Showing papers on "Lifestyle medicine published in 2023"
TL;DR: In this paper , the authors reviewed the historic contributions of these three cardiac fields as well as the challenges each of these fields has faced in optimizing the application of lifestyle medicine practices, and suggested seven steps that could be shared by these organizations and other medical societies.
1 citations
TL;DR: In this article , a pilot plant-based lifestyle medicine program in an urban safety-net healthcare system was presented to assess patient-reported outcomes on nutrition knowledge, barriers to adopting a plant-Based diet, food and beverage consumption, lifestyle behaviors, self-rated health, and quality-of-life of participants in a pilot program.
Abstract: Lifestyle medicine interventions that emphasize healthy behavior changes are growing in popularity in U.S. health systems. Safety-net healthcare settings that serve low-income and uninsured populations most at risk for lifestyle-related disease are ideal venues for lifestyle medicine interventions. Patient-reported outcomes are important indicators of the efficacy of lifestyle medicine interventions. Past research on patient-reported outcomes of lifestyle medicine interventions has occurred outside of traditional healthcare care settings. In this study, we aimed to assess patient-reported outcomes on nutrition knowledge, barriers to adopting a plant-based diet, food and beverage consumption, lifestyle behaviors, self-rated health, and quality-of-life of participants in a pilot plant-based lifestyle medicine program in an urban safety-net healthcare system. We surveyed participants at three time points (baseline, 3 months, 6 months) to measure change over time. After 6 months of participation in the program, nutrition knowledge increased by 7.2 percentage points, participants reported an average of 2.4 fewer barriers to adopting a plant-based diet, the score on a modified healthful plant-based diet index increased by 5.3 points, physical activity increased by 0.7 days per week while hours of media consumption declined by 0.7 h per day, and the percentage of participants who reported that their quality of sleep was “good” or “very good” increased by 12.2 percentage points. Our findings demonstrate that a lifestyle medicine intervention in a safety-net healthcare setting can achieve significant improvements in patient-reported outcomes. Key lessons for other lifestyle medicine interventions include using a multidisciplinary team; addressing all pillars of lifestyle medicine; and the ability for patients to improve knowledge, barriers, skills, and behaviors with adequate support.
TL;DR: The Lifestyle Medicine (LSM) clinic inside the Wazarat Health Center (WHC) more than one and half year ago, was a great advancement towards offering very important preventive and promotive services for people in real high need to these underutilized main elements in Primary Health Care (PHC) features as discussed by the authors .
TL;DR: In this paper , the authors summarize the evidence supporting the use of lifestyle medicine in the prevention and management of chronic diseases such as cardiovascular diseases, diabetes, and cancer, and propose a multidisciplinary approach involving healthcare providers, patients, and communities.
28 Mar 2023
Abstract: While the field of lifestyle medicine has been growing rapidly world-wide over the past two decades in particular, the prevalence of chronic (lifestyle-related) disease is increasing, particularly in developed nations. Lifestyle Medicine approaches are a promising basis for preventing, managing and reversion chronic disease; however, these approaches are based almost exclusively on individual behavioral change. Such changes are best developed and supported with a health-coaching methodology.
16 Mar 2023
16 Mar 2023
TL;DR: In this paper , the authors highlight the key focus areas in which lifestyle medicine is synonymous with high-value care and highlight the continued efforts in these key areas will ensure that lifestyle medicine becomes the foundation for value-based care.
Abstract: The rapid growth of Lifestyle Medicine (LM) and Value-Based Care (VBC) are occurring simultaneously yet are not fully aligned in the minds of key stakeholders. Both focus on bending the healthcare cost curve by improving patient outcomes, providing greater access to chronic disease risk reduction services and in the case of LM, driving toward chronic disease remission and reversal. Both require strong physician engagement to be effective and will greatly benefit from thoughtful use of digital health technologies. In this review, key focus areas will be highlighted as foundational aspects in which LM is synonymous with high-value care. Continued efforts in these key areas will ensure that LM becomes the foundation for VBC.
TL;DR: In this article , the core pillars of lifestyle medicine (LM) are discussed and how the growth of LM will impact the health and fitness professional (HFP) in executing his or her portion of the LM prescription.
Abstract: Apply It! • Understanding the core pillars of Lifestyle Medicine (LM) • Learn how the growth of LM will impact the health and fitness professional (HFP) • Explore the elements used by the HFP in executing his or her portion of the LM prescription • Uncover responsibilities and resources required to be a trusted member of the LM practitioner's team
TL;DR: In this article , the role of medical students in community lifestyle transformation through social media has been discussed, where they have been used as effective platforms for not only spreading awareness about different health issues but also enabling community members to make an informed decisions in matters related to their health.
Abstract: Introduction In 2002, the World Health Organization (WHO) predicted that two-thirds of all diseases worldwide in the future will be the result of lifestyle choices1, something which has been witnessed to be true recently. Globally, health-related challenges are growing rapidly despite the advancement of science and technology2. This ranges from noncommunicable and communicable diseases to instability and unpreparedness of our health systems to handle such challenges3–6. Lifestyle transformation is one of the best model which is cost-effective to approach and address these challenges irrespective of someone’s current body health status7. It starts with making healthy choices among community members practicing good health-seeking behaviors and adherence to the management plan when diagnosed with a disease as per the health belief model8. Collaboration among different stakeholders from governmental and nongovernmental organizations to the individual level in the community is necessary for the sustainability and effectiveness of implemented interventions9. Ideally, medical school training involves both learning, clinical and community health services provision by students10–12. Medical students as among junior stakeholders have got a role to play in influencing lifestyle transformation and modification in their communities through different modalities. Role of medical students in community lifestyle transformation Health promotion through social media can bring lifestyle changes in our communities. Studies have shown that social media can be used as effective platforms for not only spreading awareness about different health issues but also enabling community members to make an informed decisions in matters related to their health13–18. Through having different accounts, groups, or pages in social media like twitter, LinkedIn, Facebook, WhatsApp, and others, students will bring significant changes to the public. Through these platforms, medical students can create a space for informing and enabling community members to make the best health choices in their lives and develop positive health-seeking behaviors. Community visits and health camps for check-ups and screening can be used by medical students to help people in knowing their health status and being able to modify their lifestyles appropriately at early life stages. The attitude of seeking further medical care early as part of the prevention or management of various medical conditions is a very potential aspect of preventive medicine. Through these camps, people can be educated on aspects like how and what to eat and drink, how and how long should they sleep, healthy recreational habits, and when to seek medical attention. Since most of the time medical services provided during these camps are free, studies have shown that such healthcare camps ensure equity in accessing health care services including the availability of health education to the community19–22. Medical students can do this by organizing, implementing, or participating in such events through their local students’ professional associations like the International Federation of Medical Students’ Association (IFMSA) or their medical schools23,24. Through this, they will bring healthy transformation in the community while at the same time enhancing their medical knowledge and skills as part of learning. Moreover, medical students can influence the establishment of different policies that facilitate lifestyle transformation through conducting or attending different local and international dialogues, symposiums, and conferences in collaboration with policy makers in discussing matters related to healthy lifestyles whereby they can give out their professional views toward solving some health-related challenges as junior medical experts25,26. Through this, they can shape the national health system in a positive way and affect the health of people positively27. Fortunately, professional student-based organizations like IFMSA have been organizing such events nationally and internationally. Students’ active participation in these events should be encouraged and supported. Topics to be discussed can be “How global health policies can enhance rational use of antibiotics to fight Antimicrobial Resistance (AMR)” or “How does excessive alcohol can contribute to many noncommunicable diseases.” Medical students can also bring healthy lifestyle transformation and overcome health-related challenges by doing research tailored to specific health challenges in our region. Through conducting different studies on health-related challenges in our communities and how the way of living is associated with those challenges and disseminate the findings aggressively through publication, presentation in conferences, and sharing with key stakeholders including the government, medical students can bring healthy changes. This will increase awareness among the public and enable policy makers to make informed policies toward addressing health-related challenges and encourage lifestyle transformation28–31. Also, by coming up with different health-related digital innovations, medical students can enhance healthy lifestyle transformation. Different studies have shown that the role of digital innovations is significantly paramount in fostering healthy lifestyle changes among users32–34. These include innovations like smart watches or phones with the ability to record vital signs, mobile applications, and portable and user-friendly medical check-up tools. The potential within technology apps is so huge to be ignored towards transforming our health system. Globally, there are several local and international organized events and hubs that mentor students with such ideas. Medical students with the help of local mentors from their Colleges or Universities can champion such innovations and bring lifestyle transformation in the community. Conclusion and recommendation The potential within medical students’ toward influencing and fostering lifestyle transformation in their communities and globally depends significantly on the knowledge and skills they are equipped with. If well trained, medical students can be good health lifestyle coaches in their communities12, influence the health care provision and health policies generally, hence overcome health-related challenges. It is crucial also for medical students to adhere to medical professionalism principles and incorporate the health belief model while engaging in different activities as a community lifestyle transformation champions as discussed above. Ethical approval None. Sources of funding None. Authors contribution H.L.M.: conceptualized the manuscript, did data curation, wrote the first draft, reviewed, edited and approved the final version of the manuscript before submission. Conflict of interest disclosure The author declares that there is no financial conflict of interest with regard to the content of this report. Research registration unique identifying number (UIN) None. Guarantor Harold L. Mashauri. Data availability statement None.
TL;DR: The HEAL Initiative as mentioned in this paper was created with the intention to address health disparities and advance health equity through lifestyle medicine, and has been growing considerably in its work and impact, creating solutions aligned with the AMA strategic planning recommendations as well developing projects that are examples of community engaged-lifestyle medicine.
Abstract: Since the COVID-19 pandemic, health equity has been placed front and center in the conversations surrounding healthcare as well other fields. This conversation has also been occurring in the field of lifestyle medicine with an intentional focus on developing solutions at the intersection of lifestyle medicine and health equity. Initiated by a call to action by ACLM Past President Dexter Shurney at the 2019 Lifestyle Medicine conference, the HEAL Initiative was created with that intention, to address health disparities and advance health equity through lifestyle medicine. Since 2019, the HEAL initiative has grown considerably in its work and impact, creating solutions aligned with the AMA strategic planning recommendations as well developing projects that are examples of community engaged-lifestyle medicine. The work of the HEAL initiative culminated in a full circle moment at the 2023 Lifestyle Medicine Conference which featured an interview (facilitated by Dr. Dexter Shurney) with former US Surgeon General Dr. Jerome Adams and review of HEAL’s work over the past 3 years. This article will capture the key highlights of the HEALing our Nation opening session and the cumulative work of HEAL Initiative.
TL;DR: In this paper , a synoptic review of scientific evidence sourced from Iran is analyzed to identify tactics to optimize the lifestyle medicine component of T2D care in Iran, including self-care, dietary adherence, mental health, self-comparison, transcultural adaptation, family support and community engagement, physical activity, the global pandemic, and service delivery.
Abstract: Type 2 diabetes (T2D) is a major public health issue in Iran. The principal context for T2D management is the prevention of cardiovascular disease development and progression. These preventive strategies can be enhanced with routine implementation of comprehensive lifestyle modification, guideline-directed medical therapies, and creation of infrastructure that considers social determinants of health, ethnocultural variables, and financial challenges. In this synoptic review, scientific evidence sourced from Iran is analyzed to identify tactics to optimize the lifestyle medicine component of T2D care in Iran. Important evidence-based factors gleaned from the literature were curated into 9 categories: self-care, dietary adherence, mental health, self-comparison, transcultural adaptation, family support and community engagement, physical activity, the global pandemic, and service delivery. These categories were then assigned to 1 of 4 a priori aspects challenging diabetes care in Iran: behavioral factors, belief system, drivers, and implementation. By codifying discussion points and individual tactics, the improvement and optimization of T2D care in Iran can be facilitated. This reductionist model of approaching lifestyle medicine and complex chronic disease such as T2D can be applied to other ethnocultural populations.
TL;DR: A brief review of the empirical evidence for these roles of positive psychology and makes the case for explicitly adding positive psychology to the foundational lifestyle medicine pillars is provided in this paper , where positive emotions and positive psychology constructs are shown to drive behavior change in the upward spiral theory of lifestyle change.
Abstract: Lifestyle medicine leverages six pillars—a predominantly plant-based diet, physical activity, sleep, avoiding risky substance, stress management, and social connection. Facilitating behavior change represents the crux of success with each of these pillars. Positive emotions and positive psychology constructs are shown to drive behavior change in the upward spiral theory of lifestyle change. Moreover, positive psychology interventions serve as additional, independent protective health factors. This paper offers a brief review of the empirical evidence for these roles of positive psychology and makes the case for explicitly adding positive psychology to the foundational lifestyle medicine pillars.
TL;DR: The field of nature-based medicine has been teaching and practiced in Asia and the EU for decades as mentioned in this paper , and many chronic illnesses to which personal nature deficiency contributes, including anxiety, depression, attention deficit, diabetes, hypertension, myopia, and obesity, have been exacerbated with the pandemic.
Abstract: One’s personal health and well-being can improve with activity in natural environments or decline without it. Many chronic illnesses to which personal nature deficiency contributes—including anxiety, depression, attention deficit, diabetes, hypertension, myopia, and obesity—have been exacerbated with the pandemic. That those illnesses may be preventable, treatable, and even reversible with an added nature-based approach may seem novel, but it is not. Though the field of nature-based medicine is just emerging in the U.S., it has been taught and practiced in Asia and the EU for decades. As the prescriptive, evidence-based use of natural settings and nature-based interventions, it aims to prevent and treat disease and improve well-being. Nature-based medicine blends particular activity in nature with the science of medicine to attempt to empower self-care safely, effectively, and happily. Its vision is to be readily available to all, regardless of proximity to blue (water-related) or green (land-related) space. The common sense of nature-based medicine belies its scientific evidence base, which is growing but not well-known, so it may seem unfamiliar to prescribe nature to patients. It will take education, training and practice to help patients access nature-based medicine and to help clinicians prescribe it.
TL;DR: In this paper , a literature search was conducted on PubMed, Scopus and Google Scholar databases to gain a deeper insight into the implications of lifestyle medicine in medical practice and they observed that lifestyle medicine intervention is a growing and newer discipline and is being employed along with conventional management of non-communicable diseases by medical practitioners today, as they are strongly associated with lifestyle behaviors and practices.
Abstract: Globally, we are seeing a rise in non-communicable diseases such as obesity, hypertension, diabetes, metabolic syndrome, chronic respiratory diseases, cancer, etc., due to stressful lifestyle in this competitive world. Most of the non-communicable diseases are associated with lifestyle behavior. Presently, the role of lifestyle medicine is very critical and important in the management of chronic lifestyle-associated disorders. Considering the above facts, we decided to review the literature to gain a deeper insight into the implications of lifestyle medicine in medical practice. A literature search was conducted on PubMed, Scopus and Google Scholar databases. We observed that lifestyle medicine intervention is a growing and newer discipline and is being employed along with conventional management of non-communicable diseases by medical practitioners today, as they are strongly associated with lifestyle behaviors and practices. Motivation for change in lifestyle is challenging because it depends on the patient's determination and eagerness to adapt and accommodate to the newer lifestyle pattern. The medical practitioners should spend time in coaching patients on lifestyle-related health education. Guidance and coaching by medical practitioners will help patients adapt to practices of maintaining regular physical activity, a balanced diet, good sleep hygiene, and avoid addictions of tobacco and alcohol as part of life. Introducing real and progressive evidence-based behavioral changes to reduce the risks of lifestyle-related acute and chronic diseases in medical practice will reduce the burden of non-communicable disease.
TL;DR: Montverde Academy is home to the USA's first Lifestyle Medicine Club as discussed by the authors , which is a high-school student-driven initiative focusing on growing its membership and teaching high school students about the 6 pillars of lifestyle medicine.
Abstract: Montverde Academy is home to our country’s first Lifestyle Medicine Club, a novel approach to Lifestyle Medicine outreach amongst teenagers. A high-school student-driven initiative, the club successfully completed its first year in existence by focusing on growing its membership and teaching high school students about the 6 pillars of Lifestyle Medicine. This article describes the inception of the club, its first events, and its future directions.
TL;DR: Fallows et al. as mentioned in this paper proposed a plan to reduce overprescribing to make patient care better and safer, support the NHS, and reduce carbon emissions, based on a population-based survey.
Abstract: British Journal of NursingVol. 32, No. 5 RegularsLifestyle medicine: a modern medical discipline full of optimismEllen Fallows, Alex Maxwell, Rob LawsonEllen FallowsE-mail Address: [email protected]GP and Vice-President, British Society of Lifestyle MedicineSearch for more papers by this author, Alex MaxwellGP and President, British Society of Lifestyle MedicineSearch for more papers by this author, Rob LawsonChair, British Society of Lifestyle MedicineSearch for more papers by this authorEllen Fallows; Alex Maxwell; Rob LawsonPublished Online:13 Mar 2023https://doi.org/10.12968/bjon.2023.32.5.268AboutSectionsView articleView Full TextPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareShare onFacebookTwitterLinked InEmail View article References Alegría-Torres JA, Baccarelli A, Bollati V. Epigenetics and lifestyle. Epigenomics. 2011;3(3):267-77. https://doi.org/10.2217/epi.11.22 Crossref, Medline, Google ScholarEgger GBinns ARössner SSagner M (eds). Lifestyle medicine: lifestyle, the environment and preventive medicine in health and disease paperback. London: Academic Press; 2017 Google ScholarFurman D, Campisi J, Verdin E et al.. Chronic inflammation in the etiology of disease across the life span. Nat Med. 2019;25(12):1822-1832. https://doi.org/10.1038/s41591-019-0675-0 Crossref, Medline, Google ScholarJacka FN, O’Neil A, Opie R et al.. A randomised controlled trial of dietary improvement for adults with major depression (the ‘SMILES’ trial). BMC Med. 2017;15(1):23. https://doi.org/10.1186/s12916-017-0791-y Crossref, Medline, Google ScholarJarbøl DE, Larsen PV, Gyrd-Hansen D et al.. Determinants of preferences for lifestyle changes versus medication and beliefs in ability to maintain lifestyle changes. A population-based survey. Prev Med Rep. 2017;6:66–73. https://doi.org/10.1016/j.pmedr.2017.02.010 Crossref, Medline, Google ScholarLean ME, Leslie WS, Barnes AC et al.. Primary care-led weight management for remission of type 2 diabetes (DiRECT): an open-label, cluster-randomised trial. Lancet. 2018;391(10120):541-551. https://doi.org/10.1016/S0140-6736(17)33102-1 Crossref, Medline, Google ScholarOrnish D. Avoiding revascularization with lifestyle changes: The Multicenter Lifestyle Demonstration Project. Am J Cardiol. 1998;82(10B):72T-76T. https://doi.org/10.1016/s0002-9149(98)00744-9 Crossref, Medline, Google ScholarRidge K (chair). Good for you, good for us, good for everybody. A plan to reduce overprescribing to make patient care better and safer, support the NHS, and reduce carbon emissions. (The report of the National Overprescrining Rreview.) 2021. https://tinyurl.com/3drvj7hu (accessed 1 March 2023) Google ScholarRodriguez-Castaño GP, Caro-Quintero A, Reyes A, Lizcano F. Advances in gut microbiome research, opening new strategies to cope with a western lifestyle. Front Genet. 2017;7:224. https://doi.org/10.3389/fgene.2016.00224 Crossref, Medline, Google ScholarSaneei P, Salehi-Abargouei A, Esmaillzadeh A, Azadbakht L. Influence of Dietary Approaches to Stop Hypertension (DASH) diet on blood pressure: a systematic review and meta-analysis on randomized controlled trials. Nutr Metab Cardiovasc Dis. 2014;24(12):1253-1261. https://doi.org/10.1016/j.numecd.2014.06.008 Crossref, Medline, Google ScholarSrour B, Kordahi MC, Bonazzi E, Deschasaux-Tanguy M, Touvier M, Chassaing B. Ultra-processed foods and human health: from epidemiological evidence to mechanistic insights. Lancet Gastroenterol Hepatol. 2022;7(12):1128-1140. https://doi.org/10.1016/S2468-1253(22)00169-8 Crossref, Medline, Google ScholarTreadwell JS, Wong G, Milburn-Curtis C, Feakins B, Greenhalgh T. GPs’ understanding of the benefits and harms of treatments for long-term conditions: an online survey. BJGP Open. 2020;4(1):bjgpopen20X101016. https://doi.org/10.3399/bjgpopen20X101016 Crossref, Medline, Google Scholar FiguresReferencesRelatedDetails 9 March 2023Volume 32Issue 5ISSN (print): 0966-0461ISSN (online): 2052-2819 Metrics History Published online 13 March 2023 Published in print 9 March 2023 Information© MA Healthcare LimitedPDF download
TL;DR: Sandra Darling, DO, MPH, is a staff physician at the Center for Integrative and Lifestyle Medicine, Cleveland Clinic, Lyndhurst, Ohio, USA as discussed by the authors , who discusses Brain Health: How a Healthy Lifestyle Can Help Prevent Cognitive Decline.
Abstract: Integrative and Complementary TherapiesVol. 29, No. 1 Brain Health: How a Healthy Lifestyle Can Help Prevent Cognitive DeclineSandra DarlingSandra DarlingSandra Darling, DO, MPH, is a staff physician at the Center for Integrative and Lifestyle Medicine, Cleveland Clinic, Lyndhurst, Ohio, USA.Search for more papers by this authorPublished Online:14 Feb 2023https://doi.org/10.1089/ict.2022.29053.sdaAboutSectionsView articleView Full TextPDF/EPUB Permissions & CitationsPermissionsDownload CitationsTrack CitationsAdd to favorites Back To Publication ShareShare onFacebookTwitterLinked InRedditEmail View articleFiguresReferencesRelatedDetails Volume 29Issue 1Feb 2023 InformationCopyright 2022, Mary Ann Liebert, Inc., publishersTo cite this article:Sandra Darling.Brain Health: How a Healthy Lifestyle Can Help Prevent Cognitive Decline.Integrative and Complementary Therapies.Feb 2023.9-11.http://doi.org/10.1089/ict.2022.29053.sdaPublished in Volume: 29 Issue 1: February 14, 2023PDF download
TL;DR: The Lift Project as mentioned in this paper is an online 10-week multicomponent mental health and wellbeing program, and participants reported their wellbeing as higher after the program as compared to its commencement (X2 = 80.8, P < .01).
Abstract: In the wake of COVID-19, the American College of Lifestyle Medicine offered its members an online 10-week multicomponent mental health and wellbeing program (The Lift Project), and extended the invitation to members from sister organizations associated with the Lifestyle Medicine Global Alliance. A total of 1785 members registered for the program, representing 39 countries. The website hosting the program recorded 9815 total visits over the 10 weeks. In a post-program questionnaire completed by 145 participants, 91% agreed or strongly agreed that the program supported their mental wellbeing, and participants reported their wellbeing as higher after the program as compared to its commencement (X2 = 80.8, P < .01). Ninety-four percent of respondents indicated they would recommend the program to a friend. Thematic analysis of open-ended responses included in the post-program evaluation indicated that the participants liked: the structure of the program and content covered; the style of the video presentations; and the practical application of the program. Some participants indicated they would have liked more time to engage with the program and would have enjoyed the provision of group meetings. In conclusion, healthcare organizations can support their members’ mental health and wellbeing by offering large-scale, evidence-based interventions.