Living sustainability is a set of behaviors for the long-term functioning of society. Sustainability VALS provides the clothing and textiles industry distinctive insight into comprehending the phenomenon through the application of the appropriate theoretical platform. The objectives are to identify the dimensionality of sustainability value, sustainability practices and sustainability stewardship in consumers’ perceptive, and to examine the impacts of sustainability value and stewardship on sustainability practices. Analyzing data (n = 239) from a southwestern university reveals the critical dimensions of sustainability lifestyle practices, sustainability value and sustainability stewardship. 62 out of 64 hypotheses were confirmed the significant impacts of sustainability values and stewardship on sustainability lifestyle practices. The findings revealed that the altruistic, openness to change, anthropocentrism, and ecocentrism values are influential sustainability values affecting on sustainability lifestyle practices. Given the theoretical perspective of sustainability VALS, sustainability stewardships can facilitate the holistic idea to incur consumer’s sustainability lifestyle practices.

Lymphangioleiomyomatosis (LAM) is a rare lung disease recognized by abnormal growth of smooth muscle cells proliferating in lungs parenchyma, developing benign tumors, migrating to the other organs, and ultimately leading to respiratory failure and death. Despite existing literature mainly on clinical aspects of LAM, there is a gap of literature in regards to the knowledge, attitude, and lifestyle practices (KAPs) of LAM patients and their effects on their quality of life. The purpose of this quantitative study was to investigate the KAPs of the sporadic LAM patients as measured by the Bristol Chronic Obstructive Pulmonary Disease Knowledge Questionnaire, Beliefs and Behavior Questionnaire, Determinants of Lifestyle Behavior Questionnaire; these KAPs were then analyzed for their relationship to quality of life reports as measured by the St George’s Quality of Life Questionnaire. Transtheoretical model (TTM) was used to describe the relationship among the variables. The data were collected through online survey questionnaires from 143 sporadic LAM patients registered at the LAM Foundation. Pearson’s correlations and linear regression were used to analyze the data. The results of the analysis showed that there was a significant positive relationship between attitude, lifestyle practices, and quality of life and a negative relationship between knowledge and quality of life. The outcome achieved by this study and its implication on social change identifies the need to initiate more study-specific KAPs within LAM populations, including individuals with tuberous sclerosis complex LAM. The results could also encourage the LAM community as well as other stakeholders to implement programs, workshops, and interventions that could promote and enhance quality of life.