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Published on: April 19, 2019
Lifestyle Medicine and Cardiovascular Health
1UMass Chan Medical School, Shrewsbury, MA, USA (JMR) and Rippe Lifestyle Institute, Shrewsbury, MA, USA (JMR).
Insights
Lifestyle medicine and cardiovascular health initiatives are increasingly aligned. Focusing on physical activity, nutrition, sleep, relationships, and managing weight, blood pressure, and lipids promotes overall health and prevents disease.
Area of Science:
- Cardiovascular health
- Lifestyle medicine
Background:
- Daily habits significantly impact short- and long-term health and quality of life, especially for cardiovascular disease.
- Lifestyle medicine principles emphasize the role of daily actions in health and disease management.
- The American Heart Association (AHA) and American College of Cardiology (ACC) have long recognized the importance of lifestyle factors.
Purpose of the Study:
- To review the recent evidence demonstrating the growing alignment between lifestyle medicine and the AHA's "Life's Essential 8" initiative for cardiovascular health.
- To highlight how core principles of lifestyle medicine are integrated into strategies for preventing and managing cardiovascular disease.
Main Methods:
- Review of current scientific literature and guidelines.
- Analysis of the "Life's Essential 8" framework and its components.
- Comparison of lifestyle medicine principles with cardiovascular health recommendations.
Main Results:
- "Life's Essential 8" encompasses key lifestyle medicine tenets: physical activity, nutrition, sleep, social connections, weight management, and control of blood pressure and lipids.
- There is a strong and increasing convergence between the evidence-based practices of lifestyle medicine and the strategic goals of promoting cardiovascular health.
- These aligned principles aim to reduce cardiovascular disease risk factors before they develop and manage existing conditions.
Conclusions:
- Lifestyle medicine and cardiovascular health initiatives are becoming increasingly integrated.
- Adherence to the principles of "Life's Essential 8" supports both cardiovascular well-being and overall chronic disease prevention.
- Promoting healthy daily habits is fundamental to improving population health and reducing the burden of cardiovascular disease.
Abstract:
Daily habits and actions exert a profound impact on both the short and long-term health and quality of life. This is particularly true of cardiovascular disease, although it also pertains to virtually all other chronic medical conditions. This is also a fundamental underlying principle of lifestyle medicine. The American Heart Association (AHA) and American College of Cardiology (ACC) have embraced this concept for several decades-most recently with the concept of "cardiovascular health" which is a strategic initiative to lower the risk factors for heart disease from ever occurring. This new initiative adds to the overall agenda for the AHA, in addition to reducing risk factors once they are present and treating cardiovascular disease. The rubric that the AHA has used to define this new initiative on "cardiovascular health" is "Life's Essential 8." The underlying principles of increasing physical activity, improving nutrition (more fruits and vegetables and whole grains), obtaining healthy restorative sleep, having positive relationships with others, reducing the likelihood of overweight and obesity, and treating high blood pressure and lipids are all key components of the initiative on cardiovascular health. These principles also apply equally well to the discipline of lifestyle medicine. This review focuses on the most recent evidence of how lifestyle medicine and cardiovascular health are coming evermore closely aligned with each other.
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