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Am J Health Promot. 2018 Jul;32(6):1452-1458. doi: 10.1177/0890117117705949. Epub 2017 May 19.

Lifestyle as Medicine: The Case for a True Health Initiative.

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1 Yale University Prevention Research Center, Griffin Hospital, Derby, CT, USA.
2 Stroke Institute Spaulding Rehabilitation Hospital, Harvard Medical School, Boston, MA, USA.
3 Harvard Extension School, Boston, MA, USA.
4 Staff Neurosurgeon, The Emory Clinic Chief of Neurosurgery, Grady Memorial Hospital, Atlanta, GA, USA.
5 Department of Health Promotion and Chronic Disease Prevention, National Institute for Health and Welfare (THL), Helsinki, Finland.
6 Departments of Public Health and Surgery, University of Arizona, Tucson, AZ, USA.


The power of lifestyle as medicine was perceived thousands of years ago. There is now consistent and compelling science to support the important influence of lifestyle on health. Approximately 80% of chronic disease and premature death could be prevented by not smoking, being physically active, and adhering to a healthful dietary pattern. Cardiovascular disease, diabetes, stroke, dementia, and cancer are all influenced by lifestyle choices. Despite the ample evidence about what behaviors promote health, confusion still prevails among the general population. This is particularly true with regard to diet. Confusing nutrition messages from scientists, the media, the food industry, and other sources have made it all but impossible for any single authority to convey persuasively the fundamentals of healthful eating. The case is made here that a global coalition of diverse experts has the power to do what no individual can: clarify and popularize an understanding of the fundamentals of a health-promoting, sustainable pattern of diet and lifestyle, and rally the general public to their consistent support.


awareness; culture change; education/communications; interventions; nutrition; opportunity; population health; social media; strategies


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