Kempermann Gerd
German Center for Neurodegenerative Diseases (DZNE), Dresden, Germany.
Center for Regenerative Therapies (CRTD) TU Dresden, Dresden, Germany.
Front Aging Neurosci. 2019 Jul 17;11:171. doi: 10.3389/fnagi.2019.00171. eCollection 2019.
To effectively promote life-long health and resilience against - for example - neurodegenerative diseases, evidence-based recommendations must acknowledge the complex multidimensionality not only of the diseases but also of personal lifestyle. In a straightforward descriptive and heuristic framework, more than 50 potential lifestyle factors cluster around diet (D), education (E), exercise (E), and purpose (P), unveiling their many relationships across domains and scales. The resulting systematics and its visualization might be a small but helpful step toward the development of more comprehensive, interdisciplinary models of lifestyle-dependent risk and resilience and a means to explain the opportunities and limitations of preventive measures to the public and other stakeholders. Most importantly, this perspective onto the subject implies that not all lifestyle factors are created equal but that there is a hierarchy of values and needs that influences the success of lifestyle-based interventions.
为了有效促进终身健康并增强抵御能力,例如抵御神经退行性疾病,基于证据的建议必须认识到不仅疾病具有复杂的多维度性,个人生活方式也是如此。在一个直接的描述性和启发式框架中,50多个潜在的生活方式因素围绕饮食(D)、教育(E)、锻炼(E)和目标(P)聚集,揭示了它们在不同领域和尺度上的众多关系。由此产生的系统性及其可视化可能是朝着开发更全面、跨学科的生活方式相关风险和抵御能力模型迈出的一小步,但却是向公众和其他利益相关者解释预防措施的机会和局限性的一种方式。最重要的是,这种看待该主题的视角意味着并非所有生活方式因素都是平等的,而是存在一个价值和需求层次结构,它会影响基于生活方式的干预措施的成功。