perspectives regarding work-related stress and burnout, strategies and barriers for self-care, and organizational support for self-care and resiliency. Methods: A qualitative descriptive approach was used. Individual, semi-structured interviews were conducted with healthcare workers from 5 organizations in New York State. Data was analyzed using Braun and Clarke’s Thematic Analysis. Results: Interviews were conducted with 27 healthcare workers from various disciplines. Findings indicated that healthcare workers experienced high levels of stress and burnout, which negatively impacts their mental health, quality of work, relationships with coworkers, and patient care. Many participants expressed an interest in self-care activities, and there were apparent differences among respondents regarding perceived organizational support. Five themes were identified, including: staff shortages, coworker conflict and interactions, strategies to mitigate stress, impacts of work-related stress, and managing stress and burnout in the workplace. Conclusion: Workplace stress affects patient care, but workers feel that there is limited support from leadership. It is critical that healthcare organizations and governments prioritize providing support along with other resources to healthcare workers to address burnout and assist with mental health concerns.
{"title":"Healthcare Workers’ Perceptions of Work-Related Stress and Burnout: Strategies and Barriers for Self-Care","authors":"Michelle Kober, Yu-Ping Chang","doi":"10.1177/15598276241230043","DOIUrl":"https://doi.org/10.1177/15598276241230043","url":null,"abstract":"Background: There is little research providing critical understanding of how healthcare professionals perceive and manage work-related stress. This study aims to understand healthcare workers’ perspectives regarding work-related stress and burnout, strategies and barriers for self-care, and organizational support for self-care and resiliency. Methods: A qualitative descriptive approach was used. Individual, semi-structured interviews were conducted with healthcare workers from 5 organizations in New York State. Data was analyzed using Braun and Clarke’s Thematic Analysis. Results: Interviews were conducted with 27 healthcare workers from various disciplines. Findings indicated that healthcare workers experienced high levels of stress and burnout, which negatively impacts their mental health, quality of work, relationships with coworkers, and patient care. Many participants expressed an interest in self-care activities, and there were apparent differences among respondents regarding perceived organizational support. Five themes were identified, including: staff shortages, coworker conflict and interactions, strategies to mitigate stress, impacts of work-related stress, and managing stress and burnout in the workplace. Conclusion: Workplace stress affects patient care, but workers feel that there is limited support from leadership. It is critical that healthcare organizations and governments prioritize providing support along with other resources to healthcare workers to address burnout and assist with mental health concerns.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139952014","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}
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