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Effect of a Whole-Food Plant-Based Diet on Postprandial Sleepiness: A Pilot Study 全食物植物性饮食对餐后嗜睡的影响:一项试点研究
Pub Date : 2024-06-15 DOI: 10.1177/15598276241262234
Anastasiia Polianovskaia, Jay T. Sutliffe, N. Lopez, Joseph Cheung
Postprandial sleepiness refers to the state of excessive drowsiness that occurs after consuming a meal. This transient phenomenon is experienced by many individuals, often leading to decreased productivity and impaired cognitive performance. This study examined the effect of a whole-food plant-based (WFPB) diet on postprandial sleepiness. Ten participants who had postprandial sleepiness who were on a typical American diet transitioned to a WFPB dietary pattern for 21 days. Postprandial sleepiness was assessed using the Epworth Sleepiness Scale (ESS) questionnaire, focusing on Q7 “sitting quietly after lunch without alcohol” as well as Q5 “lying down to rest in the afternoon when circumstances permit.” The participants had a mean age of 44 +/− 15 years, with 30% being male. There was a statistically significant reduction in sleepiness measured by ESS Q7 (median change = −1, P = .012) and ESS Q5 (median change = −1.5, P = .008). Moreover, there was a statistically significant decrease in overall ESS scores (median change = −8.0, P = .006), and weight (median change = −2.9 kg, P = .006). Participants demonstrated significant improvement in postprandial sleepiness-related situations. Our findings showed that the WFPB diet may have potential benefits for reducing postprandial and overall daytime sleepiness.
餐后嗜睡是指进餐后出现的过度嗜睡状态。许多人都会出现这种短暂现象,往往会导致工作效率下降和认知能力受损。本研究探讨了全食物植物性饮食(WFPB)对餐后嗜睡的影响。十名有餐后嗜睡问题的美国人在 21 天内过渡到了全食物植物性饮食模式。餐后嗜睡使用埃普沃思嗜睡量表(ESS)问卷进行评估,重点是 Q7 "午餐后安静坐着不饮酒 "和 Q5 "下午情况允许时躺下休息"。参与者的平均年龄为 44 +/- 15 岁,男性占 30%。根据 ESS Q7(中位数变化 =-1,P = 0.012)和 ESS Q5(中位数变化 =-1.5,P = 0.008)的测量结果,嗜睡程度有了明显的下降。此外,ESS 总分(中位数变化 = -8.0,P = .006)和体重(中位数变化 = -2.9公斤,P = .006)也出现了统计学意义上的显著下降。参与者在餐后嗜睡相关情况方面有明显改善。我们的研究结果表明,WFPB 饮食可能对减少餐后嗜睡和整体白天嗜睡有潜在益处。
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引用次数: 0
Barriers and Facilitators of Taking a Lifestyle History and Referral to Lifestyle Interventions in Mental Health 记录生活方式史和转介精神健康生活方式干预的障碍和促进因素
Pub Date : 2024-06-13 DOI: 10.1177/15598276241261670
L. Koomen, J. Deenik, W. Cahn
Background: Lifestyle interventions can improve mental and physical health in patients with mental illness, but implementing these in clinical practice seems difficult. Purpose: Investigate barriers and facilitators for mental health professionals (MHPs) in taking lifestyle histories and referring to lifestyle interventions. Methods: A cross-sectional national online survey among MHPs. All mental health care institutions, hospital psychiatry departments, associations for nurse specialists, and independent working psychiatrists’ organizations in the Netherlands were invited to participate. Ordinal regression analyses were performed to study factors associated with barriers. Results: 1524 MHPs participated. Barriers were time constraints (45.3%), lack of referral possibilities (33.2%), patient disinterest (25.4%) and lack of knowledge about: effect (25.5%), availability of interventions (57.5%), lifestyle (16.9%), and reimbursement (41.5%). Facilitators included more referral possibilities (44.9%), integration of lifestyle into clinical routine (48.3%), a dedicated tool (41.5%), organizational commitment (41.2%) and lifestyle as standard treatment component (40.3%), and more knowledge about: referral possibilities (51.4%), effect (38.1%), and reimbursement (48.1%). Older MHPs, those who consider their own lifestyle important, and those working in organizations where lifestyle interventions are available experienced fewer barriers. Conclusions: Organizations should prioritize lifestyle psychiatry by educating staff, integration into clinical routine, and increasing the availability and reimbursements of interventions.
背景:生活方式干预可改善精神疾病患者的身心健康,但在临床实践中实施这些干预似乎很难。目的:调查精神卫生专业人员(MHPs)在采集生活方式病史和转介生活方式干预时遇到的障碍和促进因素。方法对精神卫生专业人员进行横断面全国在线调查。荷兰的所有精神卫生保健机构、医院精神科、专科护士协会以及独立的精神科医生组织均受邀参与。对与障碍相关的因素进行了序列回归分析。结果:1524名精神科医生参与了研究。障碍因素包括时间限制(45.3%)、缺乏转诊机会(33.2%)、患者不感兴趣(25.4%)以及缺乏以下方面的知识:效果(25.5%)、干预措施的可用性(57.5%)、生活方式(16.9%)和报销(41.5%)。促进因素包括更多的转诊可能性(44.9%)、将生活方式纳入临床常规(48.3%)、专用工具(41.5%)、组织承诺(41.2%)和生活方式作为标准治疗组成部分(40.3%),以及对以下方面的更多了解:转诊可能性(51.4%)、效果(38.1%)和报销(48.1%)。年龄较大、认为自己的生活方式很重要以及在有生活方式干预措施的机构工作的医学保健人员遇到的障碍较少。结论:各机构应通过教育员工、将生活方式纳入临床常规以及增加干预措施的可用性和报销额度,优先考虑生活方式精神病学。
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引用次数: 0
Enhancing Healthcare Professionals’ Culinary Skills, Food Management, Counseling Confidence, and Mediterranean Diet Adherence Through a Culinary Medicine Boot Camp: A Pilot Implementation Program (PIP) 通过烹饪医学训练营提高医疗保健专业人员的烹饪技能、食品管理、咨询信心和地中海饮食坚持率:试点实施计划 (PIP)
Pub Date : 2024-06-13 DOI: 10.1177/15598276241261654
Joan Fernando, Lucia Alonso, Isabella Gastaldo, Alba Coll, Josep Lozano, Vinicius Martini, Elena Roura, Lina Williamson, Joan Escarrabill, V. Moizé
Awareness of nutrition’s role in chronic diseases is rising, demanding guidance on the diet-disease relationship. Nutritional practices become crucial for prevention, prompting healthcare professionals (HCP) to respond. The present study assessed a Culinary Medicine (CM) program’s impact on HCP’s Mediterranean diet adherence, food and diet therapy knowledge, food management skills, culinary proficiency, and counseling confidence. A mixed-methods pilot implementation program (PIP) engaged 20 HCP from Hospital Clinic Barcelona at the Alícia Foundation kitchen-lab. Four 8-hour CM sessions, held weekly, covered culinary knowledge emphasizing disease prevention and care. All twenty participants; 86% women, 14% men, 86% aged above 40, 14% between 31 and 39 years, 71% nurses, 7% medical doctors and 21% other occupation, completed the course and fourteen fulfilled pre-and post-program questionnaires. Notably, 86% had prior nutrition training, while only 14% had culinary training. After the program, there was significant improvement in Mediterranean diet adherence ( P < .05). Perceptions on dietary advice usefulness, patient-transferable knowledge acquisition, cooking techniques, and personal cooking skills confidence showed post-course improvements. This study underscores the potential of hands-on CM training in HCP nutrition education, influencing their culinary knowledge. Future studies with larger samples is needed to elucidate CM training’s impact on HCP and potential public health benefits.
人们对营养在慢性疾病中作用的认识正在不断提高,这就要求在饮食与疾病的关系方面提供指导。营养实践成为预防疾病的关键,促使医疗保健专业人员(HCP)做出回应。本研究评估了烹饪医学(CM)项目对医护人员地中海饮食坚持率、食物和饮食治疗知识、食物管理技能、烹饪熟练程度和咨询信心的影响。一项混合方法试点实施计划(PIP)吸引了来自巴塞罗那医院诊所的 20 名 HCP 在 Alícia 基金会厨房实验室参与。每周举行四次,每次 8 小时,内容涵盖烹饪知识,强调疾病预防和护理。所有 20 名参与者(86% 为女性,14% 为男性,86% 年龄在 40 岁以上,14% 年龄在 31 至 39 岁之间,71% 为护士,7% 为医生,21% 为其他职业)都完成了课程,14 人填写了课程前后的问卷。值得注意的是,86%的人之前接受过营养培训,而只有 14% 的人接受过烹饪培训。课程结束后,地中海饮食的坚持率明显提高(P < .05)。课程结束后,对饮食建议的实用性、患者可转移知识的获取、烹饪技巧和个人烹饪技能信心的看法都有所改善。这项研究强调了中药实践培训在卫生保健人员营养教育中的潜力,可影响他们的烹饪知识。未来需要进行更大规模的研究,以阐明中药培训对保健医生的影响和潜在的公共卫生益处。
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引用次数: 0
Musculoskeletal Failure 肌肉骨骼故障
Pub Date : 2024-05-24 DOI: 10.1177/15598276241256878
Elizabeth A. Joy, Mark Briesacher, Benjamin Wiegand
Osteoarthritis, osteoporosis, and sarcopenia are prevalent musculoskeletal disorders that significantly impact the aging population’s health and quality of life. Osteoarthritis, characterized by joint inflammation, leads to pain, stiffness, and reduced mobility. Osteoporosis, a condition marked by bone density loss, increases fracture susceptibility, especially in postmenopausal women and older adults. Sarcopenia, the age-related loss of muscle mass and function, contributes to frailty and an increased risk of falls. Combined, osteoarthritis, osteoporosis and sarcopenia constitute “Musculoskeletal Failure.” These 3 conditions share common risk factors like aging, genetics, and hormonal changes, as well as unhealthy lifestyle behaviors resulting in systemic chronic inflammation. Healthy lifestyle behaviors, including regular physical activity and a nutritious diet across the lifespan play a crucial role in the prevention and management of musculoskeletal failure. Awareness of the relationship between lifestyle behaviors, systemic chronic inflammation and the development and progression of these 3 common conditions is a key step in prevention, early detection and are essential for addressing the complex interplay of these musculoskeletal disorders. As the global population ages, understanding and effectively preventing and managing osteoarthritis, osteoporosis, and sarcopenia become paramount for promoting healthy aging and mitigating the societal and economic burden associated with these conditions.
骨关节炎、骨质疏松症和肌肉疏松症是普遍存在的肌肉骨骼疾病,对老龄人口的健康和生活质量造成严重影响。骨关节炎的特点是关节发炎,会导致疼痛、僵硬和活动能力下降。骨质疏松症是一种以骨密度下降为特征的疾病,会增加骨折的易发性,尤其是绝经后妇女和老年人。肌肉疏松症是与年龄有关的肌肉质量和功能的丧失,会导致身体虚弱和跌倒风险增加。骨关节炎、骨质疏松症和肌肉疏松症共同构成了 "肌肉骨骼衰竭"。这三种疾病都有共同的风险因素,如衰老、遗传和荷尔蒙变化,以及导致全身慢性炎症的不健康生活方式。健康的生活方式,包括有规律的体育锻炼和终生营养饮食,在预防和管理肌肉骨骼衰竭方面起着至关重要的作用。认识到生活方式行为、全身慢性炎症与这三种常见疾病的发生和发展之间的关系,是预防和早期发现的关键一步,对于解决这些肌肉骨骼疾病复杂的相互作用至关重要。随着全球人口的老龄化,了解并有效预防和管理骨关节炎、骨质疏松症和肌肉疏松症对于促进健康老龄化以及减轻与这些疾病相关的社会和经济负担至关重要。
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引用次数: 0
Lifestyle Intervention Improves Parasympathetic Activity in Hypertrophic Cardiomyopathy 生活方式干预可改善肥厚型心肌病的副交感神经活性
Pub Date : 2024-05-16 DOI: 10.1177/15598276241253187
Alaa I. Alyahya, Sarah J. Charman, Nduka C. Okwose, Amy S. Fuller, Christopher Eggett, Peter Luke, Kristian Bailey, Guy A. MacGowan, Djordje G. Jakovljevic
Background A limited number of studies have investigated the effects of lifestyle interventions in hypertrophic cardiomyopathy (HCM). This study evaluated the effect of a novel lifestyle intervention incorporating physical activity (PA) and dietary nitrate supplementation on heart rate variability (HRV) and haemodynamic measures in HCM. Twenty-eight individuals with HCM were randomised into either the intervention or control group. Frequency-domain HRV measures including low frequency power (LF), high frequency power (HF) and LF/HF were recorded at rest using bioimpedance. Non-invasive haemodynamic variables were recorded at rest using bioreactance. Participants in the intervention group consumed 6 mmol of nitrate daily (concentrated beetroot juice) and were instructed to increase and maintain daily PA by ≥ 2000 steps/day above baseline for 16 weeks. Control group participants retained their usual lifestyle and monitored daily step counts. There was a significant increase in post-intervention HF power (7.54 ± 2.14 vs 8.78 ± 1.60 ms2, P < .01) and LF power (6.89 ± 2.33 vs 8.17 ± 1.55, P < .01) in the intervention but not in the control group. Resting mean arterial blood pressure (MABP) in the intervention group significantly reduced at follow-up (108 ± 6 vs 102 ± 7 mmHg, P < .01). A novel lifestyle intervention including PA and dietary nitrate supplementation enhanced parasympathetic activity and resting MABP in HCM.
背景 对肥厚型心肌病(HCM)的生活方式干预效果进行调查的研究数量有限。本研究评估了一种新型生活方式干预对肥厚性心肌病患者心率变异性(HRV)和血流动力学指标的影响,该干预结合了体育锻炼(PA)和膳食硝酸盐补充剂。28 名 HCM 患者被随机分为干预组或对照组。利用生物阻抗记录静息时的频域心率变异测量,包括低频功率(LF)、高频功率(HF)和 LF/HF。使用生物反应仪记录静息时的非侵入性血液动力学变量。干预组的参与者每天摄入 6 毫摩尔硝酸盐(浓缩甜菜根汁),并被要求在 16 周内增加并保持每天的运动量,比基线增加≥ 2000 步/天。对照组参与者则保持一贯的生活方式,并监测每日步数。干预后,干预组的高频功率(7.54 ± 2.14 vs 8.78 ± 1.60 ms2,P < .01)和低频功率(6.89 ± 2.33 vs 8.17 ± 1.55,P < .01)明显增加,而对照组没有增加。干预组的静息平均动脉血压(MABP)在随访时显著降低(108 ± 6 vs 102 ± 7 mmHg,P < .01)。一种新的生活方式干预,包括 PA 和膳食硝酸盐补充,增强了 HCM 患者的副交感神经活动和静息平均动脉压。
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引用次数: 0
Early Outcomes of Orthopedic Pre-surgical Patients Enrolled in an Intensive, Interprofessional Lifestyle Medicine Program to Optimize Health 参加跨专业生活方式医学强化项目以优化健康的骨科术前患者的早期疗效
Pub Date : 2024-05-16 DOI: 10.1177/15598276241252799
Heidi Prather, Olivia Leupold, Cara Suter, Nartana Mehta, Karen Griffin, Mark Pagba, Kelyssa Hall, Alessandra Taverna-Trani, Dana Rose, Laura Jasphy, Su Xiao Yu, Fred Cushner, A. D. Della Valle, Jennifer Cheng
Recently, lifestyle medicine (LSM) application has shown feasibility for musculoskeletal pain patients with co-existing lifestyle-related chronic diseases. This study describes early results of a LSM program for musculoskeletal patients with goals to optimize health prior to orthopedic surgery. Fifty-four patients (age: 61 ± 11 years; 39 [72%] females) completed the program from 3/8/22-12/1/23. Data included patient goals, utilization, goal attainment, and patient outcomes. Most patients (41/54 [76%]) enrolled with established surgical dates. Mean BMI was 43.2 ± 5.3 kg/m2, and 89% had ≥2 lifestyle-related chronic diseases. The majority reported impaired sleep (79%) and zero cumulative minutes of physical activity/week (57%). Mean program duration was 13 ± 8 weeks involving 5 ± 4 visits with members of the interprofessional team. Fifty-two (96%) patients successfully attained pre-program goals, and 49/54 (91%) met their surgical goal. Of the patients enrolled without surgical dates, 11/13 (85%) optimized their health and proceeded to surgery. Forty-two (78%) patients reported decreases in weight and BMI, averaging 11 ± 7 lbs and 1.8 ± 1.3 kg/m2, respectively. Rates of improvement in pain, PROMIS-10 physical and mental health, and PHQ-4 were 52%, 37%, 45%, and 47%, respectively. These data demonstrate the feasibility and effectiveness of a LSM program to address whole-person health optimization and enable orthopedic patients to improve lifestyle behaviors and proceed to orthopedic surgery.
最近,生活方式医学(LSM)的应用已显示出对同时患有生活方式相关慢性疾病的肌肉骨骼疼痛患者的可行性。本研究介绍了针对肌肉骨骼患者的生活方式医学项目的早期成果,该项目旨在优化骨科手术前的健康状况。54 名患者(年龄:61 ± 11 岁;39 [72%] 名女性)在 3/8/22-12/1/23 期间完成了该计划。数据包括患者目标、使用情况、目标实现情况和患者疗效。大多数患者(41/54 [76%])都是在确定手术日期后注册的。平均体重指数为 43.2 ± 5.3 kg/m2,89% 的患者患有≥2 种与生活方式相关的慢性疾病。大多数人表示睡眠受损(79%),每周累计运动时间为零(57%)。该计划的平均持续时间为 13 ± 8 周,跨专业团队成员共进行了 5 ± 4 次访问。52名患者(96%)成功实现了计划前目标,49/54名患者(91%)实现了手术目标。在没有手术日期的注册患者中,11/13(85%)的患者优化了健康状况并继续接受手术。42名患者(78%)报告体重和体重指数有所下降,平均分别为 11 ± 7 磅和 1.8 ± 1.3 kg/m2。疼痛、PROMIS-10 身心健康和 PHQ-4 的改善率分别为 52%、37%、45% 和 47%。这些数据证明了 LSM 计划的可行性和有效性,该计划旨在优化全人健康,使骨科患者能够改善生活行为并继续接受骨科手术。
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引用次数: 0
Great Progress, Enormous Challenges 巨大进步,巨大挑战
Pub Date : 2024-05-14 DOI: 10.1177/15598276241245061
James M. Rippe
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引用次数: 0
Strengthening Neuroplasticity in Substance Use Recovery Through Lifestyle Intervention 通过生活方式干预加强药物使用康复中的神经可塑性
Pub Date : 2024-03-30 DOI: 10.1177/15598276241242016
Steve Sugden, Gia Merlo, Sam H Manger
The incidence of substance use and behavioral addictions continues to increase throughout the world. The Global Burden of Disease Study shows a growing impact in disability-adjusted life years due to substance use. Substance use impacts families, communities, health care, and legal systems; yet, the vast majority of individuals with substance use disorders do not seek treatment. Within the United States, new legislation has attempted to increase the availability of buprenorphine, but the impact of substance use continues. Although medications and group support therapy have been the mainstay of treatment for substance use, lifestyle medicine offers a valuable adjunct therapy that may help strengthen substance use recovery through healthy neuroplastic changes.
全世界药物使用和行为成瘾的发病率持续上升。全球疾病负担研究》(Global Burden of Disease Study)显示,药物使用对残疾调整生命年的影响越来越大。药物使用影响着家庭、社区、医疗保健和法律系统;然而,绝大多数药物使用障碍患者并不寻求治疗。在美国,新的立法试图增加丁丙诺啡的供应,但药物使用的影响仍在继续。虽然药物和团体支持疗法一直是药物使用治疗的主流,但生活方式医学提供了一种宝贵的辅助疗法,可通过健康的神经可塑性变化帮助加强药物使用的康复。
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引用次数: 0
The American College of Lifestyle Medicine Turns 20: Congratulations and Serendipity 美国生活方式医学学院 20 周年:祝贺与偶然
Pub Date : 2024-03-27 DOI: 10.1177/15598276241237754
J. Rippe
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引用次数: 0
An Overview of Traditional and Novel Tools to Assess Diet 传统和新型饮食评估工具概述
Pub Date : 2024-03-26 DOI: 10.1177/15598276241240690
M. K. Esquivel, Chloe P. Lozano
Effective dietary interventions are vital for combating morbidity and mortality, necessitating reliable assessment tools. This article explores diverse dietary assessment methods, emphasizing their complexities and applications. Food Frequency Questionnaires (FFQs) offer insights into dietary habits over specified periods but require validation for target populations. Traditional Food Records provide detailed insights but are labor-intensive and prone to underreporting. Technology-based and technology-assisted records offer efficient alternatives, leveraging mobile apps and wearable sensors, albeit with access and privacy concerns. 24 hour Dietary Recall (24HR) methods capture detailed intake within a day, with traditional and technology-assisted approaches strengthening population studies. The Automated Multi-Pass Method (AMPM) and technology-assisted ASA24 represent traditional and contemporary 24HR methodologies, respectively, both yielding comprehensive dietary data. In conclusion, dietary assessments are crucial for understanding dietary patterns and health implications. Integration of novel technologies streamlines data collection and analysis, enhancing researchers’ ability to accurately gauge short- and long-term dietary impacts. Proper utilization of these tools empowers researchers to make informed decisions regarding dietary interventions and public health initiatives.
有效的饮食干预对降低发病率和死亡率至关重要,因此需要可靠的评估工具。本文探讨了各种膳食评估方法,强调了它们的复杂性和应用。食物频率问卷(FFQs)可深入了解特定时期的膳食习惯,但需要对目标人群进行验证。传统的食物记录能提供详细的信息,但需要耗费大量人力,而且容易出现漏报。基于技术的记录和技术辅助记录利用移动应用程序和可穿戴传感器提供了高效的替代方法,但存在访问和隐私方面的问题。24 小时膳食回顾(24HR)方法可捕捉一天内的详细摄入量,传统方法和技术辅助方法可加强人群研究。自动多通道法(AMPM)和技术辅助 ASA24 分别代表了传统和现代的 24 小时膳食回顾法,两者都能获得全面的膳食数据。总之,膳食评估对了解膳食模式和健康影响至关重要。新技术的集成简化了数据收集和分析,提高了研究人员准确评估短期和长期膳食影响的能力。正确使用这些工具能使研究人员在膳食干预和公共卫生措施方面做出明智的决策。
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引用次数: 0
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American Journal of Lifestyle Medicine
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