Evidence map›Paper›PMID 42732115›Full record

ArticleAmerican journal of lifestyle medicine2026

There Is No Pill for Time: The Missing Determinant of Lifestyle Medicine.

Regina Chamon, Laíssa Margoni, Ingrid Ardisson Colodete, Marcos W R Santos, Ana Maria Kemp, Adriana Kelmer Siano, Cristian Eduardo Guolo, Camila Gomes, Bruno P C Smirmaul

Abstract read
In one paragraph

Article in American journal of lifestyle medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Regina ChamonIndependent Researcher, São José dos Campos, SP, Brazil (RC).
Laíssa MargoniIndependent Researcher, Balneário Camboriú, SC, Brazil (LM).
Ingrid Ardisson ColodeteIndependent Researcher, Vitória, ES, Brazil (IAC).
Marcos W R SantosWe Head, São Paulo, SP, Brazil (MWRS).
Ana Maria KempInternal Medicine Department, Jundiaí Medical School, Group of Investigation on Multimorbidity and Mental Health in Aging (GIMMA), Geriatrics Division, Jundiaí, Brazil (AMK).
Adriana Kelmer SianoHospital Universitário da Universidade Federal de Juiz de Fora (HU-UFJF), Juiz de Fora, MG, Brazil (AKS).
Cristian Eduardo GuoloIndependent Researcher, São Paulo, SP, Brazil (CEG).
Camila GomesIndependent Researcher, São Mateus, ES, Brazil (CG).
Bruno P C SmirmaulMEV University, Rio Claro, SP, Brazil (BPCS).ORCID https://orcid.org/0000-0001-7612-3099

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Lifestyle Medicine (LM) recommendations are increasingly recognized as foundational strategies for preventing and managing chronic diseases. However, despite their growing incorporation into clinical practice, little attention has been given to the temporal demands required for their real-world implementation. This exploratory study aimed to estimate the daily time investment necessary to comply with evidence-based recommendations related to the core pillars of LM. An integrative mixed-methods approach was employed, combining narrative synthesis of guidelines and scientific literature with applied individual time estimations performed by the authors. Evidence-based minimum recommendations suggested a cumulative requirement of approximately 11.4 hours per day dedicated to healthy lifestyle behaviors. Personal estimations demonstrated substantial variability, ranging from 9.8 to 16.7 hours/day. Importantly, the incorporation of "invisible time" components, including preparation, commuting, hygiene, organization, and logistical demands, substantially increased the total temporal burden associated with lifestyle interventions, reaching up to 22.6 hours/day. Findings suggest that time represents a central, yet underrecognized, structural determinant of adherence to LM recommendations and highlight the need for more realistic, integrated, and context-sensitive approaches to lifestyle prescription and implementation.

Indexed as

behavioral prescriptionhealth behaviorlifestyle medicinetime povertytime use

Identifiers

PMID42732115
PMCPMC13569717

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.