Showing papers on "Lifestyle medicine published in 2007"
TL;DR: Well-designed community-based intervention programs can improve lifestyle choices and health habits and can also markedly and rather quickly reduce the level of coronary risk factors in a non-randomized population.
53 citations
TL;DR: A broad overview of research involving the efficacy of exercise as a means to treat depression and anxiety, as well as related issues regarding dosage and compliance are presented.
Abstract: Anxiety and depressive disorders are major public health problems, and desirable changes in lifestyle, such as exercise and proper nutrition, can be of great potential for prevention and treatment....
18 citations
TL;DR: The authors recognize that individual clinicians have time constraints which affect utilization of lifestyle medicine strategies, and believe the best outcomes can be achieved by combining these interventions with more traditional modalities for reducing the risk, preventing, or treating coronary heart disease.
Abstract: Coronary heart disease remains the leading killer of men and women in the United States. Coronary heart disease also represents one of the quintessential lifestyle-related diseases. Many of the maj...
12 citations
TL;DR: Although the empirical evidence provides a compelling rationale for the modification of preventable cardiovascular risks, their review prompts discussion of the continuing tendency for practice to lag behind knowledge, the persisting challenges to narrowing this knowledge-practice divide, and the emerging trends that may further advance cardiovascularrisk reduction efforts.
Abstract: As Rippe, Angelopoulos, and Zuckley pointed out, coronary heart disease “represents the quintessential lifestyle disease of developed countries,” offering both opportunities and challenges for the routine practice of lifestyle medicine. Although the empirical evidence provides a compelling rationale for the modification of preventable cardiovascular risks, their review prompts discussion of the continuing tendency for practice to lag behind knowledge, the persisting challenges to narrowing this knowledge-practice divide, and the emerging trends that may further advance cardiovascularrisk reduction efforts.
8 citations
TL;DR: The State-of-the-Art Review prompts discussion of several especially thorny barriers including the persistent tensions between research and practice, main effects and mediators, single and multifactor approaches to risk management, and primary care and communitybased systems of health delivery.
Abstract: As Rippe, Angelopoulos, and Zukley noted in their State-of-the-Art Review, empirically supported lifestyle modification strategies offer numerous advantages over other modalities for reducing cardiovascular risks. Yet, despite compelling evidence for their implementation, the translation of lifestyle interventions from research to practice has been challenging. Their review prompts discussion of several especially thorny barriers including the persistent tensions between (1) research and practice, (2) main effects and mediators, (3) single and multifactor approaches to risk management, and (4) primary care and communitybased systems of health delivery.
7 citations
6 citations
TL;DR: Promoting a basic “health formula” for all of the authors' patients has important implications for not only heart disease and diabetes prevention and treatment, but it also supports treatment for common mental health problems.
Abstract: Anxiety and depression are the 2 leading mental health conditions seen in primary care. They are often underdiagnosed and undertreated in this setting. Primary care physicians must adopt tools and methods of identifying these patients. Office support staff and electronic medical records with reminder systems are helpful in implementing screening and early counseling. Lifestyle medicine approaches to these common conditions are also overlooked as effective primary and adjunctive therapies. Promoting a basic “health formula” (regular physical activity, proper diet, and emotion balance [stress management]) for all of our patients has important implications for not only heart disease and diabetes prevention and treatment, but it also supports treatment for common mental health problems.
2 citations
TL;DR: Improved assessment tools, and underused treatment strategies, such as thoughtful diet and exercise interventions coupled with appropriate statin use, can integrate lifestyle medicine strategies and significantly decrease the morbidity and mortality of coronary heart disease.
Abstract: Lifestyle medicine is the study and practice of how simple lifestyle measures such as proper diet, proper exercise, and stress reduction are thoughtfully and comprehensively integrated into conventional Western medicine practices. This includes promoting health through prevention and therapeutic strategies. Through the use improved assessment tools, such as coronary computed tomography calcium scoring and exercise capacity, and underused treatment strategies, such as thoughtful diet and exercise interventions coupled with appropriate statin use, practicing clinicians can integrate these lifestyle medicine strategies and significantly decrease the morbidity and mortality of coronary heart disease.
1 citations
TL;DR: The rationale for CHD risk reduction is clear, well studied and outlined, and the challenge now is in defining how to fully implement the effective strategies that have been proven to reduce the risks.
Abstract: Coronary Heart Disease (CHD) is the most deadly disease in the United States and the one whose risks are most modifiable by lifestyle measures. The rationale for CHD risk reduction is clear, well studied and outlined in this article. From aggressive assessment with a history and physical, basic laboratory studies, nutritional assessment and a physical activity assessment, CHD risks can be adequately quantified. The challenge now is in defining how to fully implement the effective strategies; both pharmacologic and nonpharmacologic (lifestyle) that have been proven to reduce the risks.
1 citations
TL;DR: Although high-impact exercises increase the risk of osteoarthritis, physicians need to still recommend appropriate lower impact aerobic exercise and strengthening exercises for all of the authors' patients to improve their general health, including cardiovascular and musculoskeletal health.
Abstract: The prevalence of symptomatic osteoarthritis after the age of 55 years ranges from about 30% to 50% in men and 40% to 60% in women. With the increasing age of the population, it is estimated that in 20 years, osteoarthritis will be the fourth leading cause of disability in this country. Risk factors for osteoarthritis include previous knee surgery, occupational bending and lifting, knee injury, and obesity. Many have suggested that recreational activity and high-level sports involvement are associated with increased risk of osteoarthritis. Although high-impact exercises increase the risk of osteoarthritis, physicians need to still recommend appropriate lower impact aerobic exercise and strengthening exercises for all of our patients to improve their general health, including cardiovascular and musculoskeletal health. Clearly, more research is needed to help us understand how to modify the natural history of this condition in more stringent evidence-based fashion. However, lifestyle medicine approaches com...
1 citations