Lassell Rebecca K F, Pritchard Kevin, Baehr Laura A, Ceïde Mirnova E, Chatterjee Sudeshna A, Colón-Semenza Cristina, Jayakody Oshadi, Lieber Sarah B, Loewenthal Julia V, Mosher Christopher L, Myasoedova Elena, Na Annalisa, Makris Una, Sherman Andrea, Sheshadri Anoop, Wagle Kamal, Wingood Mariana, Andonian Brian J
Department of Health & Wellness Design, School of Public Health, Indiana University Bloomington, Bloomington, IN, USA.
Center for Aging Research, Regenstrief Institute Inc-Indiana University, Indianapolis, IN, USA.
Age Ageing. 2025 May 31;54(6). doi: 10.1093/ageing/afaf159.
Nearly half of premature deaths can be prevented with healthy lifestyle behaviours. However, most older adults do not adhere to established guidelines to promote a healthy lifestyle. We propose a tailored framework of lifestyle medicine that acknowledges the complex contexts and care needs of older adults. The proposed framework of lifestyle medicine for older adults integrates their lived experiences (e.g. social determinants of health, built environment), the 5 M framework of geriatric medicine (i.e. Mind, Mobility, Medications, Multicomplexity, Matters Most) and the six pillars of lifestyle medicine (i.e. nutrition/diet, physical activity/exercise, restorative sleep, stress management, avoidance of risky substances, positive social connections) through a novel transdisciplinary approach. Guided by the updated framework, key gaps and opportunities are presented to advance lifestyle medicine practice, research and policy with the goal of promoting sustained behaviour change and improving the healthspan of older adults.
近一半的过早死亡可通过健康的生活方式行为来预防。然而，大多数老年人并未遵循既定指南来促进健康的生活方式。我们提出了一个量身定制的生活方式医学框架，该框架认识到老年人复杂的背景和护理需求。拟议的老年人生活方式医学框架通过一种全新的跨学科方法，整合了他们的生活经历（如健康的社会决定因素、建成环境）、老年医学的5M框架（即心智、活动能力、药物治疗、多重复杂性、最重要的事）以及生活方式医学的六大支柱（即营养/饮食、体育活动/锻炼、恢复性睡眠、压力管理、避免危险物质、积极的社会联系）。在更新后的框架指导下，提出了关键差距和机遇，以推进生活方式医学的实践、研究和政策，目标是促进持续的行为改变并改善老年人的健康寿命。
