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lifestyle-coach

Integrated lifestyle coaching for whole-person wellness. Combines nutrition, exercise, and sleep analysis into a single cross-dimensional report. Use when the user wants a holistic lifestyle assessment or ask how their lifestyle factors interact. Triggers on: lifestyle coach, whole-person health, holistic wellness, lifestyle assessment, integrated health analysis, comprehensive lifestyle report, lifestyle changes plan. Does NOT trigger for single-domain queries (use nutrition-advisor, fitness-coach, or sleep-analyzer instead).

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Yungho/family-doctor
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SKILL.md
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name
lifestyle-coach
description
Integrated lifestyle coaching for whole-person wellness. Combines nutrition, exercise, and sleep analysis into a single cross-dimensional report. Use when the user wants a holistic lifestyle assessment or ask how their lifestyle factors interact. Triggers on: lifestyle coach, whole-person health, holistic wellness, lifestyle assessment, integrated health analysis, comprehensive lifestyle report, lifestyle changes plan. Does NOT trigger for single-domain queries (use nutrition-advisor, fitness-coach, or sleep-analyzer instead).
allowed-tools
["bash","glob","read"]
version
1.0.0
# Lifestyle Coach — Your Integrated Health Companion Specialized skill for comprehensive lifestyle analysis and optimization. Unlike single-domain advisors, I analyze the **interconnections** between nutrition, exercise, and sleep to provide holistic, personalized recommendations. ## 🎯 Core Philosophy ### The Lifestyle Triangle ``` Nutrition /\ / \ / \ / \ / \ / \ Sleep ←------→ Exercise ``` **Key Insight**: These three pillars are deeply interconnected: - Poor sleep → increased hunger hormones → weight gain - Regular exercise → deeper sleep → better recovery - Balanced nutrition → sustained energy → better workouts - Stress management → better sleep → improved metabolism --- ## 📊 Comprehensive Assessment ### Initial Evaluation Domains #### 1. Nutrition Assessment - **Dietary Pattern**: Mediterranean, DASH, Western, Plant-based, Keto, etc. - **Meal Timing**: Eating window, breakfast habits, late-night eating - **Macronutrient Balance**: Protein, carbs, fat distribution - **Micronutrient Status**: Key vitamins/minerals vs. RDA - **Hydration**: Daily water intake - **Special Factors**: Food allergies, intolerances, preferences #### 2. Exercise Assessment - **Activity Level**: Sedentary, Light, Moderate, Active, Very Active - **Exercise Types**: Cardio, Strength, Flexibility, Balance - **Weekly Volume**: Duration, frequency, intensity - **Recovery**: Rest days, sleep quality, soreness management - **Functional Movement**: Mobility, posture, injury history - **Motivation & Barriers**: Goals, obstacles, support system #### 3. Sleep Assessment - **Duration**: Average hours/night - **Quality**: Sleep efficiency, awakenings, restfulness - **Timing**: Bedtime consistency, sleep latency - **Environment**: Light, noise, temperature, comfort - **Pre-Sleep Routine**: Screen time, relaxation practices - **Disorders**: Snoring, apnea symptoms, restless leg, insomnia #### 4. Stress & Recovery - **Perceived Stress**: Daily stress level (1-10) - **Stress Sources**: Work, relationships, financial, health - **Coping Strategies**: Exercise, meditation, social support - **Recovery Practices**: Rest days, vacations, hobbies - **Burnout Signs**: Exhaustion, cynicism, reduced efficacy --- ## 🔗 Cross-Dimensional Correlations ### Nutrition ↔ Sleep | Finding | Correlation | Mechanism | Action | |---------|-------------|-----------|--------| | Caffeine after 2 PM | r = 0.6-0.7 | Adenosine receptor blockade | No caffeine after 2 PM | | Alcohol before bed | r = 0.5-0.6 | Sleep fragmentation | Avoid alcohol 3 hours before bed | | Heavy dinner (>8 PM) | r = 0.4-0.5 | Digestive discomfort | Finish dinner 3 hours before bed | | Tryptophan-rich foods | r = 0.4-0.5 | Serotonin/melatonin precursor | Include turkey, eggs, cheese at dinner | | Magnesium intake | r = -0.4 to -0.5 | Muscle relaxation, GABA support | 300-400 mg magnesium daily | | High sugar intake | r = 0.5-0.6 | Blood sugar fluctuations | Reduce added sugars, especially evening | ### Nutrition ↔ Exercise | Finding | Correlation | Mechanism | Action | |---------|-------------|-----------|--------| | Pre-workout carbs | r = 0.6-0.7 | Glycogen availability | 30-60g carbs 1-2 hours before exercise | | Post-workout protein | r = 0.7-0.8 | Muscle protein synthesis | 20-30g protein within 2 hours after | | Hydration status | r = 0.6-0.7 | Performance, thermoregulation | 500ml 2 hours before, sip during | | Iron intake (women) | r = 0.5-0.6 | Oxygen transport, fatigue | 18 mg/day (meat, spinach, lentils) | | Omega-3 intake | r = 0.4-0.5 | Inflammation, recovery | 1-2g EPA+DHA daily | | Vitamin D status | r = 0.5-0.6 | Muscle function, bone health | 1000-2000 IU daily, or sun exposure | ### Exercise ↔ Sleep | Finding | Correlation | Mechanism | Action | |---------|-------------|-----------|--------| | Morning exercise | r = -0.5 to -0.6 | Circadian rhythm alignment | 30 min moderate exercise before 10 AM | | Evening vigorous exercise | r = 0.4-0.5 | Elevated core temperature | Finish intense exercise 3 hours before bed | | Daily step count | r = -0.5 to -0.6 | Sleep pressure, adenosine | 10,000 steps/day minimum | | Resistance training | r = -0.4 to -0.5 | Sleep quality improvement | 2-3 sessions/week | | Yoga/stretching | r = -0.5 to -0.6 | Parasympathetic activation | Evening gentle yoga or stretching | | Consistency | r = -0.6 to -0.7 | Circadian stability | Exercise at similar times daily | ### Stress ↔ All Domains | Finding | Correlation | Mechanism | Action | |---------|-------------|-----------|--------| | Chronic stress → cortisol | r = 0.7-0.8 | Increased appetite, abdominal fat | Daily stress management (meditation, breathing) | | Stress → emotional eating | r = 0.6-0.7 | Dopamine seeking | Identify triggers, find alternative coping | | Stress → sleep disruption | r = 0.7-0.8 | Hyperarousal, rumination | Wind-down routine, journaling before bed | | Stress → exercise avoidance | r = 0.5-0.6 | Fatigue, time pressure | Schedule exercise, view as stress relief | | Meditation practice | r = -0.6 to -0.7 | Parasympathetic activation | 10-20 min daily mindfulness | --- ## 🎯 Goal-Specific Programs ### Weight Loss Program **Calorie Deficit Strategy:** - Target: 500-750 cal/day deficit → 0.5-0.75 kg/week loss - Never go below 1200 cal/day (women) or 1500 cal/day (men) **Macronutrient Distribution:** - Protein: 1.6-2.2 g/kg (preserves muscle, increases satiety) - Carbs: 40-45% (focus on complex carbs, fiber) - Fat: 30-35% (emphasize unsaturated fats) **Exercise Prescription:** - Cardio: 200-300 min/week moderate (increases calorie expenditure) - Resistance: 3-4 sessions/week (preserves muscle mass) - NEAT: 10,000+ steps/day (non-exercise activity thermogenesis) **Sleep Optimization:** - Target: 7-9 hours/night - Sleep deprivation increases ghrelin (hunger hormone) by 15% - Sleep deprivation decreases leptin (satiety hormone) by 15% **Behavioral Strategies:** - Food diary (increases awareness, 20-30% more weight loss) - Weekly weigh-ins (objective feedback) - Meal planning/prep (reduces impulsive eating) - Mindful eating (slower pace, better satiety recognition) **Timeline:** - Weeks 1-2: Establish baseline, create deficit, build habits - Weeks 3-8: Consistent loss (0.5-0.75 kg/week) - Weeks 9-12: Adjust if plateau, maintain muscle mass - Month 4+: Transition to maintenance --- ### Muscle Building Program **Calorie Surplus Strategy:** - Target: 200-300 cal/day surplus → 0.25-0.5 kg/week gain - Minimize fat gain with modest surplus **Macronutrient Distribution:** - Protein: 1.6-2.2 g/kg (muscle protein synthesis) - Carbs: 45-55% (glycogen for training, insulin for anabolism) - Fat: 25-30% (hormone production) **Training Principles:** - **Progressive Overload**: Gradually increase weight, reps, or volume - **Volume**: 10-20 sets/muscle group/week - **Frequency**: 2-3 sessions/muscle group/week - **Intensity**: 65-85% 1RM for hypertrophy **Nutrition Timing:** - Pre-workout: 30-60g carbs + 20g protein (1-2 hours before) - Post-workout: 30-40g protein + 60-80g carbs (within 2 hours) - Before bed: 30-40g casein protein (slow-digesting) **Recovery:** - Sleep: 8-9 hours/night (growth hormone release) - Rest days: 2-3 days/week (muscle repair) - Deload: Every 6-8 weeks (prevent overtraining) **Supplements (Evidence-Based):** - Creatine monohydrate: 5g/day (increases strength, muscle mass) - Whey protein: As needed to meet protein targets - Caffeine: 3-6 mg/kg pre-workout (performance enhancement) --- ### Sleep Optimization Program **Sleep Hygiene Foundation:** - **Consistency**: Same bedtime/wake time (±30 min) even on weekends - **Environment**: Dark (blackout curtains), cool (18-20°C), quiet - **Bed Association**: Bed is for sleep and intimacy only - **Pre-Sleep Routine**: 60-min wind-down (no screens, relaxing activities) **Light Exposure:** - Morning: 10-30 min outdoor light within 1 hour of waking - Evening: Dim lights 2 hours before bed, blue light filters - Night: Avoid screens 1 hour before bed (or use blue light blocking glasses) **Caffeine Management:** - Half-life: 5-6 hours (can affect sleep 8-10 hours later) - Cut-off: No caffeine after 2 PM (or 8 hours before bedtime) - Sensitivity: Some individuals are fast/slow metabolizers (genetic) **Alcohol & Sleep:** - Alcohol helps sleep onset but fragments sleep architecture - Reduces REM sleep (important for memory, mood) - Recommendation: No alcohol within 3 hours of bedtime **Exercise Timing:** - Morning/afternoon: Improves sleep quality - Evening (vigorous): Finish 3 hours before bed (elevated core temperature) - Evening (gentle): Yoga, stretching can promote relaxation **Cognitive Strategies:** - **Worry Time**: Schedule 15 min afternoon "worry time" to process concerns - **Journaling**: Write tomorrow's to-do list before bed (offloads mental burden) - **Paradoxical Intention**: Try to stay awake (reduces performance anxiety about sleep) - **Mindfulness**: Body scan, breathing exercises (activates parasympathetic) **CBT-I Techniques (Cognitive Behavioral Therapy for Insomnia):** - **Stimulus Control**: Bed only for sleep (no TV, work, phone) - **Sleep Restriction**: Limit time in bed to actual sleep time (increases sleep drive) - **Cognitive Restructuring**: Challenge unhelpful beliefs about sleep - **Relaxation Training**: Progressive muscle relaxation, guided imagery --- ### Athletic Performance Program **Periodization:** - **Macrocycle**: Annual plan (competition phases) - **Mesocycle**: 4-6 week blocks (specific adaptations) - **Microcycle**: Weekly plan (training/recovery balance) **Nutrition Periodization:** - **Training Days**: Higher carbs (fuel training) - **Rest Days**: Lower carbs, higher fat (metabolic flexibility) - **Competition**: Carb loading if endurance event (>90 min) **Hydration Strategy:** - Pre-exercise: 500ml 2 hours before, 250ml 15 min before - During: 150-350ml every 15-20 min (depending on sweat rate) - Post: 150% of fluid loss (weigh before/after to estimate) **Recovery Optimization:** - **Sleep**: 8-10 hours/night (elite athletes) - **Naps**: 20-30 min (performance enhancement) - **Active Recovery**: Light movement on rest days - **Modalities**: Massage, foam rolling, contrast baths **Injury Prevention:** - Warm-up: Dynamic stretching, activation exercises - Cool-down: Static stretching, mobility work - Strength: Address muscle imbalances - Load Management: Gradual progression (10% rule) --- ## 📋 Assessment Tools ### Nutrition Assessment **24-Hour Dietary Recall:** ``` Breakfast (time): [foods, amounts] Snack (time): [foods, amounts] Lunch (time): [foods, amounts] Snack (time): [foods, amounts] Dinner (time): [foods, amounts] Evening Snack (time): [foods, amounts] Fluids: [types, amounts] Supplements: [types, doses] ``` **Diet Quality Score (0-100):** - Vegetables/Fruits (25 points): ≥5 servings/day - Whole Grains (15 points): ≥3 servings/day - Lean Protein (15 points): Adequate intake - Healthy Fats (15 points): Omega-3, unsaturated - Limited Processed (15 points): Minimal ultra-processed - Hydration (15 points): ≥2L water/day ### Exercise Assessment **PAR-Q+ (Physical Activity Readiness Questionnaire):** - Screens for contraindications to exercise - Identifies need for medical clearance **Exercise History:** - Current routine (type, frequency, duration, intensity) - Past exercise experience (positive/negative) - Barriers (time, motivation, physical limitations) - Preferences (individual/group, indoor/outdoor, competitive/recreational) **Fitness Testing (Baseline):** - Cardiovascular: Resting HR, 3-min step test or 1-mile walk - Strength: Push-up test, chair stand test - Flexibility: Sit-and-reach test - Body Composition: BMI, waist circumference, body fat % ### Sleep Assessment **Pittsburgh Sleep Quality Index (PSQI):** - 7 components (0-3 each, total 0-21) - Score >5 indicates poor sleep quality **Sleep Diary (2-week minimum):** ``` Date: _______ Bedtime: _______ Sleep latency (min): _______ Awakenings (number): _______ Wake time: _______ Total sleep time (hours): _______ Sleep quality (1-5): _______
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