Supplementary Files
Keywords
domains of lifestyle medicine
general population
sleep
exercise
nuitrition
mental health
substance abuse
weight management
How to Cite
Abstract
Objective: To assess the lifestyle medicine among the general population of the district of Sialkot, Pakistan.
Methods: A comparative cross-sectional study was conducted in 4 Tehsils of District Sialkot, from April to September 2024. A calculated sample of 400 healthy individuals was selected by a non-probability consecutive sampling technique, and data were collected through a modified version of the lifestyle assessment short form questionnaire
Results: The average age of participants was 33.58 ±13.06 years, with a predominant representation of males (60%). The majority of the respondents were young (93.5%) and graduates or post-graduates (55.4%). The mean lifestyle medicine score was 38±4.41. Only 40%of the participants had a favourable lifestyle medicine score above the mean. Education of the participants showed a significant association with lifestyle medicine score(p=0.027), while age, area of residence and social class revealed a non-significant association.
Conclusion: Most of the study participants had unfavourable lifestyle medicine scores below mean indicating poorer adherence to recommended lifestyle medicine practices. Similarly for individual life style medicine domains, score was below the mean except for smoking and substance abuse domain.
References
Matranga D, Restivo V, Maniscalco L, Bono F, Pizzo G, Lanza G, Gaglio V, Mazzucco W. Miceli S. Lifestyle Medicine and Psychological Well-Being toward Health Promotion: A Cross-Sectional Study on Palermo (Southern Italy) Undergraduates. Int J Environ Res Public Health. 2020:17(15):5444. https://doi.org/10.3390/ijerph17155444
Jaqua E, Biddy E, Moore C, Browne G. The Impact of the Six Pillars of Lifestyle Medicine on Brain Health. Cureus 2023,15(2) e34605. https://doi/org/10.7759/ cureas 34605,
World Health Organisation current stats on non-communicable diseases.https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases
Steps-survey-in-pakistan-identifying-the-burden-of-noncommunicable-diseases by WHO https://www.emro.who.int/noncommunicable-diseases/highlights/step9:survey.in:pakistan-identifying-the-burden.of:noncommunicable-diseases.html
Kazmi T, Nagi ML, Razzaq S, Hussnain S, Shahid N, Athar U. Burden of noncommunicable diseases in Pakistan. EMHJ. 2022;28(11):798-804. https://doi.org/10.26719/emhj.22.083.
Ornish D, Madison C, Kivipelto M, Kemp C, McCulloch CE, Galasko D, etal. Effects of intensive lifestyle changes on the progression of mild cognitive impairment or early dementia due to Alzheimer's disease: a randomized, controlled clinical trial. Alzheimers Res Ther. 2024;16(1):122. https://doi.org/10.1186/s13195-024-01482-z.
Dhandapani S, Afshan K, Shreya S, Krithika V. Dietary Intake, Lifestyle Factors, and Metabolic Risk: Insights from Health Check-Ups at a Private Healthcare Facility in Coimbatore, India. Int J Health Sci Res. 2024;14(4):419–27. https://doi.org/10.20473/amnt.v8i4.2024.632-641.
https://ihacares.com/assets/pdfs/Lifestyle%20Medicine/ACLM-LLUH_short_form_english_2019.pdf
Radhakrishnan M, Nagaraja SB. Modified Kuppuswamy socioeconomic scale 2023: stratification and updates. Int J Community Med Public Health. 2023 Nov;10(11):4415-4418. https://dx.doi.org/10.18203/2394-6040.ijcmph20233487
Watson NF, Badr MS, Belenky G, Bliwise DL, Buxton OM, Buysse D, etal. Recommended Amount of Sleep for a Healthy Adult: A Joint Consensus Statement of the American Academy of Sleep Medicine and Sleep Research Society. Sleep. 2015;38(6):843-4. https://doi.org/10.5665/sleep.4716.
Faizan U, Rouster AS. Nutrition and Hydration Requirements In Children and Adults. [Updated 2023 Aug 28]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024-
Strain T, Flaxman S, Guthold R, Semenova E, Cowan M, Riley LM, Bull FC, Stevens GA. National, regional, and global trends in insufficient physical activity among adults from 2000 to 2022: a pooled analysis of 507 population-based surveys with 5· 7 million participants. The Lancet Global Health. 2024 ;12(8):e1232-43.
Ali AM, Alkhamees AA, Hori H, Kim Y, Kunugi H. The depression anxiety stress scale 21: development and validation of the depression anxiety stress scale 8-item in psychiatric patients and the general public for easier mental health measurement in a post COVID-19 world. International journal of environmental research and public health. 2021 Sep 27;18(19):10142. https://doi.org/10.3390/ijerph181910142
Krok-Schoen JL, Luo M, Kelly ML, Fischer B, Bower JK. Health behaviors and lifestyle intervention preferences among adults with multiple chronic conditions: A cross-sectional study. BMC Public Health. 2020;20(1):654. https://doi.org/10.1186/s12889-020-08753-9
Mititelu M, Stanciu G, Licu M, Neacșu SM, Călin MF, Roșca AC, Stanciu TI, Busnatu ȘS, Olteanu G, Boroghină SC, Nicolescu TO. Evaluation of the Consumption of Junk Food Products and Lifestyle among Teenagers and Young Population from Romania. Nutrients. 2024 Jun 5;16(11):1769. https://doi.org/10.3390/nu16111769
Dzierzewski JM, Sabet SM, Ghose SM, Perez E, Soto P, Ravyts SG,etal. Lifestyle factors and sleep health across the lifespan. Int J Environ Res Public Health. 2021;18(12):6626. https://doi.org/10.3390/ijerph18126626
Gupta R, Grover S, Basu A, Kulhara P, Avasthi A. Sleep pattern and sleep problems in a general population sample in India: Results from the National Mental Health Survey. Sleep Health. 2020;6(1):83–90. https://doi.org/10.1016/j.sleh.2019.09.008
Robbins R, Weaver MD, Quan SF, Barger LK, Czeisler MÉ, Czeisler CA. Associations between sleep duration and poor health outcomes: A systematic review of longitudinal studies. Sleep Health. 2022;8(4):386–393. https://doi.org/10.1016/j.sleh.2022.04.002
Sivanantham P, Sahoo J, Lakshminarayanan S, Bobby Z, Kar SS. Profile of risk factors for Non-Communicable Diseases (NCDs) in a highly urbanized district of India: Findings from Puducherry district-wide STEPS Survey, 2019–20. Plos one. 2021;16(1):e0245254. https://doi.org/10.1371/journal.pone.0245254
Strain T, Flaxman S, Guthold R, Semenova E, Cowan M, Riley LM, etal. National, regional, and global trends in insufficient physical activity among adults from 2000 to 2022: a pooled analysis of 507 population-based surveys with 5· 7 million participants. The Lancet Global Health. 2024;12(8):e1232-43.
Ramamoorthy T, Kulothungan V, Mathur P. Prevalence and Correlates of Insufficient Physical Activity Among Adults Aged 18-69 Years in India: Findings From the National Noncommunicable Disease Monitoring Survey. J Phys Act Health. 2022 ;19(3):150-159. https://doi.org/10.1123/jpah.2021-0688
Lee SH, Moore LV, Park S, Harris DM, Blanck HM. Adults meeting fruit and vegetable intake recommendations—United States, 2019. MMWR Morb Mortal Wkly Rep. 2022;71(1):1–9. https://doi.org/10.15585/mmwr.mm7101a1
Syed NK, Syed MH, Meraya AM, Albarraq AA, Al-Kasim MA, Alqahtani S, etal. The association of dietary behaviors and practices with overweight and obesity parameters among Saudi university students. PLoS One. 2020;15(9): e0238458.
https://doi.org/10.1371/journal.pone.0238458
Khan MN, Akhtar P, Ijaz S, Waqas A. Prevalence of depressive symptoms among university students in Pakistan: a systematic review and meta-analysis. Front. Public Health. 2021;8: 603357. https://doi.org/10.3389/fpubh.2020.603357
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