Related Experiment Video
Updated: Oct 20, 2025
04:24
A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
Published on: April 19, 2019
12.0K
Cardiometabolic risk: New chronic care models
Ramfis Nieto-Martínez1,2,3, Juan P González-Rivas2,3,4, Jeffrey I Mechanick5,6
1LifeDoc Health, Memphis, Tennessee, USA.
JPEN. Journal of Parenteral and Enteral Nutrition
|September 14, 2021
Summary
The Cardiometabolic-Based Chronic Disease (CMBCD) model offers a new approach to prevent cardiovascular diseases (CVDs) by focusing on early lifestyle interventions. This model addresses obesity and diabetes as Adiposity-Based Chronic Disease (ABCD) and Dysglycemia-Based Chronic Disease (DBCD) to mitigate CVD progression.
Area of Science:
- Cardiology
- Metabolic Diseases
- Public Health
Background:
- Cardiometabolic risk factors and chronic cardiovascular diseases (CVDs) are prevalent, necessitating improved clinical nutrition and lifestyle interventions.
- Current care models require enhancement to integrate prevention, considering social determinants and ethnocultural factors for sustainability.
Purpose of the Study:
- To review the mechanistic drivers and ethnocultural validation of the Cardiometabolic-Based Chronic Disease (CMBCD) model.
- To promote early intervention through lifestyle and nutrition to mitigate CVD progression.
Main Methods:
- Review of mechanistic drivers and ethnocultural validation of the CMBCD model.
- Analysis of epidemiological findings and molecular mechanisms of disease progression.
- Evaluation of novel definitions for Adiposity-Based Chronic Disease (ABCD) and Dysglycemia-Based Chronic Disease (DBCD).
Main Results:
- The CMBCD model identifies primary (genetics, environment, behavior) and metabolic (obesity, type 2 diabetes, hypertension, dyslipidemia) drivers of CVD.
- Evidence supports disease progression within and between ABCD and DBCD stages, culminating in CVD.
- The ABCD and DBCD definitions offer improved clinical utility by considering adiposity and glycemic control spectrums, respectively, overcoming limitations of previous metrics.
Conclusions:
- Clinicians should adopt the CMBCD model for early intervention.
- Integrating lifestyle changes is crucial for optimally mitigating the burden of CVD.
- The CMBCD model provides a framework for comprehensive chronic disease management.
Related Concept Videos
01:15Methods of Documentation VI: Case Management Model
657
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
657
01:29Cardiomyopathy V: Interprofessional Care
67
Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
67
01:30Coronary Artery Disease I: Introduction
510
Coronary Artery Disease (CAD): An Overview with Scientific InsightsCoronary Artery Disease (CAD), often referred to as C-A-D, is a prevalent blood vessel disorder classified under the broader category of atherosclerosis. Atherosclerosis is a pathological process characterized by the hardening and narrowing of arteries due to the accumulation of atherosclerotic plaques. These plaques are composed of cholesterol, fatty substances, inflammatory cells, calcium, and fibrin, reducing blood flow to...
510
01:18Chronic Kidney Disease IV: Nursing Management
92
Nursing management is essential for preventing complications, maintaining stability, and improving patients' quality of life in chronic kidney disease (CKD). By using a structured approach, nurses help slow CKD progression and support effective patient care.1. Comprehensive patient assessmentEffective management begins with nurses reviewing the patient’s medical history, and identifying key risk factors like diabetes, hypertension, and nephrotoxic drug use. Nurses assess signs of...
92
01:28Chronic Kidney Disease III: Interprofessional Care
142
Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
142
01:29Chronic Pancreatitis II: Collaborative Care
143
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
143