Evidence map›Paper›PMID 38559790›Full record

ArticleAmerican journal of lifestyle medicine

American College of Lifestyle Medicine Expert Consensus Statement: Lifestyle Medicine for Optimal Outcomes in Primary Care.

Meagan L Grega, Jennifer T Shalz, Richard M Rosenfeld, Josie H Bidwell, Jonathan P Bonnet, David Bowman, Melanie L Brown, Mollie E Dwivedi, Ngozi M Ezinwa, John H Kelly and 8 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in American journal of lifestyle medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

  1. Article
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  5. Review
  6. Article
  7. Article
  8. Article
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  11. Article
  12. Article
  13. Introduction to the Lifestyle Medicine and Kidney Health Series.Clinical journal of the American Society of Nephrology : CJASN · 2025
    Article
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  15. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Meagan L GregaSt. Luke's University Health Network, Easton, PA, USA; Kellyn Foundation, Tatamy, PA, USA (MLG).
Jennifer T ShalzLifestyle Medicine Department, St. Luke's Health System, Boise ID, USA (JTS).
Richard M RosenfeldDepartment of Otolaryngology, SUNY Downstate Health Science University, Brooklyn, NY, USA (RMR).ORCID https://orcid.org/0000-0002-3557-3795
Josie H BidwellDepartment of Preventive Medicine, University of Mississippi Medical Center, Jackson, MI, USA (JHB).
Jonathan P BonnetPalo Alto VA Health Care, Palo Alto, CA, USA; Department of Medicine and Division of Primary Care and Population Health, Stanford University School of Medicine, Stanford, CA, USA (JPB).ORCID https://orcid.org/0000-0002-1917-0048
David BowmanDepartment of Pediatrics, Howard University College of Medicine, Washington, DC, USA; Lifestyle Med Revolution, LLC, Upper Marlboro, MD, USA (DB).
Melanie L BrownDepartment of Pediatrics, Johns Hopkins School of Medicine, Baltimore, MD, USA (MLB).
Mollie E DwivediDepartment of Orthopaedic Surgery, Division of Physical Medicine and Rehabilitation, Washington University Living Well Center, St. Louis, MO, USA (MED).ORCID https://orcid.org/0000-0003-1004-187X
Ngozi M EzinwaLoma Linda University Health Care, Redlands, CA, USA (NME).
John H KellyLoma Linda University, Loma Linda, CA, USA; Lifestyle Health Education Inc., Rocky Mount, VA, USA (JHK).
Amy R MechleyUniversity of Cincinnati College of Medicine, Cincinnati, OH, USA (ARM).
Lawrence A MillerDepartment of Psychiatry & Behavioral Medicine, Medical College of Wisconsin, Milwaukee, WI, USA (LAM).
Rajiv K MisquittaDepartment of Lifestyle Medicine, The Permanente Medical Group, Sacramento, CA, USA (RKM).
Michael D ParkinsonP3 Health, Pittsburgh, PA, USA (MDP).
Dipak PatelCommunity Health Center, Inc., Meriden, CT, USA; Connecticut Lifestyle Medicine, CT, USA (DP)Community Health Center, Inc., Middletown, CT, USA (DP).
Padmaja M PatelLifestyle Medicine Center, Midland Health, Midland, TX, USA (PMP).
Karen R StuderPreventive Medicine, Loma Linda University Health, Loma Linda, CA, USA (KRS).
Micaela C KarlsenDepartment of Research, American College of Lifestyle Medicine, Chesterfield, MO, USA; Departments of Applied Nutrition and Global Public Health, University of New England, Biddeford, ME, USA (MCK).ORCID https://orcid.org/0000-0002-9365-151X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIdentify areas of consensus on integrating lifestyle medicine (LM) into primary care to achieve optimal outcomes.

methodsExperts in both LM and primary care followed an

resultsThe panel identified 124 candidate statements addressing: (1) Integration into Primary Care, (2) Delivery Models, (3) Provider Education, (4) Evidence-base for LM, (5) Vital Signs, (6) Treatment, (7) Resource Referral and Reimbursement, (8) Patient, Family, and Community Involvement; Shared Decision-Making, (9) Social Determinants of Health and Health Equity, and (10) Barriers to LM. After three iterations of an online Delphi survey, statement revisions, and removal of duplicative statements, 65 statements met criteria for consensus, 24 for near consensus, and 35 for no consensus. Consensus was reached on key topics that included LM being recognized as an essential component of primary care in patients of all ages, including LM as a foundational element of health professional education.

conclusionThe practice of LM in primary care can be strengthened by applying these statements to improve quality of care, inform policy, and identify areas for future research.

Indexed as

delivery modelsDelphi methodexpert consensuslifestyle medicineprimary care integrationsocial determinants of health

Identifiers

PMID38559790
PMCPMC10979727

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.