Bodai Balazs I, Nakata Therese E, Wong William T, Clark Dawn R, Lawenda Steven, Tsou Christine, Liu Raymond, Shiue Linda, Cooper Neil, Rehbein Michael, Ha Benjamin P, Mckeirnan Anne, Misquitta Rajiv, Vij Pankaj, Klonecke Andrew, Mejia Carmelo S, Dionysian Emil, Hashmi Sean, Greger Michael, Stoll Scott, Campbell Thomas M
Director of The Breast Cancer Survivorship Institute in Sacramento, CA.
Program Manager of The Breast Cancer Survivorship Institute in Sacramento, CA.
Perm J. 2018;22:17-025. doi: 10.7812/TPP/17-025.
By ignoring the root causes of disease and neglecting to prioritize lifestyle measures for prevention, the medical community is placing people at harm. Advanced nations, influenced by a Western lifestyle, are in the midst of a health crisis, resulting largely from poor lifestyle choices. Epidemiologic, ecologic, and interventional studies have repeatedly indicated that most chronic illnesses, including cardiovascular disease, cancer, and type 2 diabetes, are the result of lifestyles fueled by poor nutrition and physical inactivity.In this article, we describe the practice of lifestyle medicine and its powerful effect on these modern instigators of premature disability and death. We address the economic benefits of prevention-based lifestyle medicine and its effect on our health care system: A system on the verge of bankruptcy. We recommend vital changes to a disastrous course. Many deaths and many causes of pain, suffering, and disability could be circumvented if the medical community could effectively implement and share the power of healthy lifestyle choices. We believe that lifestyle medicine should become the primary approach to the management of chronic conditions and, more importantly, their prevention. For future generations, for our own health, and for the Hippocratic Oath we swore to uphold ("First do no harm"), the medical community must take action. It is our hope that the information presented will inspire our colleagues to pursue lifestyle medicine research and incorporate such practices into their daily care of patients. The time to make this change is now.
通过忽视疾病的根本原因，忽视将生活方式措施作为预防的重点，医学界正在将人们置于危险之中。受西方生活方式影响的发达国家正处于健康危机之中，这在很大程度上是由于不良的生活方式选择所致。流行病学、生态学和干预性研究一再表明，大多数慢性疾病，包括心血管疾病、癌症和2型糖尿病，都是由营养不良和缺乏身体活动所导致的不良生活方式造成的。在本文中，我们描述了生活方式医学的实践及其对这些导致过早残疾和死亡的现代因素的强大影响。我们探讨了基于预防的生活方式医学的经济效益及其对我们医疗保健系统的影响：一个濒临破产的系统。我们建议对灾难性的进程做出重大改变。如果医学界能够有效地实施并分享健康生活方式选择的力量，许多死亡以及许多痛苦、折磨和残疾的原因都可以避免。我们认为，生活方式医学应该成为管理慢性病的主要方法，更重要的是，成为预防慢性病的主要方法。为了子孙后代，为了我们自己的健康，也为了我们宣誓要坚守的希波克拉底誓言（“首要之务，不伤害”），医学界必须采取行动。我们希望所呈现的信息能激励我们的同行开展生活方式医学研究，并将这些实践纳入他们对患者的日常护理中。现在就是做出这一改变的时候了。
