scholarly journals Design and Implementation of a Lifestyle Medicine Curriculum in Undergraduate Medical Education

2019 ◽  
Vol 13 (6) ◽  
pp. 574-585 ◽  
Author(s):  
Jennifer L. Trilk ◽  
Ihsan A. Elkhider ◽  
Irfan Asif ◽  
April Buchanan ◽  
John Emerson ◽  
...  
Keyword(s):  
Health Care ◽  
South Carolina ◽  
Chronic Diseases ◽  
Clinical Skills ◽  
Scientific Evidence ◽  
Morbidity And Mortality ◽  
Lifestyle Behaviors ◽  
Design Development ◽  
Unhealthy Lifestyle ◽  
Lifestyle Medicine

While scientific evidence demonstrates conclusive associations between unhealthy lifestyle behaviors and increased morbidity and mortality related to noncommunicable chronic diseases (NCDs), most physicians are not formally taught the root causes of NCDs nor how to counsel patients regarding their lifestyle behaviors for disease prevention and treatment. Since its inception in 2012, the University of South Carolina School of Medicine Greenville has designed, developed, and implemented an innovative, formalized lifestyle medicine curriculum to provide required undergraduate medical student training with a graduating program-level goal to “Deliver total health care using lifestyle medicine to prevent and treat morbidity and mortality related to chronic diseases.” The process was guided by the Association of American Medical Colleges’ Core Entrustable Professional Activities (required for graduates entering residency) and aimed to satisfy the Quadruple Aim components of better outcomes, lower cost, improved patient experience, and improved physician experience. Four essential instructional design phases, Analysis, Design, Development, and Evaluation, were used as systematic steps to create and deploy the curriculum. This article describes the evidence-based approach used and offers guidance to other undergraduate medical schools that may wish to implement lifestyle medicine training to improve physicians’ medical knowledge and clinical skills for optimum health care.

scholarly journals The mask dilemma: unmasking the myths and facts

2020 ◽  
Vol 8 (1) ◽  
pp. 453
Author(s):  
Varsha Narayanan
Keyword(s):  
Health Care ◽  
Economic Burden ◽  
Disease Transmission ◽  
Scientific Evidence ◽  
Face Mask ◽  
Mass Vaccination ◽  
Morbidity And Mortality ◽  
Public Places ◽  
The People ◽  
Practical Guidelines

Coronavirus 2019 (COVID-19) has been spreading across the globe in 2020 with most countries being affected significantly in terms of the number of infected cases, morbidity and mortality, as well as health care and economic burden. Currently the most important individual and community measures for curtailing disease transmission are social distancing, hand sanitization and wearing of masks in public. It is important to advocate wearing masks in an effective and balanced manner and dispense supportive scientific evidence as well as practical guidelines and information in the community. Till the event of mass vaccination for COVID being available, improving the awareness, compliance and acceptance of the people towards proper wearing of a face mask when in public places, can be the most effective way for several countries to control transmission of COVID. 

scholarly journals POORER DIET QUALITY OBSERVED IN OLDER ADULTS WITH A GREATER NUMBER OF CHRONIC DISEASES

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S261-S261
Author(s):  
Jessica L Krok-Schoen ◽  
Stephanie Fanelli ◽  
Janell Pisegna ◽  
Owen J Kelly ◽  
Christopher A Taylor
Keyword(s):  
Older Adults ◽  
Chronic Diseases ◽  
Diet Quality ◽  
Chronic Conditions ◽  
Laboratory Data ◽  
Lifestyle Behaviors ◽  
Dietary Intakes ◽  
Unhealthy Lifestyle ◽  
Added Sugars ◽  
Poor Diet

Abstract Unhealthy lifestyle behaviors, including poor diet over many years, contribute to the development of chronic diseases, especially overweight/obesity, hyperglycemia, hypercholesterolemia and hypertension. Because poor diet is common to the diseases, it supports the notion of concurrently managing comorbidities through improved diet. Therefore, the purpose of this study was to assess differences in diet quality and nutrient intakes, in adults aged 65 years and older, by the number of chronic conditions. Data from 7,169 adults, aged 65 years and older, from the 2005-2016 National Health and Nutrition Examination Survey were assessed for selected chronic diseases from laboratory data: overweight/obesity (body mass index >25); hyperglycemia (glycated hemoglobin >5.7%); hypercholesterolemia (total cholesterol >200 mg/dL); hypertension (blood pressure >120/80 mmHg). The number of chronic diseases was computed per participant. Dietary intakes and diet quality score were assessed using 24-hour dietary recalls. Few adults had none of the selected chronic disease (n=79;1.4%), with others presenting 1 indicator (n=677;9.8%), 2 indicators (n=1,762;25%), 3 indicators (n=2,741;38.9%) and all 4 indicators (n=1,910;24.9%). Diet quality was significantly lower in those with three or four chronic diseases (P<0.001). Adults without any of the selected chronic diseases consumed significantly more calories, carbohydrates, fiber and added sugars, as well as folate, vitamin C and calcium than those with chronic diseases (P<0.001). Overall, dietary intakes from the day of intake were different for those with or without chronic diseases. These findings strengthen the need to promote healthy eating in older adults with one or more chronic conditions to help improve outcomes.

scholarly journals Lifestyle Medicine During (and After) the COVID-19 Pandemic

2020 ◽  
Vol 15 (1) ◽  
pp. 60-67
Author(s):  
Bruno P. C. Smirmaul ◽  
Regina Fumanti Chamon ◽  
Fabiano Moulin de Moraes ◽  
Gabriel Rozin ◽  
Annie Seixas Bello Moreira ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Healthy Eating ◽  
Healthy Lifestyle ◽  
Well Being ◽  
Preliminary Evidence ◽  
Lifestyle Behaviors ◽  
Unhealthy Lifestyle ◽  
Lifestyle Medicine ◽  
Health Practitioners

The COVID-19 pandemic has made it challenging for individuals and families to maintain a healthy lifestyle, quality of life, and well-being. Preliminary evidence have suggested that higher odds of both mortality and severity of the COVID-19 are closely associated to unhealthy lifestyle behaviors. Thus, in an effort to contribute to this challenging global situation, we joined a group of lifestyle medicine researchers and/or practitioners to provide scientifically sound information, recommendations, resources, and suggestions related to the main pillars of lifestyle medicine (healthy eating, physical activity, sleep, tobacco/alcohol, stress management, relationships, and planetary health) that may help health practitioners to support clients and patients maintain a healthy lifestyle during (and after) the COVID-19 crisis.

Digital Lifestyle Medicine: Designing, Delivering, and Scaling for Impact

2021 ◽  
pp. 155982762110292
Author(s):  
Leanne Mauriello ◽  
Kristi Artz
Keyword(s):  
Behavior Change ◽  
Success Factors ◽  
Scientific Evidence ◽  
Multidisciplinary Care ◽  
Successful Implementation ◽  
Lifestyle Behaviors ◽  
Team Behavior ◽  
Lifestyle Medicine ◽  
Multidisciplinary Care Team ◽  
Digital Delivery

Digital Lifestyle Medicine (DLM) is a consumer-centric model of care which elevates the importance of daily behaviors in preventing and reversing chronic disease using virtual and digital modalities to reach patients in the context where lifestyle behaviors occur and empower them to stay well. DLM is health care reimagined, designed to inspire patients to live their best life by enabling skill-building, self-efficacy, and sustainable behavior change supported by peers, scientific-evidence, and a multidisciplinary team of lifestyle medicine (LM) clinicians. Importantly, it requires insights and collaboration from healthcare experts and technology entrepreneurs to provide a profoundly different “user experience” layered with context, relevance, and scalability. Using examples from our DLM practice, we describe how key components of LM practice, including a multidisciplinary care team, behavior change support, health coaching, and peer support, are prime for digital delivery. We conclude by providing preliminary patient outcomes to date, key success factors, and opportunities for enhancement and expansion to inform the adoption and successful implementation of DLM across the collective of LM practice.

EFFECT OF HERBAL TEA ON WEIGHT AND FITNESS OF ADULT

2017 ◽  
Vol 23 (2) ◽  
Author(s):  
ARCHANA SINGH ◽  
TRAPTI SEN
Keyword(s):  
Risk Factors ◽  
Chronic Diseases ◽  
Age Group ◽  
Lifestyle Behaviors ◽  
Herbal Tea

Herbal tea is full of many medicinal qualities. It’s claimed that they can help with everything from easing a cold and indigestion to fighting infection and nausea. Dietary and lifestyle behaviors among adolescents are risk factors for several chronic diseases in adulthood. The objective of the study is to evaluate the effect of Herbal Tea on weight and fitness. One hundred adolescents of age group 20-35 years in Agra district were selected and significant effects of herbal tea were observed on the health in youth.

Alternative medicine as a treatment options for COVID-19

2021 ◽  
Vol 07 ◽  
Author(s):  
Mahfuza Marzan ◽  
Md. Shahedur Rahman ◽  
Md. Abu Hena Mostofa Jamal ◽  
Mohammad Hossain Shariare ◽  
Md. Anowar Khasru Parvez
Keyword(s):  
Health Care ◽  
Vitamin D ◽  
Distress Syndrome ◽  
Scientific Evidence ◽  
Treatment Options ◽  
Viral Disease ◽  
Global Pandemic ◽  
Medicinal Properties ◽  
Mode Of Transmission ◽  
High Infectivity

: COVID-19, a viral disease caused by SARS-CoV-2 is the reason of a global pandemic since the starting of the year 2020. The characteristic of the disease varies from mild common cold like symptoms to acute respiratory distress syndrome and multi-organ failure leading to death. World has already observed 213,453 deaths from this disease while 3,095,839 have been infected in 210 countries in total till 28 April, 2020. This disease has a devastating impact over the health care system because of its high infectivity, easy mode of transmission, lack of proper medicine and vaccine and deficiency of enough supportive healthcare arrangement. On verge of this situation scientists are searching the treatment options. However, nature has provided us with enormous herbs which have disease preventive as well as have medicinal properties. In this article we have reviewed several of these plants (ginger, clove, tea, black seed, tulsi, neem) and some vitamins (vitamin C and vitamin D) and zinc which have antiviral, anti-inflammatory, antioxidant, anti-asthmatic properties with scientific evidence. The intake of these products regularly to keep the immune system active, to experience its positive aspects might be supportive to prevent infection with the new coronavirus or to treat COVID-19.

scholarly journals Indirect Health Effects of COVID-19: Unhealthy Lifestyle Behaviors during the Lockdown in the United Arab Emirates

2021 ◽  
Vol 18 (4) ◽  
pp. 1964
Author(s):  
Hadia Radwan ◽  
Mahra Al Kitbi ◽  
Hayder Hasan ◽  
Marwa Al Hilali ◽  
Nada Abbas ◽  
...  
Keyword(s):  
Physical Activity ◽  
United Arab Emirates ◽  
Lifestyle Change ◽  
Change Score ◽  
Lifestyle Changes ◽  
Lifestyle Behaviors ◽  
Negative Consequences ◽  
Unhealthy Lifestyle ◽  
Cross Sectional ◽  
Study Results

Background: Lockdown measures were implemented in many countries to limit the spread of the COVID-19 pandemic. However, such restrictions could precipitate unintended negative consequences on lifestyle behaviors. The main objective of this study was to investigate the prevalence and determinants of unhealthy behavior changes during the COVID-19 lockdown among residents of the United Arab Emirates (UAE). Methods: A cross-sectional web-based survey of adults residing in the UAE was carried out during lockdown (n = 2060). Using a multi-component questionnaire, the collected data included questions regarding the following lifestyle changes: Increased dietary intake, increased weight, decreased physical activity, decreased sleep, and increased smoking. An unhealthy lifestyle change score was calculated based on the number of unhealthy lifestyle changes each participant reported. In addition, sociodemographic and living conditions information was collected. Descriptive statistics as well as simple and multiple linear regression analyses were used to examine the prevalence and determinants of the unhealthy lifestyle changes considered in this study. Results: Among the unhealthy lifestyle changes examined, increased food intake was the most common (31.8%), followed by decreased physical activity (30%), increased weight (29.4%), decreased sleep (20.8%), and increased smoking (21%). In addition to identifying the correlates of each of the aforementioned lifestyle changes, the results of the multiple regression linear analyses revealed the following correlates for the overall unhealthy lifestyle change score: females (β = 0.32, CI: 0.22; 0.42), living in an apartment (β = 0.12, CI: 0.003; 0.23) and being overweight/obese (β = 0.24, CI: 0.15; 0.32) had higher scores, while older adults (>40 years) had lower scores (β = −0.23, CI: −0.34; −0.12). Conclusions: The COVID-19 lockdown has resulted in a high prevalence of unhealthy lifestyle behaviors and practices among UAE residents. The findings of this study provided the evidence base for officials to design interventions targeting high-risk groups and aiming to improve healthy lifestyle factors among residents during the pandemic.

Direct Primary Care: A Successful Financial Model for the Clinical Practice of Lifestyle Medicine

2021 ◽  
pp. 155982762110066
Author(s):  
Amy R. Mechley
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Care Delivery ◽  
Health Care Systems ◽  
Well Being ◽  
The United States ◽  
Fee For Service ◽  
Financial Model ◽  
Lifestyle Medicine ◽  
Direct Primary

Primary care has been shown to significantly decrease the overall cost of a population’s health care while improving the quality of each person’s well-being. Lifestyle medicine (LM) is ideally positioned to be delivered via primary care and has been shown to improve short- and long-term health outcomes of patients and populations. Direct primary care (DPC) represents a viable alternative to the fee-for-service reimbursement model. It has been shown to be economically and financially sustainable. Furthermore, it has the potential to fulfill the Quadruple Aim of health care in the United States. LM practiced in a DPC model has the potential to transform health care delivery. This article will discuss the need for health care systems change, provide an overview of the DPC model, demonstrate a basic understanding of the benefits, and review the steps needed to de-risk the investment of time, money, and resources for our future DPC providers.

scholarly journals Combined Effects of Unhealthy Lifestyle Behaviors on Metabolic Syndrome among Postmenopausal Women

Healthcare ◽  
2021 ◽  
Vol 9 (7) ◽  
pp. 848
Author(s):  
Jin-Suk Ra ◽  
Hyesun Kim
Keyword(s):  
Physical Activity ◽  
Sedentary Behavior ◽  
Postmenopausal Women ◽  
Abdominal Obesity ◽  
Impaired Fasting Glucose ◽  
Fasting Glucose ◽  
Dietary Behavior ◽  
Lifestyle Behaviors ◽  
Unhealthy Lifestyle ◽  
Insufficient Physical Activity

This study aimed to identify the combined effects of unhealthy lifestyle behaviors, including diet, sedentary behavior, and physical activity on metabolic syndrome (MS) and components of MS among postmenopausal women. Secondary data analysis was conducted using the Korean National Health and Nutrition Examination Survey (2014–2018) with a cross-sectional study design. Logistic regression analysis was conducted with data from 6114 Korean postmenopausal women. While no significant effects of unhealthy lifestyle behaviors, either individually or as a combination, were found for MS, prolonged sedentary behavior without poor dietary behavior and insufficient physical activity was associated with increased likelihood of abdominal obesity (adjusted odds ratio [AOR]: 1.59, 95% confidence interval [CI]: 1.10–2.29) and impaired fasting glucose (AOR: 1.54, 95% CI: 1.13–2.10). The combination of poor dietary behavior and prolonged sedentary behaviors was also associated with increased likelihood of abdominal obesity (AOR: 1.48, 95% CI: 1.10–2.00) and impaired fasting glucose (AOR: 1.49, 95% CI: 1.14–1.96). In addition, prolonged sedentary behavior and insufficient physical activity together were associated with increased likelihood of abdominal obesity (AOR: 2.81, 95% CI: 1.90–4.20) and impaired fasting glucose (AOR: 1.59, 95% CI: 1.13–2.24). Finally, combining poor dietary behavior, prolonged sedentary behavior, and insufficient physical activity was also associated with increased likelihood of abdominal obesity (AOR: 2.05, 95% CI: 1.50–2.80) and impaired fasting glucose (AOR: 1.71, 95% CI: 1.32–2.23). Strategies for replacing sedentary behavior of postmenopausal women with activities are warranted for prevention of abdominal obesity and impaired fasting glucose.

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