Kent Kriston, Johnson Jamieson D, Simeon Kate, Frates Elizabeth Pegg
The Kent Center for Life, Naples, Florida (KK).
Bowdoin College, Brunswick, Maine (JDJ).
Am J Lifestyle Med. 2016 Jul 8;10(6):388-397. doi: 10.1177/1559827616638288. eCollection 2016 Nov-Dec.
As the number of people living with chronic diseases climbs upward, novel methods to address the root causes of these disease are necessary to transform the state of our nation's health and our health care system. Interventions directed at making lasting lifestyle changes can have a major impact on the overall health of patients. In this pilot study, 4 obese patients, with unhealthy habits and abnormal blood profiles and biometrics, were able to significantly improve their lifestyles and their lab values with the 3-month intervention of a lifestyle medicine team, including a physician trained in lifestyle medicine, a certified wellness coach, a licensed nutrition specialist, a physical therapist, and a licensed mental health professional. Two patients had type 2 diabetes, and all 4 were hypertensive (blood pressure > 120/80 mm Hg). After the intervention, all improved their nutrition and increased their physical activity. In addition, all experienced improvements in lipid counts, blood pressure, weight loss, and cholesterol. The diabetic patients' levels of hemoglobin A1C dropped to normal. These successes show the benefits of a lifestyle medicine team approach.
随着慢性病患者数量的攀升，必须采用新方法来解决这些疾病的根本原因，以改变我国的健康状况和医疗体系。旨在实现持久生活方式改变的干预措施，会对患者的整体健康产生重大影响。在这项试点研究中，4名有不健康习惯、血液指标和生物特征异常的肥胖患者，通过生活方式医学团队为期3个月的干预，显著改善了他们的生活方式和实验室检查值。该团队包括一名接受过生活方式医学培训的医生、一名认证健康教练、一名持证营养专家、一名物理治疗师和一名持证心理健康专业人员。两名患者患有2型糖尿病，4人都患有高血压（血压>120/80毫米汞柱）。干预后，所有人都改善了营养状况，增加了身体活动。此外，所有人的血脂、血压、体重和胆固醇都有改善。糖尿病患者的糖化血红蛋白水平降至正常。这些成功案例显示了生活方式医学团队方法的益处。
