{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T04:17:09Z","timestamp":1792642629043,"version":"4.5.0"},"reference-count":64,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,4,28]],"date-time":"2024-04-28T00:00:00Z","timestamp":1714262400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Midwife Womens Health"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Hyperlipidemia incidence is on the rise and lifestyle behavior change is the first\u2010line therapy. Left untreated, hyperlipidemia can result in cardiovascular disease leading to increased morbidity and mortality in persons worldwide. Evidence has demonstrated behavioral changes such as increased exercise, healthy nutrition, smoking cessation, alcohol abstinence, and other lifestyle modification interventions significantly decrease the incidence and severity of hyperlipidemia. The purpose of this article is to review the evidence of lifestyle interventions in preventing and managing hyperlipidemia and to suggest innovative ways to integrate those techniques into clinical practice. Recommendations on hyperlipidemia specific to pregnancy, polycystic ovary syndrome, and estrogen deficiency are also discussed.<\/jats:p>","DOI":"10.1111\/jmwh.13637","type":"journal-article","created":{"date-parts":[[2024,4,28]],"date-time":"2024-04-28T12:03:17Z","timestamp":1714305797000},"page":"361-369","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":37,"title":["Hyperlipidemia Prevention and Management Utilizing Lifestyle Changes"],"prefix":"10.1111","volume":"69","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2917-3533","authenticated-orcid":false,"given":"L. Amy","family":"Giles","sequence":"first","affiliation":[{"name":"Louise Herrington School of Nursing Baylor University Dallas Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,4,28]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19148272"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcad.2022.11.004"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/clc.23218"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12874\u2010019\u20100811\u2010z"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/01410768221077381"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1515\/hsz\u20102019\u20100426"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arteri.2021.02.007"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/0003319719854609"},{"key":"e_1_2_8_10_1","volume-title":"Williams Obstetrics","author":"Cunningham FG","year":"2022"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12944\u2010022\u201001747\u20102"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacl.2022.09.006"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12944\u2010022\u201001721\u2010y"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000625"},{"key":"e_1_2_8_15_1","unstructured":"ASCVD Risk Estimator Plus.American College of Cardiology website. Updated August 2023. Accessed March 9 2024.https:\/\/tools.acc.org\/ascvd\u2010risk\u2010estimator\u2010plus\/#!\/content\/about\/"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13098\u2010023\u201001170\u20102"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000678"},{"issue":"8","key":"e_1_2_8_18_1","first-page":"508","article-title":"Dyslipidemia management for cardiovascular disease prevention: guidelines from the VA\/DoD","volume":"103","author":"Arnold MJ","year":"2021","journal-title":"Am Fam Physician"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1093\/nutrit\/nuab060"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/1747\u20100080.12509"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacl.2022.06.008"},{"key":"e_1_2_8_22_1","unstructured":"Definition of lifestyle medicine.American College of Lifestyle Medicine website. Accessed December 12 2023.https:\/\/lifestylemedicine.org\/overview\/"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.22038\/IJBMS.2019.35125.8353"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40279\u2010023\u201001817\u20100"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcad.2018.11.005"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1136\/gutjnl\u20102020\u2010322526"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2022.3849"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.3126\/ajms.v14i6.52653"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2021.109096"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1194\/jlr.R119000547"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.21037\/jtd.2020.02.47"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0277766"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.2147\/COPD.S423148"},{"key":"e_1_2_8_34_1","doi-asserted-by":"publisher","DOI":"10.3389\/fnut.2023.1155817"},{"issue":"6","key":"e_1_2_8_35_1","first-page":"366","article-title":"Behavioral counseling interventions to promote a healthy diet and physical activity for CVD prevention in adults with cardiovascular risk factors: recommendation statement","volume":"103","year":"2021","journal-title":"Am Fam Physician"},{"key":"e_1_2_8_36_1","unstructured":"DossW.Gender\u2010affirming treatment impacts cholesterol levels. Northwestern Medicine website. Published April 19 2021. Accessed March 10 2024.https:\/\/news.feinberg.northwestern.edu\/2021\/04\/19\/gender\u2010affirming\u2010treatment\u2010impacts\u2010cholesterol\u2010levels\/"},{"key":"e_1_2_8_37_1","doi-asserted-by":"publisher","DOI":"10.18502\/ijrm.v17i10.5294"},{"key":"e_1_2_8_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacl.2022.02.005"},{"key":"e_1_2_8_39_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000002708"},{"key":"e_1_2_8_40_1","unstructured":"Statins: drug safety communication \u2010 FDA requests removal of strongest warnings again using cholesterol\u2010lowering statins during pregnancy. US Food and Drug Administration website. Published July 20 2021. Accessed December 15 2023.https:\/\/www.fda.gov\/safety\/medical\u2010product\u2010safety\u2010information\/statins\u2010drug\u2010safety\u2010communication\u2010fda\u2010requests\u2010removal\u2010strongest\u2010warning\u2010against\u2010using\u2010cholesterol"},{"key":"e_1_2_8_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2020.08.040"},{"key":"e_1_2_8_42_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph191912074"},{"key":"e_1_2_8_43_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010018\u201031347\u2010z"},{"key":"e_1_2_8_44_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40200\u2010019\u201000425\u2010y"},{"key":"e_1_2_8_45_1","doi-asserted-by":"publisher","DOI":"10.9734\/ajbgmb\/2023\/v15i3333"},{"key":"e_1_2_8_46_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tjog.2019.05.003"},{"key":"e_1_2_8_47_1","doi-asserted-by":"publisher","DOI":"10.1111\/cob.12258"},{"key":"e_1_2_8_48_1","doi-asserted-by":"publisher","DOI":"10.1177\/15598276231202970"},{"key":"e_1_2_8_49_1","doi-asserted-by":"publisher","DOI":"10.1177\/15598276211008142"},{"key":"e_1_2_8_50_1","doi-asserted-by":"publisher","DOI":"10.4103\/ijnmr.IJNMR_94_17"},{"key":"e_1_2_8_51_1","doi-asserted-by":"publisher","DOI":"10.1253\/circj.CJ\u201023\u20100292"},{"key":"e_1_2_8_52_1","doi-asserted-by":"publisher","DOI":"10.1177\/08901171211048135"},{"key":"e_1_2_8_53_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports\u20102017\u2010098558"},{"key":"e_1_2_8_54_1","doi-asserted-by":"publisher","DOI":"10.1055\/a\u20101520\u20104742"},{"key":"e_1_2_8_55_1","doi-asserted-by":"publisher","DOI":"10.15294\/ajpesh.v3i1.66459"},{"key":"e_1_2_8_56_1","doi-asserted-by":"publisher","DOI":"10.1108\/NFS\u201012\u20102021\u20100394"},{"key":"e_1_2_8_57_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12966\u2010020\u20100923\u20101"},{"key":"e_1_2_8_58_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.26458"},{"key":"e_1_2_8_59_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu14050941"},{"key":"e_1_2_8_60_1","doi-asserted-by":"publisher","DOI":"10.1093\/ntr\/ntx241"},{"key":"e_1_2_8_61_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD010078.pub3"},{"key":"e_1_2_8_62_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2019.05.038"},{"key":"e_1_2_8_63_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjo.2023.23"},{"key":"e_1_2_8_64_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2021.108585"},{"key":"e_1_2_8_65_1","doi-asserted-by":"publisher","DOI":"10.1093\/abm\/kay085"}],"container-title":["Journal of Midwifery &amp; Women's Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jmwh.13637","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,7]],"date-time":"2024-06-07T17:40:33Z","timestamp":1717782033000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jmwh.13637"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4,28]]},"references-count":64,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,5]]}},"alternative-id":["10.1111\/jmwh.13637"],"URL":"https:\/\/doi.org\/10.1111\/jmwh.13637","archive":["Portico"],"relation":{},"ISSN":["1526-9523","1542-2011"],"issn-type":[{"value":"1526-9523","type":"print"},{"value":"1542-2011","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4,28]]},"assertion":[{"value":"2024-04-28","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}