Arena Ross, McNeil Amy, Sagner Michael, Hills Andrew P
College of Applied Health Sciences, University of Illinois at Chicago, Chicago, IL, USA.
SARENA P4 Medicine Clinic and Research Center, Nice, France.
Prog Cardiovasc Dis. 2017 Mar-Apr;59(5):422-429. doi: 10.1016/j.pcad.2017.02.002. Epub 2017 Feb 16.
The chronic disease crisis we currently face must be addressed in rapid fashion. Cardiovascular (CV) and pulmonary diseases, diabetes as well as several forms of cancer are leading causes of morbidity and mortality globally. Collectively, these conditions have a significant impact on the quality of life of individuals, families and communities, placing an unsustainable burden on health systems. There is hope for the chronic disease crisis in that these conditions are largely preventable or can be delayed to much later in life through a timeless medicine, healthy living. Specifically, physical activity (PA), healthy nutrition, not smoking and maintaining a healthy body weight, the latter of which being predominantly influenced by PA and nutrition, are the key healthy living medicine (HLM) ingredients. Unfortunately, there is much work to be done, the unhealthy living phenotype is running rampant across the globe. Without improvements in PA, nutrition, tobacco use and body habitus patterns, there is little hope for curtailing the chronic disease epidemic that has been brought about by the dramatic increase in unhealthy living behaviors. This review highlights current trends in lifestyle behaviors, benefits associated with reversing those behaviors and potential paths to promote the increased utilization of HLM.
我们当前面临的慢性病危机必须迅速加以应对。心血管疾病、肺部疾病、糖尿病以及多种癌症是全球发病和死亡的主要原因。总体而言，这些疾病对个人、家庭和社区的生活质量产生重大影响，给卫生系统带来难以承受的负担。慢性病危机是有希望解决的，因为这些疾病在很大程度上是可以预防的，或者可以通过一种永恒的医学——健康生活方式，将发病时间推迟到生命的晚得多的时候。具体而言，身体活动、健康营养、不吸烟以及保持健康体重（后者主要受身体活动和营养影响）是健康生活方式这一关键要素。不幸的是，还有很多工作要做，不健康的生活方式在全球肆虐。如果身体活动、营养、烟草使用和体型模式得不到改善，要遏制因不健康生活行为急剧增加而引发的慢性病流行就几乎没有希望。本综述强调了生活方式行为的当前趋势、扭转这些行为所带来的益处以及促进更多人采用健康生活方式的潜在途径。
