Showing papers on "Lifestyle medicine published in 2022"
TL;DR: The lifestyle medicine core competencies were developed by a committee of physicians from several medical specialties to provide guidance on the knowledge and skills needed for physicians to provide high quality lifestyle interventions that optimize chronic disease outcomes in 2010 and have been updated.
Abstract: The lifestyle medicine core competencies were developed by a committee of physicians from several medical specialties to provide guidance on the knowledge and skills needed for physicians to provide high quality lifestyle interventions that optimize chronic disease outcomes. These competencies were published in the Journal of the American Medical Association (JAMA) in 2010 and used as the foundation for the first lifestyle medicine course and for the lifestyle medicine board certification examination. In the ensuing years, interest in the field and application has expanded to a variety of health professionals. With evolution of the lifestyle medicine evidence-base, the competencies have been updated. This article sums up the changes in their organization and content. Regular updates are anticipated to align with the ongoing scientific studies and evolution of the field.
5 citations
TL;DR: This article examines how lifestyle medicine interventions are a prescription for individual, community, and planetary health by discussing the proceedings of the workshop at the American College of Lifestyle Medicine (ACLM) annual conference LM2021, “Lifestyle Medicine for Personal and Planetary Health.”
Abstract: The deterioration of planetary health—from threats such as climate change, environmental pollution, biodiversity loss, and ocean acidification—are a growing hazard to the foundation of health and the “healthspan.” For those with chronic conditions—a large and growing subset of the global population—the health dangers are even greater. Climate change is a threat to the very pillars of lifestyle medicine that we rely on to prevent and manage chronic disease. Already, the planetary crisis is limiting our ability to prescribe healthy nutrition, safe outdoor physical activity, stress management strategies, social connection, restorative sleep, and toxic substance avoidance. In this article, we discuss the proceedings of our workshop at the American College of Lifestyle Medicine (ACLM) annual conference LM2021, “Lifestyle Medicine for Personal and Planetary Health.” We examine how lifestyle medicine (LM) interventions are a prescription for individual, community, and planetary health. Our prescriptions work to not only restore the health of individuals and families, but also to bolster health equity while allowing us to mitigate and adapt to the health impacts of the planetary crises.
3 citations
TL;DR: After the Covid-19 Pandemic, the Nurse Case Manager Lifestyle Medicine could represent a valid alternative of health management for the improvement of care in Type 2 Diabetic patients.
Abstract: Background
The American Case Manager Association defines Case Management, in Lifestyle Medicine perspective, a collaborative practice between all the actors involved in the care process. The goal of this review was to evaluate the Nurse Case Manager role in Type 2 Diabetes patients, analyzing the quali/quantitative data related to Nurse Case Management programs in Lifestyle Medicine view.
Study design and Methods
Three independent operators were involved in two distinct phases, applying the Prisma method, specifics PICOS and research strategies from PubMed and Cinahl. The first part integrated a Cochrane systematic review on the Specialist Nurses in Diabetes Mellitus, while the second part evaluated the Nurse Case Manager interventions in Lifestyle Medicine view.
Results
The first part includes 13 studies and the second 6. The glycemic control was improved in the Nurse Case Manager groups in Lifestyle Medicine perspective. Good results were appreciated in secondary outcomes: lipid profile, Body Mass Index, quality of life and stress management. The results for the management of self-care and adherence to Lifestyle Medicine programs are encouraging.
Conclusions
It emerged unequivocally that, taking care and supporting the diabetic subject, leads to significant benefits in the general health and to reduction of possible complications. After the Covid-19 Pandemic, the Nurse Case Manager Lifestyle Medicine could represent a valid alternative of health management for the improvement of care in Type 2 Diabetic patients.
2 citations
2 citations
TL;DR: In this paper , the impact of a novel elective lifestyle course is described, where students provided 3 months' coaching to at-risk patients, and patients' health measures and behaviors were measured.
Abstract: Abstract Background Promoting healthy lifestyle is key to tackling lifestyle-induced diseases, yet many doctors feel unskilled and medical schools lack its inclusion in their curricula. The impact of a novel elective lifestyle course is described, where students provided 3 months’ coaching to at-risk patients. Methods Students’ attitudes, competence and lifestyle were assessed pre- and post the 18-month course. Patients’ health measures and behaviors were measured. Student and patient views were ascertained. Results Nineteen students, 13 controls, and 29 patients participated. Perception of physicians’ importance as lifestyle consultants increased in coaching students (mean ± SD 3.7 ± 0.4 vs. 3.2 ± 0.5; p = 0.05). Self-perceived competence remained high in coaching students (6.7 ± 1.8 vs. 6.7 ± 1.2; p = 0.66). Controls’ competence increased but did not attain coaching students’ levels (3.6 ± 2.1 vs. 5.5 ± 1.9; p = 0.009). Focus groups of students confirmed self-perceived acquisition of skills. More patients exercised (38% vs. 82.7%; p = 0.001); spent more time in physical activity (median mins/week + IQR) 25 + [0.180] vs. 120 + [45,300]; p = 0.039), and avoided less desirable foods, such as unhealthy snacks, sweets and drinks. LDL cholesterol showed declining trend. Patients highlighted students’ empathy and attentiveness; satisfaction was extremely high. Conclusions The course successfully enhanced students’ counselling skills, with beneficial effects for patients. This model for teaching experience-based lifestyle medicine has potential policy implications in terms of promoting effective lifestyle counselling by future physicians.
2 citations
TL;DR: In conclusion, lifestyle medicine with cultural adaptations is an integral part of preventive care in patients with T2D, however, considerable research gaps exist, especially for tertiary prevention.
Abstract: Disparities in type 2 diabetes (T2D) care is a global problem across diverse cultures. The Dysglycemia-Based Chronic Disease (DBCD) model promotes early and sustainable interventions along the insulin resistance (stage 1), prediabetes (stage 2), T2D (stage 3), and complications (stage 4) spectrum. In this model, lifestyle medicine is the cornerstone of preventive care to reduce DBCD progression and the socioeconomic/biological burden of disease. A comprehensive literature review, spanning 2000 to 2021, was performed and 55 studies were included examining the effects of lifestyle medicine and their cultural adaptions with different prevention modalities. In stage 1, primordial prevention targets modifiable primary drivers (behavior and environment), unhealthy lifestyles, abnormal adiposity, and insulin resistance with educational and motivational health promotion activities at individual, group, community, and population-based scales. Primary, secondary, and tertiary prevention targets individuals with mild hyperglycemia, severe hyperglycemia, and complications, respectively, using programs that incorporate structured lifestyle interventions. Culturally adapted lifestyle change in primary and secondary prevention improved quality of life and biomarkers, but with a limited impact of tertiary prevention on cardiovascular events. In conclusion, lifestyle medicine with cultural adaptations is an integral part of preventive care in patients with T2D. However, considerable research gaps exist, especially for tertiary prevention.
1 citations
TL;DR: The effects of wilderness environments on health and elaborate on the intersections of wilderness medicine and lifestyle medicine are discussed in this paper , where three theories describing potential mechanisms of health promotion in the wilderness environment (biophilia theory, stress reduction theory and attention restoration theory) are presented.
Abstract: Wilderness medicine (WM) and lifestyle medicine (LM) both aim to use creative methods to promote health. The purpose of this review is to elucidate the effects of wilderness environments on health and elaborate on the intersections of WM and LM. The three theories describing potential mechanisms of health promotion in the wilderness environment—biophilia theory, stress reduction theory (SRT), and attention restoration theory (ART)—are presented. Activity in the wilderness environment is associated with improved cardiovascular fitness and cognitive performance, better sleep/wake cycles when not at altitude or extremely cold weather, better stress management, positive social interactions, and avoidance of risky substances. Wilderness is medicine and may be used as such to promote vigor and vitality in our patients.
1 citations
TL;DR: In this article , the authors discussed strategies for health professionals to acquire nutrition counseling skills in medical training and clinical practices and discussed how to improve patient health outcomes and reduce nutrition-related chronic diseases.
Abstract: Despite considerable evidence that plant-based diets can significantly improve health, medical professionals seldom discuss this with their patients. This issue might occur due to minimal training received in medical education, lack of time, and low self-efficacy for counseling patients about diet. Nutrition and lifestyle change should be considered a core competency for all physicians and health professionals looking for cost-effective ways to improve patient health outcomes and reduce nutrition-related chronic diseases. Strategies for health professionals to acquire nutrition counseling skills in medical training and clinical practices are discussed.
1 citations
TL;DR: Through attention to these six pillars of lifestyle medicine, children and their families can succeed in initiating and maintaining optimal lifelong physical and mental health.
Abstract: Lifestyle interventions are effective from the earliest years of childhood. To best promote health, lifestyle factors should be implemented for children and their families from birth. This includes introducing families to the benefits of a whole-food plant-based (WFPB) or plant-predominant diet, daily physical activity, positive family and peer social connections, avoidance of risky substances for caregivers, optimal sleep habits, and stress management and mindfulness for all family members. Through attention to these six pillars of lifestyle medicine, children and their families can succeed in initiating and maintaining optimal lifelong physical and mental health.
1 citations
TL;DR: In this paper , the authors advocate for the implementation of lifestyle care in medical care, define the early life course, elaborate on lifestyle care as part of lifestyle medicine, and provide examples towards the successful implementation of blended lifestyle care, which can be more widely implemented and transform medical care.
Abstract: It is well known that a healthy lifestyle plays a key role in maintaining reproductive and general health, and preventing lifestyle-related diseases throughout the entire life course. Lifelong health is shaped during the preconception period and the first 1000 days of life. The importance of a healthy lifestyle during these periods can be emphasized by introducing the concept of the early life course, which covers from 100 days before conception until 1000 days thereafter. Although awareness of the benefits of a healthy lifestyle has grown, adherence is disappointing and the implementation of lifestyle interventions in medical care is scarce. Hence, we are convinced that now is the right time to turn the tide. The focus should shift from cure to prevention and promotion of health. The new concept of lifestyle care includes lifestyle interventions that support the adoption of a healthy lifestyle to optimize health and prevent lifestyle-related diseases, including subfertility and adverse pregnancy outcomes. In this paper, we advocate for the implementation of lifestyle care in medical care, define the early life course, elaborate on lifestyle care as part of lifestyle medicine, and provide examples towards the successful implementation of blended lifestyle care, which can be more widely implemented and transform medical care.
1 citations
TL;DR: The lessons from the COVID-19 pandemic, the growth in LM educational opportunities, and the evolving “business of medicine landscape” signal that the time for lifestyle medicine is NOW.
Abstract: The time is NOW for Lifestyle Medicine. In this review based on a presentation at the American College of Lifestyle Medicine (ACLM) 2021 annual conference, ACLM Current President Cate Collings, MD, Immediate Past-President Dexter Shurney, MD, and President Elect Beth Frates, MD, share insights on the current state of lifestyle medicine (LM). Interest in LM has greatly advanced in the face of disruptions from the COVID-19 pandemic, expanded educational opportunities in the field, and a rapidly changing healthcare landscape. With growing access to virtual care, advancing technologies, growing emphasis on home-based chronic care, continuing corporate healthcare mergers and acquisitions, and widening adoption of personalized, patient-empowered treatments, the time is ripe for LM interventions to move to the mainstream. As health investments and costs skyrocket, and new players enter the scene, traditional models of payments, reimbursements, and incentives are slowly being upended. Companies and healthcare systems are finally recognizing the scientific evidence and powerful but undervalued potential of LM to accelerate healthy outcomes while controlling costs. Taken together, the lessons from the COVID-19 pandemic, the growth in LM educational opportunities, and the evolving “business of medicine landscape” signal that the time for lifestyle medicine is NOW.
TL;DR: This narrative work follows my experience as a medical school student and then Family Medicine resident trying to pursue education and training in the field of Lifestyle Medicine.
Abstract: This narrative work follows my experience as a medical school student and then Family Medicine resident trying to pursue education and training in the field of Lifestyle Medicine. As a newer specialty, it can be difficult for trainees to find mentors and opportunities to advance their education. In this essay, I hope not only to provide an example of my own experience but also to highlight the multitude of resources trainees can and should utilize from the Donald A. Pegg Student Leadership Award to the Walk with a Future Doc community to the Lifestyle Medicine Handbook and Lifestyle Medicine 101 Curriculum slides. I have seen first-hand the impact incorporating these resources has on medical school and residency training and I believe that by sharing our stories trainees can light the path for the next generation of graduates.
Journal Article•
01 Sep 2022
TL;DR: The practice of “nudging” behavior in primary care and allied health settings is proposed as a means of responding to contextual elements which support behavioral change.
Abstract: The practice of lifestyle medicine and its emphasis on behavioral change continues to grow around the world. Yet much of the burden of disease weighing on healthcare systems from chronic, modifiable conditions remains stubbornly present. From a behavior change perspective, efforts to date have primarily focused on public health messaging and public health campaigns (global approaches) to interventions such as health coaching (individual approaches). There exists an opportunity to consider contextual elements which support behavioral change. The practice of “nudging” behavior in primary care and allied health settings is proposed as a means of responding to these contextual opportunities. Nudging does not assure change; however, it can invite curiosity about change and small behavioral efforts in the direction of a desired change. Furthermore, its nature conserves autonomy and patient choice while inviting a health-creating behavior. As such, when considered and applied in the context of public health and individual treatment options, it creates a consistent milieu in which behavior change is facilitated.
TL;DR: Preliminary support is provided to promote the relatively stigma-free lifestyle medicine interventions in law enforcement, and further research effort with a larger sample size is warranted to provide empirical support for the efficacy of integrated lifestyle medicine programme.
Abstract: Law enforcers are stressed, but they may be reluctant to seek psychological support due to the stigmatization of mental illness in the law enforcement culture. Given the relatively stigma-free lifestyle medicine intervention, a two-arm pilot randomized controlled trial was conducted in the Hong Kong police force to examine the efficacy of integrated lifestyle medicine practices in enhancing the mental health of law enforcers. A total of 18 participants were randomly assigned to the intervention and waitlist control groups. The intervention group attended a 6-week lifestyle medicine program consisting of five lifestyle factors. On analyzing the results of the Patient Health Questionnaire using a paired sample t-test, a statistically significant intervention effect was found. This implies that participants had significantly better general psychological well-being after the intervention in this pilot study. In conclusion, the present findings provide preliminary support to promote the relatively stigma-free lifestyle medicine interventions in law enforcement. Nevertheless, further research effort with a larger sample size is warranted to provide empirical support for the efficacy of integrated lifestyle medicine programme.
TL;DR: The Edison Young People as mentioned in this paper is responsible for looking after children and young people who have come from difficult environments and have been placed in residential care, including residential homes or schools, along with secure units and foster placements.
Abstract: The term ‘looked after’ was introduced by the Department of Health (1989) and is used in the United Kingdom to describe all children in the care of the local authority. These children and young people (CYP) may be in public care voluntarily or may be subject to care orders by the Courts which grant the local authority shared parental responsibility. There are a number of settings where CYP may be ‘looked after’, including in residential homes or schools, along with secure units and foster placements. At Edison Young People, we are responsible for looking after CYP who have come from difficult environments and have been placed in residential care. Our aim as a company is to improve the opportunities and outcomes for the CYPwe look after, so they are able to live fulfilled and useful lives. Our CYP can present as complex individuals, who may have been placed in the care of the local authority for a number of different reasons, including physical, emotional and/or sexual abuse. They also may have been subject to various forms of neglect or been in circumstances which resulted in their parents not being able to provide adequate care. Due to their early experiences, our young people can present with a variety of different
TL;DR: In this paper , the authors evaluated the association between lifestyle medicine activities and delay in the clinical manifestations of Type 1 Diabetes Mellitus (T1DM) and concluded that lifestyle modifications seem to have the potential to alter the course of T1DM in many ways.
Abstract: According to the Brazilian Society of Diabetes, the prevalence of Type 1 Diabetes Mellitus (T1DM) is increasing; thus, alternative and pharmacological measures are required to manage and control the disease. Many studies discussed lifestyle medicine with Type 2 Diabetes Mellitus (T2DM). However, studies on the pillars of lifestyle medicine with T1DM are limited. The lack of research on the subject prompted the development of this systematic review. We aimed to evaluate the association between lifestyle medicine activities and delay in the clinical manifestations of T1DM. We included randomized and nonrandomized clinical trials and retrospective or prospective longitudinal studies. English, Portuguese and Spanish were screened as accepted languages. Participants could be of any geographic location or sex. Regarding the interventions, we selected diet, exercise, sleep, stress reduction, and smoking cessation as lifestyle medicine practices with a possible association with glycemic control improvement in patients with T1DM. In total, 22,552 publications have been identified; at the end, 28 articles, 11 clinical trials, and 17 cohorts were selected, involving 16.627 patients and 14 countries. Although lifestyle modifications seem to have the potential to alter the course of T1DM in many ways, the evidence available to date is insufficient.
TL;DR: Primary care physicians are well-positioned to integrate lifestyle interventions into the management of patients with unhealthy substance use, who may also have mental and physical chronic health comorbidities, but today’s full spectrum comprehensive care model requires an expanded toolkit.
Abstract: Primary care physicians are well-positioned to integrate lifestyle interventions into the management of patients with unhealthy substance use, who may also have mental and physical chronic health comorbidities. However, the COVID-19 pandemic exacerbated the U.S.’s poor state of health, revealing that its current approach to chronic disease management is neither effective nor sustainable. Today’s full spectrum comprehensive care model requires an expanded toolkit. Lifestyle interventions broaden current treatment approaches and may enhance Addiction Medicine care. Primary care providers have the potential to have the greatest impact on unhealthy substance use care because they are experts in chronic disease management and their frontline accessibility minimizes healthcare barriers. Individuals with unhealthy substance use are at an increased risk of chronic physical conditions. Incorporating lifestyle interventions with unhealthy substance use care at every level of medicine, from medical school through practice, normalizes both as part of the standard care of medicine and will drive evidence-based best practices to support patients through prevention, treatment, and reversal of chronic diseases.
TL;DR: Future interventions to increase confidence in lifestyle medicine skills should focus on educating students on setting lifestyle change goals, personalizing prescriptions, and motivational interviewing for use in clinical care.
Abstract: Introduction
As the prevalence of chronic diseases increases worldwide, there is a need for educating future physicians in the use of lifestyle medicine to treat and prevent diseases. Any addition to the undergraduate medical curriculum requires a strategic educational approach with consideration for efficiency. This study aims to identify priorities for lifestyle medicine interventions in the undergraduate medical curriculum.
Methods
Third-year medical students (N=115) were surveyed on their beliefs about lifestyle medicine and their confidence in lifestyle medicine skills. The survey consisted of seven items to which students responded with how closely they agreed via a 5-point Likert scale. Descriptive statistics were reported.
Results
Most medical students entering their clinical years understand the value of lifestyle medicine in patient care (100%) and want to learn the skills and knowledge involved (98.2%). The value of lifestyle medicine counseling skills during the limited patient-doctor time was least universally acknowledged among third-year medical students (93.9%). Third-year medical students are most confident in being able to obtain a comprehensive lifestyle history (3.6±0.8) and least confident in setting clear, personalized, lifestyle change goals (3.1±0.9).
Conclusion
Future interventions to increase confidence in lifestyle medicine skills should focus on educating students on setting lifestyle change goals, personalizing prescriptions, and motivational interviewing for use in clinical care.
TL;DR: In this article , the authors evaluate the benefits and harms of interventions intended to change habits chronic disease and mental health conditions account for an overwhelming majority of annual health and economic costs in the US.
Abstract: > Evaluating the benefits and harms of interventions intended to change habits Chronic disease and mental health conditions account for an overwhelming majority of annual health and economic costs in the US. Not only are these conditions the leading cause of death and disability in the US, but 90%
TL;DR: The ideology behind lifestyle & preventive medicine focuses on protecting, promoting and maintaining health and well-being through personalized lifestyle approaches as mentioned in this paper . But it also aims to avert "disease, disability, and death" on an individual basis, as well as on a large scale in communities and populations through a calculated lifestyle based on selective scientific exercises, right eating, programmed lifestyle pillars and modalities.
Abstract: The ideology behind lifestyle & preventive medicine focuses on protecting, promoting and maintaining health and well-being through personalized lifestyle approaches. It also aims to avert "disease, disability, and death" on an individual basis, as well as on a large scale in communities and populations through a calculated lifestyle based on selective scientific exercises, right eating, programmed lifestyle pillars and modalities.
TL;DR: It is concluded that the recreational therapy profession should make itself known to those in the lifestyle medicine community and take a rightful place in the movement to prevent, manage, and reverse chronic diseases by assisting clients to engage in healthy lifestyle behaviors.
Abstract: Lifestyle medicine is a relatively new and emerging discipline within the practice of medicine dedicated to using lifestyle changes in the prevention, management, and reversal of chronic diseases. Information on lifestyle medicine has not appeared in the literature of recreational therapy. Recreational therapists need to understand lifestyle medicine because recreational therapy practice is closely tied to lifestyle medicine. This article is about chronic conditions and the recently established discipline of lifestyle medicine as they relate to the delivery of recreational therapy services. It is concluded that the recreational therapy profession should make itself known to those in the lifestyle medicine community and take a rightful place in the movement to prevent, manage, and reverse chronic diseases by assisting clients to engage in healthy lifestyle behaviors.
TL;DR: The Women's Health Member Interest Group convened medical experts in these areas that affect women’s lives to provide insights and meaningful education applicable not only for the authors' patients, but also in their own lives.
Abstract: In an era of ever-increasing healthcare expenditures, yet simultaneously worsening outcomes, many of our patients choose between traditional medical care or often unproven alternative therapies. While the recognition of lifestyle change in addressing cardiovascular and metabolic disease grows, there is less understanding of the impact of lifestyle change on issues facing women every day. Millions of women around the globe struggle with infertility, cancer, sexual dysfunction, and dermatologic needs. Yet, research on the benefits of lifestyle change on these conditions is scarce, and gaps exist both in our understanding of evidence-based approaches to address these issues, as well as adequate provider education when evidence exists. The Women’s Health Member Interest Group convened medical experts in these areas that affect women’s lives to provide insights and meaningful education applicable not only for our patients, but also in our own lives.
TL;DR: In this paper , the authors provide a close look at the unique drivers of burnout in academic cardiovascular medicine and propose system-level and personal interventions to support individual wellness in this model.
Abstract: Academic medicine as a practice model provides unique benefits to society. Clinical care remains an important part of the academic mission; however, equally important are the educational and research missions. More specifically, the sustainability of health care in the United States relies on an educated and expertly trained physician workforce directly provided by academic medicine models. Similarly, the research charge to deliver innovation and discovery to improve health care and to cure disease is key to academic missions. Therefore, to support and promote the growth and sustainability of academic medicine, attracting and engaging top talent from fellows in training and early career faculty is of vital importance. However, as the health care needs of the nation have risen, clinicians have experienced unprecedented demand, and individual wellness and burnout have been examined more closely. Here, we provide a close look at the unique drivers of burnout in academic cardiovascular medicine and propose system-level and personal interventions to support individual wellness in this model.
TL;DR: Clinicians are urged to consider the broad utility of sport for the prevention and treatment of unhealthy behaviors in response to COVID-19.
Abstract: Sport represents a holistic health tool that unifies multiple pillars of lifestyle medicine. Sport can mitigate both the ongoing health disparities in communities that were present before COVID-19 and those exacerbated after COVID-19. The significance of this recommendation is highlighted by the impact sport participation has on creating healthy relationships, managing stress, and delivering physical activity among diverse populations. Importantly, sport can offer meaning and value to its participants, particularly when COVID-19 has limited people’s ability for purposeful activity and social interaction. Clinicians are urged to consider the broad utility of sport for the prevention and treatment of unhealthy behaviors.
15 Nov 2022