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

Smirmaul, Bruno Paula Caraça; Chamon, Regina Fumanti; Moraes, Fabiano Moulin de; Rozin, Gabriel; Moreira, Annie Seixas Bello; Almeida, Roberto de; Guimarães, Sley Tanigawa

doi:10.1177/1559827620950276

Cited by 31 publications

(25 citation statements)

References 42 publications

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“…Thus, this study indirectly reflects the changes that the COVID-19 pandemic caused in people’s lifestyles and behaviors. Additionally, previous studies showed that unhealthy behaviors were related to COVID-19 mortality rates and hospital admissions, and although they provided some specific lifestyle recommendations [ 36 , 37 ], few studies have analyzed intervenable factors related to COVID-19–related health behaviors during the pandemic.…”

Section: Discussionmentioning

confidence: 99%

Associations Between Health Literacy, eHealth Literacy, and COVID-19–Related Health Behaviors Among Chinese College Students: Cross-sectional Online Study

Li¹,

Cui²,

Kaminga³

et al. 2021

J Med Internet Res

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Background During the COVID-19 pandemic, the internet has significantly spread information, providing people with knowledge and advice about health protection regarding COVID-19. While a previous study demonstrated that health and eHealth literacy are related to COVID-19 prevention behaviors, few studies have focused on the relationship between health literacy, eHealth literacy, and COVID-19–related health behaviors. The latter includes not only preventative behaviors but also conventional health behaviors. Objective The objective of this study was to develop and verify a COVID-19–related health behavior questionnaire, explore its status and structure, and examine the associations between these behaviors and participants’ health literacy and eHealth literacy. Methods A snowball sampling method was adopted to recruit participants to complete anonymous cross-sectional questionnaire surveys online that assessed sociodemographic information, self-reported coronavirus knowledge, health literacy, eHealth literacy, and COVID-19–related health behaviors. Results Of 1873 college students who were recruited, 781 (41.7%) had adequate health literacy; the mean eHealth literacy score was 30.16 (SD 6.31). The COVID-19–related health behavior questionnaire presented a two-factor structure—COVID-19–specific precautionary behaviors and conventional health behaviors—with satisfactory fit indices and internal consistency (Cronbach α=.79). The mean score of COVID-19–related health behaviors was 53.77 (SD 8.03), and scores differed significantly (P<.05) with respect to residence, college year, academic major, family economic level, self-reported health status, having a family member or friend infected with coronavirus, and health literacy level. Linear regression analysis showed that health literacy and eHealth literacy were positively associated with COVID-19–specific precautionary behaviors (βhealth literacy=.149, βeHealth literacy=.368; P<.001) and conventional health behaviors (βhealth literacy=.219, βeHealth literacy=.277; P<.001). Conclusions The COVID-19–related health behavior questionnaire was a valid and reliable measure for assessing health behaviors during the pandemic. College students with higher health literacy and eHealth literacy can more actively adopt COVID-19–related health behaviors. Additionally, compared to health literacy, eHealth literacy is more closely related to COVID-19–related health behaviors. Public intervention measures based on health and eHealth literacy are required to promote COVID-19–related health behaviors during the pandemic, which may be helpful to reduce the risk of COVID-19 infection among college students.

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Section: Discussionmentioning

confidence: 99%

Associations Between Health Literacy, eHealth Literacy, and COVID-19–Related Health Behaviors Among Chinese College Students: Cross-sectional Online Study

Li¹,

Cui²,

Kaminga³

et al. 2021

J Med Internet Res

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“…46 Social relationships can be considered "the single most important predictor of happiness and longevity." 47 Older adults who live alone or reside in congregate living arrangements (e.g., nursing homes, assisted living, senior housing) are at particularly high risk for the negative effects of social isolation. Although protecting older adults from getting COVID-19 is a priority, we need to be more aware of the negative impact of physical distancing and social isolation on other aspects of an older adult's health.…”

Section: Facilitating Social Engagementmentioning

confidence: 99%

“…Social media can be used for positive social connectivity and not to spread fear, uncertainty, and intolerance. 47 Working in collaboration with other societal and professional organizations can strengthen positive social connectivity, by sharing reliable health information and recommendations. Nurturing personal resilience is as important as building community resilience.…”

Section: Facilitating Social Engagementmentioning

confidence: 99%

“…Social isolation has a negative impact on mental, physical, and emotional health, increasing risk for anxiety, insomnia, depression, cognitive decline, a weakened immune system, diabetes mellitus, cerebrovascular diseases, cancer, and mortality 46 . Social relationships can be considered “the single most important predictor of happiness and longevity.” 47 Older adults who live alone or reside in congregate living arrangements (e.g., nursing homes, assisted living, senior housing) are at particularly high risk for the negative effects of social isolation. Although protecting older adults from getting COVID‐19 is a priority, we need to be more aware of the negative impact of physical distancing and social isolation on other aspects of an older adult's health 48 .…”

Section: Introductionmentioning

confidence: 99%

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Promoting Healthy Aging During COVID‐19

Batsis

Daniel

Eckstrom

et al. 2021

J American Geriatrics Society

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Older adults have been markedly impacted by the coronavirus disease 19 (COVID‐19) pandemic. The American Geriatrics Society previously published a White Paper on Healthy Aging in 2018 that focused on a number of domains that are core to healthy aging in older adults: health promotion, injury prevention, and managing chronic conditions; cognitive health; physical health; mental health; and social health. The potentially devastating consequences of COVID‐19 on health promotion are recognized. The purpose of this article is multifold. First, members of the Healthy Aging Special Interest Group will present the significant difficulties and obstacles faced by older adults during this unprecedented time. Second, we provide guidance to practicing geriatrics healthcare professionals overseeing the care of older adults. We provide a framework for clinical evaluation and screening related to the five aforementioned domains that uniquely impact older adults. Last, we provide strategies that could enhance healthy aging in the era of COVID‐19.

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“…Unhealthy "lifestyle" factors have been estimated to account for significant risk of COVID-19 hospitalization [15]. Yet, articles on lifestyle medicine vis à vis COVID-19 elide the words "disadvantage", "deprivation" or even "socioeconomic" [16] and the extent to which the massive, multinational marketing of unhealthy products (and lifestyle) push against disadvantaged individuals and communities in a disproportionate way [17]; prior to the COVID-19 pandemic, it was already known that >60% of premature deaths can be potentially prevented by adherence to healthy lifestyle [18], while the WHO emphasized that NCDs accounted for 71% of all global deaths, and 85% of the 15 million premature deaths (deaths between ages 30 and 70) occurred in low-and middle-income countries [19]. Poverty may be a central factor in driving premature death, yet research on anti-poverty interventions and NCDs are scarce; moreover, some poverty reduction interventions, such as increasing access to "affordable" food, appears to increase NCD risk due to increased consumption of high-calorie, nutrient-poor foods [20].…”

Section: Introductionmentioning

confidence: 99%

Healing Anthropocene Syndrome: Planetary Health Requires Remediation of the Toxic Post-Truth Environment

Logan¹,

Berman

et al. 2021

Challenges

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The term “Anthropocene Syndrome” describes the wicked interrelated challenges of our time. These include, but are not limited to, unacceptable poverty (of both income and opportunity), grotesque biodiversity losses, climate change, environmental degradation, resource depletion, the global burden of non-communicable diseases (NCDs), health inequalities, social injustices, the spread of ultra-processed foods, consumerism and incivility in tandem with a diminished emphasis on the greater potential of humankind, efforts toward unity, or the value of fulfilment and flourishing of all humankind. Planetary health is a concept that recognizes the interdependent vitality of all natural and anthropogenic ecosystems—social, political and otherwise; it blurs the artificial lines between health at scales of person, place and planet. Promoting planetary health requires addressing the underlying pathology of “Anthropocene Syndrome” and the deeper value systems and power dynamics that promote its various signs and symptoms. Here, we focus on misinformation as a toxin that maintains the syndromic status quo—rapid dissemination of falsehoods and dark conspiracies on social media, fake news, alternative facts and medical misinformation described by the World Health Organization as an “infodemic”. In the context of planetary health, we explore the historical antecedents of this “infodemic” and underscore an urgent need to remediate the misinformation mess. It is our contention that education (especially in early life) emphasizing mindfulness and understanding of the mechanisms by which propaganda is spread (and unhealthy products are marketed) is essential. We expand the discourse on positive social contagion and argue that empowerment through education can help lead to an information transformation with the aim of flourishing along every link in the person, place and planet continuum.

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

Cited by 31 publications

References 42 publications

Associations Between Health Literacy, eHealth Literacy, and COVID-19–Related Health Behaviors Among Chinese College Students: Cross-sectional Online Study

Associations Between Health Literacy, eHealth Literacy, and COVID-19–Related Health Behaviors Among Chinese College Students: Cross-sectional Online Study

Promoting Healthy Aging During COVID‐19

Healing Anthropocene Syndrome: Planetary Health Requires Remediation of the Toxic Post-Truth Environment

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