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Lifestyle Medicine Core Competencies: 2025 Update
Brenda L Rea1,2, Sohaila Cheema3, Sandra Lanza4
1American College of Lifestyle Medicine, Chesterfield, MO, USA (BLR, MCK).
American Journal of Lifestyle Medicine
|October 31, 2025
Summary
Lifestyle medicine (LM) competencies are updated to reflect evolving global health priorities. Key changes include minor revisions to planetary health and food processing, plus a new competency on social determinants of health (SDOH).
Area of Science:
- Lifestyle Medicine
- Global Health
- Healthcare Professional Development
Background:
- Lifestyle Medicine (LM) competencies are essential for evidence-based practice across healthcare disciplines.
- Previous competency updates occurred in 2010, 2015, and 2022, expanding scope to include various health professionals.
- Evolving global LM priorities necessitated a review and update of existing competencies.
Purpose of the Study:
- To summarize recent updates to LM competencies.
- To introduce a new competency addressing social determinants of health (SDOH).
- To establish a framework for future LM competency revisions.
Main Methods:
- The Lifestyle Medicine Global Alliance (LMGA) Scientific Advisory Committee reviewed current LM competencies.
- Minor revisions were made to planetary health and food processing competencies.
- A new competency focused on SDOH was developed and integrated.
Main Results:
- The total number of LM competencies increased from 88 in 2022 to 89 in 2025.
- Updates included refinements to planetary health and food processing competencies.
- A new competency addressing social determinants of health was added.
Conclusions:
- The updated LM competencies reflect current global health needs and priorities.
- The addition of SDOH addresses a critical area in holistic patient care.
- A structured approach for future competency updates has been established to ensure ongoing relevance.
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