{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T11:53:24Z","timestamp":1791460404306,"version":"4.3.4"},"reference-count":51,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T00:00:00Z","timestamp":1789776000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["American Journal of Lifestyle Medicine"],"abstract":"<jats:p>\n                    Whole-food, plant-based (WFPB) nutrition is effective for chronic disease prevention and management, but adoption can be challenging. Brief, community-based programs may support meaningful dietary change. A one-month online intervention was conducted which included weekly education and peer mentorship. Participants (n = 139; mean age 55.7 \u00b1 12.6\u00a0years; 91% women; 52% White, 30% Black, 13% Hispanic) followed an ad-libitum WFPB diet excluding oil and minimizing added sugar and salt. Surveys assessed change in various quality of life measures, depression (PHQ-9), anxiety (GAD-7), and dietary behaviors. A subset reported anthropometrics and lab work. Participants reported reductions in pain (61.6% baseline vs 44.9% post-program), mobility issues (47.1% vs 29.4%), upper (38.7% vs 12.4%) and lower (39.4% vs 21.2%) gastrointestinal concerns, sleep issues (68.6% vs 46.7%), low energy (71.7% vs 40.6%), moodiness (55.9% vs 21.3%), and unhealthy food cravings (81.9% vs 58.7%) (all\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; .05). Median PHQ-9 and GAD-7 scores decreased by 2.5 points and 1 point, respectively (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; .001). Median reported BMI decreased by 0.69\u00a0kg\/m\n                    <jats:sup>2<\/jats:sup>\n                    (n = 106,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; .001) and median waist circumference decreased by 1.25 inches (n = 53,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; .001). No significant changes were reported in HbA1c, LDL cholesterol, or blood pressure, although sample sizes for these were small. The program was feasible and acceptable, and was associated with improved quality of life, psychological well-being, and weight.\n                  <\/jats:p>","DOI":"10.1177\/15598276261485180","type":"journal-article","created":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T11:10:47Z","timestamp":1789816247000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Evaluation of an Online One-Month Whole-Food Plant-Based Dietary Intervention"],"prefix":"10.1177","author":[{"given":"Ayanna","family":"Besson","sequence":"first","affiliation":[{"name":"SUNY Downstate Health Sciences University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lianna Levine","family":"Reisner","sequence":"additional","affiliation":[{"name":"Plant Powered Metro"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rose","family":"Calixte","sequence":"additional","affiliation":[{"name":"SUNY Downstate Health Sciences University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liza","family":"Fuentes","sequence":"additional","affiliation":[{"name":"The Susan Thompson Buffett Foundation"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7441-0868","authenticated-orcid":false,"given":"Elizabeth","family":"Purchase-Helzner","sequence":"additional","affiliation":[{"name":"SUNY Downstate Health Sciences University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,19]]},"reference":[{"key":"e_1_3_7_2_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurjpc\/zwac187"},{"key":"e_1_3_7_3_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCRESAHA.116.308999"},{"key":"e_1_3_7_4_2","doi-asserted-by":"publisher","DOI":"10.5888\/pcd19.220347"},{"key":"e_1_3_7_5_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41591-024-03345-4"},{"key":"e_1_3_7_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.mayocpiqo.2023.08.005"},{"key":"e_1_3_7_7_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41467-023-42523-9"},{"key":"e_1_3_7_8_2","doi-asserted-by":"publisher","DOI":"10.3389\/fnut.2022.866400"},{"key":"e_1_3_7_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/15598276211018159"},{"key":"e_1_3_7_10_2","doi-asserted-by":"publisher","DOI":"10.1038\/nutd.2017.3"},{"key":"e_1_3_7_11_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41538-024-00362-y"},{"key":"e_1_3_7_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/15598276241237766"},{"key":"e_1_3_7_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/1559827620949205"},{"key":"e_1_3_7_14_2","doi-asserted-by":"publisher","DOI":"10.3390\/foods10123052"},{"key":"e_1_3_7_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eprac.2024.04.020"},{"key":"e_1_3_7_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2017.05.047"},{"key":"e_1_3_7_17_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.280.23.2001"},{"key":"e_1_3_7_18_2","doi-asserted-by":"publisher","DOI":"10.1186\/1475-2891-13-99"},{"key":"e_1_3_7_19_2","doi-asserted-by":"publisher","DOI":"10.1177\/15404153221085696"},{"key":"e_1_3_7_20_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17134849"},{"key":"e_1_3_7_21_2","doi-asserted-by":"publisher","unstructured":"Besson AD Reisner LL Mosaad AT Smith AN Afable A Purchase-Helzner E. 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