Functional MedicineThis introductory course in Lifestyle Medicine is intended for primary-care physicians and other mid- to senior-level healthcare professionals, both in training and in practice. Less than half of the adult population in the United States meet minimum requirements for aerobic exercise 12 x12Carlson SA, Fulton JE, Schoenborn CA, Loustalot F. Trend and Prevalence Estimates based on the 2008 Physical Activity Guidelines for Americans.
One such study showed that the diabetes in the Pima Indians' was familial 19 The population contains individuals who suffer from most of the clinical characteristic of diabetes such as obesity, insulin resistance, dysfunction of insulin secretion, and increased rates of endogenous glucose production 20 As the diagnostic criteria for type 2 diabetes according to the World Health Organization were based on a Native American population 21 , the findings in Pima Indians indicate that major metabolic pathways related to the pathogenesis of diabetes are common to both Native and non-Native Americans.
In 2010, Lianov and Johnson 3 published an article in the Journal of the American Medical Association that strongly advocated physician education and training in vegan diet: Physician educators at both the undergraduate and graduate medical education levels should consider incorporating the relevant lifestyle medicine competencies into education and training programs.” The need for education in lifestyle medicine is so profound that prominent universities like Harvard, Stanford, and Yale have implemented the inclusion of lifestyle medicine into their curriculum, ranging from postgraduate courses to the development of separate institutes devoted to the cause.
Egger et al. concluded that Lifestyle medicine forms a bridge with public health and health promotion, where the latter is defined as ‘the combination of educational and environmental supports for actions and conditions of living conducive to health'” 10 (The contents in single quotation mark is taken from Greene and Kreuter's material 13 ).
A: Most medical students and physicians do not receive adequate training in even the basics of Lifestyle Medicine—nutrition and physical activity—yet we know that 85 percent of chronic disease today is caused by unhealthy lifestyle choices in these and other areas.
As Street, James and Cutt comment 125 , evaluations by government departments in Australia and the US have found that people who participate in organised recreational activity enjoy better mental health, are more resilient against the stresses of modern living, with a reduction of depressed mood also evident; however the direction of the association remains speculative.
Dr. Rekha Mandel , our primary care and lifestyle medicine physician, will address how to prevent and treat illness by replacing unhealthy behaviors with positive ones, such as eating nourishing foods, managing stress, staying physically active, getting plenty of sleep, and developing a strong support system.