Williams Jonquile, Cramer Sylvia, Arechiga Adam, Medina Ernesto P, Beeson W Lawrence
School of Public Health, Loma Linda University, Loma Linda, CA, USA (JW, AA, EM, WLB).
Department of Preventive Medicine, Loma Linda University School of Medicine, Loma Linda, CA, USA (SC).
Am J Lifestyle Med. 2025 Apr 28:15598276251336194. doi: 10.1177/15598276251336194.
This pilot study investigated the impact of Integrative Health Coaching (IHC) frequency on biometrics, dietary intake, and physical activity changes among participants of the Loma Linda University Health (LLUH) Intensive Therapeutic Lifestyle Change (ITLC) program. This retrospective cohort design analyzed the effects of IHC frequency on pre-post participant behaviors and health outcomes among forty-four participants (aged 35-78). Participants engaged in the 8-week ITLC program and received individual and group health coaching sessions. Assessments included an InBody scan, various laboratory panels, and the American College of Lifestyle Medicine (ACLM) lifestyle forms. Weak positive correlations were observed between IHC frequency and pre-post physical activity, and fruit and vegetable intake, but were not statistically significant. Clinically significant changes were noted in physical activity levels among participants with hyperlipidemia and diabetes/prediabetes. High physical activity was associated with a reduction in high-density lipoproteins (HDL-C) levels and showed slight decreases in body mass index (BMI), HbA1c, and low-density lipoproteins (LDL-C). The change in HbA1c was positively associated with a similar change in BMI (rho = .42, < .01). Clinically significant changes were observed in BMI, total cholesterol, and LDL due to lifestyle changes which included modifying physical activity and nutrition.
这项初步研究调查了综合健康指导（IHC）频率对洛马林达大学健康中心（LLUH）强化治疗性生活方式改变（ITLC）项目参与者的生物特征、饮食摄入和身体活动变化的影响。这项回顾性队列设计分析了IHC频率对44名参与者（年龄在35 - 78岁之间）前后行为和健康结果的影响。参与者参加了为期8周的ITLC项目，并接受了个人和团体健康指导课程。评估包括人体成分扫描、各种实验室检测项目以及美国生活方式医学学院（ACLM）生活方式表格。观察到IHC频率与前后身体活动以及水果和蔬菜摄入量之间存在弱正相关，但无统计学意义。在高脂血症和糖尿病/糖尿病前期参与者的身体活动水平上发现了具有临床意义的变化。高身体活动与高密度脂蛋白（HDL-C）水平降低相关，并显示体重指数（BMI）、糖化血红蛋白（HbA1c）和低密度脂蛋白（LDL-C）略有下降。HbA1c的变化与BMI的类似变化呈正相关（rho = 0.42，P < 0.01）。由于包括改变身体活动和营养在内的生活方式改变，在BMI、总胆固醇和低密度脂蛋白方面观察到了具有临床意义的变化。
