The Underutilization of Lifestyle Modifications in Primary Care Medicine

• 영문명: The Underutilization of Lifestyle Modifications in Primary Care Medicine
• 발행기관: 사피엔시아
• 저자명: Jean-Marc Lucas Karl F. Kozlowski
• 간행물 정보: 『Exercise Medicine』Vol.3, 1~8쪽, 전체 8쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2019.12.31

영문 초록

Chronic disease accounts for the majority of deaths in the United States and is often attributed to obesity. A sedentary lifestyle and poor nutrition are primary contributing factors to the development of obesity and thus chronic disease. Primary care providers are optimally positioned to prescribe exercise and nutrition (lifestyle medicine) as a treatment for chronic disease. Unfortunately, this opportunity seems to be regularly lost. Primary care providers often rely too heavily on weight loss pharmaceuticals and bariatric surgeries to treat obesity. This treatment approach however also does little to prevent and treat the accumulation of chronic diseases. The purpose of this review was to evaluate the efficacy of conventional medical weight loss treatments and determine why primary care providers may not prescribe exercise and nutrition more frequently. Our findings suggest that some primary care providers may be uncomfortable prescribing lifestyle medicine as they receive little formal education in this field. In conclusion, prescription of exercise and nutrition by primary care providers may elicit greater long-term weight loss than current medical weight management practices. Medical management is most likely effective when combined with lifestyle medicine. We propose that primary care providers be better trained in lifestyle medicine through their formal and clinical education. Rates of chronic disease accumulation may potentially decrease if providers prescribe lifestyle medical treatments more frequently.

목차

INTRODUCTION

Obesity as a Primary Source of Chronic Disease

Pharmaceutical Induced Weight Loss

Surgically Assisted Weight Loss

Physical Activity

Nutrition

Clinically Prescribed Lifestyle Modifications

Obstructions to the Prescription of Lifestyle Modifications

The Case for Lifestyle Medicine

Limitations to the Prescription of Lifestyle Medicine

CONCLUSIONS

ACKNOWLEDGEMENTS

Conflicts of Interest

키워드

Chronic disease Exercise Lifestyle medicine Nutrition Obesity