Polak Rani, Pojednic Rachele M, Phillips Edward M
Institute of Lifestyle Medicine, Department of Physical Medicine and Rehabilitation, Harvard Medical School, Joslin Diabetes Center, Boston, Massachusetts (RP, RMP, EMP).
Am J Lifestyle Med. 2015 Sep;9(5):361-367. doi: 10.1177/1559827615580307.
The actual causes of premature adult deaths, the preponderance of noncommunicable chronic diseases, and their associated costs are related to unhealthy behaviors, such as poor nutrition, physical inactivity, and tobacco use. Although recommended as the first line of prevention and management, providers often do not provide behavioral change counseling in their care. Medical education in lifestyle medicine is, therefore, proposed as a necessary intervention to allow all health providers to learn how to effectively and efficiently counsel their patients toward adopting and sustaining healthier behaviors. Lifestyle medicine curricula, including exercise, nutrition, behavioral change, and self-care, have recently evolved in all levels of medical education, together with implementation initiatives like Exercise is Medicine and the Lifestyle Medicine Education (LMEd) Collaborative. The goal of this review is to summarize the existing literature and to provide knowledge and tools to deans, administrators, faculty members, and students interested in pursuing lifestyle medicine training or establishing and improving an LMEd program within their institution.
过早成人死亡的实际原因、非传染性慢性病的主导地位及其相关成本与不健康行为有关,如营养不良、缺乏身体活动和吸烟。尽管行为改变咨询被推荐为预防和管理的第一线措施,但医疗服务提供者在其诊疗过程中往往不提供此类咨询。因此,有人提议开展生活方式医学方面的医学教育,作为一项必要的干预措施,使所有医疗服务提供者学会如何有效且高效地为患者提供咨询,帮助他们采用并维持更健康的行为。包括运动、营养、行为改变和自我保健在内的生活方式医学课程,最近在各级医学教育中都有所发展,同时还出现了诸如“运动即医学”和生活方式医学教育(LMEd)协作等实施倡议。本综述的目的是总结现有文献,并为有意在其所在机构开展生活方式医学培训或建立和改进LMEd项目的院长、管理人员、教职员工和学生提供知识和工具。